Materiały źródłowe

• #1 Prevention and early intervention for borderline personality disorder: current status and recent evidence | The British Journal of Psychiatry | Cambridge Core

  https://www.cambridge.org/core/journals/the-british-journal-of-psychiatry/article/prevention-and-early-intervention-for-borderline-personality-disorder-current-status-and-recent-evidence/B4207F79D92BD14CEAD009494F6D9D4D

  Borderline personality disorder (BPD) is a leading candidate for developing empirically based prevention and early intervention programmes because it is common in clinical practice, it is among the most functionally disabling of all mental disorders, it is often associated with help-seeking, and it has been shown to respond to intervention, even in those with established disorder. […] Data also suggest considerable flexibility and malleability of BPD traits in youth, making this a key developmental period during which to intervene. Novel indicated prevention and early intervention programmes have shown that BPD in young people responds to intervention. Further work is required to develop appropriate universal and selective preventive interventions. […] Prevention and early intervention for BPD should primarily aim to alter the life-course trajectory of young people with borderline personality pathology by attenuating or averting associated adverse outcomes and promoting more adaptive developmental pathways.

• #2 Prevention and early intervention for borderline personality disorder | The Medical Journal of Australia

  https://www.mja.com.au/journal/2007/187/7/prevention-and-early-intervention-borderline-personality-disorder

  Borderline personality disorder (BPD) is a severe mental disorder that is associated with substantial psychosocial impairment and morbidity, disproportionate use of health resources, a high suicide rate, and a reputation for being untreatable. […] Current data are inadequate to inform specific universal or selective prevention programs for BPD. However, they do support including BPD prevention as an outcome when evaluating universal and/or selective interventions for a variety of mental health problems and adverse psychosocial outcomes. […] The strongest data support early intervention for the emerging BPD phenotype. Early intervention programs will need to be realistic in their aims, require change in clinician attitudes and service systems, and must be mindful of the risk of iatrogenic harm.

• #3 OHSU expert leads development of guidelines to treat borderline personality disorder | OHSU News

  https://news.ohsu.edu/2024/12/13/ohsu-expert-leads-development-of-guidelines-to-treat-borderline-personality-disorder

  New treatment guidelines for borderline personality disorder believed to affect as much as 2.7% of the United States population were developed with leadership from a behavioral health expert at Oregon Health Science University. […] Several key findings emerged from the thorough and critical review of the literature conducted to develop this Guideline, Keepers said. First, several structured psychotherapies were found to be effective for treatment of borderline personality disorder. No therapy emerged as a gold standard. […] Second, no evidence was found for any pharmacotherapys effectiveness in treating the core symptoms of the disorder. This finding led to the recommendations designed to limit polypharmacy and prolonged treatment with medications. We anticipate that many more patients will be able to access psychotherapeutic treatment and that clinicians will avoid the risks of ineffective pharmacologic treatment as a result of this guideline.

• #4 Borderline Personality Disorder: Causes, Symptoms & Treatment

  https://my.clevelandclinic.org/health/diseases/9762-borderline-personality-disorder-bpd

  Unfortunately, theres no way to prevent borderline personality disorder. […] BPD is often inherited (passed through families), which means you have an increased risk of developing the condition if you have a family history of BPD. Ask your healthcare provider how to recognize signs of the disorder so you can get treatment as early as possible.

• #5 How to Prevent Borderline Personality Disorder in Young Adults

  https://www.optimumperformanceinstitute.com/bpd-treatment/prevent-bpd-from-developing/

  As research and new information surfaces on disorders like borderline personality disorder (BPD), more can be understood about what causes these disorders, how to treat them, and if they can possibly be prevented. […] While avoiding childhood trauma may be a way to prevent BPD from developing later in life, this is often not possible. […] Since the exact causes of BPD are still largely unknown, there is no exact formula for avoiding the disorder completely. There are, however, things you can do that may help, including: […] One of the most successful forms of treatment for BPD is dialectical behavior therapy or DBT. DBT works by helping to validate a persons feelings while teaching them how to change their behavior patterns and negative thought processes. Children and adolescents who learn that their feelings are valid may have a better chance of not developing the disorder. […] Borderline personality disorder is still being researched, and there is much to learn to help us further understand the disorder and whether or not it can realistically be prevented.

