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Psychiatry · Personality disorders
Sample itemA 24-year-old woman has unstable relationships, impulsive spending, recurrent self-cutting, chronic emptiness and intense fear of abandonment. Which psychotherapy has the best evidence for her?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
D. Dialectical behaviour therapy
The picture is borderline personality disorder. Dialectical behaviour therapy, developed by Linehan, combines acceptance with change strategies and reduces self-harm and suicidality. Mentalisation-based therapy and transference-focused therapy are other evidence-based options.
Option by option
A. Electroconvulsive therapy
ECT is not a treatment for borderline personality disorder.
B. Exposure and response prevention
Exposure and response prevention is the therapy for obsessive-compulsive disorder.
C. Systematic desensitisation
Systematic desensitisation is used for phobias.
D. Dialectical behaviour therapy (correct)
Correct. DBT is the best-studied therapy for borderline personality disorder.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.