A very interesting article:
Psychological suffering is one of the most disconcerting issues that patients and families may experience at the end of life (EOL). In the face of a terminal illness, it is natural for patients to feel grief, sadness, despair, anger, pain, and anxiety. Many are able to achieve acceptance, comfort, and coping through the dying process. However, the dying process can be complicated for those with preexisting psychiatric disorders that make them more vulnerable to distress and may amplify their psychological, emotional, physical, and spiritual suffering.
Caring for patients with psychiatric and personality disorders at the EOL is complex, given the nature of psychopathology and its impact on interactions between patients and providers. We present a case of a patient with a terminal illness and comorbid borderline personality disorder (BPD) and discuss management challenges from palliative and psychiatric perspectives.