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April 2017

Treating Borderline Personality Disorder With Psychotherapy: Where Do We Go From Here?

Author Affiliations
  • 1Research Department of Clinical, Educational, and Health Psychology, University College London, London, United Kingdom
  • 2Faculty of Psychology and Educational Sciences, KU Leuven, Leuven, Belgium
  • 3St Anne’s Hospital, London, United Kingdom
  • 4The Anna Freud Centre, London, United Kingdom
JAMA Psychiatry. 2017;74(4):316-317. doi:10.1001/jamapsychiatry.2016.4302

Borderline personality disorder (BPD) is one of the most prevalent, and most disabling, personality disorders. There is increasing consensus that the disorder is characterized by 3 related core features: severe emotion dysregulation, strong impulsivity, and social-interpersonal dysfunction.1 Individuals diagnosed as having BPD were historically considered to be “hard to reach,” and pessimism with regard to treatment prevailed. This view has changed over the past 2 decades, mainly as a result of emerging evidence for the efficacy and cost-effectiveness of specialized psychotherapies for individuals with BPD.2,3

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