Borderline Personality (BPD) Therapists in Aurora, ON

Photo of Daria Coulombe, MA, CCTS-I, AW, Registered Psychotherapist (Qualifying)
Daria Coulombe
Registered Psychotherapist (Qualifying), MA, CCTS-I, AW
Verified Verified
2 Endorsed
Aurora, ON L4G  (Online Only)
I have work experience with clients facing addiction, low self-esteem, Borderline Personality Disorder, Bipolar Disorder, mood swings, depression, anxiety, and other mental health challenges.
I work with people who are struggling with intense emotions like mood swings, emptiness, or deep sadness, and those who feel stuck in unhealthy relationships or life patterns. Some of my clients have faced difficult past experiences that make it hard to trust others, feel secure, or connect deeply in relationships. They might carry a sense of shame or guilt, often feel anxious or on edge, and struggle with feeling safe or understood. Many also turn to substances as a way to cope with these overwhelming feelings, leading to challenges with addiction. In addition, they may be dealing with big life changes.
I have work experience with clients facing addiction, low self-esteem, Borderline Personality Disorder, Bipolar Disorder, mood swings, depression, anxiety, and other mental health challenges.
I work with people who are struggling with intense emotions like mood swings, emptiness, or deep sadness, and those who feel stuck in unhealthy relationships or life patterns. Some of my clients have faced difficult past experiences that make it hard to trust others, feel secure, or connect deeply in relationships. They might carry a sense of shame or guilt, often feel anxious or on edge, and struggle with feeling safe or understood. Many also turn to substances as a way to cope with these overwhelming feelings, leading to challenges with addiction. In addition, they may be dealing with big life changes.
(249) 488-3705 View (249) 488-3705
Photo of Adriana King Aurora Therapy Neurofeedback, MA, CTIC, RP, Registered Psychotherapist
Adriana King Aurora Therapy Neurofeedback
Registered Psychotherapist, MA, CTIC, RP
Verified Verified
2 Endorsed
Aurora, ON L4G
I am a passionate therapist dedicated working with clients who have experienced childhood-developmental trauma, relational trauma, intimate partner abuse, bullying, or PTSD. Clients that experience traumatic events tend to struggle with on-going anxiety and depression, relationship issues, become labelled as bipolar and experience borderline personality disorder. Do you struggle with eating disorders, addictions, self-harming behaviours & suicided ideation? Have you tried talk-therapy but achieved suboptimal results, and are looking for alternative treatment to avoid relying on medication alone? Let's explore clinical Neurofeedback!
I am a passionate therapist dedicated working with clients who have experienced childhood-developmental trauma, relational trauma, intimate partner abuse, bullying, or PTSD. Clients that experience traumatic events tend to struggle with on-going anxiety and depression, relationship issues, become labelled as bipolar and experience borderline personality disorder. Do you struggle with eating disorders, addictions, self-harming behaviours & suicided ideation? Have you tried talk-therapy but achieved suboptimal results, and are looking for alternative treatment to avoid relying on medication alone? Let's explore clinical Neurofeedback!
(289) 236-0191 View (289) 236-0191
Photo of Kaitlyn Martino, MA, Registered Psychotherapist
Kaitlyn Martino
Registered Psychotherapist, MA
Verified Verified
8 Endorsed
Aurora, ON L4H
I have worked with individuals facing varying life challenges and/or diagnosis, including borderline personality disorder, anxiety, depression, PTSD, Autism, ADHD & dual diagnosis.
We all need support in navigating life’s hardships, which can leave us feeling stuck, alone and overwhelmed. I strive to create a safe, caring, collaborative and supportive environment for you to explore life’s hardships, while also encouraging you to recognize your strengths. It is important for me to create connection, understanding, compassion, empathy and self-growth in your therapeutic experience. My goal is to support you in developing tools and coping strategies, while also digging deeper to create understanding of the underlying origin of patterns and themes within your life that are no longer serving you.
I have worked with individuals facing varying life challenges and/or diagnosis, including borderline personality disorder, anxiety, depression, PTSD, Autism, ADHD & dual diagnosis.
We all need support in navigating life’s hardships, which can leave us feeling stuck, alone and overwhelmed. I strive to create a safe, caring, collaborative and supportive environment for you to explore life’s hardships, while also encouraging you to recognize your strengths. It is important for me to create connection, understanding, compassion, empathy and self-growth in your therapeutic experience. My goal is to support you in developing tools and coping strategies, while also digging deeper to create understanding of the underlying origin of patterns and themes within your life that are no longer serving you.
