Training Communication Skills and Mentalization in Group Schema Therapy for Patients with Borderline Personality Disorder.

BACKGROUND: This article introduces a structured method for communication skills training within group schema therapy (GST) specifically tailored for individuals with borderline personality disorder (BPD). Patients with BPD often face relational difficulties due to intense emotional responses and maladaptive schema modes, thus creating a need for targeted communication training to promote healthier interpersonal relationships. METHODS: This training approach was developed based on interviews with six experienced schema therapists specialising in GST for BPD. The therapists shared practical insights, case examples, and strategies, which were synthesized into a structured communication skills training method. The main methods are chairwork, core emotional needs clarification, role-playing, and role reversal to increase self-understanding, empathy, and constructive problem-solving. RESULTS: The communication training in GST concentrated on recognising and articulating patients' core emotional needs while understanding the needs of others. The therapists recognized four main blocks to skill change: low self-esteem, fear of criticism, social and communication style variances, and undeveloped assertive skills. Methods used to address these tasks include strengthening self-assurance, forming a caring and kind setting, and teaching modes identification exercises to manage emotional answers. Patients described substantial progress in relational self-confidence, empathy, and flexibility in conflict resolution. CONCLUSIONS: The GST communication training offers BPD patients essential tools for understanding and expressing interpersonal needs. The group format improves learning through shared experiences and real-time These observations indicate that GST-based communication training can address BPD-related interpersonal problems and may support longer-term improvements in relational functioning and life satisfaction.