A research-backed psychodynamic therapy that strengthens mentalization—the ability to understand your own and other people's thoughts and feelings.
It is often used for borderline personality disorder and related difficulties.
Reviewed by the HeyPsych Medical Review Board · Reviewed November 24, 2025
Choose a condition to see how it's used for it.
Used for
Also prescribed for (off-label)
Common use
Mentalization-Based Therapy is used for Borderline Personality Disorder. The full guide below has the details.
About Borderline Personality DisorderHow many people in 100 notice each one in clinical studies. Many early side effects fade within a few weeks.
Worsening symptoms if therapeutic alliance ruptures and is not repaired
Thoughts of suicide? Call or text 988, any time.
Everything we know about Mentalization-Based Therapy (MBT), section by section.
14 chapters · about 14 min to read it all. Open any one.
Frequency: Weekly individual sessions + weekly group sessions (standard model).
Duration: 12–18 months, sometimes longer.
Total Treatment Time: Often 1–2 years for full treatment program.
Review of current emotional state and interpersonal events.
Exploration of feelings, misunderstandings, and relational patterns using mentalizing stance.
Reflection on insights gained and real-life application.
typical session cost: $100–$250 per session
total treatment cost: Can exceed $10,000–$20,000 over a multi-year program
insurance coverage: Often covered when medically necessary, especially for BPD treatment
cost effectiveness: Cost-effective compared to repeated hospitalization for BPD patients
Most studies focused on BPD; evidence for other conditions is promising but less robust.
This treatment information is for educational purposes only. Treatment decisions should be made in consultation with qualified healthcare professionals based on individual circumstances, symptoms, and medical history. Do not attempt treatment without professional guidance.
Thinking about Mentalization-Based Therapy (MBT)? A prescriber can tell you if it fits.
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