Photo of Pauquette Center for Psychological Services, Psychologist in Wisconsin
Pauquette Center for Psychological Services
Psychologist, PsyD, DBT-LBC
Verified Verified
Madison, WI 53704  (Online Only)
Chapin specializes in treatment of trauma & delivery of Dialectical Behavior Therapy (DBT) for the treatment of Borderline Personality Disorder and other problems in living including suicide attempts, self-harm, impulsive behavior, substance use, aggression, & difficulty regulating emotions.
Have you been struggling with suicidal thoughts, self-injury, or other high risk behaviors? Do you have difficulty navigating your relationships in ways you feel good about or feel frequently misunderstood by others? Are you frequently overwhelmed by your emotions? If any of this sounds like you, Dr. Chapin and the Pauquette Center can help. We specialize in providing treatments that can help manage personal and emotional chaos and help you to feel more in control.
Chapin specializes in treatment of trauma & delivery of Dialectical Behavior Therapy (DBT) for the treatment of Borderline Personality Disorder and other problems in living including suicide attempts, self-harm, impulsive behavior, substance use, aggression, & difficulty regulating emotions.
Have you been struggling with suicidal thoughts, self-injury, or other high risk behaviors? Do you have difficulty navigating your relationships in ways you feel good about or feel frequently misunderstood by others? Are you frequently overwhelmed by your emotions? If any of this sounds like you, Dr. Chapin and the Pauquette Center can help. We specialize in providing treatments that can help manage personal and emotional chaos and help you to feel more in control.
(608) 299-6527 View (608) 299-6527
Photo of Stephanie Payne Capecchi, Clinical Social Work/Therapist in Wisconsin
Stephanie Payne Capecchi
Clinical Social Work/Therapist, LCSW
Verified Verified
3 Endorsed
Monona, WI 53716
I’ve been working with people with the set of symptoms that we call borderline personality disorder since 2018.
Having borderline personality disorder can be excruciating. Relationships feel scary and unpredictable, and like you might not survive another rejection. Sometimes things feel amazing and sometimes they feel so bad you don’t even want to be alive. It can be hard to find a therapist who understands, and who has the training to work with your specific needs. Together, we can work towards feeling more confident, peaceful, and sure of who you are.
I’ve been working with people with the set of symptoms that we call borderline personality disorder since 2018.
Having borderline personality disorder can be excruciating. Relationships feel scary and unpredictable, and like you might not survive another rejection. Sometimes things feel amazing and sometimes they feel so bad you don’t even want to be alive. It can be hard to find a therapist who understands, and who has the training to work with your specific needs. Together, we can work towards feeling more confident, peaceful, and sure of who you are.
(608) 570-7924 View (608) 570-7924
Photo of Healthy Minds Healing Hearts LLC, Clinical Social Work/Therapist in Wisconsin
Healthy Minds Healing Hearts LLC
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Mequon, WI 53097
Waitlist for new clients
Brittany is a Certified-DBT therapist and specializes in helping teens and adults dealing with anxiety, depression, and Borderline Personality Disorder as well as those struggling with self harm and suicidal ideations.
Brittany brings a direct, honest, and goal-oriented personality to every session and is not afraid to challenge you to help you to grow.
Brittany is a Certified-DBT therapist and specializes in helping teens and adults dealing with anxiety, depression, and Borderline Personality Disorder as well as those struggling with self harm and suicidal ideations.
Brittany brings a direct, honest, and goal-oriented personality to every session and is not afraid to challenge you to help you to grow.
(262) 214-3678 View (262) 214-3678
Photo of Susan A. Ringle, Licensed Professional Counselor in Wisconsin
Susan A. Ringle
Licensed Professional Counselor, MS, LPC, LPCC, RPT-S
Verified Verified
Waukesha, WI 53188  (Online Only)
Additionally, I am experienced in successfully treating Borderline Personality, Attachment & Adoptions issues, parent-child/adolescent conflicts, and family and family systems distress.
