Skip to main content Skip to main navigation menu Skip to site footer

Clinical practice supportive psychotherapy for borderline personality disorder

  • Natalia Dewi Wardani ,
  • Maria Immaculata Widiastuti ,
  • Aris Sudiyanto ,
  • Hardian ,
  • Petrin Redayani Lukman ,
  • Hertanto Wahyu Subagio ,
  • Dodik Tugasworo ,

Abstract

Link of Video Abstract: https://youtu.be/rmJ-ivpSU3g

 

Borderline Personality Disorder is usually unstable due to periods of acute crisis, aggressive behavior, suicide attempts, and even substance abuse. Individual psychotherapy has long been considered the main treatment for Borderline Personality Disorder. Supportive psychotherapy can be used on people who are experiencing stressful situations that the person's coping mechanisms are unable to cope with, resulting in tension and distress. Individually supportive psychotherapy involves treating the patient with compassion, empathy, and commitment, regardless of whether the therapist agrees or disagrees with the patient's behavior and thoughts. Supportive psychotherapy seeks to overcome emotional reactivity to stressors and develop ways to inhibit maladaptive impulses. Supportive psychotherapy for Borderline Personality Disorder who have deficits in self-experience by focusing on the dimensions of impulsivity/aggression, affective instability, cognitive/perceptual distortions, and anxiety/inhibition. Supportive psychotherapy sessions discuss the four dimensions according to the patient's condition, which is expected to help patients overcome emotional reactivity and develop ways to inhibit maladaptive impulses.

