Borderline Personality (BPD) Therapists in Raleigh, NC
![Photo of Imani White, LCSWA, Clinical Social Work/Therapist](https://cdn.statically.io/img/photos.psychologytoday.com/b9842fff-7cda-4657-8125-a722f756018c/2/320x400.jpeg)
Hi! I'm a Black female therapist who deeply understands the challenges faced when dealing with societal pressures, trauma - be it generational, historical, racial, or relationship-based, and the general stressors of life. Whether you're grappling with Borderline Personality Disorder (BPD), anxiety, trauma, PTSD, depression or chronic health, know that you are not alone, and I'm here to help. Think of our sessions together as a safe space, a supportive tool to navigate life's ups and downs. I believe in interrupting negative thoughts and feelings that chip away at our self-worth.
Hi! I'm a Black female therapist who deeply understands the challenges faced when dealing with societal pressures, trauma - be it generational, historical, racial, or relationship-based, and the general stressors of life. Whether you're grappling with Borderline Personality Disorder (BPD), anxiety, trauma, PTSD, depression or chronic health, know that you are not alone, and I'm here to help. Think of our sessions together as a safe space, a supportive tool to navigate life's ups and downs. I believe in interrupting negative thoughts and feelings that chip away at our self-worth.
![Photo of Alixandra Ross, LCMHCA, Counselor](https://cdn.statically.io/img/photos.psychologytoday.com/f5bc4a27-2899-4d32-bcfa-383d3d199791/2/320x400.jpeg)
Hello! I'm Alixandra, a Clinical Mental Health Counselor with an M.A. from Wake Forest University ('23). My passion lies in providing compassionate support to teens and adults under 45 facing challenges including, but not limited to, anxiety, depression, self-harm, suicidality BPD, and life adjustments. I strive to create a safe, nonjudgmental space where clients can feel heard and supported as they navigate their unique journeys toward balance and self-empowerment. I tailor my approach to meet each client where they are, offering practical skills and genuine empathy. My goal is to empower others to embrace their authentic selves.
Hello! I'm Alixandra, a Clinical Mental Health Counselor with an M.A. from Wake Forest University ('23). My passion lies in providing compassionate support to teens and adults under 45 facing challenges including, but not limited to, anxiety, depression, self-harm, suicidality BPD, and life adjustments. I strive to create a safe, nonjudgmental space where clients can feel heard and supported as they navigate their unique journeys toward balance and self-empowerment. I tailor my approach to meet each client where they are, offering practical skills and genuine empathy. My goal is to empower others to embrace their authentic selves.
![Photo of Karen M Erikson, PhD, Psychologist](https://cdn.statically.io/img/photos.psychologytoday.com/3cb7a0e7-46cd-11ea-a6ad-06142c356176/3/320x400.jpeg)
I am a cognitive-behavioral therapist, and I have expertise in the use of acceptance-based treatments including Dialectical Behavior Therapy (DBT) and the treatment of trauma. I see a wide variety of clients in my practice, including individuals struggling with symptoms of borderline personality disorder (BPD), depression, and anxiety disorders. I also work with survivors of trauma, including physical and sexual abuse and assault. I believe that effective treatment begins with a collaborative relationship with my clients.
I am a cognitive-behavioral therapist, and I have expertise in the use of acceptance-based treatments including Dialectical Behavior Therapy (DBT) and the treatment of trauma. I see a wide variety of clients in my practice, including individuals struggling with symptoms of borderline personality disorder (BPD), depression, and anxiety disorders. I also work with survivors of trauma, including physical and sexual abuse and assault. I believe that effective treatment begins with a collaborative relationship with my clients.
![Photo of Kathleen Hyland, PsyD, LP, Psychologist](https://cdn.statically.io/img/photos.psychologytoday.com/ffc677b8-6571-475d-9cb3-7ace6ea4698b/1/320x400.jpeg)
I have additional expertise working with teens and adults struggling with depression, anxiety, and borderline personality disorder.
I have expertise helping those struggling with anxiety, depression, trauma, family conflict & marital discord. My work with clients helps them reclaim their lives and bounce forward from pain and difficulties. I take a practical, evidence-based approach to assist clients in learning effective coping, communication & conflict resolution skills. I aim to help couples and families develop stronger relational bonds and restore peace in their lives. In my individual work with teens & adults, I provide a non-judgmental space to gain insight and offer the skills to successfully navigate struggles, find purpose, and increase happiness.
I have additional expertise working with teens and adults struggling with depression, anxiety, and borderline personality disorder.
