Treatment FAQ

what is the best treatment for bordeline personality disorder?

by Korey Breitenberg Published 2 years ago Updated 2 years ago
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Medication

Apr 01, 2011 · Adam Quinn, a social worker and clinician whose work covers the gamut of trauma survivors, veterans, and seriously mentally ill clients tackles the treatment of Borderline Personality Disorder with the Person Centered Treatment Model (PCT). Quinn tackles the diagnosis and treatment of BPD with rigor, practicality and eloquence.

Therapy

Psychotherapy, sometimes called “talk therapy,” is the first-line treatment for people with borderline personality disorder. Most psychotherapy occurs with a licensed, trained mental health professional in one-on-one sessions or with other individuals in group settings.

Self-care

Dec 23, 2020 · One of the best interventions for borderline personality disorder, dialectical behavior therapy (DBT) was derived from CBT and tailored to specifically address borderline symptoms and traits.

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This article explores the potential benefits of five types of therapy for people with BPD: dialectical behavior therapy (DBT) mentalization-based therapy (MBT) schema therapy (ST) transference-focused therapy (TFP) systems training for emotional predictability and …

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What is the most successful treatment approach for borderline personality disorder?

Dialectical Behavior Therapy (DBT) began as a way to help manage crisis behavior, such as suicidal behavior or self-harm. It is the most commonly recommended therapy for BPD. It works with the concept of mindfulness, or being present in the moment. This helps you be aware of your emotions, moods, and behavior.Apr 21, 2021

What medication is usually prescribed for borderline personality disorder?

Anticonvulsants, antidepressants, and antipsychotics are typically prescribed to help treat and manage borderline personality disorder symptoms. A health-care professional can determine the proper dosage and form of medication on a case-by-case basis.Oct 5, 2020

Can you be cured of borderline personality disorder?

While there is no definitive cure for BPD, it is absolutely treatable. 1 In fact, with the right treatment approach, you can be well on the road to recovery and remission. While remission and recovery are not necessarily a "cure," both constitute the successful treatment of BPD.Jul 1, 2021

What is the best mood stabilizer for borderline personality disorder?

Divalproex sodium and valproate

Divalproex sodium is among the mood stabilizers, which are comprehensively studied in patients with BPD [52]. Wilcox claimed that divalproex decreased agitation significantly in patients with BPD.
Sep 12, 2012

What is the new name for borderline personality disorder?

Borderline personality disorder (BPD) is also known as emotionally unstable personality disorder (EUPD). If you clicked on BPD or EUPD in our mental health A-Z then you've reached the right page. It's your choice which of these terms you want to use, but your doctor or care team might use either.

Does BPD go away with age?

Most of the time, borderline personality disorder (BPD) symptoms gradually decrease with age. Some people's symptoms disappear in their 40s. With the right treatment, many people with borderline personality disorder learn to manage their symptoms and improve their quality of life.Oct 14, 2020

Does BPD get worse with age?

Borderline personality disorder usually begins by early adulthood. The condition seems to be worse in young adulthood and may gradually get better with age.Jul 17, 2019

Do personality disorders get worse with age?

Without the help of a psychiatrist or psychologist, personality disorders aren't supposed to change much over time. Now a report in the June 29 issue of The Lancet suggests that most personality disorders -- those in the "odd/eccentric" and "anxious/fearful" clusters -- get worse as a person ages.Jun 28, 2002

What causes BPD in the brain?

Environmental factors

being a victim of emotional, physical or sexual abuse. being exposed to long-term fear or distress as a child. being neglected by 1 or both parents. growing up with another family member who had a serious mental health condition, such as bipolar disorder or a drink or drug misuse problem.

Can you treat borderline personality disorder without medication?

Overcoming BPD without medication is possible, but you should always follow the guidance and treatment plan set forth by your doctor or health care provider. Medication isn't necessarily the primary treatment for BPD in most cases. It's typically only used to treat specific symptoms such as depression or mood swings.Nov 1, 2021

Do antidepressants work for BPD?

