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Treatment of Borderline Personality Disorder

Individuals with Borderline Personality Disorder (BPD) often receive mental health treatment with the benefits shown for the use of psychotherapy (NCCMH, 2009; Peris, 2009; NHMRC, 2012) and to a lesser degree psychoeducation (Zanarini & Frankenburg, 2008). Although receiving treatment, not all individuals with BPD presenting to health services receive the benefit of psychotherapy or psychoeducation due to a number of extenuating circumstances. The complexity of BPD, suicide risk, BPD stigma, under resourced mental health services, limited access to specialised training for mental health professionals and a lack of consensus in the mental health sector as to where and how to best provide treatment can impede access to focused and effective psychological interventions.

Dialectical Behaviour Therapy (Van den Bosch et al., 2005; Linehan et al., 2006; Clarkin et al., 2007) is an evidence-based, cognitive-behavioural treatment that has been empirically proven to be effective in helping people to regulate emotions and improving interpersonal effectiveness and distress tolerance skills. Other psychological interventions to have shown improvement, in individuals with BPD, when applied include: Cognitive Behavioural Therapy (Blum et al., 2008; Davidson et al., 2011), Metallization-Based Treatment (Bateman & Fonagy, 2008; Bateman & Fonagy, 2009), Cognitive Analytic Therapy (Thompson et al., 2008), Group Therapy (Husband et al., 2007), Schema-Focused Therapy (Ball et al., 2011) and Psychotherapies (De Maat, De Jonghe, Schoevers & Dekker, 2009; Doering et al., 2010).

The Australian DBT Institute provides leadership to the mental health sector in the application of DBT and modified DBT programs for specific populations that include youth, Indigenous Australians, correctional settings and psychiatric emergency settings. The Australian DBT Institute gives consumers & carers the confidence that accredited DBT programs apply treatment in an evidence-based manner that emphasises clinical outcomes and results.

References available at: http://dbt.cmhe.org/treatments-for-borderline-personality-disorder/

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