Treatment

DIAGNOSIS: Borderline Personality Disorder

TREATMENT: MBT (Mentalization-Based Treatment) Group Therapy for Borderline Personality Disorder

BRIEF SUMMARY

  • Basic premise: Mentalizing is the process by which we make sense of each other and ourselves, implicitly and explicitly, in terms of subjective states and mental processes. Patients with BPD show reduced capacities to mentalize, which leads to problems with emotional regulation and difficulties in managing impulsivity, especially in the context of interpersonal interactions. Mentalization based treatment (MBT) is a time-limited treatment which structures interventions that promote the further development of mentalizing.

SUPPORTING STUDIES

Bateman, A., & Fonagy, P. (1999). Effectiveness of partial hospitalization

in the treatment of borderline personality disorder: A randomized con-

trolled trial. The American Journal of Psychiatry, 156(10), 1563–1569.

https://doi.org/10.1176/ajp.156.10.1563

Bateman, A., & Fonagy, P. (2009). Randomized controlled trial of out-

patient mentalization-based treatment versus structured clinical manage-

ment for borderline personality disorder. The American Journal of Psychiatry, 166(12), 1355–1364.

https://doi.org/10.1176/appi.ajp.2009.09040539

Laurenssen, E. M. P., Luyten, P., Kikkert, M. J., Westra, D., Peen, J., Soons, M. B. J., van Dam, A. -M., van Broekhuyzen, A. J., Blankers, M., Busschbach, J. J. V., & Dekker, J. J. M. (2018). Day hospital mentalization-based treatment v. specialist treatment as usual in patients with borderline personality disorder: randomized controlled trial. Psychological Medicine 48(15), 2522–2529.

https://doi.org/10.1017/S0033291718000132

Philips B., Wennberg P., Konradsson P., & Franck J., (2018). Mentalization-based treatment for concurrent borderline personality disorder and substance use disorder: A randomized controlled feasibility study. European Addiction Research, 24(1):1-8.

https://doi.org/10.1159/000485564