A number of research studies have demonstrated that certain types of antidepressants are effective in treating specific symptoms of BPD. For example, SSRIs can reduce emotional instability, impulsivity, self-harm behaviors, and anger. MAOIs have also been shown to effectively treat emotional instability.Oct 12, 2020

Does CBD help with BPD?

Extensive expression of CB1 and CB2 receptors of the ECS has been found in limbic regions and the hypothalamus. This opens new windows of opportunity for treatment with cannabinoids such as cannabidiol (CBD) as no other pharmacological treatment has shown long-lasting improvement in the BPD population to date.

Is there a medication for borderline personality disorder?

Although there are currently no medications for borderline personality disorder approved by the FDA, research has shown that some medications do reduce certain symptoms of the disorder. 3  Medication may be particularly effective for BPD when it is used in conjunction with psychotherapy.

What is the best treatment for BPD?

Psychotherapy. Long-term outpatient psychotherapy, or "talk therapy," is an important part of any treatment for BPD. Research has shown that several types of psychotherapy are effective in reducing the symptoms of BPD, 2 including: Dialectical Behavior Therapy (DBT) Dialectical behavior therapy ...

What are the best medications for BPD?

Some of the most commonly prescribed medications for BPD include: 1 Antidepressants - Antidepressants may help with feelings of depression and anxiety. 2 Antipsychotics - Antipsychotics were some of the first medications used to treat BPD and may be particularly helpful for some of the more problematic symptoms of BPD such as anger, impulsivity and paranoid thinking. 3 Anxiolytics (anti-anxiety medications) - Anxiety can go hand in hand with BPD making some of these medications helpful, yet some of these are a double-edged sword due to their addictive potential. 4 Mood stabilizers/anticonvulsants - Mood stabilizers may help with impulsivity and emotional reactivity.

How is BPD treated?

Usually, BPD is treated with a combination of medication and psychotherapy, 1  although during times of crisis, individuals with BPD may require brief periods of hospitalization to remain safe. More recently, self-help tools have been developed to supplement traditional treatments for BPD.

What is the DBT?

Dialectical Behavior Therapy (DBT) Dialectical behavior therapy (DBT) was the first form of psychotherapy found to be effective for people with borderline personality disorder (BPD.) DBT is a form of cognitive behavior therapy which focuses on how thoughts and beliefs can lead to actions and behaviors. In this therapy, people learn how ...

What is DBT therapy?

DBT is a form of cognitive behavior therapy which focuses on how thoughts and beliefs can lead to actions and behaviors. In this therapy, people learn how to manage distress, and learn skills to help them cope with strong emotions. Mindfulness is a component of this approach. Schema-Focused Therapy.

What is schema focused therapy?

Schema-focused therapy is an integrative psychotherapy incorporating aspects from cognitive behavior therapy and psychoanalytic theories. Schema-focused therapy operates with the thought that unmet needs from childhood can lead to unhealthy ways of thinking about the world.

Can medication be used for borderline personality disorder?

Because the benefits are unclear, medications are not typically used as the primary treatment for borderline personality disorder. However, in some cases, a psychiatrist may recommend medications to treat specific symptoms such as:

What is the first line of treatment for borderline personality disorder?

Psychotherapy is the first-line treatment for people with borderline personality disorder. A therapist can provide one-on-one treatment between the therapist and patient, or treatment in a group setting. Therapist-led group sessions may help teach people with borderline personality disorder how to interact with others and how to effectively express themselves.

What is borderline personality disorder?

Overview. Borderline personality disorder is an illness marked by an ongoing pattern of varying moods, self-image, and behavior. These symptoms often result in impulsive actions and problems in relationships. People with borderline personality disorder may experience intense episodes of anger, depression, and anxiety that can last ...

Can borderline personality disorder cause emotional regulation?

