Typically the treatment plan will include psychotherapy
strategies, medications to reduce symptom intensity, and group, peer and family support. One overarching goal is for the person with BPD
to increasingly direct their care plan as they learn what works and what is counterproductive for them.
Psychotherapy is the cornerstone of treatment for individuals who live with BPD. Dialectical behavioral therapy (DBT) is the most well researched and effective treatment for BPD. DBT focuses on teaching coping skills to combat destructive urges, encourages practicing mindfulness (e.g., meditation
, regulated breathing and relaxation), involves individual and group work, and is often quite successful in helping people with BPD to control their symptoms. DBT has been shown to reduce the outcome of suicide
in research studies for people who live with BPD. Becoming a DBT therapist
requires special training and supervision. If you are interested in DBT, be sure to understand the qualifications of the therapist in this specialized treatment.
While cognitive behavioral therapy
(CBT), psychodynamic psychotherapy and certain other psychosocial treatments are useful for some people with BPD, the majority of people with this illness will find dialectical behavioral therapy (DBT) to be the most useful form of psychotherapy.
Medications can be an important component to the care plan, yet is important to know that there is no single medication treatment that can “cure” borderline personality disorder
. Furthermore, no medication is specifically approved by the FDA
for the treatment of BPD. Medications are however useful in treating specific symptoms in BPD and may support and enhance essential psychotherapy efforts