I have expertise helping those struggling with anxiety, depression, trauma, family conflict & marital discord. My work with clients helps them reclaim their lives and bounce forward from pain and difficulties. I take a practical, evidence-based approach to assist clients in learning effective coping, communication & conflict resolution skills. I aim to help couples and families develop stronger relational bonds and restore peace in their lives. In my individual work with teens & adults, I provide a non-judgmental space to gain insight and offer the skills to successfully navigate struggles, find purpose, and increase happiness.
![Photo of Bianca Mason, MSW, LCSW, Clinical Social Work/Therapist](https://cdn.statically.io/img/photos.psychologytoday.com/2162b3e7-50c6-46c5-94b7-2e62fda84b03/3/320x400.jpeg)
Bianca Mason
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
1 Endorsed
Raleigh, NC 27609
I specialize in treating adults that have endured trauma, treatment for PTSD, bipolar disorder, borderline personality, anxiety, life stressors, self-esteem, depression, boundaries and other issues. In addition, I have experience working with survivors of sexual assault, human trafficking and complex childhood trauma. I believe in meeting people where they are in a non-judgmental, positive, open minded, relational approach. Therapy is not a "one size fits all" experience and each person's process is unique. My goal is to partner with clients to create a process that meets the client's needs and goals for fulfilling lives.
I specialize in treating adults that have endured trauma, treatment for PTSD, bipolar disorder, borderline personality, anxiety, life stressors, self-esteem, depression, boundaries and other issues. In addition, I have experience working with survivors of sexual assault, human trafficking and complex childhood trauma. I believe in meeting people where they are in a non-judgmental, positive, open minded, relational approach. Therapy is not a "one size fits all" experience and each person's process is unique. My goal is to partner with clients to create a process that meets the client's needs and goals for fulfilling lives.
![Photo of Adria Goulet, LCSWA](https://cdn.statically.io/img/photos.psychologytoday.com/82646466-8786-482a-9e9f-938a145d7183/2/320x400.jpeg)
I specialize in working with folx who struggle with mood disorders, anxiety disorders, dissociative disorders, PTSD/C-PTSD, and BPD.
My name is Adria Goulet (they/them/theirs) and I am a Licensed Clinical Social Worker Associate. During sessions, I strive to meet clients where they are at in their healing process, empowering them to navigate uncomfortable emotions, maladaptive coping skills, or intrusive thoughts. I recognize that during crisis situations, harmful or self-destructive behaviors can be necessary for survival. As a therapist, my goal is to help you find new coping skills, process traumatic events, navigate oppressive systems, cultivate healthier beliefs about yourself, and build more effective interpersonal skills.
I specialize in working with folx who struggle with mood disorders, anxiety disorders, dissociative disorders, PTSD/C-PTSD, and BPD.
My name is Adria Goulet (they/them/theirs) and I am a Licensed Clinical Social Worker Associate. During sessions, I strive to meet clients where they are at in their healing process, empowering them to navigate uncomfortable emotions, maladaptive coping skills, or intrusive thoughts. I recognize that during crisis situations, harmful or self-destructive behaviors can be necessary for survival. As a therapist, my goal is to help you find new coping skills, process traumatic events, navigate oppressive systems, cultivate healthier beliefs about yourself, and build more effective interpersonal skills.
![Photo of Emma Van Horne, MSW, LCSWA, Clinical Social Work/Therapist](https://cdn.statically.io/img/photos.psychologytoday.com/4b3430b7-dccd-447c-879b-5139b3e42cf6/3/320x400.jpeg)
Emma Van Horne
Clinical Social Work/Therapist, MSW, LCSWA
Verified Verified
1 Endorsed
Raleigh, NC 27615
My clinical interests include trauma, PTSD, anxiety, ADHD and other learning difficulties, suicide ideation, borderline personality, emotional/behavioral regulation, spirituality, life planning, and adjustment difficulties with individuals ages 4-30's both individually and with their caregivers.
As a therapist and fellow “in-progress” human I believe that we are all constantly growing and changing through many seasons. Some seasons can feel like they last a lifetime, but no matter how difficult the season or how long it sticks around, I believe no one is without hope. I strive to instill that hope and confidence in you and create a space where you feel comfortable navigating tough questions, big emotions, and difficult situations.
My clinical interests include trauma, PTSD, anxiety, ADHD and other learning difficulties, suicide ideation, borderline personality, emotional/behavioral regulation, spirituality, life planning, and adjustment difficulties with individuals ages 4-30's both individually and with their caregivers.
