People with borderline personality disorder can be challenging to treat, because of the nature of the disorder. Borderline Personality Disorder (BPD) can be defined as a mental health condition in which a person has long-term patterns of unstable or turbulent emotions (US National Library of Medicine, 2013). They are often difficult to keep in therapy, frequently fail to respond to therapeutic efforts and make considerable demands on the emotional resources of the therapist, particular when suicidal behaviors are prominent.
Dialectical Behavior Therapy is an innovative method of treatment that has been developed specifically to treat this difficult group of patients in a way …show more content…
The therapist should be clear about his or her personal limits in relations to a particular patient and should as far as possible make these clear to her from the start. It is openly acknowledged that an unconditional relationship between therapist and patient is not humanly possible and it is always possible for the patient to cause the therapist to reject her if she tries hard enough. It is in the patient’s interests therefore to learn to treat her therapist in a way that encourages the therapist to want to continue helping her. It is not in her interests to burn him or her out. This issue is confronted directly and openly in therapy. The therapist helps therapy to survive by consistently bringing it to the patient’s attention when limits have been overstepped and then teaching her the skills to deal with the situation more effectively and …show more content…
The therapist is asked to adopt a non-defensive posture towards the patient, to accept that therapists are fallible and that mistakes will at times inevitably be made. Perfect therapy is simply not possible.
This form of therapy must be entirely voluntary and depends for its success on having the co-operation of the patient. From the start, therefore, attention is given to orienting the patient to the nature of DBT and obtaining a commitment to undertake the work. Before a patient will be taken on for DBT she will be required to give a number of undertakings (Elliott, 2009)
To work in therapy for a specified period of time and, within reason, to attend all scheduled therapy sessions.
If suicidal behaviors or gestures are present, she must agree to work on reducing these.
To work on any behaviors that interfere with the course of