Jul 12th 2023
Borderline personality disorder (BPD) is a psychiatric condition associated with fear of abandonment, unstable interpersonal relationships, and intense mood swings. When left untreated, BPD can lead to complications such as job loss, relationship problems, and suicide attempts, but BPD therapies are available to make the condition more manageable .
Borderline personality disorder is most often treated with psychotherapy, or “talk therapy.” There are several different therapeutic modalities that are beneficial for patients with BPD. Each different therapy modality will involve a licensed mental health professional, such as a clinical social worker, psychologist, or mental health counselor. Talk therapy includes talking through problems with the person struggling with BPD and helping them to arrive at solutions and develop stronger coping skills .
While talk therapy is the most common form of BPD treatment, some people may benefit from medications to treat specific symptoms, such as anxiety, sleep problems, and depression. Medications can be beneficial, but there are no FDA-approved medications used specifically for the treatment of BPD .
Patients who do take medications often have the best outcomes when medication is taken alongside participation in talk therapy. Furthermore, medications for BPD are not intended to treat global symptoms, but rather to address one specific symptom, such as anxiety. Patients with BPD may benefit from taking antidepressants, antipsychotics, or mood stabilizers to help with symptom management .
There are numerous different therapeutic modalities that have been found to be beneficial for patients with BPD. These include :
The BPD therapies discussed here are just some of the treatment modalities used for BPD. They are the most effective and well-studied BPD treatments. However, additional BPD therapies are available and can be effective for some patients.
For instance, some patients benefit from generalized psychiatric management (GPM), which uses a case management model to help individuals with BPD to improve their social functioning and develop vocational skills. GPM typically involves one weekly individual appointment, during which patients learn about BPD symptoms and are linked to other helpful services, such as medication management and family counseling .
The effectiveness of therapy for BPD depends upon the specific type of modality used, as well as the needs of the individual patient being treated. However, researchers have carried out numerous studies to assess the effectiveness of DBT therapies, and the results are promising. Studies have found that DBT and psychodynamic therapies, such as TFP, are the most effective for treating BPD symptoms .
Additional research shows that there is a good prognosis for patients with BPD. After two years, 35% of patients achieve remission, and over ten years, the remission rate jumps to 91%. Once patients achieve remission, 75% stay in remission for over eight years. In order to achieve remission, it is important for patients with BPD to adhere to treatment. Without treatment, patients are more likely to experience poor outcomes, including legal and social problems .
MentalHealth.com is a patient-first technology company driven by its mission to make optimal mental health attainable for everyone. With a focus on expanding care access, empowering choice, and enhancing care quality, the company delivers innovative solutions that support individuals throughout their mental health journey.
Our Medical Affairs Team is a dedicated group of medical professionals with diverse and extensive clinical experience who actively contribute to the development of our content, products, and services. They meticulously evaluate and review all medical content before publication to ensure it is medically accurate and aligned with current discussions and research developments in mental health. For further information, please visit our Editorial Policy.