Further Considerations on Early Intervention for Borderline Personality Disorder

To the Editor Chanen and colleagues¹ report on the Monitoring Outcomes of Borderline Personality Disorder (BPD) in Youth (MOBY) randomized clinical trial. The study found early intervention (ie, weekly cognitive analytic therapy² and case management) was not superior to 2 other treatment arms offering case management and befriending (involving conversations with trainee psychologists about neutral topics such as sport and music), which was used as a psychotherapy control condition.