These therapies can be implemented by mental health professionals with specialized training, mental health professionals with minimal training, or primary care providers with minimal training.
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However, the concept of and diagnostic criteria for BPD during and after the 2000 DSM-IV-TR became increasingly criticized on several grounds.
For example, the description of BPD was non-specific.
In the DSM III and the DSM-IV-TR, clinicians were instructed to diagnose BPD when five out of nine criteria were met.
But, with this paradigm, individuals diagnosed with BPD could have as few as one criterion in common.
Borderline personality disorder (BPD) is a severe, complex psychiatric disorder characterized by long-standing patterns of disproportionately intense emotions, impulsive and self-destructive behaviors, and chaotic relationships.
BPD has a lifetime prevalence of 3% to 6% in the general population and a somewhat higher prevalence in primary care populations [1,2].
However, research has revealed a substantially better prognosis and treatment responsiveness.
Likewise, the long-held view that treating patients with BPD required significant commitment by highly trained, specialized mental health providers has also been disproven by numerous empirically validated interventions specifically designed for patients with BPD.
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