Admissions available 24/7 ⚠️ We Do Not Accept Medicare or Medicaid 

Borderline Personality Disorder Treatment

Revised by: Sara Sorenson: LCMHC
Director of Clinical Development

Sarah stared at the phone, willing it to ring. Her boyfriend was five minutes late. He’s leaving me. The thought became a tidal wave of panic and rage. When he finally called, her relief twisted into sharp accusations. Another perfect evening was shattered, another relationship fracture deepened. One snapshot of life with Borderline Personality Disorder (BPD).

Once thought “difficult to treat” if not incurable, BPD has now been proven treatable primarily with certain forms of psychotherapy and possibly some medications although there are none FDA-approved specifically for BPD. Read on to learn more about this complex mental health condition and its treatment.

Moving Beyond Stigma and Misconception

BPD is a complex mental health condition, characterized by pervasive patterns of instability in emotions, self-image, interpersonal relationships, and impulsivity.

While historically considered difficult to treat, and with the associated stigma this brings, a new era of BPD treatment offers genuine hope and proven pathways to recovery,as this article highlights.

The contemporary view is that those with BPD often have experienced trauma, emotional abuse, or emotional invalidation, physical or sexual abuse, and it has often started in their early life. In this view, it is a trauma condition that is not universally recognised as one [1].

Just What is Borderline Personality Disorder?

BPD is a personality disorder that involves a pattern of instability in personal relationships, intense emotions, unstable self-image, and impulsivity. These symptoms bring significant challenges to an individual regarding their self-image and self-worth, leaving them with intense self-doubt and fears of abandonment [2].

It affects approximately 14 million Americans, or 2% of the general population, 10% of psychiatric outpatients, and 20% of psychiatric inpatients. 

The term “borderline” originally meant a state that bordered on psychosis and that was viewed as untreatable. That view has continued until recently [3] [4].

BPD typically begins in adolescence or early adulthood and can persist for many years. However, despite previous understandings of the disorder, it can remit, and symptoms can be reduced and managed.

Psychotherapy as the Cornerstone of Care

Psychotherapies have been considered (and still are) first-line treatment for BPD. The American Psychiatric Association (APA) renewed its guidelines for treating BPD in 2024. It reaffirmed that several structured psychotherapies were found to be effective, but no therapy emerged as a ‘gold standard.’

Furthermore, no evidence was found for any medication’s effectiveness in treating the core symptoms of BPD. As a result, it advises against the simultaneous use of multiple drugs to treat BPD in a prolonged manner.

Often these drugs could target one of the frequent associated symptoms, such as depression, but not the core symptoms. The objective here is to avoid the risks of ineffective medication treatment [4].

Several of the recommended, and often specialized, forms of longer-term psychotherapy include [5]:

1. Dialectical Behavior Therapy (DBT)

Originally developed specifically to treat DBT, it includes group and individual therapy and phone coaching, using a skills-based approach to teach you how to manage your emotions, handle distress, and understand relationships better. It includes 4 modules: Mindfulness, Distress Tolerance, Emotion Regulation, and Interpersonal Effectiveness.

2. Cognitive Behavioral Therapy (CBT)

CBT helps you change your beliefs that come from distorted ways of seeing things by targeting negative thoughts and helping you cope with them. It can also help with relationship issues, reduce mood swings, and make you less anxious. It can also help reduce self-harm or suicide attempts.

3. Schema-focused Therapy

This therapy focuses on changing negative thought patterns in a structured way. It helps you identify and change deep, self-defeating life patterns called schemas, often rooted in childhood, to improve emotions and relationships.

4. Mentalization-based Therapy (MBT)

MBT helps you note your thoughts and feelings and see things differently. MBT stresses thinking before reacting. It teaches you to recognize and understand your own and others’ mental states (thoughts, feelings, and beliefs) to reduce interpersonal conflict and emotional instability.

5. Systems Training for Emotional Predictability and Problem-Solving (STEPPS)

STEPPS is a 20-week treatment program where you work in groups that include your family members, caregivers, friends, or significant others. STEPPS is used in addition to other types of talk therapy. It teaches concrete skills to manage BPD emotions and behaviors, using a support system.

