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There are six key elements of care that directly bear on the effectiveness of the treatment you receive for borderline disorder. These include your level of commitment to treatment, locating a skilled primary clinician, determining the most appropriate level of care for you, evaluating your need for medication, and selecting the type of psychotherapy and support group that will be most effective for you.
1. Taking Responsibility
2. Primary Clinician
3. Level of Care
Most patients with borderline disorder are most appropriately treated as outpatients. However, there are times when acute inpatient or residential care is necessary. Under most circumstances, this decision is best made by you, your primary clinician, and your family or spouse.
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4. Medications
Medications play three very important roles in the treatment of most patients with borderline disorder. They are effective in reducing the four major groups of symptoms of the disorder. They thereby enhance the rate and quality of improvement derived from psychotherapy. Finally, medications are effective in treating other emotional disorders that frequently are associated with borderline disorder, for example, depression, anxiety/panic attacks, and ADHD, and physical disorders such as migraine headaches.
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5. Psychotherapy
Psychotherapy is also an important component of your treatment program. A number of different psychotherapeutic approaches appear to be effective in the treatment of borderline disorder. These include supportive, psychodynamic and modified psychoanalytic therapy, interpersonal therapy, dialectical behavior therapy (DBT), cognitive behavior therapy (CBT), and a variety of group and family therapies.
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6. Education and Support
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