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This page is an AI-assisted Turkish summary of the study presented at the 26th World Congress of Psychiatry. The study belongs to the presenting authors; please refer to the original source when citing it.

EV1057

Effectiveness of treatment for a patient with borderline personality disorder at a CAPS center in a Brazilian municipality

EFFECTIVENESS OF TREATMENT FOR A PATIENT WITH BORDERLINE PERSONALITY DISORDER AT A BRAZILIAN MUNICIPALITY'S CAPS

Individualized, flexible, community-based CAPS care supported the therapeutic alliance, autonomy, and clinical stability of a young woman with borderline personality disorder.

The aim of this report is to describe the multidisciplinary care provided to a 19-year-old woman with borderline personality disorder (BPD) at a Psychosocial Care Center (Centro de Atenção Psicossocial, CAPS) in the municipality of Araguari, in the Brazilian state of Minas Gerais. The design is a descriptive, narrative-based observational case report. The care program consisted of weekly psychotherapy at a family health unit (UBSF), weekly follow-up with the professional responsible for her care, a weekly relaxation and meditation group, a weekly handicrafts workshop, medical assessments monthly or as clinically indicated, and supported medication administration with medication supplied every three days. The care process was described along four dimensions: a therapeutic alliance grounded in skilled listening and a non-stigmatizing relationship; shared responsibility that preserved autonomy; reframing of her life story following suicidal and self-harm crises that occurred after estrangement from her family; and local connections involving family, friends, the community, the UBSF, religious experiences, and work. Adapting services to the patient's needs rather than following a rigid institutional template supported continuity of care. The observed outcomes were that trust in the team encouraged the patient to seek care when she recognized early signs of a crisis, and that her autonomy increased in daily living activities, work, and managing her own health. The authors conclude that individualized care and local connections support autonomy and clinical stability; they note that no generalizable conclusions can be drawn because this is a single descriptive case and standardized outcome measures were not used.

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