How to treat borderline personality disorder

Borderline personality disorder can be improved through psychological therapy, medication, social support intervention, crisis management, self-regulation training, and other methods. This disease is usually associated with childhood trauma, emotional regulation disorders, interpersonal sensitivity, abnormal brain function, genetic susceptibility, and other factors.

1. Psychotherapy

Dialectical behavior therapy is the core treatment method, focusing on training emotional regulation and interpersonal communication skills. Psychotherapy helps patients understand their own and others' psychological states, and improve impulsive behavior. Empathy focused therapy reshapes interpersonal patterns by analyzing doctor-patient relationships. Group therapy provides a social skills training environment, while family therapy can correct negative interaction patterns. The treatment cycle usually requires a longer duration.

2. Medication therapy

Antidepressants such as sertraline can alleviate symptoms of depression and anxiety, while mood stabilizers such as sodium valproate can help control emotional fluctuations. Atypical antipsychotic drugs such as quetiapine may improve cognitive distortions, but metabolic side effects should be monitored. Benzodiazepines are limited to short-term use for acute anxiety attacks. All medications must be strictly used according to medical advice and the dosage cannot be adjusted by oneself.

3. Social Support Intervention

It is crucial to establish a multidisciplinary team that includes psychiatrists, psychologists, and social workers. Joining a patient mutual aid group can reduce the sense of shame caused by illness, and vocational rehabilitation training can restore social function. The case management model helps coordinate medical resources, while the crisis hotline provides immediate emotional support. Need to avoid excessive reliance on a single support source.

4. Crisis Management

Develop detailed crisis response plans to prevent self injurious behavior, clarify triggering factors and alternative response strategies. The emergency department of the hospital needs to establish standardized processing procedures, and short-term hospitalization is suitable for severe suicide risk periods. Restrictive measures should be considered as a last resort, and appeasement techniques should be prioritized. Timely crisis event review and analysis should be conducted afterwards.

5. Self Regulation Training

Mindfulness meditation can help improve emotional awareness, and regular exercise can regulate neurotransmitter balance. Art expression therapy provides a non-verbal outlet, and diary recording helps identify patterns of emotional changes. Establishing a stable diet and sleep rhythm has a fundamental role in improving symptoms. Avoid using alcohol and other substances for self paralysis. The treatment of borderline personality disorder requires long-term comprehensive intervention, and patients should maintain regular follow-up visits and establish a healthy lifestyle. Moderate aerobic exercise such as brisk walking or swimming can be carried out in daily life, and balanced intake of foods rich in omega-3 fatty acids should be emphasized in diet. Learn self-monitoring methods such as emotional diaries to avoid overly stimulating environments. Family members need to receive relevant psychological education and master non critical communication skills. When serious self harm thoughts or dissociative symptoms occur, seek professional help immediately.