BORDERLINE PERSONALITY DISORDER: A REVIEW OF THERAPEUTIC INTERVENTIONS AND THEIR IMPACT ON CLINICAL PROGNOSIS

Abstract

Introduction: Borderline Personality Disorder (BPD) is a complex psychiatric condition characterized by emotional instability, impulsivity, and tumultuous interpersonal relationships. Effective therapeutic interventions are crucial to improving the prognosis and quality of life of patients. Objective: This literature review aims to explore the therapeutic interventions available for BPD and their impact on clinical prognosis. Methods: A systematic search was conducted in the PubMed, Scopus, and Google Scholar databases, covering the period from 2009 to 2024. Original studies and reviews published in English, Portuguese, or Spanish focusing on the diagnostic and therapeutic aspects of BPD were included. Initially, 1,100 articles were identified; after screening and detailed analysis, 25 studies were included. Results and Discussion: The most effective therapies for BPD include Dialectical Behavior Therapy (DBT) and Mentalization-Based Therapy (MBT). DBT has shown efficacy in reducing suicidal and self-harm behaviors, while MBT has improved emotional stability. Other approaches, such as Schema-Focused Therapy and Psychodynamic Therapy, also present benefits. The importance of early interventions and integrated strategies was highlighted to improve the prognosis and overall functionality of patients. Conclusion: The review demonstrates that integrated therapeutic approaches, combining pharmacological and psychosocial interventions, are essential for the effective management of BPD. This holistic approach can significantly improve patients' quality of life and clinical outcomes, highlighting the need for future research to enhance these strategies.