Factors that may affect the treatment process:
- prolonged and/or frequent hospitalisations as a primary method for risk management
- patient-therapist relationship not the right ‘fit’
- treatment structure is not clear and consistent
- excessive dependence on medication as primary or secondary form of treatment
- substance use and/or complementary treatment of comorbid illness
- poor planning of how to deal with crises
- lack of involving input from other practitioners and family members (where appropriate and approved)
- a rigid and inflexible therapist
- no sense of autonomy with treatment.
National Health and Medical Research Council guidelines state that people with a BPD diagnosis should be provided with structured psychological therapies that are specifically designed for them and conducted by one or more adequately trained and supervised health professionals.
RETHINK BPD – What recovery looks like for BPD