Two parameters of treating borderline patients are very clear: a specific treatment framework must be established, and psychotherapy is a necessary feature of the treatment. The treatment framework includes discussion and clarification of the goals of treatment and the expected roles of the patient and therapist in achieving these goals. Treatment goals such as symptom reduction, improved relationships, and ability to maintain constancy at work should be made explicit. The tasks of the patient, including self-reports of important issues, inner thoughts, dysfunction, and anticipated behavior are elucidated. The clinician's role, which includes providing understanding, consistency, and empathic feedback designed to help the patient achieve the goals, must be understood. A clear plan for the time and place of meetings, the handling of emergencies, and billing and payment is also an important aspect of this framework.