As a therapist and fellow “in-progress” human I believe that we are all constantly growing and changing through many seasons. Some seasons can feel like they last a lifetime, but no matter how difficult the season or how long it sticks around, I believe no one is without hope. I strive to instill that hope and confidence in you and create a space where you feel comfortable navigating tough questions, big emotions, and difficult situations.
![Photo of Lauren Blue - Brave Changes Counseling and Consulting, PLLC, LCMHC, LCAS, CCTP, Counselor](https://cdn.statically.io/img/photos.psychologytoday.com/7165a13f-4bb3-4824-9ca0-d8d414e606b2/1/320x400.jpeg)
Brave Changes Counseling and Consulting, PLLC
Counselor, LCMHC, LCAS, CCTP
Verified Verified
Raleigh, NC 27601 (Online Only)
I am so glad you are looking to start therapy. The searching can be so confusing and frustrating, so I recognize that you are taking a big and emotional step. My name is Lauren and I am passionate about my work with individuals who have a history of trauma, substance use, depression, anxiety, low self-esteem, ADHD, mood-disorders, and BPD. I enjoy being able to encourage my clients as they become more aware of their strengths and unique qualities. It's not often we have unconditional support from others which is why counselors often help us navigate our way towards self-acceptance and self-love.
I am so glad you are looking to start therapy. The searching can be so confusing and frustrating, so I recognize that you are taking a big and emotional step. My name is Lauren and I am passionate about my work with individuals who have a history of trauma, substance use, depression, anxiety, low self-esteem, ADHD, mood-disorders, and BPD. I enjoy being able to encourage my clients as they become more aware of their strengths and unique qualities. It's not often we have unconditional support from others which is why counselors often help us navigate our way towards self-acceptance and self-love.
![Photo of Shi Nicole Klem, LPA, LCAS, Psychological Associate](https://cdn.statically.io/img/photos.psychologytoday.com/52f17b58-46cd-11ea-a6ad-06142c356176/3/320x400.jpeg)
I have over 20 years of experience working with clients suffering from Trauma and PTSD, Borderline Personality D/O, OCD, Depression, Anxiety, Substance Abuse and other issues.
It is an honor for me to have the opportunity to help others work through personal, relationship and other life issues by way of developing a strong therapeutic relationship. My primary goal in therapy is to establish and maintain a safe, trusting and accepting environment. I work from primarily ACT and DBT frameworks. Both of these therapies use Mindfulness strategies and other skills to "get you out of your head" and into living life to the fullest. Mental health and physical health are intimately intertwined. I often incorporate mind-body connection practices into treatment. Combining these techniques can elicit powerful change.
I have over 20 years of experience working with clients suffering from Trauma and PTSD, Borderline Personality D/O, OCD, Depression, Anxiety, Substance Abuse and other issues.
It is an honor for me to have the opportunity to help others work through personal, relationship and other life issues by way of developing a strong therapeutic relationship. My primary goal in therapy is to establish and maintain a safe, trusting and accepting environment. I work from primarily ACT and DBT frameworks. Both of these therapies use Mindfulness strategies and other skills to "get you out of your head" and into living life to the fullest. Mental health and physical health are intimately intertwined. I often incorporate mind-body connection practices into treatment. Combining these techniques can elicit powerful change.
![Photo of Kayla Harmon - InclusiFlora Counseling PLLC, LCSWA, LMSW, LPC, ADC, NCC](https://cdn.statically.io/img/photos.psychologytoday.com/986dfd26-b9be-40fd-9dc4-e9ade57fc281/1/320x400.png)
InclusiFlora Counseling PLLC
LCSW Associate, LCSWA, LMSW, LPC, ADC, NCC
Verified Verified
Raleigh, NC 27601
InclusiFlora is built upon being neuroaffirmative, LGBTQIA+ affirmative, trauma-informed, and culturally competent for all (BIPOC affirmative and allied). We focus on working with trauma, LGBTQIA+, folx making neurodivergency work for them, specialty with religious trauma, self-harm, couples counseling, BPD, grief, anxiety, and depression. We work with teens and adults in SC, NC and FL. We love working through the good, the bad, and the ugly and supporting our clients to make life feel just a little lighter for them. Text or call today for your FREE-15 minute consult, to make sure you feel like we're a good fit!