(289) 312-8375 View (289) 312-8375
Photo of Cynthia Di Prospero, MACP, MSc, Registered Psychotherapist (Qualifying)
Cynthia Di Prospero
Registered Psychotherapist (Qualifying), MACP, MSc
Verified Verified
Aurora, ON L4G  (Online Only)
If you are someone who is interested in understanding how your past influences your present we would be a great fit. I have experience helping individuals struggling with trauma, anxiety, depression, transitions (career and relationship transitions, as well as pregnancy and postpartum), low self-esteem, ADHD and BPD. I have an attachment focus but I draw on several approaches in treatment including person-centered therapy, DBT, narrative therapy and CBT.
If you are someone who is interested in understanding how your past influences your present we would be a great fit. I have experience helping individuals struggling with trauma, anxiety, depression, transitions (career and relationship transitions, as well as pregnancy and postpartum), low self-esteem, ADHD and BPD. I have an attachment focus but I draw on several approaches in treatment including person-centered therapy, DBT, narrative therapy and CBT.
(365) 675-0767 View (365) 675-0767
Photo of Sarah Pirrotta - About: Anxiety, Depression, Stress- Sarah Pirrotta, RP, CCC, MACP, BFA, Registered Psychotherapist
About: Anxiety, Depression, Stress- Sarah Pirrotta
Registered Psychotherapist, RP, CCC, MACP, BFA
Verified Verified
8 Endorsed
Aurora, ON L4G  (Online Only)
I specialize in areas of anxiety, depression, anger, borderline personality disorder, grief, self esteem, stress, trauma, self-harming, cutting, suicidal ideation, ADHD, divorce, parenting, family, & more.
Anxiety, depression, anger, stress, and relationship issues can be isolating and exhausting. Are you feeling stuck in repetitive cycles of anxiety, depression, anger, intrusive negative thoughts, emotional distress and dysregulation? Are you engaging in unhealthy behaviours to cope? Struggling with relationships? Is it difficult for you to love yourself, to connect with the present, to achieve your goals? Perhaps you just feel stuck overall and don’t know how to move forward from this place you find yourself in. "Stuck" can be a hard and lonely place to be - I want to help you. I believe that knowledge is power!
I specialize in areas of anxiety, depression, anger, borderline personality disorder, grief, self esteem, stress, trauma, self-harming, cutting, suicidal ideation, ADHD, divorce, parenting, family, & more.
Anxiety, depression, anger, stress, and relationship issues can be isolating and exhausting. Are you feeling stuck in repetitive cycles of anxiety, depression, anger, intrusive negative thoughts, emotional distress and dysregulation? Are you engaging in unhealthy behaviours to cope? Struggling with relationships? Is it difficult for you to love yourself, to connect with the present, to achieve your goals? Perhaps you just feel stuck overall and don’t know how to move forward from this place you find yourself in. "Stuck" can be a hard and lonely place to be - I want to help you. I believe that knowledge is power!
(289) 723-1527 View (289) 723-1527
Photo of Justin Goddard, MA, RP, Registered Psychotherapist
Justin Goddard
Registered Psychotherapist, MA, RP
Verified Verified
Aurora, ON L4G
I am a registered psychotherapist with experience working in a variety of settings in the United States and Canada. Over the past decade, I have supported hundreds of clients in making important life changes including increasing self-esteem, improving control over emotions and moods, and gaining a better understanding of themselves. My relationship with my clients usually begins with the question, “How will we know when we’ve done what we’ve set out to do?” This ensures that we both recognize important signposts in your journey to recovery, however you define "recovery".
I am a registered psychotherapist with experience working in a variety of settings in the United States and Canada. Over the past decade, I have supported hundreds of clients in making important life changes including increasing self-esteem, improving control over emotions and moods, and gaining a better understanding of themselves. My relationship with my clients usually begins with the question, “How will we know when we’ve done what we’ve set out to do?” This ensures that we both recognize important signposts in your journey to recovery, however you define "recovery".
(289) 210-9248 View (289) 210-9248
Photo of Cynthia Kipp - At Home Counselling, MEd, RSSW
At Home Counselling
Registered Social Service Worker, MEd, RSSW
Verified Verified
Aurora, ON L4G
Counselling and Hypnosis. Telephone or online video call sessions. Individual and Groups. Quickly reduce anxiety, manage emotions, build joy, find peace. Dialectical Behavior Therapy (DBT). Experiential therapy. Also offering therapy to therapists. Evenings and weekends only.
Counselling and Hypnosis. Telephone or online video call sessions. Individual and Groups. Quickly reduce anxiety, manage emotions, build joy, find peace. Dialectical Behavior Therapy (DBT). Experiential therapy. Also offering therapy to therapists. Evenings and weekends only.
