Treatment methods for borderline personality disorder

The treatment methods for borderline personality disorder mainly include psychological therapy, medication therapy, social support intervention, crisis intervention, self-management training, etc. Borderline personality disorder is a mental disorder characterized by emotional instability, interpersonal conflicts, and self-identity confusion, which requires long-term comprehensive treatment.

1. Psychotherapy

Dialectical behavior therapy is the core treatment method for borderline personality disorder, which helps patients improve impulsive behavior and emotional control through modules such as emotion regulation training, pain tolerance skills, and interpersonal efficacy training. Psychological basic treatment focuses on enhancing patients' ability to understand their own and others' psychological states, and reducing misunderstandings in interpersonal relationships. Empathy focused therapy works on the relationship pattern between patients and therapists to repair early attachment trauma.

2. Drug therapy

Olanzapine can alleviate aggressive behavior and emotional fluctuations, quetiapine can help improve cognitive distortion and anxiety symptoms, and lamotrigine is effective in treating emotional instability. Medication should be used under the guidance of a psychiatrist and is typically used as an adjunct to psychotherapy. Antidepressants such as fluoxetine may be helpful for accompanying depressive symptoms, but caution should be exercised as they may increase the risk of suicide.

3. Social support intervention

Family therapy can improve communication patterns between patients and their families, and reduce triggering factors in the family environment. Group therapy provides peer support and helps patients learn social skills. Vocational rehabilitation training helps to rebuild social functioning, and community support groups can provide sustained emotional support and behavioral demonstration.

4. Crisis Intervention

For crisis situations such as self injury and suicide, it is necessary to establish a safety plan and emergency contact person system. Short term hospitalization is suitable for acute attacks, and structured daytime treatment programs can provide transitional support. Crisis intervention requires clear behavioral boundaries while maintaining the stability of the therapeutic relationship.

5. Self management training

Mindfulness exercises help patients improve their emotional awareness. Emotional diaries can track the patterns of emotional fluctuations, and relaxation training can alleviate somatic symptoms. Regular sleep and moderate exercise help stabilize biological rhythms, while art expression therapy provides a nonverbal channel for emotional release. Patients with borderline personality disorder need to establish a long-term treatment alliance and combine multiple methods for continuous intervention. It is crucial to maintain the stability of treatment settings and avoid frequent changes in therapists. Family members should learn about diseases and provide support with a non judgmental attitude. Patients can identify triggering factors and gradually develop emotional regulation abilities by recording patterns of emotional changes. Pay attention to regular eating habits to avoid blood sugar fluctuations affecting mood, and moderate aerobic exercise can help release stress. Regular follow-up visits to evaluate treatment effectiveness and adjust treatment plans in a timely manner.