InclusiFlora is built upon being neuroaffirmative, LGBTQIA+ affirmative, trauma-informed, and culturally competent for all (BIPOC affirmative and allied). We focus on working with trauma, LGBTQIA+, folx making neurodivergency work for them, specialty with religious trauma, self-harm, couples counseling, BPD, grief, anxiety, and depression. We work with teens and adults in SC, NC and FL. We love working through the good, the bad, and the ugly and supporting our clients to make life feel just a little lighter for them. Text or call today for your FREE-15 minute consult, to make sure you feel like we're a good fit!
![Photo of Samantha Burggraf, MS, LCAS, CSI, Drug & Alcohol Counselor](https://cdn.statically.io/img/photos.psychologytoday.com/0dcad70e-0a76-40d4-9a18-f83157c29ee4/2/320x400.jpeg)
Samantha Burggraf
Drug & Alcohol Counselor, MS, LCAS, CSI
Verified Verified
1 Endorsed
Raleigh, NC 27609
What you learn today can change the future! Are you having a difficult time with destructive or harmful drug/alcohol use or experiencing stress because a loved one is experiencing harmful or destructive drug/alcohol use patterns? I am excited to help you find freedom from the stress that unhealthy patterns of drug/alcohol use brings into your life. I believe in empowering individuals to find and utilize your strengths to build self-acceptance, healthy relationships, and find passion for life without suffering. I am motivated to help you make lasting positive changes in your life.
What you learn today can change the future! Are you having a difficult time with destructive or harmful drug/alcohol use or experiencing stress because a loved one is experiencing harmful or destructive drug/alcohol use patterns? I am excited to help you find freedom from the stress that unhealthy patterns of drug/alcohol use brings into your life. I believe in empowering individuals to find and utilize your strengths to build self-acceptance, healthy relationships, and find passion for life without suffering. I am motivated to help you make lasting positive changes in your life.
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Peggy Zaloga
Clinical Social Work/Therapist, MA, LCSW
Verified Verified
1 Endorsed
Raleigh, NC 27603
Do you have a hard time connecting with yourself and others around you? Does it often feel like no one really understands how you're feeling? I listen and try to understand where my clients are coming from, and once we understand one another and have built a solid relationship I can teach a wide variety of integrative health and wellness skills that will help you overcome challenges related (but not limited) to: school refusal, social anxiety, peer group communication, family conflicts, intimate relationships, behavioral addictions, chronic illness, emotional trauma and panic attacks.
Do you have a hard time connecting with yourself and others around you? Does it often feel like no one really understands how you're feeling? I listen and try to understand where my clients are coming from, and once we understand one another and have built a solid relationship I can teach a wide variety of integrative health and wellness skills that will help you overcome challenges related (but not limited) to: school refusal, social anxiety, peer group communication, family conflicts, intimate relationships, behavioral addictions, chronic illness, emotional trauma and panic attacks.
![Photo of Juan Prandoni, PhD, HSP-P, Psychologist](https://cdn.statically.io/img/photos.psychologytoday.com/5356f933-862a-485c-913b-732941c82207/2/320x400.jpeg)
I enjoy working with adolescents, adults, and their families in a culturally responsive manner. This means that I use the knowledge I have gained as a psychologist and cultural researcher, as well as my experiences as an immigrant. While my approach to therapy incorporates a larger understanding of systems and social justice, I take the time to get to know my clients as individuals. I seek to empower my clients to harness their inner strengths and passions to live life according to their values. Please contact me via email if you would like to schedule an initial free 30-min consult.
I enjoy working with adolescents, adults, and their families in a culturally responsive manner. This means that I use the knowledge I have gained as a psychologist and cultural researcher, as well as my experiences as an immigrant. While my approach to therapy incorporates a larger understanding of systems and social justice, I take the time to get to know my clients as individuals. I seek to empower my clients to harness their inner strengths and passions to live life according to their values. Please contact me via email if you would like to schedule an initial free 30-min consult.
![Photo of Stephanie Phillips, LCMHCS, NCC, CCTP](https://cdn.statically.io/img/photos.psychologytoday.com/44dd3148-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
Stephanie Phillips
Lic Clinical Mental Health Counselor Supervisor, LCMHCS, NCC, CCTP
Verified Verified
Raleigh, NC 27615
Do you feel like no one understands what you are going through? Do you want to talk about your feelings without judgment? Counseling should be a place where you are comfortable and can explore solutions without fear or worry. I offer a counseling relationship where you can feel safe to work on issues that are truly important to you, at a pace that meets your needs. I want you to feel stronger than the problems you face and capable of handling whatever life throws your way.
