Treatment of Borderline Personality Disorder

Findings from randomized controlled trials and meta-analyses suggest that there are several efficacious treatments for borderline personality disorder, including those based on cognitive behavior theories and psychodynamic theories. In addition, there are generalist and adjunctive approaches. These treatments and the corresponding evidence associated with each are described. It is concluded randomized controlled trials and meta-analyses suggest little to no difference between any active specialty treatments for borderline personality disorder; there are no differences between dialectical behavior therapy and non–dialectical behavior therapy treatments or between cognitive behavior–based and psychodynamic theory–based treatments. Thus, clinicians are justified in using any of these efficacious treatments.