A sense of safety is critical for progress in psychotherapy, and I take care to provide that sense of safety for each person I serve. I appreciate the uniqueness of each person and family I encounter, and work in partnership with them to create their own unique healing process, based upon proven treatments, solid research, and recent advances in treatment protocol. I am a certified trauma counselor, registered play therapist, and Theraplay practitioner and trainer. I provide family therapy that prioritizes the value of each member of the family, healing individuals and relationships, and building or rebuilding healthy family dynamics.
Additionally, I am experienced in successfully treating Borderline Personality, Attachment & Adoptions issues, parent-child/adolescent conflicts, and family and family systems distress.
A sense of safety is critical for progress in psychotherapy, and I take care to provide that sense of safety for each person I serve. I appreciate the uniqueness of each person and family I encounter, and work in partnership with them to create their own unique healing process, based upon proven treatments, solid research, and recent advances in treatment protocol. I am a certified trauma counselor, registered play therapist, and Theraplay practitioner and trainer. I provide family therapy that prioritizes the value of each member of the family, healing individuals and relationships, and building or rebuilding healthy family dynamics.
(262) 600-3145 View (262) 600-3145
Photo of Lisa R Herpolsheimer, Clinical Social Work/Therapist in Wisconsin
Lisa R Herpolsheimer
Clinical Social Work/Therapist, LCSW, C-DBT, CCTP-II
Verified Verified
Delafield, WI 53018
Waitlist for new clients
I use Dialectical Behavior Therapy (DBT), persons 12yrs-Adult are my focus. I use a strengths-based approach, compassionate acceptance, & DBT Skills Training to help people with sensitive emotions. My style is warm and engaging. I am DBT-Trained through Marsha Linehan's B-Tech Institute which provides the highest caliber of DBT training available. I have advanced training and the expertise to care for: Persons with Borderline Personality Disorder, Depression, Anxiety, OCD and Complex Trauma. Please TEXT me directly and privately for the fastest response to your inquiry at: (262) 744-5201.
I use Dialectical Behavior Therapy (DBT), persons 12yrs-Adult are my focus. I use a strengths-based approach, compassionate acceptance, & DBT Skills Training to help people with sensitive emotions. My style is warm and engaging. I am DBT-Trained through Marsha Linehan's B-Tech Institute which provides the highest caliber of DBT training available. I have advanced training and the expertise to care for: Persons with Borderline Personality Disorder, Depression, Anxiety, OCD and Complex Trauma. Please TEXT me directly and privately for the fastest response to your inquiry at: (262) 744-5201.
(262) 214-6560 View (262) 214-6560
Photo of Kristen Serchen, Clinical Social Work/Therapist in Wisconsin
Kristen Serchen
Clinical Social Work/Therapist, LCSW
Verified Verified
Milwaukee, WI 53202  (Online Only)
One of my passions is working with borderline personality disorder and individuals who are having difficulty managing their emotions, relationships with others, and self-destructive behaviors.
Welcome! I believe therapy can be life-changing and I am committed to supporting you on your personal journey toward healing, growth, and well-being. As an experienced therapist, I can help reduce the stress you are feeling. My goal is to provide a warm, safe, and supportive environment where you'll receive compassionate support to work through your troubles and reach your goals.
One of my passions is working with borderline personality disorder and individuals who are having difficulty managing their emotions, relationships with others, and self-destructive behaviors.
Welcome! I believe therapy can be life-changing and I am committed to supporting you on your personal journey toward healing, growth, and well-being. As an experienced therapist, I can help reduce the stress you are feeling. My goal is to provide a warm, safe, and supportive environment where you'll receive compassionate support to work through your troubles and reach your goals.
(262) 300-7265 View (262) 300-7265
Photo of Nichole Baumgartner, Licensed Professional Counselor in Wisconsin
Nichole Baumgartner
Licensed Professional Counselor, MA, LPC
Verified Verified
Green Bay, WI 54301
Waitlist for new clients
I support neurodivergent adults (ADHD, Autism, BPD, PTSD, etc) in better understanding their brains and creating systems that actually work for them. So often my clients tell me that they feel like everyone else got a user manual for life but they were absent that day so I work with folks to create a better user manual for their unique brains so they can navigate life with more ease and focus on what matters to them most.
