For decades, a considerable body of research has demonstrated that a number of psychotherapies are highly effective in the treatment of depression and anxiety disorders. Cognitive behavioral treatments have received the most attention from researchers, but other treatments such as interpersonal psychotherapy have also shown significant promise. The treatment of Borderline Personality Disorder has been another matter. Marsha Linehan developed a treatment known as Dialectical Behavior Therapy (DBT) which utilizes cognitive behavioral principles in conjunction with acceptance, emotional regulation skills, and principles of validation to the treatment of Borderline Personality Disorder (DBT). Significant research supporting its efficacy did not start showing up until the 1990′s or so. And, for a while, DBT virtually stood alone as an empirically validated treatment for BPD. This treatment is fairly intensive and requires at least a full year of treatment, but a growing number of studies have supported its value.
Nonetheless, we have needed more ideas for treating BPD. Dialectical Behavior Therapy, as effective as it is, sometimes fails to improve life satisfaction and quality of life as much as one would hope. And in the past few years, new treatment ideas have begun to emerge. These include:
Research has just started to support these new approaches to BPD treatment. Schema Therapy and Mentalization-Based Therapy look especially promising, but we need more studies before anything definitive can be concluded. Interestingly, having reviewed these approaches, we have failed to discover much that seems especially incompatible among them. Therefore, we suspect that ultimately, an integrated approach to treating BPD may ultimately emerge as the best strategy. Whether or not our hunch is right, the next ten years promise to be quite exciting in the treatment of BPD.
In a future blog, we’ll discuss the role of medications in the treatment of BPD. Although most prescribers of medications recommend multiple medications for the majority of people with BPD, research has demonstrated surprisingly little value from medications for this problem. As we said, more to come…
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Suzanne at 11:56 pm on
October 11th, 2009DBT has helped me immensely w/my bipolar 1 disorder. I may have borderline, but I asked my T to not put it on my ins. form as an exploratory dx due to the stigma involved w/borderline. But the dx doesn’t matter to me as much as how helpful DBT has been for me. My medications have been able to be reduced & some eliminated after employing the DBT techniques.
@Suzanne: Glad to hear your outcome has been positive!
Lee at 7:40 pm on
March 11th, 2010I am studying treatment options for BPD and would love to know what else you have published or what literary resources you currently refer to. Thanks!
@Lee:
We haven’t personally published on this topic. HOwever, if you e-mail us at celliott@psychauthors.com we would be happy to send you a selected relevant bibliography.
betty at 12:29 am on
May 2nd, 2010i have been in therapy for 15 yrs and have tried all the behavioral therapies medications holistic treatment etc…and i am aware now alot of BPD is an emotion regulation brain glitch…what other treatments have come available?…my family suffers and this is unfair to them…i am very open minded…surgical procedures??…
Madeleine at 6:22 pm on
April 28th, 2011How does one get a BPD to acknowledge their illness? I am “with” a highly intelligent but extremely inept and volatile bully who thinks that his genius in electronics makes him god in all. He denies reality of events, rewrites them to exonerate his nasties and blames me instead.
How to get thru to him that what happened really did happen. Thank you.
From Psych Central's Anxiety and OCD Exposed:
Do You Have Borderline Personality Disorder? | Anxiety and OCD Exposed (January 9, 2010)
From Psych Central's Anxiety and OCD Exposed:
Living with Borderline Personality Disorder | Psych Central (October 28, 2010)
From Psych Central's Anxiety and OCD Exposed:
Roller-Coaster Relationship: Your Partner with Borderline Personality Disorder | Partners in Wellness (May 25, 2011)
From Psych Central's Anxiety and OCD Exposed:
An Overview of Dialectical Behavior Therapy | Psych Central (December 30, 2011)
Last reviewed: 6 Sep 2009
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