Borderline personality disorder cannot be cured

Borderline personality disorder can usually improve symptoms through systematic treatment, but complete cure poses certain difficulties. The therapeutic effect is closely related to factors such as patient compliance, comorbidities, and social support system. The core goal of borderline personality disorder is to help patients establish stable emotional regulation abilities and interpersonal relationship patterns. Dialectical behavior therapy is the preferred intervention method, which helps patients identify emotions, reduce self harm behavior, and improve pain tolerance through skill training. Psychological basic treatment focuses on improving patients' ability to understand their own and others' psychological states, and has a significant effect on interpersonal sensitivity symptoms. Schema therapy reconstructs the pathological cognitive patterns formed by childhood trauma, which requires long-term persistence to change the underlying personality structure. Some patients need to use antidepressants or mood stabilizers in combination to alleviate comorbid symptoms such as depression and anxiety, but drugs cannot change personality traits themselves. Some patients may have limited efficacy due to treatment interruption, complex comorbidities, or severe impairment of social function. Individuals with a severe history of trauma require longer time to repair attachment relationships, and frequent impulsive behavior can affect the treatment process. Lack of family support or prolonged exposure to high-pressure environments can reduce intervention effectiveness, and such situations require simultaneous environmental adjustments. Repeated symptoms are the norm of treatment and cannot be simply equated with treatment failure. Maintaining a treatment alliance is crucial for preventing recurrence.

Patients need to establish long-term treatment expectations and cooperate with a comprehensive plan of psychological therapy and medication management. Maintaining a regular schedule, cultivating mindfulness habits, and building healthy social circles can help consolidate therapeutic effects. Family members should learn non critical communication skills to avoid reinforcing the patient's fear of being abandoned. Regular follow-up evaluations can adjust treatment plans in a timely manner, and social function recovery is an important indicator for measuring efficacy.