I support neurodivergent adults (ADHD, Autism, BPD, PTSD, etc) in better understanding their brains and creating systems that actually work for them. So often my clients tell me that they feel like everyone else got a user manual for life but they were absent that day so I work with folks to create a better user manual for their unique brains so they can navigate life with more ease and focus on what matters to them most.
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Photo of Cora Reuter Looker, Licensed Professional Counselor in Wisconsin
Cora Reuter Looker
Licensed Professional Counselor, LPC
Verified Verified
Eau Claire, WI 54701
Passionate about helping others, I offer a space that is safe and genuine to members of the LGBTQIA+ community, and offer services to adults, couples, and adolescents. I have extensive experience and a desire to work with individuals who have experienced the impacts of trauma in their lives. Trauma looks different for everyone and working through those memories, emotions, and body sensations can be both scary and painful. Meeting you where you are at in your journey to create personalized goals with intention is my highest priority.
Passionate about helping others, I offer a space that is safe and genuine to members of the LGBTQIA+ community, and offer services to adults, couples, and adolescents. I have extensive experience and a desire to work with individuals who have experienced the impacts of trauma in their lives. Trauma looks different for everyone and working through those memories, emotions, and body sensations can be both scary and painful. Meeting you where you are at in your journey to create personalized goals with intention is my highest priority.
(715) 402-4115 View (715) 402-4115
Edelweiss Behavioral Health LLC
Counselor, LPC
Verified Verified
Madison, WI 53717
Our goal at Edelweiss Behavioral Health is to provide specialized treatment to individuals struggling with Eating Disorders and Obsessive Compulsive Disorders. We provide group therapy and individual therapy. We are now also offering medication management! Our experienced staff works collaboratively with each client to provide patient centered, individualized support to encourage recovery goals. Please note, we do see individuals with any mental health struggles, however we only do Intensive Outpatient Treatment (group therapy) for those struggling with Eating Disorders and Obsessive Compulsive Disorders.
Our goal at Edelweiss Behavioral Health is to provide specialized treatment to individuals struggling with Eating Disorders and Obsessive Compulsive Disorders. We provide group therapy and individual therapy. We are now also offering medication management! Our experienced staff works collaboratively with each client to provide patient centered, individualized support to encourage recovery goals. Please note, we do see individuals with any mental health struggles, however we only do Intensive Outpatient Treatment (group therapy) for those struggling with Eating Disorders and Obsessive Compulsive Disorders.
(608) 360-9805 View (608) 360-9805
Photo of Andrew Royal, Licensed Professional Counselor in Wisconsin
Andrew Royal
Licensed Professional Counselor, JD, MS, LPC
Verified Verified
2 Endorsed
Milwaukee, WI 53202
My clients tend to be intelligent and insightful individuals who come to work with me because they suffer from despair and disorder. They have tried to resolve their troubles and cope with their uneasiness for a long time--often partly successfully, and against strong odds--but they have reached a point where they want extra support and insight in order to finally transform their suffering into meaningfulness and growth. With consistency, dedication, patience and focus, I help my clients achieve deep and lasting emotional transformation.
My clients tend to be intelligent and insightful individuals who come to work with me because they suffer from despair and disorder. They have tried to resolve their troubles and cope with their uneasiness for a long time--often partly successfully, and against strong odds--but they have reached a point where they want extra support and insight in order to finally transform their suffering into meaningfulness and growth. With consistency, dedication, patience and focus, I help my clients achieve deep and lasting emotional transformation.
