Treatment of Borderline Personality Disorder (BPD) Using ReAttach Therapy and an Eclectic Approach: A Case Study of a 27-Year-Old Unmarried Hindu Female Engineering Graduate

Background: Borderline Personality Disorder (BPD) is a complex psychiatric condition characterised by persistent emotional dysregulation, a fragmented self-image, impulsive behaviors, and significant difficulties in maintaining interpersonal relationships. Managing BPD poses notable challenges, particularly when accounting for the impact of various cultural contexts on symptom expression and treatment methodologies. Objectives: This case study aimed to assess the effectiveness of an eclectic treatment approach that integrates ReAttach Therapy with established interventions for the management of BPD. The subject of the study was a 27-year-old unmarried Hindu female engineering graduate diagnosed with BPD. Methods: The intervention lasted 52 weeks and combined ReAttach Therapy as the primary modality with Dialectical Behavior Therapy (DBT), Cognitive Behavioral Therapy (CBT), and mindfulness practices. Standardised psychometric tools (BSL-23, DERS, and BDI-II) were administered before and after treatment to evaluate outcomes. Results: The results indicate significant improvements in emotional regulation, a decrease in fears of abandonment, stabilisation in relationships, and enhanced psychological resilience. These findings suggest that the combination of ReAttach Therapy with eclectic techniques presents a promising and culturally adaptable framework for managing BPD. Conclusions: The integrative approach resulted in a considerable reduction in BPD symptoms, indicating that ReAttach Therapy, when used in conjunction with eclectic techniques, may offer an effective and culturally responsive strategy for treating BPD.