A 32-year-old woman with borderline personality disorder frequently self-harms. Which therapy has the best evidence?
Answer and explanation
Correct answer: C. Dialectical behaviour therapy
- Step 1: Structured psychological therapy is recommended.
- Step 2: DBT teaches emotional regulation and distress tolerance.
Answer
Dialectical behaviour therapy.
Why not the others: Hospital admission as the default response, whenever she self-harms: Admission is not the default. Regular antipsychotics: Antipsychotics are not routine. Long-term benzodiazepines: Benzodiazepines risk dependence.
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