Borderline Personality (BPD) Therapists in Northampton County, NC

There are no results for therapists in Northampton County

Check out therapists located nearby or offering teletherapy in North Carolina below.

Online Therapists

Photo of Karen M Erikson, Psychologist in Northampton County, NC
Karen M Erikson
Psychologist, PhD
Verified Verified
Durham, NC 27713
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.
(919) 351-1569 View (919) 351-1569
Photo of Alixandra Ross, Counselor in Northampton County, NC
Alixandra Ross
Counselor, LCMHCA
Verified Verified
4 Endorsed
Raleigh, NC 27615
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.
(984) 265-7730 View (984) 265-7730
Photo of Amy Grassi Watson, PC, Licensed Professional Counselor in Northampton County, NC
Amy Grassi Watson, PC
Licensed Professional Counselor, MS, LCMHCS
Verified Verified
Wilson, NC 27896
My specialty is in treating trauma, relationship issues, including relational problems, toxic relationships with those with narcissism, borderline traits & other complex attachment issues.
The most important variable of having a successful experience in therapy is when therapy is provided in a safe, confidential, and comfortable space with a healthy and strong therapeutic alliance between the therapist and the client. It has been my life’s calling and honor to support someone in their journey of emotional healing. My hope is that you experience, maybe for the first time, your true and authentic “self". And to build healthy, loving relationships with others.
My specialty is in treating trauma, relationship issues, including relational problems, toxic relationships with those with narcissism, borderline traits & other complex attachment issues.
The most important variable of having a successful experience in therapy is when therapy is provided in a safe, confidential, and comfortable space with a healthy and strong therapeutic alliance between the therapist and the client. It has been my life’s calling and honor to support someone in their journey of emotional healing. My hope is that you experience, maybe for the first time, your true and authentic “self". And to build healthy, loving relationships with others.
(252) 558-1143 View (252) 558-1143
Photo of Mandy Tewell, Licensed Professional Counselor in Northampton County, NC
Mandy Tewell
Licensed Professional Counselor, MS, CRC, LCMHC
Verified Verified
Durham, NC 27705
Waitlist for new clients
I use Dialectical Behavior Therapy to treat Borderline Personality Disorder and EMDR to help you process trauma and heal.
Things are hard right now. You're here because you want things to be different and don't quite know how to make that happen. I want to help you feel hopeful, powerful, and in control of your life. I want to help you heal. Whether you're feeling pain from trauma/abuse, engaging in behaviors that are no longer working for your life (self-harming, risky behaviors, disordered eating), or struggling with relationships, I can help. I have a person-centered approach so I can meet you at your current point in life and support you in reaching your goals.
I use Dialectical Behavior Therapy to treat Borderline Personality Disorder and EMDR to help you process trauma and heal.
Things are hard right now. You're here because you want things to be different and don't quite know how to make that happen. I want to help you feel hopeful, powerful, and in control of your life. I want to help you heal. Whether you're feeling pain from trauma/abuse, engaging in behaviors that are no longer working for your life (self-harming, risky behaviors, disordered eating), or struggling with relationships, I can help. I have a person-centered approach so I can meet you at your current point in life and support you in reaching your goals.
(919) 237-9699 View (919) 237-9699
Photo of Lyn Taylor Hale, Counselor in Northampton County, NC
Lyn Taylor Hale
Counselor, LCMHC
Verified Verified
Hillsborough, NC 27278  (Online Only)
As an intensively trained Dialectical Behavior Therapist (DBT), I love my work with adults with borderline personality disorder, developmental disabilities, or anyone working through difficult life transitions.
Wondering what is next? How you got where you are? Who you are? Afraid you've missed opportunities or what you hoped for is passing by? I work with people looking for authenticity and fulfillment, offering a chance to question openly and explore who you are and what you really love. Understanding the inevitability of change and how to navigate through sometimes unthinkable circumstances can feel overwhelming. I love working together with clients to help them understand and manage these deep emotions--and to realize that they do have the courage to face what is ahead and the ability to manage their own lives.