(262) 533-0018 View (262) 533-0018
Photo of Nicole Ann Millerd, Clinical Social Work/Therapist in Wisconsin
Nicole Ann Millerd
Clinical Social Work/Therapist, BS, MSW, LCSW
Verified Verified
1 Endorsed
Oshkosh, WI 54901
Waitlist for new clients
Welcome, and congratulations on taking the first step to living your best life! Are you struggling with a pattern of unhealthy and unsatisfying relationships or recovering from a painful breakup or divorce? I can help you heal and create the space for healthier, more satisfying relationships in the future. Are you struggling with the depression, anxiety, and isolation that comes with navigating a global pandemic? Have you experienced physical, sexual, and emotional abuse and are unsure of where to turn to? Do you struggle to regain power and agency over a life overwhelmed by trauma? Better days are on the horizon!
Welcome, and congratulations on taking the first step to living your best life! Are you struggling with a pattern of unhealthy and unsatisfying relationships or recovering from a painful breakup or divorce? I can help you heal and create the space for healthier, more satisfying relationships in the future. Are you struggling with the depression, anxiety, and isolation that comes with navigating a global pandemic? Have you experienced physical, sexual, and emotional abuse and are unsure of where to turn to? Do you struggle to regain power and agency over a life overwhelmed by trauma? Better days are on the horizon!
(920) 245-8613 View (920) 245-8613
Photo of DBT Counseling, Clinical Social Work/Therapist in Wisconsin
DBT Counseling
Clinical Social Work/Therapist, LCSW
Verified Verified
5 Endorsed
Fitchburg, WI 53711
“I dont deserve to be happy” or “ I feel like I’m all over the place” or "I am an emotional mess.” Can you identify with any variation of this? I know what you are going through and can help. I can help teach you effective ways in which to control your emotions and feel comfortable in your own skin. Along the way, I hope to develop a working relationship with you and guide you in developing positive habits that can help you find a life worth living. Additionally, DBT Counseling now offers RO DBT (Radically Open DBT) which has been proven effective in treating Chronic Depression, Resistant Anxiety Disorders and other challenges.
“I dont deserve to be happy” or “ I feel like I’m all over the place” or "I am an emotional mess.” Can you identify with any variation of this? I know what you are going through and can help. I can help teach you effective ways in which to control your emotions and feel comfortable in your own skin. Along the way, I hope to develop a working relationship with you and guide you in developing positive habits that can help you find a life worth living. Additionally, DBT Counseling now offers RO DBT (Radically Open DBT) which has been proven effective in treating Chronic Depression, Resistant Anxiety Disorders and other challenges.
(404) 949-8275 View (404) 949-8275
Photo of Austin Weber, Marriage & Family Therapist Associate in Wisconsin
Austin Weber
Marriage & Family Therapist Associate, LMFT-A, MFT-IT, LCDC
Verified Verified
1 Endorsed
Oconomowoc, WI 53066
My specialty is working with couples who have been impacted by substance abuse, along with those that have stopped believing in themselves. I believe in working with the whole family system focusing on healing the internal conflict that lies within the system. I do this by using several therapeutic approaches such as Internal Family Systems, Structural Family Therapy, Emotional Focused Couples Therapy, Narrative Therapy, and Motivational Interviewing. I work with my clients on addressing attachment injuries, internal conflict, finding internal balance, and increasing individuals' confidence in themselves.
My specialty is working with couples who have been impacted by substance abuse, along with those that have stopped believing in themselves. I believe in working with the whole family system focusing on healing the internal conflict that lies within the system. I do this by using several therapeutic approaches such as Internal Family Systems, Structural Family Therapy, Emotional Focused Couples Therapy, Narrative Therapy, and Motivational Interviewing. I work with my clients on addressing attachment injuries, internal conflict, finding internal balance, and increasing individuals' confidence in themselves.
(737) 637-4079 View (737) 637-4079
Photo of Serenity Counseling Services, Licensed Professional Counselor in Wisconsin
Serenity Counseling Services
Licensed Professional Counselor, LPC, SAC-IT, MS
Verified Verified
Waukesha, WI 53188
Client problems come in all shapes and sizes, with all kinds of different life experiences and reasons and needs. Problems are common in the world, and it is hard to shoulder the responsibilities set on our shoulders. It can feel lonely with the burden that people carry, and it seems reasonable to find ways to meet needs that are not being met. Sometimes these can be unhealthy habits that just cause more problems. Sometimes, it leads to a build up of pressure until everything is overwhelming and out of control. It disrupts our Serenity, and building this back up sometimes needs a helper.
