Psychotherapy for Borderline Personality Disorder: Progress and Remaining Challenges

  title={Psychotherapy for Borderline Personality Disorder: Progress and Remaining Challenges},
  author={Paul S. Links and Ravi Shah and Rahel Eynan},
  journal={Current Psychiatry Reports},
PurposeThe main purpose of this review was to critically evaluate the literature on psychotherapies for borderline personality disorder (BPD) published over the past 5 years to identify the progress with remaining challenges and to determine priority areas for future research.MethodA systematic review of the literature over the last 5 years was undertaken.ResultsThe review yielded 184 relevant abstracts, and after applying inclusion criteria, 16 articles were fully reviewed based on the… 
Application of Transference Focused Psychotherapy in Borderline Personality Disorders
Borderline Personality Disorder (BPD) is a condition that is currently commonly found in daily psychiatric practice, and causes serious psychiatric disorders because it has an impact on the emergence
Clinical outcomes of a stepped care program for borderline personality disorder.
The results of this study support the concept that for the majority of patients with BPD, brief treatment can be effective and are encouraging for brief treatment as a first step.
A systematic scoping review of dissociation in borderline personality disorder and implications for research and clinical practice: Exploring the fog.
BACKGROUND Borderline Personality Disorder (BPD) is frequently complicated by the presence of dissociative symptoms. Pathological dissociation is linked with earlier and more severe trauma exposure,
PRO*BPD: effectiveness of outpatient treatment programs for borderline personality disorder: a comparison of Schema therapy and dialectical behavior therapy: study protocol for a randomized trial
The PRO*BPD study is the first randomized trial to compare the (cost-) effectiveness of DBT and ST in structured outpatient treatment programs in the routine clinical setting of an outpatient clinic.
Alternative Model of Personality Disorders (DSM-5) Predicts Dropout in Inpatient Psychotherapy for Patients With Personality Disorder
Criteria A is suggested to be a useful clinical indicator by identifying patients with personality disorder with a higher risk for dropout and an individualized therapeutic approach for such patients might be required.
Predictors of Real-World Functioning Improvement in a Sample of Psychiatric Outpatients
Symptoms severity predicted a worse community functioning in the total sample and in each group, except for BPD, where patients with MMD and BPD receiving psychotherapy gained a better functional improvement.
Comparison of Effectiveness of Group Schema Therapy and Group Acceptance and Commitment Therapy on Symptoms of Borderline Personality Disorder of Patients with Substance Abuse
The next generation of policymakers and decision-makers will have to think differently about how to deal with climate change and how to protect the environment.
Exclusion-Proneness in Borderline Personality Disorder Inpatients Impairs Alliance in Mentalization-Based Group Therapy
It is concluded that exclusion-proneness in BPD is a critical feature with respect to alliance in group treatments and therapists may be advised to provide an “inclusive stance,” especially in initial sessions.
Impact of Childhood Maltreatment in Borderline Personality Disorder on Treatment Response to Intensive Dialectical Behavior Therapy.
It is concluded that patients with BPD who experienced CM might benefit from I-DBT in specific symptom domains, Nonetheless, the impact of emotional abuse on higher dropout needs to be considered.
Prognostic Significance of Personality Disorders in Patients with Major Depressive Disorder
  • M. Young
  • Psychology
    Current Treatment Options in Psychiatry
  • 2020
There is now substantial evidence that personality disorders can negatively affect treatment outcomes in the setting of major depression, which is consistent with the clinical observation that co-occurring personality disorders need to be comprehensively addressed to achieve optimal outcomes for the individual.


Psychotherapy for suicidal patients with borderline personality disorder: an expert consensus review of common factors across five therapies
The objective was to review established literature on approaches to the psychotherapy of borderline personality disorder with specfic reference to suicide in order to determine if there were common
Transference-focused psychotherapy for borderline personality disorder: Change in reflective function
Findings revealed only significant improvements in reflective function in the TFP group within 1 year of treatment, and improvements were significantly correlated with improvements in personality organisation.
Psychotherapy for patients with borderline personality disorder: focusing on the mechanisms of change.
This special issue is devoted to the articulation of putative mechanisms of change in the psychotherapy of patients with borderline personality disorder by leading researchers in this field.
Advances in the Treatment of Borderline Personality Disorder: An Introduction to the Special Issue.
  • S. McMain
  • Psychology
    Journal of clinical psychology
  • 2015
This commentary reviews the challenges the authors currently face in the treatment of borderline personality disorder and describes the treatment directions presented by the contributors.
Prediction of the 10-year course of borderline personality disorder.
It is suggested that prediction of time to remission from borderline personality disorder is multifactorial in nature, involving factors that are routinely assessed in clinical practice and factors, particularly aspects of temperament, that are not.
Recovery from disability for individuals with borderline personality disorder: a feasibility trial of DBT-ACES.
The feasibility of meaningful recovery from severe borderline personality disorder with a combination of SDBT and DBT-ACES is demonstrated, but controlled research is needed.
An exploratory study of the relationship between changes in emotion and cognitive processes and treatment outcome in borderline personality disorder
Preliminary evidence is provided to support the theory that specific improvements in emotion and cognitive processes are associated with positive treatment outcomes (symptom distress, interpersonal functioning) in BPD.
Dialectical behavior therapy compared with general psychiatric management for borderline personality disorder: clinical outcomes and functioning over a 2-year follow-up.
One year of either dialectical behavior therapy or general psychiatric management was associated with long-lasting positive effects across a broad range of outcomes, and one important finding that replicates previous research is that participants continued to exhibit high levels of functional impairment.
Efficacy of cognitive rehabilitation on psychosocial functioning in Borderline Personality Disorder: a randomized controlled trial
Cognitive rehabilitation and psychoeducational interventions appeared to show good efficacy in improving disabilities in daily life in subjects with BPD.