Due to reduced impulse control and a tendency to partake in risky, self-destructive behaviors, individuals with borderline personality disorder may require emergency hospitalization. Some patients may check themselves into the hospital for being suicidal or contemplating self-harm; others may be involuntarily committed during a time of psychological crisis, which a family or concerned friend may refer to as a 'breakdown.'
The main goal during hospitalization is to stabilize the patient. If a person with borderline personality disorder is checked into the emergency room, a doctor will treat any immediate physical injuries and then refer them to a hospital psychologist. The psychologist will then evaluate the patient's mental state and determine whether they need additional inpatient treatment or refer them to outside help.
Inpatient treatment will focus on stabilization through one-on-one counseling, group therapy and, possibly, medication. Once discharged, a patient may either be referred to a partial hospitalization program or outpatient therapy. Continuing treatment with a psychologist or psychiatrist after discharge is vital to the prolonged management of symptoms and the reduction of future hospitalizations or emotional crisis.