As an intensively trained Dialectical Behavior Therapist (DBT), I love my work with adults with borderline personality disorder, developmental disabilities, or anyone working through difficult life transitions.
Wondering what is next? How you got where you are? Who you are? Afraid you've missed opportunities or what you hoped for is passing by? I work with people looking for authenticity and fulfillment, offering a chance to question openly and explore who you are and what you really love. Understanding the inevitability of change and how to navigate through sometimes unthinkable circumstances can feel overwhelming. I love working together with clients to help them understand and manage these deep emotions--and to realize that they do have the courage to face what is ahead and the ability to manage their own lives.
(802) 316-4551 View (802) 316-4551
Photo of Ashley Turner, Licensed Clinical Mental Health Counselor in Northampton County, NC
Ashley Turner
Licensed Clinical Mental Health Counselor, LCMHC
Verified Verified
New Bern, NC 28562  (Online Only)
My areas of interest include treating depression, anxiety, mood disorders, eating disorders, relationship issues, family conflict, academic and career difficulties, women's issues, self-esteem, self-image, work/life balance, PTSD, BPD, ADHD.
With 30 years of counseling experience, I hope to provide safe space for clients to process their thoughts and feelings. My therapeutic approach includes Cognitive Behavioral Therapy (CBT) and Dialectical Behavior Therapy (DBT). I received my undergraduate degree in 1992 from Virginia Tech in Family and Child Development and my masters degree in Counseling from Radford University in 1994.
My areas of interest include treating depression, anxiety, mood disorders, eating disorders, relationship issues, family conflict, academic and career difficulties, women's issues, self-esteem, self-image, work/life balance, PTSD, BPD, ADHD.
With 30 years of counseling experience, I hope to provide safe space for clients to process their thoughts and feelings. My therapeutic approach includes Cognitive Behavioral Therapy (CBT) and Dialectical Behavior Therapy (DBT). I received my undergraduate degree in 1992 from Virginia Tech in Family and Child Development and my masters degree in Counseling from Radford University in 1994.
(252) 359-2078 View (252) 359-2078
Photo of Alexandra Gretter, Clinical Social Work/Therapist in Northampton County, NC
Alexandra Gretter
Clinical Social Work/Therapist, MSW, LCSWA
Verified Verified
Durham, NC 27713
Alexandra (Alex) Gretter, LCSWA Title: Psychotherapist Specializing in PTSD, Complex Trauma, Military Veterans, Anxiety, Depression, BPD, Relationship Issues, and Attachment Issues Profile Summary: As a licensed psychotherapist with a passion for helping individuals overcome their challenges and achieve emotional well-being, I specialize in providing therapy for PTSD, complex trauma, military veterans, anxiety, borderline personality disorder (BPD), relationship issues, and attachment issues. With a compassionate and client-centered approach, I am dedicated to supporting my clients.
Alexandra (Alex) Gretter, LCSWA Title: Psychotherapist Specializing in PTSD, Complex Trauma, Military Veterans, Anxiety, Depression, BPD, Relationship Issues, and Attachment Issues Profile Summary: As a licensed psychotherapist with a passion for helping individuals overcome their challenges and achieve emotional well-being, I specialize in providing therapy for PTSD, complex trauma, military veterans, anxiety, borderline personality disorder (BPD), relationship issues, and attachment issues. With a compassionate and client-centered approach, I am dedicated to supporting my clients.
(919) 899-4590 View (919) 899-4590
Photo of Regina (Gina) Hales in Northampton County, NC
Regina (Gina) Hales
LCMHC, LCASA
Verified Verified
1 Endorsed
Zebulon, NC 27597  (Online Only)
I have held a long passion for mental health counselling since I was young. I am certified in DBT which treats Borderline Personality Disorder, self harm, PTSD, suicidal behavior, substance use, depression, anxiety and eating disorders. My undergrad is in Psychology to better understand human thoughts, feelings, and behavior. I am driven to answer not just why people act in certain ways but also how they can improve their situations, thoughts and mental well-being. I aspired to become a therapist to help people overcome challenges and to be able to live their best life. My greatest passion is for adolescents.
