borderline personality disorder
TYPES OF PSYCHOTHERAPY Printer Friendly
The table below is a summary of psychotherapies studied and used in the treatment of borderline disorder.*

Type of Therapy

Indications

Adjunctive Treatments

Frequency and Duration

Psychoanalysis

Capacity to intensively explore unconscious memories, thoughts, feelings and motives relevant to symptoms and behaviors.

Rarely appropriate.

 

4 or more sessions per week for at least 2 or more years.

Psychodynamic Psychotherapy

Desire and ability to recognize and change personal problems. Capacity to control self-destructive behaviors. Ability to abide by the terms of therapy.

Medications, DBT skills training or IPG therapy.

2 to 3 sessions per week for 2 or more years.

Individual Supportive Psychotherapy

Inconsistent control of behaviors harmful to self and others. Poor self-care skills, self-esteem and sense of validation. Deficient recognition and regulation of emotions, impulsive behaviors. Disturbed relationships

Medications, DBT skills training or IPG therapy.

1 to 2 sessions per week for 1-2 or more years.

Cognitive Behavior Therapy

Capacity to identify specific problems and perform tasks that reinforce new attitudes, behaviors and interpersonal strategies. Strong commitment to change and to collaborate with therapist.

Medications

Usually 1 session per week plus outside "homework."

Dialectical Behavior Therapy

Frequent self-destructive and impulsive behaviors. Capacity to engage in a combination of individual therapy and skills training sessions.

Medications. Hospitalization is typically discouraged.

One individual and one 2 1/2 hours group skills training session per week for 1 year.

Group Therapy

Poor self-perception and sense of validation. Feelings of isolation. Difficulty recognizing personal difficulties and identifying effective solutions.

Impaired interpersonal skills.

Ability to control behaviors harmful to self and others and to tolerate the emotional content of sessions with the assistance of the group therapist(s).

Medications.

Used in combination with individual psychotherapy.

Usually 1 session per week of 1 1/2 hours duration for about 2 years.

Family Programs

For individual and groups of families to learn coping skills, work out acute crises and other problems, enhance under-standing, and develop a support network. Same abilities as interpersonal group therapy.

Medications.

Used in combination with individual psychotherapy.

One to two sessions per week for varying duration.

Support Groups

Same as group therapy, plus ability to control behaviors harmful to self and others and to tolerate the emotional content of the sessions without the assistance of a group
therapist(s).

Medications.

Used in combination with individual and group therapy.

Research data not available.


*Table reproduced from Friedel RO2

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