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Progress in the treatment of borderline personality disorder

University College London and The Anna Freud Centre, London

ANTHONY BATEMAN, MA, FRCPsych

Halliwick Unit, St Ann's Hospital, London, UK

Correspondence: Peter Fonagy, Freud Memorial Professor of Psychoanalysis, Sub-Department of Clinical Health Psychology, University College London, Gower Street, London WC1E 6BT, UK. E-mail: e.allison{at}ucl.ac.uk

Declaration of interest The authors are in receipt of a grant from the Borderline Personality Disorder Foundation to support a randomised controlled trial of intensive out-patient psychotherapy.

Summary We outline recent evidence suggesting that the natural course of borderline personality disorder is more benign than formerly believed. We explore possible reasons for the change in findings which include both the iatrogenic effects of earlier treatment models and the recent availability of effective interventions. Clinicians should be optimistic about improvement and long-term outcomes.

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