• #6 Therapeutic and Preventive Interventions in Adolescents with Borderline Personality Disorder: Recent Findings, Current Challenges, and Future Directions

  https://www.mdpi.com/2077-0383/12/20/6668

  Preventive approaches can be divided into two categories: primary prevention, which focuses on preventing the onset of the disease, and secondary prevention, which focuses on early detection and interventions. Tertiary prevention refers to the management of the disease already diagnosed to prevent the development of complications. This last aspect has been discussed earlier in the current paper. […] Several programs of secondary prevention have been developed for adolescents with BPD. As developed by Chanen et al., their common principle is to prioritize early interventions, even when BPD cannot be fully diagnosed with regards to the current criteria. As an example, the HYPE clinic program (Helping Young People Early) is a specific service model designed to take care of adolescents at risk for BPD.

• #7 Prevention and early intervention for borderline personality disorder: current status and recent evidence | The British Journal of Psychiatry | Cambridge Core

  https://www.cambridge.org/core/journals/the-british-journal-of-psychiatry/article/prevention-and-early-intervention-for-borderline-personality-disorder-current-status-and-recent-evidence/B4207F79D92BD14CEAD009494F6D9D4D

  The data reviewed above suggest that indicated prevention is currently the best bet for prevention of BPD. This targets individuals displaying precursor (early) signs and symptoms of the disorder. […] Early detection and intervention for BPD are now justified and practical in adolescence and emerging adulthood, and novel early intervention programmes have been developed and researched in Australia and The Netherlands. […] The Australian Helping Young People Early (HYPE) and Dutch Emotion Regulation Training (ERT) treatment programmes have several features in common. […] These innovations foster not only the early diagnosis of BPD but also the identification of subthreshold disorder, supporting the aims of indicated prevention and early intervention.

• #8

  https://link.springer.com/article/10.1007/s40501-014-0029-y

  Indicated prevention has been suggested as the only form of prevention that is currently feasible. […] Indicated prevention and early intervention and programs for borderline personality disorder have been developed in Australia and the Netherlands. […] These programs should be differentiated from conventional borderline personality disorder treatment programs that are applied to individuals who have established complex and severe borderline personality disorder, but who happen to be less than 18 years old. […] Based upon the above psychosocial treatment trials, indicated prevention and early intervention appear to be effective for adolescents and young adults with borderline personality disorder features. […] Prevention and early intervention for personality disorder ought to focus upon improving functioning and adaptation and preventing iatrogenic harm.

• #9

  https://link.springer.com/article/10.1007/s40501-014-0029-y

  Personality disorder has been shown to be common in adolescence and most notable for its continuity with and similarities to adult personality disorder. […] The first wave of indicated prevention (targeting those showing early signs and symptoms) and early intervention (those with full-syndrome disorder) studies for borderline personality disorder in adolescence are notable for challenging fears about diagnosing and treating borderline personality disorder in young people, and demonstrating that appropriate diagnosis and intervention can lead to clinically meaningful improvements for patients. […] Given the limited evidence base for pharmacotherapy as a primary treatment for borderline personality disorder in adults, this form of treatment cannot be recommended in adolescents. […] The influential Institute of Medicine report on the prevention of mental disorders set out a framework that has made it possible to apply the above knowledge, derived from important developmental and etiological studies, in order to inform prevention and early intervention for borderline personality disorder.

• #10 Early Intervention for Borderline Personality Disorder | NAMI: National Alliance on Mental Illness

  https://www.nami.org/Blogs/NAMI-Blog/August-2020/Early-Intervention-for-Borderline-Personality-Disorder

  When I was in my twenties, I was using cocaine, starving and cutting myself. […] I could have learned coping skills to help me tolerate seemingly intolerable feelings. […] Unfortunately, today it’s still “the norm” to ignore a potential BPD diagnosis during adolescence. This has to change. Especially as research is making it increasingly clear that to prevent a BPD diagnosis from becoming a life-long trajectory of pain and suffering, we need early intervention and treatment to be a priority. […] In 2017, the Global Alliance for Prevention and Early Intervention for Borderline Personality Disorder (GAP) was formed. This initiative aims to promote early detection and intervention across the health, education, welfare and justice system. […] Putting this initiative in place will serve to fight the stigma against BPD that continues to exist within the psychiatric community. […] While I believe this amount of time could have been significantly shorter if I had been diagnosed sooner, I’ve learned to stop asking “what if?” Instead, I focus on the strength and resilience I’ve gained, and I advocate for early intervention. Our kids deserve nothing less.