Studies show that people with borderline personality disorder can have structural and functional changes in the brain especially in the areas that control impulses and emotional regulation. But is it not clear whether these changes are risk factors for the disorder, or caused by the disorder.

Is borderline personality disorder hard to treat?

Treatments and Therapies. Borderline personality disorder has historically been viewed as difficult to treat. But, with newer, evidence-based treatment, many people with the disorder experience fewer or less severe symptoms, and an improved quality of life.

What are the signs of a mood disorder?

Please note: If these behaviors occur primarily during a period of elevated mood or energy, they may be signs of a mood disorder—not borderline personality disorder. Self-harming behavior, such as cutting. Recurring thoughts of suicidal behaviors or threats.

What is the best medication for borderline personality disorder?

Mood Stabilizers. While research is limited, some mood stabilizers, including lamotrigine and topiramate, have been shown to reduce aggression in people with borderline personality disorder. For this reason, these medications are only recommended for people who have difficulty controlling aggressive behavior.

Does MBT help with BPD?

It can also help people with BPD improve their interpersonal and conflict resolution skills. Research by Bateman and Fonagy shows that MBT reduced suicidality, improved treatment retention, decreased hospitalization rates, and increased global functioning in people with borderline personality disorder.

What is DBT therapy?

DBT combines CBT techniques with techniques drawn from meditation and mindfulness practices. The goal of DBT is to help people with borderline personality disorder become more aware of their emotions and learn how to hold them in awareness without acting on them. DBT is specifically designed to improve: 1 Emotional regulation 2 Distress tolerance 3 Impulse control 4 Interpersonal effectiveness

What is psychodynamic therapy?

The focus in psychodynamic therapy is on helping clients gain insights into the origins of their psychological complexes, which often lie in childhood experiences. By bringing unconscious reactions or beliefs from childhood into the light of conscious awareness , a person can be freed from them and learn how to make more conscious choices about what they believe and how they act as adults.

What is the best treatment for anxiety?

Cognitive Behavioral Therapy. Cognitive behavioral therapy (CBT) is one of the most thoroughly researched and effective interventions for a wide range of psychiatric conditions. It remains the primary therapy for treating depression, anxiety, obsessive-compulsive disorder and other mental health conditions.

Is cognitive behavioral therapy better than CBT?

Cognitive behavioral therapy for borderline personality disorder is less popular than CBT for other disorders because cognitive elements are less primary in borderline personality disorder. However, it remains an effective choice for the treatment of certain aspects of the disorder. CBT can help people with borderline personality disorder:

What is DBT used for?

It has become one of the most widely used and effective interventions for borderline personality disorder and is now used to treat mood and trauma-based disorders as well. DBT combines CBT techniques with techniques drawn from meditation and mindfulness practices.

What is the treatment for borderline personality disorder?

Psychotherapy, or talk therapy, is the main treatment for borderline personality disorder (BPD). Several types of therapy may benefit people with BPD, and each type takes a different approach. This article explores the potential benefits of five types of therapy for people with BPD:

What is the treatment for BPD?

Trusted Source. of people in the United States. Its main treatment is psychotherapy, otherwise known as talk therapy. Talk therapy teaches people vital skills for managing their thoughts and emotions. There are many types, and each has its own aims and methods.

How to help someone with BPD?

The mental health organization Mind, in the United Kingdom, provide a list of strategies that may help when a person with BPD feels overwhelmed by specific emotions: 1 For anger, frustration, or restlessness: Do some vigorous exercise, hit a pillow, listen to loud music, or do something practical, such as gardening or cleaning. 2 For depression or sadness: Write a comforting letter to yourself, watch a favorite TV show or film, or listen to uplifting music. 3 For anxiety or tension: Take a warm bath or shower, take 10 deep breaths and count them out loud. 4 For dissociation: Try chewing ginger or chili, drinking ice water, or clapping the hands and noticing the sensation.

Can BPD be treated with medication?

