Effective treatment for BPD focuses on learning skills for emotional regulation, improving relationships, and strengthening a stable sense of self. Treatment is collaborative, supportive, and paced according to each person’s readiness and goals.

Common approaches include:

Dialectical Behaviour Therapy (DBT)

DBT is one of the most well-researched and widely recommended treatments for BPD. It teaches practical skills to help manage overwhelming emotions and reduce harmful behaviours.

DBT often includes:

• Mindfulness
  Learning to stay grounded and present

• Emotion Regulation Skills
  Understanding emotions and reducing their intensity

• Distress Tolerance
  Managing crises without escalating the situation

• Interpersonal Effectiveness
  Building healthier communication and relationships

Many clients find DBT empowering because it provides both practical tools and emotional validation.

Trauma-Informed Therapy

Because many individuals with BPD have a history of trauma or attachment wounds, trauma-informed approaches can help address underlying patterns.

This may include:

• Sensorimotor psychotherapy

• EMDR

• Trauma-focused CBT

• Internal Family Systems (IFS)

• Somatic approaches

These therapies gently help clients understand the connection between past experiences and present reactions.

Psychodynamic and Attachment-Based Therapies

These approaches explore unconscious emotional patterns, relational dynamics, and the history that shaped them. They help clients develop self-awareness, strengthen identity, and build healthier relational boundaries.

Medication Support

While medication does not “cure” BPD, it can help manage co-occurring concerns—such as mood disorders, anxiety, or impulsivity. A healthcare provider can guide whether medication may be helpful.