Psychotherapy of borderline personality disorder.
OBJECTIVE
Psychotherapy is considered the primary treatment for borderline personality disorder (BPD). Currently, there are four comprehensive psychosocial treatments for BPD. Two of these treatments are considered psychodynamic in nature: mentalization-based treatment and transference-focused psychotherapy. The other two are considered to be cognitive-behavioral in nature: dialectical behavioral therapy and schema-focused therapy.


METHODS
A review of the relevant literature was conducted.


RESULTS
Each of these lengthy and complex psychotherapies significantly reduces the severity of borderline psychopathology or at least some aspects of it, particularly physically self-destructive acts.


CONCLUSIONS
Comprehensive, long-term psychotherapy can be a useful form of treatment for those with BPD. However, less intensive and less costly forms of treatment need to be developed.
Zanarini
M C
MC
Harvard Medical School, Boston, MA, USA. zanarini@mclean.harvard.edu
D001883:Borderline Personality Disorder / Q000628:therapy*; D015928:Cognitive Behavioral Therapy; D006801:Humans; D011613:Psychotherapy