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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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