Video-facilitated Group Schema Therapy for Borderline Personality Disorder: a Feasibility Study

Abstract Group Schema Therapy is an effective option for the treatment of Borderline Personality Disorder but many still fail to benefit. Video Facilitation is explored in our study as an addition to develop this treatment to better fit the needs of the patients. We carried out a pilot study in a Finnish naturalistic sample of eight borderline patients using standard Group Schema Therapy complemented with the Video Facilitation method (previously named VideoTalk). Mixed method approach was used in data gathering and analysis: quantitative data on schemas, schema modes, and psychiatric symptoms were gathered at baseline and post-intervention. Also, there was a semi-structured interview at post-intervention. Therapy method was safe and well tolerated. Schema mode activity transformed towards a more healthy profile and borderline symptoms decreased. During post-intervention interviews use of video was found to enable bringing more emotionally intensive material into the group. Group sessions were perceived as highly important. Changes in self-perception and behavioural skills were reported frequently. Video Facilitation format was suitable and showed promise in intensifying and augmenting the therapy process. Further research is needed to make video-assisted work methods evidence-based therapy.