In DBT the therapist must practice mindfulness, acceptance, and effectiveness.A therapist, using this technique, validates the client’s behavior regardless of how self-defeating or destructive the behaviors may be. Rather, the therapist may say, “This self-injuring behavior makes sense given your history, anxiety, etc. I know you have experienced this as soothing in the past.
The difficulties experienced by individuals with BPD are varied and they often exhibit different patterns of behavior throughout their lives.
Their predisposition towards emotional vulnerability leads to extreme, long-lasting emotional reactions to life events and a slow return to a normal emotional state.
Medication with such high rates of adverse events would be withdrawn with immediate effect.
There was no difference in long-term outcomes between adaptive pacing therapy, CBT, GET and specialist medical care, and none of them were effective, invalidating the biopsychosocial model and use of CBT and GET for ME/CFS.
Individuals with BPD often feel as if they are living a life of quiet desperation and their sense of helplessness and isolation leave them at risk for substance abuse, self-harm and suicidal behaviors.