Treatment for borderline personality disorder-in general:
Psychotherapy: Usually the first treatment for people with BPD. According to the National Institute of Mental Health, the types of psychotherapy used to treat BPD include:
1. Cognitive behavioral therapy, CBT. CBT can help people with borderline personality disorder identify and change core beliefs and/or behaviors that underlie inaccurate perceptions of themselves and others and problems interacting with others. CBT may help reduce a range of mood and anxiety symptoms and reduce the number of suicidal or self-harming behaviors.
2. Dialectical behavior therapy DBT. DBT focuses on the concept of mindfulness, or being aware of an attentive to the current situation. DBT teaches skills to control intense emotions, reduces self-destructive behaviors, and improves relationships.
3. Schema-Focused Therapy. Schema-focused therapy combines elements of CBT with other forms of psychotherapy that focus on reframing schemas, or the way people view themselves (NIH,)
Group counseling and Family Counseling: The National Institute of Mental Healthy indicates that: therapist-led group sessions may help teach people with BPD how to interact with others and how to express themselves effectively. Families of people with BPD may also benefit from therapy. The challenges of dealing with an ill relative on a daily basis can be very stressful, and family members may unknowingly act in ways that worsen their relative's symptoms (NIH, ).
Medication: No medications have been approved by the U.S. Food and Drug Administration to treat BPD. Only a few studies show that medications are necessary or effective for people with this illness. However, many people with BPD are treated with medications in addition to psychotherapy. While medications do not cure BPD, some medications may be helpful in managing specific symptoms" (NIH, )
Hospitalization/Partial Hospitalization: Partial hospitalization is an intervention that involves the individual with mental illness being in a hospital-like treatment center during the day but returning home each evening. In addition to providing a safe environment and frequent monitoring by mental-health professionals, partial hospitalization programs allow for more frequent mental-health interventions like professional assessments, psychotherapy medication treatment, as well as development of a treatment plan for after discharge from the facility.
Medications that may be prescribed:
Antidepressants (for example, fluoxetine [Prozac], sertraline [Zoloft], paroxetine [Paxil], citalopram [Celexa], escitalopram [Lexapro], venlafaxine [Effexor], duloxetine [Cymbalta], or trazodone [Desyrel]), mood stabilizers (for example, divalproex sodium [Depakote], carbamazepine [Tegretol], or lamotrigine [Lamictal]).
Antipsychotics (for example, olanzapine [Zyprexa], risperidone [Risperdal], aripiprazole [Abilify], paliperidone [Invega], iloperidone [Fanapt], or asenapine [Saphris]) may be useful in addressing some of the symptoms of BPD but do not manage the illness in its entirety.
The use of medications in the treatment of symptoms in individuals with BPD may sometimes cause more harm than good.
For additional information:
http://www.nimh.nih.gov/health/topics/borderline-personality-disorder/index.shtml#part_145391
1. Cognitive behavioral therapy, CBT. CBT can help people with borderline personality disorder identify and change core beliefs and/or behaviors that underlie inaccurate perceptions of themselves and others and problems interacting with others. CBT may help reduce a range of mood and anxiety symptoms and reduce the number of suicidal or self-harming behaviors.
2. Dialectical behavior therapy DBT. DBT focuses on the concept of mindfulness, or being aware of an attentive to the current situation. DBT teaches skills to control intense emotions, reduces self-destructive behaviors, and improves relationships.
3. Schema-Focused Therapy. Schema-focused therapy combines elements of CBT with other forms of psychotherapy that focus on reframing schemas, or the way people view themselves (NIH,)
Group counseling and Family Counseling: The National Institute of Mental Healthy indicates that: therapist-led group sessions may help teach people with BPD how to interact with others and how to express themselves effectively. Families of people with BPD may also benefit from therapy. The challenges of dealing with an ill relative on a daily basis can be very stressful, and family members may unknowingly act in ways that worsen their relative's symptoms (NIH, ).
Medication: No medications have been approved by the U.S. Food and Drug Administration to treat BPD. Only a few studies show that medications are necessary or effective for people with this illness. However, many people with BPD are treated with medications in addition to psychotherapy. While medications do not cure BPD, some medications may be helpful in managing specific symptoms" (NIH, )
Hospitalization/Partial Hospitalization: Partial hospitalization is an intervention that involves the individual with mental illness being in a hospital-like treatment center during the day but returning home each evening. In addition to providing a safe environment and frequent monitoring by mental-health professionals, partial hospitalization programs allow for more frequent mental-health interventions like professional assessments, psychotherapy medication treatment, as well as development of a treatment plan for after discharge from the facility.
Medications that may be prescribed:
Antidepressants (for example, fluoxetine [Prozac], sertraline [Zoloft], paroxetine [Paxil], citalopram [Celexa], escitalopram [Lexapro], venlafaxine [Effexor], duloxetine [Cymbalta], or trazodone [Desyrel]), mood stabilizers (for example, divalproex sodium [Depakote], carbamazepine [Tegretol], or lamotrigine [Lamictal]).
Antipsychotics (for example, olanzapine [Zyprexa], risperidone [Risperdal], aripiprazole [Abilify], paliperidone [Invega], iloperidone [Fanapt], or asenapine [Saphris]) may be useful in addressing some of the symptoms of BPD but do not manage the illness in its entirety.
The use of medications in the treatment of symptoms in individuals with BPD may sometimes cause more harm than good.
For additional information:
http://www.nimh.nih.gov/health/topics/borderline-personality-disorder/index.shtml#part_145391