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Q. After seeing during 10 years psychiatrists for depression, I was diagnosed with BPD 1 month ago. I was directed to a BPD specialist psychiatrist which I already met once. I read a lot about BPD treatment on internet and it seems that cognitive-behavioral is the best treatment, but this doctor uses a psychodynamic approach. I would like to know if it is as well effective or if I should better try the behavioral treatment. 

They, (the group of doctor that diagnosed me) also want me to participate in a group therapy but with people who has other problems as BPD. Do you think it is adapted?

I live in Switzerland and I have a feeling that doctors here are not the best up-to-date.
I really need your help, because I don't want to start a new therapy that won't get me anywhere like before.

A. Thanks for your question. Without knowing more about your situation or the treatment is being recommended for you (and why), I'm hesitant to comment on how effective it might be in your specific case; however, you are right when you say that most of the studies that have been completed have shown that the most effective strategy is to use ongoing individual, "process-oriented" therapy combined with cognitive-behavioral group treatment - like Dialectical Behavior Therapy (DBT). I would ask your doctor to further explain his/her rationale, what the expected outcome and timeframe would be, and what his observations have been with other patients who have used this protocol in regard to whether or not it is truly effective.

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