Session Objectives: 1) Identify the 3 mechanisms by which organisms change (direct manipulation of the biological system, learning, & maturation). 2) Prioritize structured psychotherapy modalities (which are "BPD informed", psychoeducational, compassionate, nonjudgmental and humanizing) as the gold standard for the treatment of BPD. 3) Design a comprehensive treatment strategy for a person with BPD, including knowledge of potential symptoms domains for off-label pharmacologic intervention. 4) Recognize the harms of polypharmacy, benzodiazepines, z-drugs, and PRN medications.