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Patients with personality disorder, especially borderline personality disorder, are challenging for psychotherapy. Yet there is good evidence that most patients can recover if offered specific forms of specialized therapy that are empirically supported treatments. The majority of research studies in personality disorder have focused on borderline personality disorder, and we have only limited data on other categories. The strongest findings for the efficacy of treatment concern dialectical behavior therapy, but other options may yield similar results. Credible components include teaching emotion regulation skills and a present-oriented focus. Some of the effects of effective therapy could be specific to underlying theory and methods, while others may depend on common factors. A sidebar discusses self-injurious thoughts and behaviors in youth.
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