Fast Five Quiz: Borderline Personality Disorder

Stephen Soreff, MD


March 09, 2021

Psychotherapy, such as dialectical behavioral therapy (DBT), is often a first-line approach for borderline personality disorder and has been shown to be useful and effective despite the challenges of patent regression, overwhelming affect, and impulsive behavior. The goal of this type of therapy is to resolve pathologic internalized representations of interpersonal relationships. The therapist requires adequate support systems, including access to prolonged hospitalization, which might be necessary.

Although DBT was developed as an outpatient program, it has been modified for use in hospital settings and among more diverse populations. Its focus is on teaching patients four skills:

  • Mindfulness (attention to one's experience)

  • Interpersonal effectiveness (predominantly assertiveness)

  • Emotional regulation

  • Distress tolerance without impulsivity

Read more about the treatment of borderline personality disorder.


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