Evidence Psychotherapy Options for Borderline Personality Disorders

Borderline Personality Disorder (BPD) is a prevalent and severe condition that affects emotional regulation, interpersonal relationships, and identity. BPD affects 1-2% of the population, mainly women, with high comorbidity, especially post-traumatic stress disorder, and a significant suicide rate. The diagnosis is based on ICD-11 and DSM-5 criteria with functional evaluation and specific traits. Various therapeutic models have shown efficacy in improving the quality of life and reducing self-destructive behaviours in these patients. The Evidence-Based Therapies are Dialectical Behavioural Therapy (DBT), Mentalization-based Therapy (MBT), Transference Focused Psychotherapy (TFP), and General Psychiatric Management (GPM), each with specific approaches and techniques for the treatment of BPD. Therapies can be combined according to the clinical phase and patient needs, using sequential progressions, technical eclecticism, or synthesis, with a common focus on validation, empathy, and active therapeutic alliance. EMDR is used to treat associated childhood traumas and improve prognosis.