I have held a long passion for mental health counselling since I was young. I am certified in DBT which treats Borderline Personality Disorder, self harm, PTSD, suicidal behavior, substance use, depression, anxiety and eating disorders. My undergrad is in Psychology to better understand human thoughts, feelings, and behavior. I am driven to answer not just why people act in certain ways but also how they can improve their situations, thoughts and mental well-being. I aspired to become a therapist to help people overcome challenges and to be able to live their best life. My greatest passion is for adolescents.
(919) 944-4423 View (919) 944-4423
Photo of Bianca Mason, Clinical Social Work/Therapist in Northampton County, NC
Bianca Mason
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
1 Endorsed
Raleigh, NC 27609
Waitlist for new clients
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.
(919) 372-0420 View (919) 372-0420
Photo of Christine Sande, Counselor in Northampton County, NC
Christine Sande
Counselor, LCMHC-A
Verified Verified
1 Endorsed
Garner, NC 27529  (Online Only)
I have experience working with individuals with relationship difficulties, anxiety, depression, PTSD, ADHD, BPD, and other disorders.
Accepting new clients. EMDR trained therapist! Offering virtual visits. Have you been feeling depressed, stressed, anxious, or having difficulties in your relationship, or adjusting to life changes, or having difficulty processing a past/present traumatic event? If so, allow me to partner in your healing journey and becoming a better you. Ultimately, you already have the ability to change your circumstances, therapy should be a safe place for you to receive encouragement, support, accountability, and vision on how to achieve life goals. I believe everyone has a past, a history, and everyone can change and re-write their story!
I have experience working with individuals with relationship difficulties, anxiety, depression, PTSD, ADHD, BPD, and other disorders.
Accepting new clients. EMDR trained therapist! Offering virtual visits. Have you been feeling depressed, stressed, anxious, or having difficulties in your relationship, or adjusting to life changes, or having difficulty processing a past/present traumatic event? If so, allow me to partner in your healing journey and becoming a better you. Ultimately, you already have the ability to change your circumstances, therapy should be a safe place for you to receive encouragement, support, accountability, and vision on how to achieve life goals. I believe everyone has a past, a history, and everyone can change and re-write their story!
(919) 887-6104 View (919) 887-6104
Photo of Anna Lanier-Comar, Counselor in Northampton County, NC
Anna Lanier-Comar
Counselor, LCMHC
Verified Verified
Goldsboro, NC 27534  (Online Only)
I have been practicing in the mental health field for 17 years. I served in the Air Force Reserves for 8 years as a Mental Health Technician while earning my MA in Clinical Mental Health Counseling. I completed the requirements for Licensure while working at an inpatient Eating Disorder Facility in North Carolina. I have been practicing as a Licensed Therapist since 2017. Most of my professional experience is in treating Anxiety, Depression, Bipolar disorder, Borderline personality disorder and Eating disorders. I use a few different modalities in therapy.
I have been practicing in the mental health field for 17 years. I served in the Air Force Reserves for 8 years as a Mental Health Technician while earning my MA in Clinical Mental Health Counseling. I completed the requirements for Licensure while working at an inpatient Eating Disorder Facility in North Carolina. I have been practicing as a Licensed Therapist since 2017. Most of my professional experience is in treating Anxiety, Depression, Bipolar disorder, Borderline personality disorder and Eating disorders. I use a few different modalities in therapy.
(704) 486-9429 View (704) 486-9429
Photo of Imani White, Clinical Social Work/Therapist in Northampton County, NC
Imani White
Clinical Social Work/Therapist, LCSWA
Verified Verified
Apex, NC 27502
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, or depression, 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, or depression, 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.
(919) 736-6291 View (919) 736-6291
Photo of Sarah Berro, Lic Clinical Mental Health Counselor Associate in Northampton County, NC
Sarah Berro
Lic Clinical Mental Health Counselor Associate, LCMHCA, CRC
Verified Verified
2 Endorsed
Durham, NC 27707
Waitlist for new clients
depression, bipolar), BPD, anxiety, trauma and PTSD, and AD/HD.