6. Transference-focused Psychotherapy (TFP)

Also called psychodynamic psychotherapy, TFP aims to help you learn about your emotions and issues relating to others by creating a relationship between you and your therapist. You then apply what you learn to other situations.

7. Digital Therapy

A new Digital Self-Management Intervention using an app called Priovi, based on Schema Therapy, demonstrated improved emotion regulation and symptom reduction in 2025 trials [6].

8. New Promising Drugs in Clinical Trials

Recent studies have reported on two new avenues for medication  [1]. One is a drug called Memantine, which is an Alzheimer’s medication. It targets the glutamate system in the brain which addresses the cognitive disturbances that make up all of the BPD symptoms. Early results show that patients are seeing their symptoms reduce, and some are reporting it has allowed them to stop and reassess situations before emotionally reacting, while self-harming is also reduced quite drastically as well.

Another drug is the hormonal treatment estradiol in women with BPD diagnoses. This is particularly relevant as women make up approximately 75% of BPD diagnoses globally. The theory is that when people have early life trauma, the stress on the body leads to hormone disturbances, so targeting hormones for females promises to eventually improve the BPD symptoms.

Medication and Adjunct Supportive Therapies

While the APA recommends against the unnecessary use of multiple medications as it is not evidence-based, often people with BPD have co-occurring conditions such as depression and anxiety. In this regard, medication is considered as an adjunct to, not a replacement for, psychotherapy. These include [7]:

  • Mood Stabilizers/Anticonvulsants: For emotional dysregulation and impulsivity.
  • Atypical Antipsychotics: For transient paranoia, dissociation, or intense anger.
  • Antidepressants: For co-occurring depression or anxiety.
  • Holistic Approaches: Mindfulness meditation, yoga, and regular exercise help overall emotional regulation.

Stages of Recovery and Managing Expectations

Recovery from BPD is a process, not an event. It is marked by several stages of progress.

Stage 1: Gaining Behavioral Control

The initial focus is on achieving safety (reducing self-harm, suicidal behaviors) and stabilizing out-of-control behaviors.

Stage 2: Processing Trauma and Reducing Emotional Suffering

Once behavior is stable, therapy often shifts to addressing underlying trauma and painful emotions.

Stage 3: Building a Life of Ordinary Happiness and Goals

The final stage focuses on identity, career, and sustaining healthy, interdependent relationships.

Managing Expectations

Progress is often marked by setbacks, and treatment requires significant commitment by the patient.

Therapeutic Alliance and Support Systems

One of the most powerful predictors for positive outcomes is the relationship between patient and therapist. Having a strong therapeutic alliance based on trust, validation, and collaboration is key.

Likewise, integrated and supportive care are very important:

  • Family or partner involvement through psychoeducation and programs like STEPPS. A supportive network, often educated through family therapy or programs such as Family Connections, is a central part of the recovery process.
  • Crisis management planning, given high suicide and self-injury risks.
  • Long-term continuity of care, as meaningful progress often unfolds over several years.

Finding Support for Healing at Corner Canyon

Treatment for mental health conditions and trauma is available in Utah. Are you or a loved one looking for a compassionate space to heal from anxiety, trauma, PTSD, CPTSD, other mental health conditions, or addictions? Our licensed trauma-informed professional therapists and counselors at Corner Canyon Health Centers can provide compassionate help using a range of therapeutic and holistic techniques.

Reach out to our Admissions team now at Corner Canyon. We’re in a peaceful setting bordered by the beautiful Wasatch Mountains.

Table of Contents

Google Reviews

Address

Corner Canyon Health Centers

13020 S Fort St, Draper, UT 84020

Questions?

Call or Text us 24/7 for more info

Smiling rehab center staff member standing outdoors in front of lush greenery—offering a warm, welcoming presence to support residents on their healing journey.

Liz Lund, MPA

Liz is originally from lush green Washington State. She is a life enthusiast and a huge fan of people. Liz has always loved learning why people are the way they are. She moved to UT in 2013 and completed her bachelors degree in Psychology in 2016. After college Liz worked at a residential treatment center and found that she was not only passionate about people, but also administration. Liz is recently finished her MPA in April 2022. Liz loves serving people and is excited and looking forward to learning about; and from our clients here at Corner Canyon.
When Liz is not busy working she love being outdoors, eating ice cream, taking naps, and spending time with her precious baby girl and sweet husband.