A person with BPD may also find certain medications beneficial. The Food and Drug Administration (FDA) have not yet approved a medication to treat BPD specifically, but mood-stabilizing, antidepressant, or antipsychotic medications may help with anxiety, hostility, or depression.

Can you attend therapy for BPD?

A person may attend therapy for BPD one-on-one or as part of a therapist-led group session. Also, some therapists offer phone contact between sessions.#N#Group sessions can help people with BPD learn to express themselves effectively and improve interpersonal relationships.

What is the purpose of DBT?

The aim is to teach skills that enhance mindfulness, help tolerate distress, regulate emotions, and manage relationships. Clinical psychologist Dr. Marsha Linehan developed DBT for people with BPD and suicidal thoughts. It is similar to cognitive behavioral therapy, but DBT focuses more on emotions and relationships.

What is DBT therapy?

, DBT is the only empirically supported therapy for BPD. Older studies confirm that DBT helps reduce self-harm and hospitalizations and helps people stay in treatment.

What is the best treatment for BPD?

While psychotherapy is the standard treatment approach for BPD, medications can be useful for relieving and managing some symptoms. There are also things that people with BPD can do to improve their ability to cope. These include

Is there a medication for BPD?

There is no medication that specifically treats BPD, but there are several types of medications that may be useful for treating different symptoms. The type of medication that your doctor prescribes will depend on your specific symptoms and needs.

Can antidepressants cause bipolar disorder?

For example, anti depressants should not be used in cases where someone also has bipolar disorder because these substances can trigger manic episodes. Multiple approaches may be necessary: Medications may not be able to manage all of your symptoms, which is why things like psychotherapy and self-care are also important.

Can you take medication for BPD?

Borderline personality disorder (BPD) is sometimes treated with medications for anxiety or depression, which may reduce some symptoms of BPD. While there are currently no medications approved by the FDA to treat BPD specifically, some drugs have been found to be effective in some cases. 1 . They may also be used to treat psychological conditions ...

Can BPD be treated with medication?

While there are currently no medications approved by the FDA to treat BPD specifically, some drugs have been found to be effective in some cases. 1 . They may also be used to treat psychological conditions that frequently co-occur with BPD, such as major depressive disorder .

What are the co-occurring conditions of BPD?

Mental conditions that commonly co-occur with BPD include depression, anxiety disorders, eating disorders, substance use disorders, and bipolar disorder. 3 . ...

What is the best medication for anxiety?

Nardil (phenelzine) Prozac (fluoxetine) Zoloft (sertraline) Effexor (venlafaxine) Wellbutrin (bupropion) These medications may help with sadness, low mood, anxiety, and emotional reactivity, but they do not seem to have a strong effect on other symptoms (e.g., anger, impulsivity).

What is borderline personality disorder?

Borderline personality disorder causes an individual to experience a very intense fear of being abandoned or of any type of instability. They tend to be extremely frightened or concerned about being alone, and this causes them to react in extreme ways.

Can medication help with personality disorder?

Medication can't treat an underlying personality disorder, but it can alleviate some of the symptoms. These types of medications are designed to work on the symptoms and some of the side effects that go along with this disorder rather than treating the disorder itself.

What is mentalization therapy?

Mentalization-Based Therapy. With this type of therapy, you focus on your thoughts and feelings, but also on the thoughts and feelings of other people. It's about recognizing how different thoughts or different types of feelings can contribute to different reactions and behaviors. It's also about recognizing how the behaviors ...

Why is online therapy important?

Online therapy also bridges the treatment gap by circumventing other barriers, such as high costs, geographic and time constraints, and perceived stigma.

What are the causes of impulsivity and aggression?

Changes in areas of the brain that are responsible for impulsivity and aggression as well as the regulation of emotions could contribute to this disorder. Stress or trauma in childhood can increase the risk factors of someone developing this disorder as well.

What is borderline personality disorder?

People with borderline personality disorder (BPD) tend to have major difficulties with relationships, especially with those closest to them. Their wild mood swings, angry outbursts, chronic abandonment fears, and impulsive and irrational behaviors can leave loved ones feeling helpless, abused, and off balance.

