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Borderline personality disorder (BPD) remains difficult to treat. In addition to having heterogeneous symptom patterns, patients with BPD frequently suffer from mood, anxiety, and substance use disorders, among others. The severe emotional, cognitive, and behavioral instability leads to high rates of self-harm, violence, psychiatric hospitalizations, and suicide.
For some clinicians, dialectical behavior therapy (DBT), a blend of cognitive-behavioral therapy, mindfulness, crisis intervention, and support, has become the gold standard for reducing self-harm and enhancing emotional self-control. However, offering DBT often requires resource- and time-intensive programs and considerable teamwork, with sizable staffs providing direct patient car…