• #11 Prevention and early intervention for borderline personality disorder: a novel public health priority

  https://pmc.ncbi.nlm.nih.gov/articles/PMC5428197/

  There is now a broad evidencebased consensus that borderline personality disorder (BPD) is a reliable, valid, common and treatable mental disorder. […] The proliferation of knowledge about BPD in adolescents and emerging adults (youth) over the past two decades has provided a firm basis for establishing early diagnosis and treatment (early intervention) for BPD and for subthreshold borderline personality pathology. […] Clinical priorities include: a) early intervention (i.e., diagnosis and treatment of BPD when an individual first meets DSM5 criteria for the disorder, regardless of his/her age) should be a routine part of child and youth mental health practice; c) indicated prevention (preventing the onset of new cases by targeting individuals showing subthreshold features of BPD) currently represents the best starting point toward developing a comprehensive prevention strategy for BPD; e) the diagnosis of BPD should not be delayed (nondiagnosis of BPD is discriminatory because it denies individuals the opportunity to make informed and evidencebased treatment decisions, and excludes BPD from health care planning, policy and service implementation, ultimately harming the young people’s prospects); g) family and friends should be actively involved as collaborators in prevention and early intervention.

• #12 Prevention and early intervention for borderline personality disorder: a novel public health priority

  https://pmc.ncbi.nlm.nih.gov/articles/PMC5428197/

  Research priorities are as follows: a) prevention and early intervention for BPD must be integrated with similar efforts for other severe mental disorders, such as mood and psychotic disorders, acknowledging the equifinal and multifinal pathways for the development of psychopathology; c) novel, lowcost preventive interventions that can be widely disseminated should be developed and evaluated; d) education and skill development programs for families with a young person with BPD are a key priority for treatment research. […] Social and policy priorities include the following: a) BPD needs to be recognized as a severe mental disorder at all levels of the health system; b) evidencebased policy is needed to address BPD from primary through to specialist care, with the aim of building a health care system response to prevention and early intervention with young people and those who care for them as its focus.

• #13 Therapeutic and Preventive Interventions in Adolescents with Borderline Personality Disorder: Recent Findings, Current Challenges, and Future Directions

  https://www.mdpi.com/2077-0383/12/20/6668

  As mentioned above, primary prevention aims to reduce the prevalence of the disease in the general population. A relevant strategy may consist of implementing specific interventions in targeted groups that appear to be at-risk for developing the disease, knowing that the main identified risk factor is to have been through Adverse Childhood Events (ACEs). […] The high rate of comorbid psychiatric and neurodevelopmental disorders should be explored. Clinician attention should be paid to the distinction between vulnerability factors (e.g., attention deficit disorder, trauma-related disorder), subsequent emotional disorders, and pseudo-comorbidity. […] Early interventions should be prioritized with a proactive therapeutic position. […] Security plan for the management of life-threatening behaviors (e.g., self-harm, suicide attempts, risky behavior) should be anticipated based on crisis-based interventions (e.g., short hospitalizations, pharmacological treatment if needed). […] Specific research on preventive interventions should also be developed, focusing on low-cost, development-informed, and easy-to-implement ones. For example, specific programs of early detection/structured care may be implemented in foster care children, who are known to be at risk for ACEs.

• #14 Borderline Personality Disorder Symptoms, Test & Treatment

  https://www.medicinenet.com/borderline_personality_disorder/article.htm

  Is it possible to prevent borderline personality disorder? […] Societal interventions like the prevention of child abuse, domestic violence, and substance abuse in families can help decrease the occurrence of several very different mental health problems. In contrast, specific prevention of BPD tends to focus on recognizing traits of the disorder as early as possible, followed by intensive treatment.

• #15

  https://www.healio.com/news/psychiatry/20241213/apa-updates-borderline-personality-disorder-treatment-guidelines

  The updated guidance includes eight recommendations and suggestions: […] Treatment should include a structured psychotherapy approach that targets core BPD features. (Recommendation, moderate level of confidence) […] We anticipate that many more patients will be able to access psychotherapeutic treatment and that clinicians will avoid the risks of ineffective pharmacologic treatment as a result of this guideline, Keepers said.

• #16 This Month in Psychopharmacology

  https://www.neiglobal.com/default.aspx?tabname=MonthInPsychopharmPost&topic=21002

  The American Psychiatric Association (APA) recently released updated practice guidelines for the treatment of borderline personality disorder (BPD). […] The APA strongly recommends psychotherapy as the primary treatment for BPD. […] The guidelines discourage routine use of psychotropic medications for BPD alone, emphasizing that they should only be considered in the presence of co-occurring disorders or severe symptom exacerbation. […] Overall, the APAs updated practice guideline reinforces the importance of structured, evidence-based treatment for BPD while calling for increased clinician education and awareness.

