Getting the individual to describe what he feels, rather than just what he thinks is useful and sometimes persons are encouraged to create a feeling journal. Cognitive approaches appear have not been very useful. Patients are sometimes attacking and denigrating of the professional and the approach, attempting to deflect the real discussion at hand. People with this condition can function with jobs, family, friends, and the appearance of normalcy. This is why there is more of a short term symptom mitigation approach.
Group therapy is difficult, since the individual is likely to point out the defects of others.
Drug therapies are not normally utilized unless the individual is suffering from a clearly diagnosed Axis I condition. While Serotonin Reuptake Inhibitors have been approved for the condition, it is not viewed as appropriate or even effective on a long-term basis.