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DOI: 10.1176/appi.books.9780890423363.54853 What's a DOI?

APA Practice Guidelines > Borderline Personality Disorder
Treatment of Patients With Borderline Personality Disorder
This guideline is more than 5 years old and has not yet been updated to ensure that it reflects current knowledge and practice. In accordance with national standards, including those of the Agency for Healthcare Research and Quality’s National Guideline Clearinghouse, this guideline can no longer be assumed to be current. The March 2005 Guideline Watch associated with this guideline provides additional information that has become available since publication of the guideline, but it is not a formal update of the guideline.

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Read the Guideline Watch on Borderline Personality Disorder


CONTENTS
Part A: Treatment Recommendations for Patients With Borderline Personality Disorder


A. Coding System

B. General Considerations

C. Summary of Recommendations


A. The Initial Assessment

B. Principles of Psychiatric Management

C. Principles of Treatment Selection

D. Specific Treatment Strategies for the Clinical Features of Borderline Personality Disorder


A. Comorbidity

B. Problematic Substance Use

C. Violent Behavior and Antisocial Traits

D. Chronic Self-Destructive Behavior

E. Childhood Trauma and PTSD

F. Dissociative Features

G. Psychosocial Stressors

H. Gender

I. Cultural Factors

J. Age


A. General Considerations

B. Suicide

C. Anger, Impulsivity, and Violence

D. Boundary Violations

Part B: Background Information and Review of Available Evidence


A. Definition and Core Clinical Features

B. Assessment

C. Differential Diagnosis

D. Epidemiology

E. Natural History and Course


A. Issues in Interpreting the Literature

B. Review of Psychotherapy and Other Psychosocial Treatments

C. Review of Pharmacotherapy and Other Somatic Treatments

Part C: Future Research Needs



Appendixes: Psychopharmacological Treatment Algorithms