Treating Borderline Personality Disorder

Thursday, 1 December, 2016

What are best practices for treating Borderline Personality Disorder?

By Michelle Quilter, PsyD, CASAC

In an article written by Harvard University Medical School, the author outlines two evidenced-based treatment modalities that are currently offered at Lifeskills of South Florida; Dialectical Behavioral Therapy (DBT) and psychotropic medication management for the treatment of Borderline Personality Disorder (BPD).

Lifeskills of South Florida offers a 13 week DBT skills training program. Typical outpatient treatment using DBT lasts for one year and includes once weekly group therapy sessions, individual DBT, and phone consultation DBT coaching. At our residential level of care, we offer three skills training groups per week, individual DBT, and phone consultation DBT coaching. DBT uses this combination of psychotherapy techniques, education, and individual and group psychotherapy to support the patient’s progress. In some studies, DBT has reduced the frequency of self-harm and the intensity of suicidal thinking. Other effective psychotherapeutic treatment options outlined in the article include transference-focused psychotherapy, Schema-Focused Therapy, and mentalization-based therapy.

The article notes that there is no single medication that is clearly helpful in the treatment of borderline personality disorder. Medication is usually used to treat symptoms as they emerge or to treat other disorders that may be present. For example, antidepressants, such as the selective serotonin reuptake inhibitors (SSRIs) can be used for depression and anxiety. A mood stabilizer may be added or used by itself and antipsychotic medication may be tried if the person’s thinking is distorted.

Lifeskills of South Florida offers many advantages to the combination of evidenced-based therapies. These include:

  • State of the art medication management combined with DBT
  • Weekly medication management meetings with Psychiatrist.
  • Masters-level or greater licensed therapists foundationally trained in DBT
  • A frequency of DBT individual and group therapies far greater than typical once a week outpatient approaches; the intensity of our programming, and individualized to each individual’s unique needs, has resulted in therapeutic gains and successful targeted results in 60-90 days, that otherwise might take 12 months in traditional outpatient settings.
  • The combined effects of concurrent treatment approaches is unique

 

For more information about how Lifeskills South Florida might be a right fit for your challenges in managing and overcoming Borderline Personality Disorder, contact us at 844-749-1560.