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This article presents basic notions of "Good Psychiatric Management" (GPM) for Borderline Personality Disorder (BPD). There have been several evidence-based psychotherapeutic treatments for BPD for several decades. Nevertheless, high requirements and motivation required sometimes have a discouraging effect for trainees. GPM aims at offering «good enough» and less difficult to implement care. This article presents the notion of Interpersonnal Hypersensitivity and its different attachment states (attached, threatened, abandoned, and desperate) describing internal coherence of BPD and founding therapeutic interventions. GPM is principle based, thus is highly adaptable, as can be seen in integration with other intervention models or implementation of stepped care., Competing Interests: Les auteurs n’ont déclaré aucun conflit d’intérêts en relation avec cet article.

Borderline personality disorder is a common and severe disorder that confronts health professionals with some of their limitations. Relational difficulties with these patients lead to discontinuation of follow-up or unnecessary or even deleterious care. We present here simple answers to the questions that will inevitably arise in the management of your borderline patients. They are applicable by both general practitioners and specialists, to better meet the challenge that these patients ask us. We insist on properly recognizing and detecting the disorder. We propose to disclose the diagnosis to the patient and provide the necessary explanations. This is the better way to anticipate the repeating crises. Finally, interacting with other caregivers is important to ensure an effective and sustainable care system for these patients., Competing Interests: Les auteurs n’ont déclaré aucun conflit d’intérêts en relation avec cet article.