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A 41-year-old man with a long-standing diagnosis of borderline personality disorder is reviewed by his community team. Over the past five weeks he has woken at 4 am every day, lost 7 kg, stopped attending his group, and now moves and speaks slowly. His key worker says he no longer brightens when his daughter visits, which he always did before. He has not self-harmed and reports no new stressor. The registrar says this is "just his personality disorder" and proposes no change. Which one of the following is the most appropriate management?
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