Therapists in Chesterfield County, VA
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Check out therapists located nearby or offering teletherapy in Virginia below.Online Therapists
Simona Efanov
Psychologist, PsyD
Verified Verified
2 Endorsed
Arlington, VA 22202
Not Accepting New Clients I believe people continue to grow and foster their self-concept over time. Sudden life changes, chronic stress, and ongoing personal difficulties are challenging and affect how we adjust to life transitions. I see therapy as a process aiming to empower individuals to embrace their true self, foster self-awareness and personal growth. I aim to create a trusting environment for individuals and couples to explore recurrent patterns in relationships and cope with distressing emotions. I work with trauma survivors, first responders, law enforcement, and military families. I also specialize in couples counseling.
Not Accepting New Clients I believe people continue to grow and foster their self-concept over time. Sudden life changes, chronic stress, and ongoing personal difficulties are challenging and affect how we adjust to life transitions. I see therapy as a process aiming to empower individuals to embrace their true self, foster self-awareness and personal growth. I aim to create a trusting environment for individuals and couples to explore recurrent patterns in relationships and cope with distressing emotions. I work with trauma survivors, first responders, law enforcement, and military families. I also specialize in couples counseling.
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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.