Online therapy bridging a treatment gap for Borderline Personality Disorder.

Reclaim Your Life: How Online Therapy Is Revolutionizing Borderline Personality Disorder Treatment

Lena Kashyap in Health & Wellness December 2025 • 3 min read.

"Discover how internet-based self-management is bridging the treatment gap and offering new hope for individuals with BPD."

Borderline Personality Disorder (BPD) affects millions worldwide, characterized by emotional instability, relationship challenges, and impulsive behaviors. Despite effective treatments, many individuals with BPD face significant barriers to accessing care, leading to under-treatment and a diminished quality of life.

Traditional face-to-face psychotherapy remains the gold standard, but limitations such as therapist availability, geographical constraints, and stigma often prevent those in need from seeking help. This treatment gap highlights the urgent need for innovative and accessible solutions.

Enter internet-based self-management interventions—a promising avenue for expanding access to BPD treatment. The REVISIT-BPD trial explores how these interventions, like the priovi® program, can complement traditional care and empower individuals to manage their symptoms effectively.

The REVISIT-BPD Trial: A New Frontier in BPD Care

Online therapy bridging a treatment gap for Borderline Personality Disorder.

The REVISIT-BPD trial is a randomized controlled trial designed to evaluate the effectiveness of an internet-based self-management intervention, priovi®, in reducing symptoms of BPD. The study compares outcomes between individuals receiving care as usual (CAU) and those receiving priovi® in addition to CAU.

Participants are recruited primarily online and undergo comprehensive diagnostic interviews. A key aspect of the trial is the development of an emergency plan for each participant, ensuring safety and support throughout the study period. The primary outcome measure is the clinician-rated BPD Severity Index (BPDSI), with secondary measures including self-reported scales, SCID-diagnosis, and safety parameters.

Recruitment: Primarily online, ensuring broad accessibility.
Intervention: priovi® program, based on Schema Therapy principles.
Safety: Individualized emergency plans for all participants.
Outcomes: Clinician-rated symptom severity (BPDSI) and self-reported measures.

This trial represents a significant step forward in BPD treatment research, as it is the first randomized controlled trial to test a self-management intervention for BPD as a standalone therapy. If successful, this approach could revolutionize access to care and complement existing treatment modalities.

The Future of BPD Treatment: Accessible, Empowering, and Effective

The REVISIT-BPD trial offers a beacon of hope for individuals with BPD, demonstrating the potential of internet-based self-management interventions to bridge the treatment gap and improve outcomes. By combining the accessibility of online resources with the principles of Schema Therapy, programs like priovi® empower individuals to take control of their mental health and lead fulfilling lives.

About this Article -

This article was crafted using a human-AI hybrid and collaborative approach. AI assisted our team with initial drafting, research insights, identifying key questions, and image generation. Our human editors guided topic selection, defined the angle, structured the content, ensured factual accuracy and relevance, refined the tone, and conducted thorough editing to deliver helpful, high-quality information.See our About page for more information.

This article is based on research published under:

DOI-LINK: 10.3389/fpsyt.2018.00439, Alternate LINK

Title: Protocol For The Revisit-Bpd Trial, A Randomized Controlled Trial Testing The Effectiveness Of An Internet-Based Self-Management Intervention In The Treatment Of Borderline Personality Disorder (Bpd)

Subject: Psychiatry and Mental health

Journal: Frontiers in Psychiatry

Publisher: Frontiers Media SA

Authors: Jan Philipp Klein, Andrea Hauer, Thomas Berger, Eva Fassbinder, Ulrich Schweiger, Gitta Jacob

Published: 2018-09-21

Everything You Need To Know

What is Borderline Personality Disorder (BPD), and what are its common symptoms?

Borderline Personality Disorder (BPD) is a mental health condition that affects millions globally. It is characterized by emotional instability, difficulties in relationships, and impulsive behaviors. Individuals with BPD often experience intense mood swings, fear of abandonment, and engage in behaviors like self-harm or substance abuse. These symptoms can significantly impact a person's quality of life and ability to function effectively.

What is the role of the REVISIT-BPD trial in addressing the challenges of BPD treatment?

The REVISIT-BPD trial aims to address the barriers to accessing effective BPD treatment. Recognizing limitations in traditional face-to-face psychotherapy, such as therapist availability and geographical constraints, the trial explores internet-based self-management interventions. It focuses on testing the effectiveness of the priovi® program, which integrates Schema Therapy principles to complement traditional care. The goal is to make treatment more accessible and empower individuals with BPD to manage their symptoms effectively.

How does the priovi® program work, and what principles does it utilize?

The priovi® program is an internet-based self-management intervention designed to help individuals manage symptoms of BPD. It is based on the principles of Schema Therapy. While the article does not go into depth, Schema Therapy typically focuses on identifying and challenging maladaptive schemas (patterns of thinking, feeling, and behaving) that contribute to BPD symptoms. The program aims to provide tools and strategies for individuals to understand their triggers, manage their emotions, and develop healthier coping mechanisms. This can improve their overall well-being and ability to function effectively.

What are the key features and outcomes being measured in the REVISIT-BPD trial?

The REVISIT-BPD trial includes online recruitment to ensure broad accessibility. The primary intervention is the priovi® program, which is based on Schema Therapy principles. A crucial aspect of the trial is the implementation of individualized emergency plans to ensure participant safety. The primary outcome measure is the clinician-rated BPD Severity Index (BPDSI). Secondary measures include self-reported scales, SCID-diagnosis, and safety parameters. This comprehensive approach aims to provide a thorough evaluation of the intervention's effectiveness.

What are the potential implications of the REVISIT-BPD trial for the future of BPD treatment?

The REVISIT-BPD trial holds significant promise for revolutionizing BPD treatment by demonstrating the potential of internet-based self-management interventions. If successful, this approach could broaden access to care, especially for those facing obstacles in accessing traditional face-to-face therapy. Programs like priovi® can empower individuals to take control of their mental health, potentially leading to improved outcomes and a better quality of life. It may complement existing treatment modalities and offer a cost-effective solution for managing BPD symptoms.