Do you feel like no one understands what you are going through? Do you want to talk about your feelings without judgment? Counseling should be a place where you are comfortable and can explore solutions without fear or worry. I offer a counseling relationship where you can feel safe to work on issues that are truly important to you, at a pace that meets your needs. I want you to feel stronger than the problems you face and capable of handling whatever life throws your way.
![Photo of Rebekah L Musselwhite, LCSWA, LCASA, Clinical Social Work/Therapist](https://cdn.statically.io/img/photos.psychologytoday.com/1477a618-6e94-46a2-be2d-a7b84a6e4779/1/320x400.jpeg)
Rebekah L Musselwhite
Clinical Social Work/Therapist, LCSWA, LCASA
Verified Verified
1 Endorsed
Raleigh, NC 27607
Accepting new clients- My therapy is informed by a dialectical model which means I can guide you to find balance of acceptance and change to focus on your goals and building a strong and happy life. My specialties include working with individuals with anxiety and depression type disorders. Young adults transitioning into adulthood and middle aged adults with life transitions. Individuals experiencing complex grief . Individuals who desire finding what is important to them in they’re marriage or domestic partnership to improve relationships. I also have a focus on individuals with multiple diagnosis including substance use disorders
Accepting new clients- My therapy is informed by a dialectical model which means I can guide you to find balance of acceptance and change to focus on your goals and building a strong and happy life. My specialties include working with individuals with anxiety and depression type disorders. Young adults transitioning into adulthood and middle aged adults with life transitions. Individuals experiencing complex grief . Individuals who desire finding what is important to them in they’re marriage or domestic partnership to improve relationships. I also have a focus on individuals with multiple diagnosis including substance use disorders
![Photo of Susan Lipiec, LCMHC](https://cdn.statically.io/img/photos.psychologytoday.com/6fa033ba-bc79-4e9a-98de-4031f7786f7d/2/320x400.jpeg)
Susan Lipiec
Licensed Clinical Mental Health Counselor, LCMHC
Verified Verified
Raleigh, NC 27609 (Online Only)
If you are at a place where you are experiencing some difficulties in life, you do not have to stay in that place. I offer a wide variety of knowledge, experience, compassion, and empathy into my time with others. I enjoy infusing my work with a lot of humor, and creativity, while embracing the holistic model of the mind/body connection.
If you are at a place where you are experiencing some difficulties in life, you do not have to stay in that place. I offer a wide variety of knowledge, experience, compassion, and empathy into my time with others. I enjoy infusing my work with a lot of humor, and creativity, while embracing the holistic model of the mind/body connection.
![Photo of Elise Davis, LCMHC](https://cdn.statically.io/img/photos.psychologytoday.com/3518c6f1-24c3-4c82-a609-7bf56f9ab09f/2/320x400.jpeg)
Elise Davis
Licensed Clinical Mental Health Counselor, LCMHC
Verified Verified
Raleigh, NC 27616 (Online Only)
There are times in life where we all feel exposed, vulnerable, and unsure. Life can seem scary, frustrating, hopeless, and chaotic. We forget who we are or admit we don't know where we are going. Life experiences and our mindset can stop us from living. There are times when emotions run the show and lead to choices that make things worse.
There are times in life where we all feel exposed, vulnerable, and unsure. Life can seem scary, frustrating, hopeless, and chaotic. We forget who we are or admit we don't know where we are going. Life experiences and our mindset can stop us from living. There are times when emotions run the show and lead to choices that make things worse.
![Photo of Melanie McCabe, PhD, LP, HSP, Psychologist](https://cdn.statically.io/img/photos.psychologytoday.com/e77f721c-c4d9-4219-9021-cd3b25cc8e17/2/320x400.jpeg)
Hi, I am Dr. Melanie McCabe. Call me Melanie or Mel. I am a real human, mom, wife, and a slow runner trying to get faster and a psychologist. I like to use a real, kind, yet direct and sometimes humorous approach with clients. I like to build partnerships with clients. Some want to fine tune their lives and some need to create lives worth living. I see children as young as 6, their parents, young adults and mature adults. My clients have often seen several other providers before meeting me. I do not accept insurance so I can dedicate clinical time to caring for patients.
Hi, I am Dr. Melanie McCabe. Call me Melanie or Mel. I am a real human, mom, wife, and a slow runner trying to get faster and a psychologist. I like to use a real, kind, yet direct and sometimes humorous approach with clients. I like to build partnerships with clients. Some want to fine tune their lives and some need to create lives worth living. I see children as young as 6, their parents, young adults and mature adults. My clients have often seen several other providers before meeting me. I do not accept insurance so I can dedicate clinical time to caring for patients.
