A. These patients will try to destroy or avoid the therapeutic relationship. Inpatient self-help groups are the most useful because the patient is not allowed to leave, and because enhanced peer interaction minimizes authority issues.
B. Psychotropic medication is used in patients whose symptoms interfere with functioning or who meet criteria for another psychiatric disorder.
1. Anticonvulsants, lithium, and beta-blockers have been used for impulse control problems, including rage reactions.
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