Which psychological therapies work best for borderline personality disorder?

Posted on January 19, 2014

This systematic review of psychological therapies for borderline personality disorder (BPD), conducted in Spain, takes an interesting approach to reviewing the literature. Unfortunately, there appear to have been challenges in translating the systematic review from Spanish and the text can be difficult to follow at times. This is a real shame as it is an interesting review. It is worth persevering and reading the full paper.

The authors make the point that BPD affects 1-2% of the general population and that this diagnosis is associated with early death, suicide and increased use of health care services. Unfortunately, up until relatively recently, a pessimistic view of treatment for BPD existed. More recently, there have been considerable advances and a number of randomised controlled trials (RCTs) of psychological therapy for BPD have been conducted. Pre-existing reviews and meta-analyses have suggested that some specific therapies have preliminary evidence that supports their use. Nevertheless, in many cases the therapies being reviewed were experimental, studies were small and used different methods to evaluate their results.

The results shows that Mentalization Based Therapy (MBT) and Dialectical Behaviour Therapy (DBT) demonstrated the best results as treatments for Borderline Personality Disorder.

Click on the link below to read the full article


Category(s):Borderline Personality Disorder

Source material from The Mental Elf