Client problems come in all shapes and sizes, with all kinds of different life experiences and reasons and needs. Problems are common in the world, and it is hard to shoulder the responsibilities set on our shoulders. It can feel lonely with the burden that people carry, and it seems reasonable to find ways to meet needs that are not being met. Sometimes these can be unhealthy habits that just cause more problems. Sometimes, it leads to a build up of pressure until everything is overwhelming and out of control. It disrupts our Serenity, and building this back up sometimes needs a helper.
(262) 444-0257 View (262) 444-0257
Photo of Rhonda Madsen, Clinical Social Work/Therapist in Wisconsin
Rhonda Madsen
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
1 Endorsed
La Crosse, WI 54601
I am a mental health counselor and a Holy Fire III Karuna Reiki Master Practitioner. During counseling sessions, I interweave traditional therapy practices with the energy healing techniques of Reiki, and am also informed by ThetaHealing and Pranic Healing techniques, and by my learnings from my Shamanic studies. I incorporate spiritual work and forms of energy healing into counseling sessions to assist people in growth and healing. The goal of our time together is for you to deeply connect with the truth that you have everything inside of you that you need to be whole, happy, and thriving.
I am a mental health counselor and a Holy Fire III Karuna Reiki Master Practitioner. During counseling sessions, I interweave traditional therapy practices with the energy healing techniques of Reiki, and am also informed by ThetaHealing and Pranic Healing techniques, and by my learnings from my Shamanic studies. I incorporate spiritual work and forms of energy healing into counseling sessions to assist people in growth and healing. The goal of our time together is for you to deeply connect with the truth that you have everything inside of you that you need to be whole, happy, and thriving.
(608) 200-2386 View (608) 200-2386
Photo of Paul M Smerz, Psychologist in Wisconsin
Paul M Smerz
Psychologist, PhD
Verified Verified
1 Endorsed
Milwaukee, WI 53217
As a clinical psychologist I strive to provide a transformative experience that not only resolves the symptoms and issues that brought you to treatment, but also develops deeper insight and awareness that promotes lasting change. I work to collaborate with you to develop a plan for continued growth that reflects your life-long plans, goals, and unmet needs. To that end, I strive to facilitate an experience for you of change in those aspects of your life that are most meaningful to you, including your inner world, relationships, spiritual beliefs, work life and world views.
As a clinical psychologist I strive to provide a transformative experience that not only resolves the symptoms and issues that brought you to treatment, but also develops deeper insight and awareness that promotes lasting change. I work to collaborate with you to develop a plan for continued growth that reflects your life-long plans, goals, and unmet needs. To that end, I strive to facilitate an experience for you of change in those aspects of your life that are most meaningful to you, including your inner world, relationships, spiritual beliefs, work life and world views.
(414) 905-3081 x470 View (414) 905-3081 x470
Photo of Behavioral Health Clinic (BHC), Psychologist in Wisconsin
Behavioral Health Clinic (BHC)
Psychologist, PhD, PsyD, LPC
Verified Verified
2 Endorsed
Wausau, WI 54401
Behavioral Health Clinic (BHC) has locations in Fort Atkinson, Madison, Manitowish Waters, Marshfield, Wausau and Stevens Point Wisconsin. Our clinicians offer clinically proven, empirically-based treatment interventions for most mental health issues. All clinicians at Behavioral Health Clinic work together in a collaborative environment so that clients receive optimal care. The staff at Behavioral Health Clinic would like potential clients to know that they strive to provide a relaxed and confidential place to fulfill their mission in making Wisconsin a healthier place.
