A profile of occupational therapy practice in Australia for people diagnosed with borderline personality disorder.

Australian occupational therapy journal · 2026 · Survey · OT
Jade Wood, Dillon Tepper, Ben Sellar, Carolyn M Murray

Sixty-three Australian occupational therapists described how they work with people diagnosed with BPD. Trauma-informed care and occupation-based approaches dominated, but time constraints, funding gaps, and fragmented services were the top barriers to delivering consistent, evidence-based practice.

Key findings

1

Trauma-informed care (n = 56) was the most commonly reported guiding model, followed by sensory modulation (n = 49), the recovery model (n = 38), MoHO (n = 37), and PEO (n = 34).

2

The most frequently used interventions were stress management techniques (n = 55), sleep hygiene (n = 54), and psychoeducation (n = 54).

3

Time constraints (n = 15) were the most frequently reported practice limitation, and limited funding (n = 37) was the top contributing factor to those limitations.

MethodologyResultsClinical Relevance

Single-blind randomized controlled trial. Sixty-four participants were randomized across two intervention arms and assessed at twelve weeks for the primary outcome…

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