7
Psychosocial Interventions
Statement 5 - Psychotherapy
➤ APA recommends (1B) that a patient with BPD be treated with a structured
approach to psychotherapy that has support in the literature and targets
the core features of the disorder.
Pharmacotherapy
Statement 6 – Clinical Review Before Medication Initiation
➤ APA recommends (1C) that a patient with BPD have a review of co-
occurring disorders, prior psychotherapies, other nonpharmacological
treatments, past medication trials, and current medications before
initiating any new medication.
Statement 7 – Pharmacotherapy Principles
➤ APA suggests (2C) that any psychotropic medication treatment of BPD be
time-limited, aimed at addressing a specific measurable target symptom,
and adjunctive to psychotherapy.
Statement 8 – Pharmacotherapy Review
➤ APA recommends (1C) that a patient with BPD receive a review and
reconciliation of their medications at least every 6 months to assess the
effectiveness of treatment and identify medications that warrant tapering
or discontinuation.
Treatment
