Systems Training for Emotional Predictability and Problem Solving (STEPPS). STEPPS is a group treatment program for BPD developed at the University of Iowa by Nancee Blum and associates. In this cognitive-behavioral, skills-based approach, BPD is viewed as a disorder of emotional and behavioral regulation. The STEPPS program includes two phases – a 20-week basic skills group, and a one-year, twice monthly advanced group program called STAIRWAYS. The goal is to provide the person who has BPD, the professionals who may treat them, and close friends and family members with a common language to communicate clearly about the disorder and the skills used to manage it.

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