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Cognitive Behavioral Therapy-Based Interventions for Borderline Personality Disorder and Mood Disorders

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Borderline Personality and Mood Disorders

Abstract

Cognitive Behavioral Therapy (CBT) is a well-established treatment approach for treating patients suffering from a range of emotional problems including a number of mood and anxiety disorders. The basic treatment approach highlights the importance of increasing patients’ structured self-awareness in order to help them identify maladaptive cognitive processes and behavioral patterns that influence emotional distress. CBT promotes patients use of skills-based interventions that challenge thoughts and support intentional shifts in behavior in order to decrease distress. Given CBT’s effectiveness in treating a range of emotional disorders, it has been applied to the treatment of more complicated clinical profiles, such as patients suffering from characterological disorders like borderline personality disorder (BPD). Both Schema-Focused Therapy (SFT) as well as Dialectical Behavioral Therapy (DBT) are evidence-based intensive psychotherapeutic treatments derived from CBT but adapted to treat patients with BPD. Less intensive applications of CBT for BPD have proven to be effective and are more practical in generalist clinical settings. We will outline the limitations associated with more specialized forms of treatment and further propose a return to the basics of CBT using the Flexible CBT model in order to treat patients with complicated clinical profiles seeking treatment in a typical clinical setting.

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Author information

Authors and Affiliations

  1. Department of Psychiatry, McLean Hospital, Gunderson Residence, 115 Mill Street, Belmont, MA, 02178, USA

    Karen L. Jacob MA PhD

  2. Department of Psychiatry, McLean Hospital, 115 Mill Street, Belmont, MA, 02478, USA

    Ana M. Rodriguez-Villa BA

Authors
  1. Karen L. Jacob MA PhD
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  2. Ana M. Rodriguez-Villa BA
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Correspondence to Karen L. Jacob MA PhD .

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Editors and Affiliations

  1. McLean Hospital, Harvard Medical School, Belmont, Massachusetts, USA

    Lois W. Choi-Kain

  2. McLean Hospital, Harvard Medical School, Belmont, Massachusetts, USA

    John G. Gunderson

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Jacob, K.L., Rodriguez-Villa, A.M. (2015). Cognitive Behavioral Therapy-Based Interventions for Borderline Personality Disorder and Mood Disorders. In: Choi-Kain, L., Gunderson, J. (eds) Borderline Personality and Mood Disorders. Springer, New York, NY. https://doi.org/10.1007/978-1-4939-1314-5_12

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  • DOI: https://doi.org/10.1007/978-1-4939-1314-5_12

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