Praxis Medical Insights

Est. 2024 • Clinical Guidelines Distilled

Made possible by volunteer editors from the University of Calgary & University of Alberta

Last Updated: 9/4/2025

Treatment of Emotionally Unstable Personality Disorder

Phases of Psychological Treatment

  • The treatment should follow a structured approach in phases, including a stabilization phase (Phase I) focusing on patient safety, reduction of self-regulation problems, and improvement of emotional, social, and psychological competencies, a trauma processing phase (Phase II), and a reintegration phase (Phase III) for consolidation of treatment gains and adaptation to current life circumstances, as recommended by the American Psychological Association 1

Medication Use

  • The use of anxiolytics and hypnotics should be considered with caution, as part of a comprehensive treatment plan, according to the National Institute of Mental Health 2
  • Avoid the use of antidepressants or benzodiazepines as initial treatment for depressive symptoms in the absence of a depressive episode or disorder, as advised by the American Psychiatric Association 2