After being diagnosed with BPD, the patient should share the results of the diagnosis with family, friends, or trusted people. That way, the patient can straighten out relationship problems that may occur as a result of his behavior.
When people around the patient have been given an explanation, they can have a better understanding of the patient’s condition and can support the patient to recover. This can make treatment more effective.
Treatment of borderline personality disorder aims to help patients know how to manage and cope with the symptoms they are experiencing. Not only that, treatment also aims to overcome other mental disorders that often accompany BPD, such as depression and drug abuse .
Treatment of BPD can be done with psychotherapy and medication. However, in more severe cases, hospitalization may be required.
There are several types of psychotherapy that can be used to treat BPD, namely:
1. Dialectical behavior therapy (DBT)
This therapy is done through dialogue with the aim that the patient can control emotions, accept pressure, and improve relationships with others. DBT can be done individually or in a consultation group.
2. Mentalization-based therapy (MBT)
This therapy focuses on the method of thinking before reacting. MBT helps BPD patients assess their own feelings and thoughts and creates a positive perspective of the situation at hand. This therapy also helps patients to understand the feelings of others and the consequences of their actions on the feelings of others.
MBT is usually done in the long term, which is about 18 months. Therapy begins with hospitalization so that the patient can have individual daily sessions with a psychiatrist. After a certain period of time, therapy can be continued on an outpatient basis.
3. Schema-focused therapy
This therapy helps BPD patients realize their unmet needs, which eventually lead to negative lifestyles. Therapy will focus on meeting these needs through healthier ways to build a positive lifestyle.
Just like DBT therapy, schema-focused therapy can be done individually or in groups.
4. Transference-focused psychotherapy
Transference-focused psychotherapy (TFP) or psychodynamic therapy helps patients understand their emotions and the difficulties they experience in developing relationships with other people (interpersonal). TFP is done by fostering a relationship between the patient and the therapist. The results of the coaching can then be applied to the current situation.
5. Good psychiatric management
This therapy aims to increase the patient’s understanding of emotional problems that occur by considering the feelings of others. Therapy can be combined with drug administration, group or individual therapy, and family counseling.
STEPPS or systems training for emotional predictability and problem-solving is a group therapy that can be done with family members, friends, partners, or caregivers. This therapy generally lasts for 20 weeks, and is usually used as an adjunct therapy with other psychotherapy.
The use of drugs is not to treat BPD, but to reduce symptoms or complications that may arise, such as depression and anxiety disorders. Medicines used require a doctor’s prescription. These drugs include:
- Mood balancing drug
In more serious conditions, such as feeling depressed to having a tendency to hurt themselves or even attempt suicide , BPD patients need to be treated in a hospital. The treatment will be tailored to the patient’s condition and symptoms.
BPD recovery is likely to take a long time and therapy can take months to years. Consulting with a psychiatrist who is experienced in dealing with BPD can help patients develop their personality in a better direction.