Dialectical behaviour therapy for women with boderline personality disorder: a case report
- Author:
Masateru Matsushita
;
Yusuke Miyagawa
;
Hirokage Ushijima
;
Miyuki Tanaka
;
Tadashi Jono
;
Manabu Ikeda
- Publication Type:Case Reports
- Keywords:
Psychotherapy, Behaviour Therapy, Borderline Personality Disorder, Mindfulness, Skills Training
- From:ASEAN Journal of Psychiatry
2013;14(1):1-3
- CountryMalaysia
- Language:English
-
Abstract:
Borderline personality disorder (BPD) is often manifested by maladaptive behaviours such as self-injury. The interpersonal style characteristic of BPD makes
it difficult to maintain stable therapeutic relationships, with the patient often discontinuing treatment. Although dialectical behavior therapy (DBT) has been
reported to benefit patients with BPD, reports in Asian countries have been few. We herein describe a 22-year-old female with BPD and a history of attempted suicide
and self-injury who underwent DBT at our hospital. Methods: Our 6-month DBT consists of 4 parts: weekly psychotherapy by a psychiatrist, weekly skills training by
a clinical psychologist and nurse, emergency consultations, and supervision/consultation meetings. Individual psychotherapy and skills training
sessions, respectively, were conducted for this patient 24 times. Results: After completing DBT, the number of self-injuries and frequency of suicidal ideation in
our patient decreased. Conclusion: Although more costly than standard treatment for BPD, a trial of DBT might be worthwhile in Japanese patients.
