What are the components of borderline personality disorder (BPD) treatment?

Updated: Nov 05, 2018
  • Author: Roy H Lubit, MD, PhD; Chief Editor: Caroly Pataki, MD  more...
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Answer

Historically, treatment of patients with BPD has been difficult. In any treatment approach, the therapist must combine elements of conflict resolution and social learning to minimize and limit aggression and impulsivity. Consultants must be readily available, and the therapist must have access to appropriate hospitalization for periods of severe regression and heightened suicidal risk.

However, the therapist must also limit inpatient treatment whenever possible, both because of the increased costs and because of the inherent difficulties with inpatient treatment of this population (including possible severe regression after admission and destructive countertransference enactments when staff training or supervision is less than ideal). Several authors have reported that offering a truly appropriate and adequate course of treatment costs substantially less than using crisis interventions when required.


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