• #17 Borderline personality disorder | Better Health Channel

  https://www.betterhealth.vic.gov.au/health/conditionsandtreatments/borderline-personality-disorder

  Treatment can help people manage, reduce or even eliminate symptoms of BPD. Treatment is often long-term and is best when provided by mental health professionals who are trained in treatments for BPD. […] Currently, the most effective treatments for BPD are: psychotherapy a mental health professional talks with the person about their symptoms, and they discuss ways to cope with them. Evidence-based psychological therapies for people living with BPD include dialectical behavioural therapy, schema therapy, mentalisation-based therapy, psychodynamic therapy, and cognitive analytic therapy. […] Its also important for people living with BPD to look after their physical health through a trusted GP. Many people also benefit from accessing peer support services and support groups. […] Treatment and supports should be personalised to the individual. Sometimes this might mean prioritising one area over another. For example, if a person is experiencing a depressive episode and is suicidal, it is important to focus on keeping that person safe before focusing on underlying concerns.

• #18 Borderline Personality Disorder (BPD) Treatments

  https://www.everydayhealth.com/bpd/guide/treatment/

  The sooner you seek treatment for BPD, the sooner you can find relief for your symptoms. Also, by seeking and following a treatment plan, you can help protect against some of the more serious complications of BPD, including suicide. […] Therapy does provide concrete benefits to patients with BPD: It can help them cope with emotional pain and emotional swings, Ochoa says. […] Therapy is the treatment of choice for individuals with BPD, Lazarus says. Therapy can help people learn new skills to manage their emotions and behavior more effectively. […] As with other forms of mental illness, proper self-care may help reduce some symptoms of BPD, such as severe mood changes, irritability, and impulsivity. […] By getting educated about BPD, patients can also find explanations for some of their long-standing difficulties and learn about treatment options. […] A correct diagnosis is essential, though, because there are a growing number of effective treatments for BPD, she says. There is lots of evidence that BPD is treatable and that individuals with the disorder do see substantial improvements in their symptoms and quality of life, Lazarus says.

• #19 Best Therapy for BPD | Charlie Health

  https://www.charliehealth.com/post/best-therapy-for-bpd-borderline-personality-disorder

  Managing BPD is a collaborative process with your mental health professional, so the best way to prioritize your well-being is to adhere to your treatment plan. […] Some people benefit from a combination of talk therapy and medication management to treat BPD symptoms and co-occurring mental health conditions like anxiety and depression. If you think you’d benefit from medication, speak with your mental health professional about adding an antidepressant, antipsychotic, or mood stabilizer to your treatment plan.

• #20 Overcoming Borderline Personality Disorder: 5 Tips For Treatment

  https://www.therecoveryvillage.com/mental-health/borderline-personality-disorder/how-to-overcome-bpd/

  With the appropriate professional treatment, self-help and coping mechanisms, its possible to live a fulfilling and productive life with borderline personality disorder. […] Living with borderline personality disorder can be made easier by: Engaging in physical activity. If youre having trouble coping with BPD, physical activity may help you regain control over your emotions and stabilize yourself. […] Psychotherapy, also known as talk therapy, is the primary treatment approach for borderline personality disorder. […] A clinical plan for BPD may be the first step toward active treatment, but there are many other steps you can take to manage BPD: Be an Active Part of Your Treatment Plan. […] Using grounding exercises can help you learn to deal with borderline personality symptoms. […] One of the most challenging parts of BPD can be the emotional pain you experience. This can lead to mental health emergencies. You might have suicidal thoughts or behaviors, for example. When you are feeling clear-headed and in a good place, create an emergency safety plan.

• #21 Overcoming Borderline Personality Disorder: 5 Tips For Treatment

  https://www.therecoveryvillage.com/mental-health/borderline-personality-disorder/how-to-overcome-bpd/

  Its critical to have a social support network you can rely on and trust like friends or family. […] Physical and mental health are intrinsically linked to one another. Being physically healthy can help you better manage your BPD as well. Self-care includes a healthy diet, exercise and getting enough sleep. […] Overcoming BPD without medication is possible, but you should always follow the guidance and treatment plan set forth by your doctor or health care provider. […] Regardless of whether or not you take medication for BPD, you can learn coping skills and healthy ways to live life without having the disorder and its symptoms define you.

• #22 Borderline Personality Disorder Treatment

  https://halomentalhealth.com/c/borderline-personality-disorder-treatment

  Borderline Personality Disorder can significantly interfere with daily life and lead to increased risk of mental health issues. […] Coping strategies, lifestyle changes, family/friend involvement in the treatment process are essential tools for individuals to manage symptoms improve overall wellbeing. […] For residents of Las Vegas, effective treatment options for BPD include dialectical behavior therapy (DBT), cognitive-behavioral therapy (CBT), and medication for co-occurring symptoms like anxiety or depression. […] By expanding access to tailored therapies and providing resources for family support, Las Vegas can create a more inclusive environment for individuals living with BPD and help them achieve a better quality of life. […] As tools to guide them through the difficulties associated with BPD, people can use a variety of coping mechanisms and lifestyle modifications.

