Primary analysis The calculated cost offsets associated with the provision of (one or two competing) psychotherapeutic interventions (PT) (i.e. Cost offset PT) and the additional cost-savings of implementing evidence-based psychotherapy compared to TAU (i.e. Cost offset PT vs. TAU) per patient per year, for each treatment approach separately, is shown in Table 1. Three studies [3,27,52] only provided data on costs either before or after the intervention; therefore no cost-savings comparison (i.e. cost- off set calculation) could be made. In addition, we did not attempt to provide the overall cost savings of TAU. Only two studies included in this review reported on pre- and post- cost data associated with the provision of TAU [25,26]. However, these findings are not sufficient to offset to any extent the cost-savings of the provision of TAU in the treatment of patients with BPD. Therefore TAU-related cost-data was not reported.