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Treating patients with borderline personality disorder (BPD) is demanding for individual clinicians and mental health systems alike. Programs based on dialectical behavior therapy (DBT) and psychoanalytically oriented partial hospitalization programs have generated positive results for these patients, but only after 12 to 18 months of treatment. These authors developed Systems Training for Emotional Predictability and Problem Solving (STEPPS), a 20-week, highly structured, manual-based program with 2-hour weekly group sessions focusing on psychoeducation and skills training for managing emotions and behavior. Family members or significant others also receive one 2-hour session of psychoeducation.
Researchers randomized 165 patients to receiv…