Factors that may assist the treatment process
- Minimising prolonged and/or frequent hospital admissions. Hospitalisation should preferably be short (2-3 days) planned admissions
- An ability for the therapist to resolve any breakdown/s in the patient therapist relationship
- A therapy with clear consistent goals
- Realistic expectations of what the therapist can/cannot do. This includes the therapist themselves being able to access peer support
- Minimising (or preferably eliminating) the use of substances eg alcohol, marijhuana
- Treating other mental illnesses experienced at the same time eg anxiety, clinical depression, psychosis, eating disorders, bipolar disorder
- Use of short term medication to only help manage a crisis and/or treatment of other mental illnesses
- A treatment plan, jointly developed and negotiated by the patient and the therapist which involves input from other practitioners and family members (where appropriate and approved) and the person’s immediate support network
- A crisis plan developed and negotiated by the patient and the therapist
- A compassionate, empathic and flexible therapist
- Allowing the person to feel they have ownership of their treatment
National Health and Medical Research Council guidelines state that people with a diagnosis of Borderline Personality Disorder should be provided with structured psychological therapies that are specifically designed for them and conducted by one or more adequately trained and supervised health professionals.
The majority of treatments for BPD should be provided within a community based service.