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Treatments and drugs
By Mayo Clinic staffTreatment for borderline personality disorder has improved in recent years with the adoption of techniques specifically aimed at people with this disorder. Treatment may include psychotherapy, medications or hospitalization.
Psychotherapy
Psychotherapy is the core treatment for BPD. The two primary psychotherapy treatments for BPD are:
- Dialectical behavior therapy (DBT). DBT was designed specifically to treat the disorder. Generally conducted through individual, group and phone counseling, DBT uses a skills-based approach to teach you how to regulate your emotions, tolerate distress and improve relationships.
- Transference-focused psychotherapy (TFP). TFP centers on the relationship between you and your therapist - helping you understand the emotions and difficulties inevitably arising in the relationship. You can then use what you have learned in other relationships.
Medications
Medications can't cure BPD, but they can help associated problems, such as depression, impulsivity and anxiety. Medications may include antidepressant, antipsychotic and anti-anxiety medications.
Hospitalization
At times, you may need more intense treatment in a psychiatric hospital or clinic. Hospitalization can also keep you safe from self-injury.
Because treatment can be intense and long term, you face the best chance for success when you consult mental health providers with experience treating BPD.
