Psychiatry · Psychotherapy Modalities (CBT, DBT, Psychodynamic, Behavioural Techniques)

A patient with borderline personality disorder has recurrent self-harm, emotional dysregulation, and chronic feelings of emptiness. The psychotherapy modality specifically designed and evidence-based for this condition, combining cognitive-behavioural techniques with Eastern mindfulness practices, is:

  • A Mentalization-Based Treatment (MBT)
  • B Schema-Focused Therapy
  • C Transference-Focused Psychotherapy (TFP)
  • D Dialectical Behaviour Therapy (DBT)
Correct answer: D. Dialectical Behaviour Therapy (DBT)

Explanation

Dialectical Behaviour Therapy (DBT), developed by Marsha Linehan, is specifically designed for BPD. It integrates behavioural change strategies with mindfulness and acceptance (dialectic of change vs. acceptance). Core skills modules include mindfulness, distress tolerance, emotion regulation, and interpersonal effectiveness. MBT, Schema therapy, and TFP are also used in BPD but DBT has the strongest evidence base specifically for self-harm reduction.

Reference: Kaplan & Sadock's Synopsis of Psychiatry, 11th ed.

High-yield for: NEET PGINI-CETNExTFMGEUSMLEPLABMRCP

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