Systems training for emotional predictability & problem solving (STEPPS) & borderline personality disorder (BPD)

Some evidence – there is enough evidence to indicate that this can be a helpful treatment option.

Systems training for emotional predictability and problem solving (STEPPS) uses ideas from cognitive behavioural therapy (CBT). STEPPS takes place in a group, and aims to help you understand how BPD can affect your thoughts, feelings and behaviours. STEPPS also involves learning skills to help you manage your emotions.

STEPPS takes place over about 20 weeks, with group meetings each week for 2 hours. After the 20 weeks, there will usually be meetings twice a month for a year.

There is some evidence that STEPPS can be helpful generally and might reduce self-harm and suicidal behaviour.

Treatments outlined on these webpages may not be available in every local area. It’s important that you discuss with your GP or mental health professional the treatment options available to you. You can also search for services near you on our Youth Wellbeing Directory and find out more about referral processes here.


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