What to Expect During a Hospitalization for BPD

What to Expect During a Hospitalization for BPD BPD Treatment Print Inpatient Treatment for Borderline Personality Disorder By Kristalyn Salters-Pedneault, PhD Kristalyn Salters-Pedneault, PhD, is a clinical psychologist and associate professor of psychology at Eastern Connecticut State University. Learn about our editorial policy Kristalyn Salters-Pedneault, PhD Medically reviewed by Medically reviewed by Steven Gans, MD on August 14, 2017 Steven Gans, MD is board-certified in psychiatry and is an active supervisor, teacher, and mentor at Massachusetts General Hospital. Learn about our Medical Review Board Steven Gans, MD Updated on August 17, 2019 Eric Audras / Getty Images More in BPD Treatment Diagnosis Living With BPD Related Conditions In This Article Table of Contents Expand Duration Voluntary vs. Involuntary Hospitalization What the Experience Is Like Payment Options How to Find a Program View All Back To Top Borderline personality disorder (BPD) is a serious condition that sometimes requires intensive inpatient treatment at a psychiatric hospital. The idea of being hospitalized is very frightening for most people, but knowing what to expect can reduce your anxiety. Duration of Inpatient Hospitalization for BPD Most inpatient hospitalizations occur due to concern that the patient may be at risk of harming herself or someone else, and the patient is discharged once that risk has passed. In the past, inpatient treatment for BPD may have lasted months or even years, but now inpatient treatment is generally much shorter, depending on the needs of the individual involved. Some hospitals do offer longer-term, voluntary intensive treatments for BPD, which may last for weeks or months. In general, however, research has shown that very long psychiatric hospitalizations are not helpful for people with borderline personality disorder. Voluntary vs. Involuntary A psychiatric inpatient hospitalization may occur voluntarily or involuntarily.  A voluntary hospitalization occurs when the patient recognizes that he is in need of more help than can be provided through outpatient treatment. For example, he may recognize that he is having a period of very strong symptoms that he cannot handle on his own  and that he needs more than once or twice-a-week therapy to keep himself safe. In this case, the patient and the therapist may decide together that inpatient treatment is best. An involuntary hospitalization occurs when the patient is not willing to be admitted to the hospital, but the treatment providers have deemed this level of care necessary. For example, if someone is expressing intent to commit suicide, but refuses to be hospitalized for safety, her treatment providers are required to pursue involuntary hospitalization (also called “commitment”). What the Experience Is Like What should you expect if you are going for inpatient treatment? This varies depending on the hospital and the treatment program. In most cases, the purpose of inpatient hospitalization is to keep the person with borderline personality disorder safe during a mental health crisis  and to get that person stabilized. As the patient, usually, you will be provided with some individual or group psychotherapy, as well as medication management. Once youre stable, you will be discharged either to a partial psychiatric hospital program or to outpatient treatment. A partial psychiatric hospital program, also known as a day hospital, is a step down from inpatient hospitalization. In these programs, you generally attend the treatment program only during the day but do not stay there overnight. The partial hospital provides a more gradual transition back to the normal daily routine and  is intended to help get the person back on track. There are also longer-term inpatient hospital programs that focus on providing more comprehensive treatment. Rather than just focusing on getting you stabilized, these programs may provide intensive psychotherapy (such as dialectical behavior therapy), and may last for a few weeks or months. These longer-term programs are generally voluntary  and may include group, individual, and family therapy. Payment Options Who will pay for your inpatient treatment? This depends on a lot of factors. If you have insurance, your policy may cover the bill. If not, Medicare, Medicaid, or your state’s department of mental health may pay for your treatment. Some programs are very expensive and are rarely covered by insurance. If, like most people, you are worried about the cost of your treatment, talk to your health insurance company or contact your state’s public health insurance program. How to Find a Program If you think you may need to be admitted to an inpatient treatment program (or you believe a loved one may need this type of program), the best place to start is to ask your or your loved one’s current therapist or psychiatrist about a potential referral. Most inpatient treatment facilities accept patients only through referrals or in cases of emergencies. For voluntary treatment, there may be a waiting list to get into a specialized program, so keep this in mind and start your search early. If you or a loved one is in a mental health crisis (actively suicidal or homicidal, for example), call 911 or go to the nearest emergency room. If the mental health staff at the hospital feel that inpatient treatment is necessary, you (or your loved one) may be transferred to the psychiatric unit of the hospital. If there is no psychiatric unit, you may be transported to a different hospital with a psychiatric program.