The type of psychotherapy you choose may be based on a combination of personal preference and the availability of specific treatments in your local area. Do not be afraid to ask about their experience. They'll usually be a psychiatrist, psychologist or other trained mental health professional. Psychotherapy for BPD should only be delivered by a trained professional. Therapy for BPD aims to help people get a better sense of control over their thoughts and feelings. There are lots of different types of psychotherapy, but they all involve taking time to help you get a better understanding of how you think and feel.Īs well as listening and discussing important issues with you, the psychotherapist can suggest ways to resolve problems and, if necessary, help you change your attitudes and behaviour. Treatment for BPD usually involves some type of psychological therapy, also known as psychotherapy. reviews – where your treatment is regularly reviewed and any necessary changes to the care plan can be agreed.the appointment of a care co-ordinator (keyworker) – usually a social worker or nurse and your first point of contact with other members of the CMHT.a care plan – created to meet your health and social needs.an assessment of your health and social needs.If your symptoms are moderate to severe, you'll probably be entered into a treatment process known as a care programme approach (CPA).ĬPA is essentially a way of ensuring that you receive the right treatment for your needs. psychologists and psychiatrists (the psychiatrist is usually the senior clinician in the team).community mental health nurses (who have specialist training in mental health conditions).The goal of a CMHT is to provide day-to-day support and treatment, while ensuring you have as much independence as possible. Treatment for BPD may involve individual or group psychotherapy, carried out by professionals within a community mental health team (CMHT). Additional treatment is recommended for people whose symptoms return. If you are currently taking medication but do not have another condition (either a physical or a mental health problem), this treatment should be reviewed by your healthcare professional and stopped if necessary.Over time, many people with borderline personality disorder (BPD) overcome their symptoms and recover. People with reading difficulties should be given the information in another format, such as a video or DVD. Your healthcare professional should also offer to discuss the medication with you further. It should also be explained to you why the medication may be helpful for you at this time. If you are offered medication for any reason, your healthcare professional should offer you written information about the effect it will have on your symptoms and any side effects. You may also be offered medication to treat another mental health problem (see Can I have treatment for other conditions?). However, you may be offered medication called a sedative for a short time (no longer than a week) to help you in a crisis (see What should happen in a crisis?). This includes a type of medication called an antipsychotic as a long-term treatment. You should not usually be offered medication specifically to treat borderline personality disorder or for any related symptoms or behaviour (such as self-harm, unstable moods and risky behaviour). Your care team should check periodically that the psychological treatment is helping your symptoms and helping you in different areas of your life. Women with borderline personality disorder who self-harm on a regular basis may be offered a treatment called dialectical behaviour therapy. People with reading difficulties should be given the information in another format, such as video or DVD. They should also offer to discuss the information with you and talk about how helpful other psychological treatments are in treating borderline personality disorder and other conditions. Your healthcare professional should offer you written information about the treatment and how it can help you. Psychological treatment lasting about a year or longer is best for people with borderline personality disorder. How often you have sessions will depend on your needs and how you live your life. The treatment should be properly structured as described in the NICE guideline. This will be based on an approach that you, the therapist and the team agree to in advance. If borderline personality disorder causes you many problems, or you have other conditions, you may be offered a psychological treatment in a special programme usually run by a team of people.
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