As discussed in Chapter A2, the most common personality disorders seen in AOD services are BPD (most frequently occurring in females) and ASPD (usually male). Workers may find it difficult to treat personality disorders, and feel pessimistic about treatment outcomes [964, 965], making the use of evidence-based interventions even more important among this group . Despite the challenges involved in treating comorbid personality and AOD disorders, there are promising treatment options.
There are several treatment options available for the treatment of personality disorders, including psychotherapy, pharmacotherapy, e-health interventions, as well as complementary and alternative therapies (e.g., omega-3). The evidence base surrounding each of these in regards to the treatment of BPD and ASPD is discussed below.