![Photo of Ashley Lanier, LCMHC](https://cdn.statically.io/img/photos.psychologytoday.com/80132c87-a9ea-4ff6-a021-b2a8dd8c8474/2/320x400.jpeg)
Ashley Lanier
Licensed Clinical Mental Health Counselor, LCMHC
Verified Verified
Raleigh, NC 27601 (Online Only)
Ashley Lanier is a Licensed Clinical Mental Health Counselor who provides individual, family, couples, and group counseling to adults, children (6+ years), and adolescents. With a background as a paramedic, she holds a unique perspective when working with clients facing past trauma, first responders, and individuals with personality disorders. Ashley focuses on helping clients navigate and overcome challenges related to depression, anxiety, substance use, life transitions, and grief/loss/trauma. Her approach is holistic, addressing not only the immediate symptoms but also the underlying issues that contribute to clients' struggles.
Ashley Lanier is a Licensed Clinical Mental Health Counselor who provides individual, family, couples, and group counseling to adults, children (6+ years), and adolescents. With a background as a paramedic, she holds a unique perspective when working with clients facing past trauma, first responders, and individuals with personality disorders. Ashley focuses on helping clients navigate and overcome challenges related to depression, anxiety, substance use, life transitions, and grief/loss/trauma. Her approach is holistic, addressing not only the immediate symptoms but also the underlying issues that contribute to clients' struggles.
![Photo of Donald P Rush, MSW, LCSW, Clinical Social Work/Therapist](https://cdn.statically.io/img/photos.psychologytoday.com/1bff75e1-8bbd-41a0-a4a1-f1d80ec5dfff/2/320x400.jpeg)
Are you struggling with anxiety, anger, depression or lack of self esteem? Do you long for closer relationships with less stress? I have helped numerous individuals develop their strengths and create the version of themselves and their lives they envisioned. Whether you are struggling with a personality disorder, grief, mood disorders, anxiety, or significant traumas, together we can find a path toward. My specialty areas are mood management, mindfulness and relationship skills development.
Are you struggling with anxiety, anger, depression or lack of self esteem? Do you long for closer relationships with less stress? I have helped numerous individuals develop their strengths and create the version of themselves and their lives they envisioned. Whether you are struggling with a personality disorder, grief, mood disorders, anxiety, or significant traumas, together we can find a path toward. My specialty areas are mood management, mindfulness and relationship skills development.
See more therapy options for Raleigh
Nearby Borderline Personality (BPD) Therapists Searches for Raleigh
- Apex
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Borderline Personality (BPD) Therapists
What is the most successful approach to treating borderline personality disorder?
Dialectical behavior therapy (DBT) is considered the gold standard of treatment for borderline personality disorder. An evidence-based treatment, it addresses the extreme emotional reactivity, the relationship difficulties, and the acts of self-harm that create so much distress for BPD patients. DBT is a comprehensive program that includes both regular individual psychotherapy sessions and weekly group sessions of skills training.
What happens in treatment of borderline personality disorder?
Treatment typically consists of weekly individual therapy sessions that last an hour and group skill-focused instructional sessions that may last up to two hours. Patients are typically given homework “assignments” in which they are asked to practice in their daily life the skills they acquire in therapy. Patients also keep a diary tracking their emotions and impulses as a way to know which situations are most problematic and to help them gain control over their own behavior. Difficult situations and feelings are typically reviewed in therapy sessions and more constructive solutions found.
What kinds of problems does BPD treatment help with?
DBT was initially developed to dampen the self-destructive impulses of chronically suicidal patients. It is now the treatment of choice for borderline personality disorder, a serious condition marked by extreme emotional reactivity, relationship instability, and self-injurious behaviors. Treatment of BPD helps patients tolerate the flux of emotions without acting on them, often with a specific focus on tolerating negative emotions. DBT addresses the core problems of BPD—fear of abandonment, low self-esteem, and impulsivity.
What is the goal of treatment in borderline personality disorder?
The goal of treatment for borderline personality disorder (BPD) is to relieve the extreme emotional distress that patients experience—to curb their emotional reactivity, to minimize their inclination to self-harm, and to reduce their impulsivity. Toward these ends, patients are not only taught an array of new coping skills and techniques for emotional regulation, they are given opportunities to practice them. Another major goal of treatment is interpersonal effectiveness; patients learn and problem-solve ways to effectively communicate in relationships, especially how to ask for what they need as a way to minimize hurt feelings.