Dialectical behaviour therapy (DBT) in the treatment of borderline personality disorder
Open accessAbstract
Accessible summary: Borderline Personality Disorder (BPD) is a complex disorder that is difficult to treat. Five psychotherapeutic approaches are used in the management of BPD. These include cognitive behavioural therapy, mentalization‐based therapy, schema‐focused therapy, transference‐focused therapy and dialectical behaviour therapy (DBT). Of the five approaches used to manage BPD, DBT has been studied the most extensively. Dialectical behaviour therapy (DBT) is a multi‐pronged approach comprising of skills‐based training, individual psychotherapy, telephone calls and consultation team meetings. DBT can have a positive effect on therapists, shifting therapeutic pessimism towards one of optimism with DBT therapists also describing personal changes resulting from their work with clients. A considerable number of trials have been conducted as DBT was developed in the early 1990s, and most support the usefulness of BPD in the treatment of BPD. However, two Cochrane reviews conclude that more research is needed to provide stronger evidence in support of DBT for the management of BPD. Borderline personality disorder (BPD) is a complex disorder that is difficult to treat. However, dialectical behaviour therapy (DBT), developed by D r. M arsha L inehan in the early 1990s, has emerged as a promising treatment option for those diagnosed with BPD. DBT is a multi‐pronged treatment approach delivered normally in outpatient settings over 12 months and requires highly skilled and trained therapists. Many trials have provided evidence to support the use of DBT in the treatment of BPD. However, outcome measures vary and are mostly limited to measurable behavioural outcomes such as incidences of deliberate self‐harm or suicidal thoughts. Two recent C ochrane reviews conclude that DBT does benefit those with BPD, but more robust evidence is needed. DBT training for health care professionals also has the potential to shift health care professionals' attitudes from one of therapeutic pessimism to one of optimism.
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Dialectical behaviour therapy has substantial international evidence for its effectiveness in supporting adults with borderline personality disorder and continues to be implemented in Australia without recent local evaluation.
“This applies to dialectical behaviour therapy, which has substantial international evidence for its effectiveness in supporting adults with borderline personality disorder (O'Connell and Dowling 2014), and continues to be implemented in Australia without recent local evaluation.”
From Effect of community mental health care programs in Australia: A systematic review (2020) · cites this paper as O'Connell and Dowling 2014
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- Authors
- O'Connell, B., & Dowling, M.
- Affiliations
- Shannon Day Hospital HSE Shannon
- Ollscoil na Gaillimhe – University of Galway (IE)
- ORCID
- Dowling, M.
- Venue
- Journal of Psychiatric and Mental Health Nursing
- Publisher
- Wiley
- Published
- 2013-11-05
- Volume
- 21
- Issue
- 6
- Pages
- 518-525
- ISSN
- 1351-0126 (ISSN-L)
- 1365-2850
- OpenAlex
- W1962893820
- Cited by
- 52
- References
- 58
- Citations by year
- 2026: 1 · 2025: 5 · 2024: 5 · 2023: 4 · 2022: 6 · 2021: 5 · 2020: 4 · 2019: 3 · 2018: 2 · 2017: 5 · 2016: 3 · 2015: 8 · 2014: 1
- FWCI
- 0.58
- Type
- journal article
- Language
- en
- Open access
- green
- hdl.handle.net
- Licence
- Locations
- Journal of Psychiatric and Mental Health Nursing (publishedVersion)
- PubMed (publishedVersion)
- Arrow@dit (Dublin Institute of Technology) (acceptedVersion)
- ARAN (University of Galway Research Repository) (Ollscoil na Gaillimhe – University of Galway) (acceptedVersion, cc-by-nc-nd)
- ARAN (University of Galway Research Repository) (Ollscoil na Gaillimhe – University of Galway) (submittedVersion, cc-by-nc-nd)
- University of Galway Research Repository (submittedVersion, cc-by)
- Research Repository UCD (University College Dublin) (cc-by)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Personality Disorders and Psychopathology
- Social Sciences › Psychology › Clinical Psychology › Psychotherapy Techniques and Applications
- Health Sciences › Medicine › Psychiatry and Mental health › Bipolar Disorder and Treatment
- Keywords
- dialectical behavior therapy, borderline personality disorder, psychotherapy, skills training, telephone coaching, therapist training, self-harm, suicidal ideation, treatment outcomes
- MeSH terms
- Behavior Therapy, Borderline Personality Disorder, Humans
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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