Are you struggling to cope with difficult emotions? Whether you're dealing with mental health issues or life changes, I am here to help. Finding a therapist who is a good fit is a bit like making a friend. So here’s some information about my therapy style: it is down-to-earth, empathetic, and honest. For me, it is important to create a non-judgmental and supportive environment where clients can process emotions, problem-solve, and learn new skills. As an intersectional feminist, I strive to make my therapy space safe and welcoming for the LGBTQ+ community, people of color, neurodivergent individuals, and other marginalized groups.
depression, bipolar), BPD, anxiety, trauma and PTSD, and AD/HD.
Are you struggling to cope with difficult emotions? Whether you're dealing with mental health issues or life changes, I am here to help. Finding a therapist who is a good fit is a bit like making a friend. So here’s some information about my therapy style: it is down-to-earth, empathetic, and honest. For me, it is important to create a non-judgmental and supportive environment where clients can process emotions, problem-solve, and learn new skills. As an intersectional feminist, I strive to make my therapy space safe and welcoming for the LGBTQ+ community, people of color, neurodivergent individuals, and other marginalized groups.
(919) 891-8389 View (919) 891-8389
Photo of Katelyn Swan, Clinical Social Work/Therapist in Northampton County, NC
Katelyn Swan
Clinical Social Work/Therapist, LCSW
Verified Verified
Durham, NC 27703
I am a Licensed Clinical Social Worker (LCSW) in North Carolina. I obtained my undergraduate degree in Psychology and Women’s Studies from the University of North Carolina at Chapel Hill. I graduated with a Master's in Social Work (MSW) from the University of North Carolina at Wilmington. In addition to specializing in the treatment of eating disorders, I am also interested in treating co-occurring disorders such as anxiety, depression, bipolar disorder, borderline personality disorder (BPD), and post-traumatic stress disorder (PTSD).
I am a Licensed Clinical Social Worker (LCSW) in North Carolina. I obtained my undergraduate degree in Psychology and Women’s Studies from the University of North Carolina at Chapel Hill. I graduated with a Master's in Social Work (MSW) from the University of North Carolina at Wilmington. In addition to specializing in the treatment of eating disorders, I am also interested in treating co-occurring disorders such as anxiety, depression, bipolar disorder, borderline personality disorder (BPD), and post-traumatic stress disorder (PTSD).
(919) 849-8506 View (919) 849-8506
Photo of Peri Counseling, PLLC, Licensed Professional Counselor in Northampton County, NC
Peri Counseling, PLLC
Licensed Professional Counselor, MS, LCMHC, LCAS
Verified Verified
Greenville, NC 27858
I have a special interest in working with adolescents and adults diagnosed with borderline personality disorder and/or eating disorders.
If you're unable to reach your goals because of negative behaviors and your emotions are out of control, or if you simply want a safe environment to express your feelings, then professional counseling is the answer. With my support, clients learn to replace negativity with positivity and lead more serene and emotionally stable lives. I also help clients gain freedom by teaching actionable skills to change their detrimental core beliefs, strengthen relationships, and maintain healthy boundaries. An emphasis is placed on helping people learn to build resiliency by releasing shame and increasing self-esteem.
I have a special interest in working with adolescents and adults diagnosed with borderline personality disorder and/or eating disorders.
If you're unable to reach your goals because of negative behaviors and your emotions are out of control, or if you simply want a safe environment to express your feelings, then professional counseling is the answer. With my support, clients learn to replace negativity with positivity and lead more serene and emotionally stable lives. I also help clients gain freedom by teaching actionable skills to change their detrimental core beliefs, strengthen relationships, and maintain healthy boundaries. An emphasis is placed on helping people learn to build resiliency by releasing shame and increasing self-esteem.
(252) 368-8247 View (252) 368-8247
Photo of Ariel Dale, Marriage & Family Therapist Associate in Northampton County, NC
Ariel Dale
Marriage & Family Therapist Associate, LMFTA
Verified Verified
2 Endorsed
Cary, NC 27511
My approach to therapy is non judgemental, trauma-informed, and LGBTQIA+/gender affirming. I specialize in working with clients who are exploring gender or sexual identities, childhood trauma, PTSD, individuals late diagnosed with ADHD or seeking ADHD diagnosis, depression, borderline personality disorder, and anxiety. I work with children, adults and couples to support you through difficult moments, explore how the past impacts you today, strengthen your relationships, and build awareness and understanding of your emotions.