References

  1. Ten-Have M, Verheul R, Kaasenbrood A, van Dorsselaer S, Tuithof M, Kleinjan M, et al. Prevalence rates of borderline personality disorder symptoms: A study based on the Netherlands Mental Health Survey and Incidence Study-2. BMC Psychiatry. 2016;16(1):249.
  2. Zegarra-Valdivia JA, Vilca BNC. Social cognition and executive function in borderline personality disorder: Evidence of altered cognitive processes. Salud Ment. 2019;42(1):33–41.
  3. Faisal FO, Algristian H, Azizah N. Anticipating suicide act of patient with borderline personality disorder and history of severe depression. Bali Med J. 2022;11(2):910–2.
  4. Sylvia D. Elvira GH. Buku ajar psikiatri. Jakarta: Badan Penerbit FKUI; 2017.
  5. Beatson J, Rao S. Psychotherapy for borderline personality disorder. Australas Psychiatry. 2014;22(6):529–32.
  6. Gabbard GO. Psychodynamic psychiatry in clinical practice. Fifth Edition. American Psychiatric Publishing, Inc. Chapter 5: 100-135.
  7. Markowitz JC. What is supportive psychotherapy? Focus the journal of lifelong learning in psychiatry. 2014;12(3):285-9.
  8. Winston A, Rosenthal RN, Roberts LW. Learning Supportive Psychotherapy. American Psychiatric Association Publishing. 2020.
  9. Grover S, Avathi A, Jagiwala M. Clinical Practice Guidelines for practice of supportive psychotherapy. Indian J Psychiatry. 2020;62(Suppl 2):S173–82.
  10. Chapman J, Jamil RT, Fleisher C. Borderline Personality Disorder. In: Treasure Island (FL); 2023.
  11. Ramiza K. Supportive expressive therapy for generalized anxiety disorder in client with burst fractures frankle - C. Sains Humanika. 2021;13(2-3):47-53.
  12. Yon-Hernández JA, Canal-Bedia R, Wojcik DZ, García-García L, Fernández-Álvarez C, Palacio-Duque S, et al. Executive functions in daily living skills: A study in adults with autism spectrum disorder. Front. Psychol. 2023;14:1109561.
  13. Lu EY, Cheng ASK, Tsang HWH, Chen J, Leung S, Yip A, et al. Psychoeducation, motivational interviewing, cognitive remediation training, and/or social skills training in combination for psychosocial functioning of patients with schizophrenia spectrum disorders: A systematic review and meta-analysis of randomized controlled trials. Front. Psychiatry. 2022;13:899840.
  14. Steinert C, Heim N, Leichsenring F. Procrastination, perfectionism, and other work-related mental problems: prevalence, types, assessment, and treatment: a scoping review. Front. Psychiatry. 2021;12:736776.
  15. Liu Y, Yang X, Xu Y, Wu Y, Zhong Y, Yang S. Cognitive function and depressive symptoms among Chinese adults aged 40 years and above: the mediating roles of IADL disability and life satisfaction. Int. J. Environ. Res. Public Health. 2023;20:4445.
  16. Zilbershlag Y. Pilot validation of a verbal practical judgement assessment (VPJ) among community-dwelling older adults in Israel: the first step toward a national standard. Dement Neuropsychol. 2023;17:e20220047.
  17. de Felice G, Giuliani A, Pincus D, Scozzari A, Berardi V, Kratzer L, et al. Stability and flexibility in psychotherapy process predict outcome. Acta Psychologica. 2022;227: 103604.
  18. Aninditha T, Safitri DO, Sofyan HR, Elvira SD, Kusumadewi I, Agiananda F. The symptomatic improvement of metastatic brain tumor patients based on clinical and distress thermometer in adjunctive psychotherapy. Indonesian Journal of Cancer. 2023;17(2):105–11
  19. Marle SV, Holmes J. Supportive psychotherapy as an integrative psychotherapy. In: Holmes J, Bateman A (eds). Integration in Psychotherapy: Models and Methods. Oxford: Oxford Academic; 2002.
  20. Di Riso D, Gennaro A, Salcuni S. Defensive mechanisms and personality structure in an early adolescent boy: process and outcome issues in a non-intensive psychoanalytically oriented psychotherapy. Research in Psychotherapy: Psychopathology, Process and Outcome. 2015;18(2):114-28.
  21. Kufferath-Lin T, Prout TA, Midgley N, Hepworth M, Fonagy P. 5.09 - Psychodynamic Therapy in Children and Adolescents. Asmundson GJG. In: Comprehensive Clinical Psychology. Second Edition. Elsevier; 2022. p. 148-174.
  22. Di Riso D, Colli A, Chessa D, Marogna C, Condino V, Lis A, et al. A supportive approach in psychodynamic–oriented psychotherapy. An empirically supported single case study. Research in Psychotherapy. 2011;14(1): 49-89.
  23. Ren FJ, Ruan D, Hu WL, Xiong Y, Wu YW, Huang SY. The effectiveness of supportive psychotherapy on the anxiety and depression experienced by patients receiving fiberoptic bronchoscope. Front. Psychol. 2022;13:960049.
  24. Ford JD, Grasso DJ, Elhai JD, Courtois CA. Social, cultural, and other diversity issues in the traumatic stress field. Posttraumatic Stress Disorder. 2015: 503–546.
  25. Lipsitz JD, Markowitz JC. Mechanisms of change in interpersonal therapy (IPT). Clin Psychol Rev. 2013;33(8):1134–47.
  26. Rajhans P, Hans G, Kumar V, Chadda RK. Interpersonal psychotherapy for patients with mental disorders. Indian J Psychiatry. 2020;62(Suppl 2):S201–12.
  27. Avasthi A, Grover S, Nischal A. Ethical and legal issues in psychotherapy. Indian J Psychiatry. 2022;64(Suppl 1):S47–61.
  28. Aviram RB, Helllerstein DJ, Gerson J, Stanley B. Adapting supportive psychotherapy for individuals with borderline attempt suicide. Journal of Psychiatric Practice. 2004;10:145–55.

How to Cite

Wardani, N. D., Widiastuti, M. I. ., Aris Sudiyanto, Hardian, Petrin Redayani Lukman, Hertanto Wahyu Subagio, & Dodik Tugasworo. (2023). Clinical practice supportive psychotherapy for borderline personality disorder. Bali Medical Journal, 12(3), 2435–2439. https://doi.org/10.15562/bmj.v12i3.4614

HTML
1

Total
0

Share

Search Panel

Natalia Dewi Wardani
Google Scholar
Pubmed
BMJ Journal


Maria Immaculata Widiastuti
Google Scholar
Pubmed
BMJ Journal


Aris Sudiyanto
Google Scholar
Pubmed
BMJ Journal


Hardian
Google Scholar
Pubmed
BMJ Journal


Petrin Redayani Lukman
Google Scholar
Pubmed
BMJ Journal


Hertanto Wahyu Subagio
Google Scholar
Pubmed
BMJ Journal


Dodik Tugasworo
Google Scholar
Pubmed
BMJ Journal