• #23 Borderline Personality Disorder Treatment

  https://halomentalhealth.com/c/borderline-personality-disorder-treatment

  Having the backing of family and friends can be an invaluable aid to managing BPD, giving emotional support in the home environment as well as participating with them in therapies such as group or family. […] The recovery process for someone with Borderline Personality Disorder is an ongoing and lengthy endeavour requiring long-term effort to sustain progress and avoid potential risk factors that may lead to relapse. […] It is vital that there be an extensive comprehension of what constitutes the condition along with a precise identification followed up by suitable remedies as well as genuine backing from family members and peers. […] Implementing these practices could be quite useful for managing symptoms associated with Borderline Personality Disorder.

• #24 Personality Disorders: Types, Causes, Symptoms & Treatment

  https://my.clevelandclinic.org/health/diseases/9636-personality-disorders-overview

  At this time, there’s no known way to prevent personality disorders, but many of the related problems might be lessened with treatment. […] Seeking help as soon as symptoms appear can help decrease the disruption to the person’s life, family and friendships.

• #25 Prevention and early intervention for borderline personality disorder | The Medical Journal of Australia

  https://www.mja.com.au/journal/2007/187/7/prevention-and-early-intervention-borderline-personality-disorder

  These data make a compelling case for the development of empirically tested prevention and early intervention programs. […] A diagnosis of BPD in adolescence appears to be as valid and reliable as it is in adulthood, and young people with BPD seek clinical help, even if their condition is unrecognised by clinicians. […] These findings make early intervention for first presentation BPD the best bet for immediate action. Research studies could be mounted immediately, using available interventions and resources that already exist in many health systems in industrialised countries. […] Early intervention for BPD holds great promise, but it also has the potential to be undermined by unrealistic expectations. Possible aims might include ameliorating borderline and/or general psychopathology, improving psychosocial functioning, along with reducing risks for Axis I disorders, violence, offending behaviour, suicide, self-harm and interpersonal conflict. […] These potential benefits must be weighed up against the potential risks. It is unclear whether detection and intervention will always bring benefits, as BPD is a highly stigmatised label, with the potential for iatrogenic harm.

• #26 Providing effective treatment for borderline personality disorder

  https://www1.racgp.org.au/ajgp/2025/march/providing-effective-treatment-for-borderline-perso

  Borderline personality disorder (BPD) is a serious but treatable mental health condition with a good prognosis for those who access appropriate treatment. Early identification, provision of brief interventions and continuity of care aids remission, and is possible without general practitioners (GPs) getting burned out. […] There is evidence that focused brief psychological interventions and sustained continuity of care delivered by GPs to patients with BPD can actively support remission and significantly curtail the premature mortality stemming from chronic conditions and suicide. […] Given the recognised malleability of BPD traits at this developmental stage, early intervention programs have been demonstrated to reduce future morbidity and mortality. […] Establishing consistent care that offers ongoing primary and secondary prevention is pivotal to deter the emergence or escalation of chronic diseases.

• #27 Providing effective treatment for borderline personality disorder

  https://www1.racgp.org.au/ajgp/2025/march/providing-effective-treatment-for-borderline-perso

  Recognising the high prevalence of BPD and risk of significant morbidity and mortality, the provision of brief interventions and continuity of non-judgmental, trauma-informed, and compassionate care by GPs to BPD patients optimises their potential for remission and leads to healthier and more fulfilling lives.

• #28

  https://link.springer.com/article/10.1007/s40501-014-0029-y

  Recognition of personality pathology in childhood and adolescence will enable prevention, earlier detection and implementation of evidence-based interventions aimed at altering the life course trajectory of personality disorder. […] Preventive and early interventions will need to be relatively simple to enable their broad-based delivery. […] Finally, an alternative to the diagnostic category approach to prevention and early intervention is to develop a range of risk syndromes, or warning signs for the development of a range of disorders.

• #29 Borderline Personality Disorder – Harvard Health

  https://www.health.harvard.edu/a_to_z/borderline-personality-disorder-a-to-z

  There is no known way to prevent borderline personality disorder. Treatment is likely to better the chances of a person with the disorder getting relief from the most painful symptoms. […] Research indicates that the symptoms of borderline personality disorder get less intense as people grow older. With proper treatment, many people see significant improvement.

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