My approach to therapy is non judgemental, trauma-informed, and LGBTQIA+/gender affirming. I specialize in working with clients who are exploring gender or sexual identities, childhood trauma, PTSD, individuals late diagnosed with ADHD or seeking ADHD diagnosis, depression, borderline personality disorder, and anxiety. I work with children, adults and couples to support you through difficult moments, explore how the past impacts you today, strengthen your relationships, and build awareness and understanding of your emotions.
(984) 265-2361 View (984) 265-2361
Photo of Stacia Crick-Brommel, Clinical Social Work/Therapist in Northampton County, NC
Stacia Crick-Brommel
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Cary, NC 27513  (Online Only)
I have treated Borderline Personality Disorder and Narcissistic Relationships for many years.
I am a Licensed Clinical Social Worker with over 15 years of experience providing evidence-based therapy to adolescents, children, and adults. In my work, I explore ways to find the best therapy for each individual that will help him/her return to an emotional balance enabling more enjoyment in life and improving all interpersonal relationships. I do my best to practice the tenets of empathy and unconditional positive regard while using an eclectic approach that informs my therapy including Humanistic, Family Systems, CBT, DBT, Solutions Focused, schematic therapy, reality, and relational therapy.
I have treated Borderline Personality Disorder and Narcissistic Relationships for many years.
I am a Licensed Clinical Social Worker with over 15 years of experience providing evidence-based therapy to adolescents, children, and adults. In my work, I explore ways to find the best therapy for each individual that will help him/her return to an emotional balance enabling more enjoyment in life and improving all interpersonal relationships. I do my best to practice the tenets of empathy and unconditional positive regard while using an eclectic approach that informs my therapy including Humanistic, Family Systems, CBT, DBT, Solutions Focused, schematic therapy, reality, and relational therapy.
(828) 373-8607 View (828) 373-8607
Photo of Emma Van Horne, Clinical Social Work/Therapist in Northampton County, NC
Emma Van Horne
Clinical Social Work/Therapist, MSW, LCSWA
Verified Verified
2 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.
(919) 861-4111 View (919) 861-4111
Photo of Katherine H Schulz, Clinical Social Work/Therapist in Northampton County, NC
Katherine H Schulz
Clinical Social Work/Therapist, LCSW
Verified Verified
Raleigh, NC 27615  (Online Only)
I treat clients who have difficulty with borderline personality disorder, depression, anxiety, obsessive compulsive disorder, bipolar disorder as well as clients in the midst of a major life transition or grief. Many of my clients struggle to regulate their emotions. They either avoid emotions altogether or feel explosive or out of control of their emotions.
I treat clients who have difficulty with borderline personality disorder, depression, anxiety, obsessive compulsive disorder, bipolar disorder as well as clients in the midst of a major life transition or grief. Many of my clients struggle to regulate their emotions. They either avoid emotions altogether or feel explosive or out of control of their emotions.
(925) 259-3408 View (925) 259-3408
Photo of Bethany Lindemuth, Clinical Social Work/Therapist in Northampton County, NC
Bethany Lindemuth
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Holly Springs, NC 27540
Now accepting new clients for in-person and video sessions. I work with teens and adults struggling with anxiety, depression, disordered eating, life transitions, and borderline personality disorder. You’re tired of being depressed or anxious all the time. On the outside, you look put together; on the inside, you feel like it’s all falling apart. You want to make changes, but you’re not sure where to start. And everything feels difficult. Therapy can help.
Now accepting new clients for in-person and video sessions. I work with teens and adults struggling with anxiety, depression, disordered eating, life transitions, and borderline personality disorder. You’re tired of being depressed or anxious all the time. On the outside, you look put together; on the inside, you feel like it’s all falling apart. You want to make changes, but you’re not sure where to start. And everything feels difficult. Therapy can help.
(919) 343-9895 View (919) 343-9895

See more therapy options for Northampton County

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.