Borderline personality disorder symptoms and treatment seeking over the past 12 months: an investigation using the national comorbidity survey-replication (NCS-R).

To the Editor: Borderline personality disorder is associated with elevated health care utilization.1 However, the degree to which those with borderline personality disorder access mental health care or alternative treatment is unclear. Currently, only limited research on treatment seeking in borderline personality disorder in an epidemiologic sample has been completed, which compared treatment seeking in borderline personality disorder to that in other personality disorders and found no significant differences.2 However, that study did not examine specific treatments or treatment satisfaction, and it may have used overly conservative estimates of borderline personality disorder, potentially reducing power.2 We examined specific treatment-seeking behavior and satisfaction with some treatments in those with elevated borderline personality disorder symptoms over the previous 12 months using the National Comorbidity Survey–Replication (NCS-R) Part II (N = 5,692).3