Level of Care Most patients with borderline disorder are most appropriately treated as outpatients. However, there are times when acute inpatient or residential care is necessary. Under most circumstances, this decision is best made by you, your primary clinician, and your family or spouse. Medications { HYPERLINK "http://www.bpddemystified.com/index.asp?id=21" } play three very important roles in the treatment of most patients with borderline disorder. They are effective in reducing the four major groups of symptoms of the disorder. They thereby enhance the rate and quality of improvement derived from psychotherapy. Finally, medications are effective in treating other emotional disorders that frequently are associated with borderline disorder, for example, depression, anxiety/panic attacks, and ADHD, and physical disorders such as migraine headaches. Psychotherapy Psychotherapy is also an important component of your treatment program. A number of different psychotherapeutic approaches appear to be effective in the treatment of borderline disorder. These include supportive, psychodynamic and modified psychoanalytic therapy, interpersonal therapy, dialectical behavior therapy (DBT), cognitive behavior therapy (CBT), and a variety of group and family therapies. Education and Support During the past decade, an increasing number of educational and support groups have been formed for patients with borderline disorder, and for their families. Many of these have been the result of the efforts of lay advocacy groups dedicated to increasing knowledge about, and reducing the stigma associated with borderline disorder. Patient and Family Educational Programs A growing number of educational programs are being conducted for people with borderline disorder and their families. These are often co-sponsored by community organizations working with the assistance of consumer and family organizations such as the National Education Alliance for <strong>Borderline</strong> Personality Disorder (NEA-BPD), the Treatment and Research Advancements National Association for Personality Disorder (TARA), and the National Alliance on Mental Illness (NAMI). A recent addition to the therapeutic opportunities for family members of people with borderline disorder has been the introduction of family educational and training programs. Family Connections The family education program, Family Connections (FC), is available in multiple locations throughout the US, and at several locations in Canada, Europe and the UK. It operates under the auspices of NEA-BPD with research funding from the National Institute of Mental Health. Experienced family members co-lead the 12-week manualized series of sessions for other families. These sessions provide participants with the most current information and research about borderline disorder, teach DBT and family coping skills, and provide an opportunity to develop a support network. Research documents a reduction in family member depression, burden, and grief and an
increase in coping skills. No registration fee is required, but in some locations a donation to cover costs of the course materials is suggested.