The treatment of Borderline Personality Disorder is challenging. The use of medication has increased but while several drugs have proved useful their benefit has been modest. A range of psychotherapies has been developed and several have shown good results including dialectical behaviour therapy, mentalization-based therapy, cognitive-behavioural therapy (CBT), schema-focused therapy and transference-focused therapy. Systems Training for Emotional Predictability and Problem Solving (STEPPS) was developed in 1995 and combines CBT and skills training with a systems component for individuals with whom a patient regularly interacts. A U.S. study of 124 patients compared those taking part in the STEPPS programme with those receiving treatment as usual. Those taking part in STEPPS showed a greater overall improvement and became less impulsive, had less negative affectivity and mood, and functioned better. They also had less visits to emergency departments during treatment and follow-up. However, there were no differences between the groups in terms of sucide attempts or self-injury.
Blum, Nancee ... [et al] - Systems Training for Emotional Predictability and Problem Solving (STEPPS) for outpatients with borderline personality disorder: a randomized controlled trial and 1-year follow-up American Journal of Psychiatry April 2008, 165(4), 468-478