Treatment of personality disorders can be very difficult, as patients often have difficulty trusting and confiding in a therapist. In addition, they may react angrily to perceived criticism and may be at risk for suddenly discontinuing treatment. Nonetheless, treatments can have a significant impact in improving a patient’s quality of life, particularly in patients who are highly motivated and willing to commit to therapy over the long term.

Psychotherapy is the major form of treatment for individuals with personality disorders and may take the form of individual therapy, group therapy or family therapy. It is aimed at trying to reduce the behavior patterns associated with personality disorders that may interfere with day-to-day living. Patients are encouraged to focus on the unconscious conflicts that may be contributing to symptoms. They also are encouraged to examine the impact of their behavior on others and to use cognitive behavior therapy (CBT) to become more flexible in thinking and behavior patterns.

Through all of these techniques, patients can learn to overcome difficulties such as an inability to make important life decisions or to form relationships.