Behavioral Health Clinic (BHC) has locations in Fort Atkinson, Madison, Manitowish Waters, Marshfield, Wausau and Stevens Point Wisconsin. Our clinicians offer clinically proven, empirically-based treatment interventions for most mental health issues. All clinicians at Behavioral Health Clinic work together in a collaborative environment so that clients receive optimal care. The staff at Behavioral Health Clinic would like potential clients to know that they strive to provide a relaxed and confidential place to fulfill their mission in making Wisconsin a healthier place.
(715) 802-2146 View (715) 802-2146
Photo of Mindful Living Counseling, LLC, Licensed Professional Counselor in Wisconsin
Mindful Living Counseling, LLC
Licensed Professional Counselor, LPC
Verified Verified
1 Endorsed
Oshkosh, WI 54901  (Online Only)
Are past experiences holding you back in life from participating in relationships, feeling confident in your daily life endeavors or achieving your personal goals? I have a passion for helping individuals to process through events that are interfering with them enjoying and actively participating in their lives in present time. I have extensive experience working with people struggling from trauma, and am a certified Brainspotting Therapist, as well as trained in EMDR and IFS Therapy. Therapy is a relationship, and I treat each of my clients with respect and integrity, approaching this relationship in a warm, validating manner.
Are past experiences holding you back in life from participating in relationships, feeling confident in your daily life endeavors or achieving your personal goals? I have a passion for helping individuals to process through events that are interfering with them enjoying and actively participating in their lives in present time. I have extensive experience working with people struggling from trauma, and am a certified Brainspotting Therapist, as well as trained in EMDR and IFS Therapy. Therapy is a relationship, and I treat each of my clients with respect and integrity, approaching this relationship in a warm, validating manner.
(920) 376-9879 View (920) 376-9879
Photo of Garrett Wilk, Licensed Professional Counselor in Wisconsin
Garrett Wilk
Licensed Professional Counselor, LPC, SAC
Verified Verified
2 Endorsed
Milwaukee, WI 53211
I am interested in the challenges and advantages of what it means to be highly sensitive or an empath. As a therapist, I am drawn to those who tend to struggle with issues like depression, life transitions/change, worry, anxiety, perfectionism, rumination, social anxiety, self-doubt, shame, and feelings of meaninglessness. I am here to help you through your challenges and provide support. My approach is to non-judgmentally understand what drives the behaviors that seem so difficult to change. I am dedicated to establishing an authentic, intentional, and trusting relationship.
I am interested in the challenges and advantages of what it means to be highly sensitive or an empath. As a therapist, I am drawn to those who tend to struggle with issues like depression, life transitions/change, worry, anxiety, perfectionism, rumination, social anxiety, self-doubt, shame, and feelings of meaninglessness. I am here to help you through your challenges and provide support. My approach is to non-judgmentally understand what drives the behaviors that seem so difficult to change. I am dedicated to establishing an authentic, intentional, and trusting relationship.
(262) 649-7576 View (262) 649-7576
Photo of Mind Body Spirit Program, Psychologist in Wisconsin
Mind Body Spirit Program
Psychologist, PhD
Verified Verified
Shorewood, WI 53211
Immediate Appointments Available Visit www.mindbodyspiritprogram.com. We treat each client with the the respect and compassion they deserve. We work as a team to help each client accomplish their goals, fulfill their potential and live their best life. Each client has rheir own story and we collaboratively design a plan to accomplish success. We believe that providing a ZERO judgement zone is crucial. We will be your guide, mentor, and biggest cheerleader. Together we will accomplish your goals so you can live the life you were meant to live
Immediate Appointments Available Visit www.mindbodyspiritprogram.com. We treat each client with the the respect and compassion they deserve. We work as a team to help each client accomplish their goals, fulfill their potential and live their best life. Each client has rheir own story and we collaboratively design a plan to accomplish success. We believe that providing a ZERO judgement zone is crucial. We will be your guide, mentor, and biggest cheerleader. Together we will accomplish your goals so you can live the life you were meant to live
(262) 217-7809 View (262) 217-7809
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.