What happens when a family member has borderline personality disorder?

When a family member or partner has borderline personality disorder, it’s all too easy to get caught up in heroic efforts to please and appease him or her. You may find yourself putting most of your energy into the person with BPD at the expense of your own emotional needs. But this is a recipe for resentment, depression, burnout, and even physical illness.

Is borderline personality disorder a co-occurring disorder?

Recognizing the signs and symptoms of borderline personality disorder is not always easy. BPD is rarely diagnosed on its own, but often in conjunction with co-occurring disorders such as depression, bipolar disorder, anxiety, an eating disorder, or substance abuse. Your family member or loved one with BPD may be extremely sensitive, ...

Is it easy to diagnose borderline personality disorder?

Recognizing the signs and symptoms of borderline personality disorder is not always easy. BPD is rarely diagnosed on its own , but often in conjunction with co-occurring disorders such as depression, bipolar disorder, anxiety, an eating disorder, or substance abuse. Your family member or loved one with BPD may be extremely sensitive, so small things can often trigger intense reactions.

Can you help someone else?

You can’t help someone else or enjoy sustainable, satisfying relationships when you’re run down and overwhelmed by stress. As in the event of an in-flight emergency, you must “put on your own oxygen mask first.”. Avoid the temptation to isolate.

What does BPD mean in a relationship?

People in a close relationship with a borderline adult often liken talking with their loved one to arguing with a small child. People with BPD have trouble reading body language or understanding the nonverbal content of a conversation. They may say things that are cruel, unfair, or irrational.

What is the problem with BPD?

The problem for people with BPD is that the disorder distorts both the messages they hear and those they try to express. BPD expert and author, Randi Kreger, likens it to “having ‘aural dyslexia,’ in which they hear words and sentences backwards, inside out, sideways, and devoid of context.”.

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Overview

Psychotherapy

Medications

Hospitalization

Medically reviewed by
Dr. Abhimanyu Chandak
Your provider will work with you to develop a care plan that may include one or more of these treatment options.
Early diagnosis plays a key role in effective treatment. Treatment varies from case to case. Long-term psychotherapy is the primary treatment for borderline personality disorder.
Medication

Antidepressants: The most commonly prescribed antidepressants are called "selective serotonin reuptake inhibitors," which ease depression.

Fluoxetine . Sertraline . Paroxetine . Escitalopram . Fluvoxamine


Antipsychotics: Help stabilize certain brain chemicals called neurotransmitters, which control emotions and behavior.

Risperidone . Olanzapine . Quetiapine


Mood stabilizers: To reduce anger, anxiety, depression, impulsivity, or attempts of self-harm.

Carbamazepine . Divalproex . Lithium

Therapy

Psychotherapy:A trained therapist can provide assistance in managing thoughts, feelings and emotions.

Dialectical behavior therapy:Guidance on adapting changes in the behavior.

Self-care

Always talk to your provider before starting anything.

  • Enrol in support groups; share experiences and feelings.
  • Try out new coping skills and emotion regulation with people from the support group.
  • Try to develop and maintain healthy social relationships.

Specialist to consult

Psychiatrist
Specializes in the branch of medicine concerned with the diagnosis and treatment of mental illness.
Psychologist
Specializes in diagnosing and treating diseases of the brain, emotional disturbance, and behaviour problems.

Self-Help

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Usually, BPD is treated with a combination of medication and psychotherapy,1 although during times of crisis, individuals with BPD may require brief periods of hospitalization to remain safe. More recently, self-help tools have been developed to supplement traditional treatments for BPD.
See more on verywellmind.com

What to Do in An Emergency

  • Long-term outpatient psychotherapy, or "talk therapy," is an important part of any treatment for BPD. Research has shown that several types of psychotherapy are effective in reducing the symptoms of BPD,2including:
See more on verywellmind.com

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