Treatment for Borderline Personality Disorder

Borderline personality disorder can be treated through psychological therapy, medication, social support, crisis intervention, self-management, and other methods. Borderline personality disorder is usually caused by genetic factors, childhood trauma, abnormal brain function, family environment, social pressure, and other reasons.

1. Psychotherapy

Dialectical behavior therapy is the core treatment method for borderline personality disorder, helping patients regulate emotional impulses and improve interpersonal relationships. Psychological therapy focuses on enhancing patients' ability to understand their own and others' psychological states. Cognitive behavioral therapy can correct patients' negative cognitive patterns and reduce extreme behaviors such as self harm. The treatment cycle is usually long and requires the patient to establish a stable trust relationship with the therapist. Group therapy can also provide social skills training and peer support.

2. Drug therapy

Olanzapine can alleviate emotional instability and impulsive aggression symptoms, and belongs to atypical antipsychotic drugs. Lamotrigine, as an emotional stabilizer, can reduce severe emotional fluctuations. Fluoxetine and other antidepressants are suitable for patients with accompanying depressive symptoms. Medications should be used under the guidance of a psychiatrist and regularly evaluated for efficacy and side effects. Drug therapy is usually used as an adjunct to psychotherapy.

3. Social Support

Family therapy can improve communication patterns between patients and their relatives, reducing the worsening of symptoms caused by family conflicts. Joining a patient support organization can provide emotional support and rehabilitation experience sharing. Social worker intervention can help solve practical problems such as housing and employment. Establishing a stable social network is particularly important for preventing recurrence. Educating family and friends to identify crisis signals is also an important part of the support system.

4. Crisis Intervention

In emergency situations such as self injury and suicide, the crisis intervention plan should be activated, and short-term hospitalization treatment should be carried out if necessary. The security plan should clearly list triggering factors, response strategies, and emergency contacts. Emergency department doctors need to assess the degree of physical injury and provide medical treatment. After the crisis, it is necessary to strengthen follow-up to prevent recurrence. Some patients need to undergo regular risk assessments.

5. Self management

Emotional diaries help identify patterns of emotional fluctuations and triggering factors. Mindfulness practice can enhance awareness and acceptance of current experiences. Regular sleep and moderate exercise can stabilize physiological rhythms. Avoiding addictive substances such as alcohol can reduce the probability of impulsive behavior. Learning pause techniques can implement buffering strategies before emotional outbursts. Patients with borderline personality disorder need to maintain long-term treatment confidence and establish a multidimensional support system that includes professional doctors, psychological counselors, and family and friends. Pay attention to recording emotional changes and triggering events in daily life, and avoid excessive self-criticism. Cultivating expressive hobbies such as painting and writing can help with emotional release. Maintaining a regular diet and sleep has a fundamental role in emotional stability. Regular follow-up evaluations can adjust treatment plans in a timely manner, and most patients can significantly improve their social functioning through systematic treatment.