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(p. 200) The Unified Protocol for Borderline Personality Disorder 

(p. 200) The Unified Protocol for Borderline Personality Disorder
(p. 200) The Unified Protocol for Borderline Personality Disorder

Shannon Sauer-Zavala

, Kate H. Bentley

, and Julianne G. Wilner

Page of

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date: 11 April 2021

Borderline personality disorder (BPD) is a severe, difficult-to-treat psychiatric condition that represents a large proportion of treatment-seeking individuals. This disorder is characterized by high rates of co-occurrence with depressive and anxiety disorders, and recent explanations for this comorbidity suggest that these disorders share biological vulnerabilities and functional maintenance factors. Given the commonalities among BPD and other emotional disorders, the Unified Protocol for Transdiagnostic Treatment of Emotional Disorders (UP) was clinically applied to five individuals who met criteria for BPD and at least one comorbid emotional disorder. This chapter will highlight the theoretical rationale for considering BPD an emotional disorder, underscoring the use of the UP with this population. In addition, detailed case presentations of two individuals with BPD treated with the UP will be presented to illustrate the ways in which UP skills can be flexibly applied within this diagnostic group.

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