Borderline personality disorder (BPD) affects the person in a way that he or she is unable to distinguish what is reality and what are his or her misconceptions about the environment and the world. These patients usually see things and people as “black” (bad) or “white” (good). As long as everything is all right and the therapist agrees with them, they see him or her as caring and helpful. As soon as there are some difficulties happening in their own life or something difficult in therapy, they blame the therapist to be uncaring.
Some doctors and therapists can’t work with these patients, since they are thinking, behaving and showing that they might kill or mutilate themselves. Doctors may have hard times understanding and working with these patients because of that. The best scenario for borderline personality disorder patients is therapist who is stable and doesn’t respond to patients’ displayed liability of thinking or emotions.
Common treatment is almost always psychotherapy, with the use of medications to stabilize mood swings if necessary. In some cases, these patients need to be hospitalized.
Psychotherapy for Borderline Personality Disorder
Doctors may prescribe certain medications for patients suffering from BPD, but these could only manage some of the symptoms. What they need more than the drugs is to learn how to regulate their emotions and learn some coping skills, which is what psychotherapy offers.
Initial treatment is usually close monitoring that BPD patient doesn’t commit suicide and this is something that should be watched for the whole therapy. Some patients may need drugs and hospital treatment, if the suicidal tendencies are very prominent. Treatment usually last for a long period of time, a year or even longer than that time.
Marsha Linehans’ Dialectical Behavior Therapy has the highest rate of success and efficacy in the treatment of BPD patients than any other therapy so far. This treatment teaches BPD patients to control their lives and emotions, but is limited to patients who don’t have problems with learning some new concepts.
Therapies focused on conflict resolution and social learning therapy may also be used in BPS treatment, but with lesser efficiency.
Many patients suffering from borderline personality disorder frequently end up in emergency rooms. Other times, these people may suffer from serious depression. In both cases, these patients may be admitted to hospitals. Proper crisis management of the problems which arise are the most effective treatment for BPD patients and in these situations patients should be directed to their usual doctor.