The Lancet Psychiatry in conversation with

Mike Crawford on a brief intervention for personality disorder

The Lancet Group

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0:00 | 34:17

Can personality disorder treatments be reduced to just a few months?

The evidence base for personality disorder treatments, like dialectical behavioural therapy (DBT) or mentalisation-based treatment (MBT), points towards treatments that last at least a year. Within the mental health field in general, though, in many countries there's a drive towards offering shorter treatments. But how short is too short, considering the needs of people with personality-related difficulties and the challenges in developing a therapeutic relationship?

In this episode, Mike Crawford talks about a new study into a treatment of just 10 sessions using Structured Psychological Support, which draws on elements of DBT and MBT. We talk about the language used around personality disorder, how caution is now needed in reducing treatment duration, and about what to take forwards from this study for future treatment development.

Click here to read the full article:
https://www.thelancet.com/journals/lanpsy/article/PIIS2215-0366(25)00372-4/fulltext

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