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What is the most effective therapy for borderline personality disorder based on evidence ?

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Very few therapies have been evaluated scientifically for the treatment of borderline personality disorder. Two of these are DBT (dialectical behavior therapy) and Psychoanalytically oriented mentalization day treatment. The results for DBT were encouraging in a study (6-9)but the effects were lost on follow up. Also the effects were not studied directly on personality disorder but on features such as self-harming behaviour. Mentalization treatment on the other hand has been evaulauted with two randomised onctrolled trials (1-5) and the effects were significant and sustained. The refrence studies are given below. 

  1. Bateman A and Fonagy P ( 1999). Effectiveness of partial hospitalization in the treatment of borderline personality disorder: a randomized controlled trial . American Journal of Psychiatry, 156, 1563–9.

  2. Bateman A and Fonagy P (2001). Treatment of borderlinepersonality disorder with psychoanalytically oriented partial
    hospitalization: an 18-month follow-up . American Journal of Psychiatry, 158, 36–42.

  3. Bateman A and Fonagy P (2004). Psychotherapy for Borderline Personality Disorder: mentalisation-based treatment. Oxford University Press, Oxford. 

  4. Bateman A and Fonagy P (2008). Eight-year follow-up of patients treated for borderline personality disorder: mentalizationbased treatment versus treatment as usual . American Journal of Psychiatry, 165, 631–8. 

  5. Bateman A and Tyrer P (2002). Effective Management of Partial Personality Disorder. National Institute for Mental Health in England, London.

  6. Linehan MM ( 1993). Cognitive-Behavioral Treatment of Borderline Personality Disorder. Guilford, New York . 

  7. Linehan MM et al. ( 1991). Cognitive-behavioral treatment of chronically parasuicidal borderline patients . Archives of General Psychiatry, 48, 1060–64. 

  8. Linehan MM et al. ( 2002). Dialectical behaviour therapy versus comprehensive validation therapy plus 12-step for the treatment of opioid dependent women meeting criteria for borderline personality disorder . Drug and Alcohol Dependence,67, 13–26. 

  9. Linehan MM et al. ( 1994). Interpersonal outcome of cognitive behavioural treatment for chronically suicidal borderlinepatients. American Journal of Psychiatry, 151, 1771–6.

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