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    A 24-year-old female with unstable relationships, impulsivity, recurrent self-harm is diagnosed with borderline personality disorder. The most evidenc
    Question

    A 24-year-old female with unstable relationships, impulsivity, recurrent self-harm is diagnosed with borderline personality disorder. The most evidence-based psychotherapy is:

    A.

    Supportive psychotherapy

    B.

    Dialectical behavior therapy (DBT)

    C.

    Cognitive behavioral therapy (CBT)

    D.

    Psychoanalysis

    Correct option is B

    DBT is the first-line psychotherapy for borderline PD, focusing on mindfulness, distress tolerance, emotional regulation, and interpersonal effectiveness.
    Explanation of options: (a) ✘ Supportive therapy may help but not primary evidence-based. (b) ✔ Correct; DBT specifically designed for borderline PD. (c) ✘ CBT helps mood disorders, less effective in borderline PD. (d) ✘ Psychoanalysis not practical in acute instability.

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