Several psychotherapeutic modalities used in the treatment of patients with borderline personality disorder (BPD) are examined, with a focus on use in older adults in institutional settings. Supportive therapy requires a warm and involved therapist, and seeks to utilize a patient's existing strengths and resources. Dialectical behavior therapy (DBT) is a manualized approach combining elements of cognitive behavioral therapy and mindfulness that employs both individual therapy and group sessions to specifically treat patients with BPD. Transference focused psychotherapy is another manualized, individual therapy that makes use of transference interpretations, in an attempt to integrate the patient's fragmented internal object relations. Systems Training for Emotional Predictability and Problem Solving (STEPPS) is a manualized group program that educates patients on cognitive behavioral therapy principles, while also providing education to those in their support system. Nidotherapy emphasizes making environmental changes that minimize the effect of mental illness on the patient, rather than seeking to change the patient herself. Family therapy is an opportunity to examine the dynamics between patients and their family members. Most of these modalities can be utilized in institutional settings, and benefit from using a team approach.
|Original language||English (US)|
|Title of host publication||Borderline Personality Disorder in Older Adults: Emphasis on Care in Institutional Settings|
|Publisher||Nova Science Publishers, Inc.|
|Number of pages||10|
|State||Published - Apr 1 2015|
ASJC Scopus subject areas