Borderline-Störung: Behandlungsempfehlungen der SGPP

With 10% in outpatient and 15-25% in inpatient psychiatric care, borderline personality disorder (BPD) is the most clinically relevant personality disorder. There are special treatment difficulties, in the form of self-injury, suicidality, interpersonal problems and comorbid mental illness. Valid diagnosis and early treatment (as early as adolescence) are of particular importance for the prognosis. Treatment guidelines for BPD have been developed in several countries. Only a small proportion of patients, however, receive appropriate treatment. One possible reason for the failure of research results to transfer into practice is that only a few practical recommendations can be derived because of the strict focus of the guidelines on the quality of evidence. For the treatment recommendations of the Swiss Society for Psychiatry and Psychotherapy (SGPP), an extended approach was therefore adopted. On the basis of a synthesis of scientific evidence and good clinical practice, an expert consensus combines the best possible specific statements to optimise the care of patients with BPD in Switzerland. This article summarises the key recommendations.