(226) 401-8649 View (226) 401-8649
Photo of Gordon Gates, MA, MSW, RSW, RP, Registered Social Worker
Gordon Gates
Registered Social Worker, MA, MSW, RSW, RP
Verified Verified
Aurora, ON L4G
If you want to speak to someone who won't judge, really listens, and can help you find your best self, I would love to hear from you. The first priority is finding a therapist you feel safe with. We begin by exploring the issues and understanding the challenges, but the real work is learning to be gentle with ourselves as we acknowledge the need for a shift and begin to implement new practices. If you have had a traumatic experience, try to seek support within 3 months to prevent PTSD and other issues from developing. EMDR can help immensely to decrease distress. There are no distance issues online. Clients from anywhere welcome.
If you want to speak to someone who won't judge, really listens, and can help you find your best self, I would love to hear from you. The first priority is finding a therapist you feel safe with. We begin by exploring the issues and understanding the challenges, but the real work is learning to be gentle with ourselves as we acknowledge the need for a shift and begin to implement new practices. If you have had a traumatic experience, try to seek support within 3 months to prevent PTSD and other issues from developing. EMDR can help immensely to decrease distress. There are no distance issues online. Clients from anywhere welcome.
(365) 800-2149 View (365) 800-2149
Photo of Dr. Noor Sharif, PhD, CPsych, Psychologist
Dr. Noor Sharif
Psychologist, PhD, CPsych
Verified Verified
1 Endorsed
Aurora, ON L4G  (Online Only)
Thank you for visiting my page. Are you feeling anxious or stressed? Are your worries keeping you up at night? Struggling with your identity or feelings of inadequacy? Are your criticisms weighing you down? Having trouble connecting with other people romantically or socially? Wondering if you have ADHD? Are you struggling at work? Experiencing flashbacks or nightmares related to a stressful experience? I offer evidence-based therapy to reduce anxiety, improve mood, address trauma, boost social relationships, and increase compassion towards self and others. I also offer psychological assessments to answer your diagnostic questions.
Thank you for visiting my page. Are you feeling anxious or stressed? Are your worries keeping you up at night? Struggling with your identity or feelings of inadequacy? Are your criticisms weighing you down? Having trouble connecting with other people romantically or socially? Wondering if you have ADHD? Are you struggling at work? Experiencing flashbacks or nightmares related to a stressful experience? I offer evidence-based therapy to reduce anxiety, improve mood, address trauma, boost social relationships, and increase compassion towards self and others. I also offer psychological assessments to answer your diagnostic questions.
(647) 286-1770 View (647) 286-1770
Photo of Danika Syrja-McNally - Life Stages Psychotherapy, MSW, RSW, Registered Social Worker
Life Stages Psychotherapy
Registered Social Worker, MSW, RSW
Verified Verified
Aurora, ON L4G  (Online Only)
Here at Life Stages Psychotherapy, our therapists aim to help you through life's difficult moments, whether you're a youth and struggling with school, family, friends, mental health, identity, sexuality & more OR an adult dealing with mental health concerns, relationship issues, career transitions, loss, burnout, the perinatal period of becoming and adjusting to being a parent, caregiver strain, addiction, anger management, sleep issues, bipolar disorder, schizophrenia & more. Let's work together to get you feeling better as soon as possible and avoid things being more difficult than they need to be!
Here at Life Stages Psychotherapy, our therapists aim to help you through life's difficult moments, whether you're a youth and struggling with school, family, friends, mental health, identity, sexuality & more OR an adult dealing with mental health concerns, relationship issues, career transitions, loss, burnout, the perinatal period of becoming and adjusting to being a parent, caregiver strain, addiction, anger management, sleep issues, bipolar disorder, schizophrenia & more. Let's work together to get you feeling better as soon as possible and avoid things being more difficult than they need to be!
(289) 768-6244 View (289) 768-6244
Photo of Barb Urman, MSW, RSW, BSW, BA, CHyp, Registered Social Worker
Barb Urman
Registered Social Worker, MSW, RSW, BSW, BA, CHyp
Verified Verified
3 Endorsed
Aurora, ON L4G  (Online Only)
A client who is able to share who they are and their life experience in a safe space with an empathic, respectful and competent therapist can create positive change. If you're feeling anxious, overwhelmed, discouraged or depressed I can help you gain balance and fulfilment. I provide a non-judgmental and accepting environment that will invite you to explore your unique situation and help you change feelings and behaviors that may be preventing you from living your life to the fullest. As a therapist, my goal is to listen respectfully and be attuned to both your challenges and strengths.
A client who is able to share who they are and their life experience in a safe space with an empathic, respectful and competent therapist can create positive change. If you're feeling anxious, overwhelmed, discouraged or depressed I can help you gain balance and fulfilment. I provide a non-judgmental and accepting environment that will invite you to explore your unique situation and help you change feelings and behaviors that may be preventing you from living your life to the fullest. As a therapist, my goal is to listen respectfully and be attuned to both your challenges and strengths.
(855) 977-0045 View (855) 977-0045
Photo of Claudia Aranda - Aurora Therapy & Neurofeedback, Registered Psychotherapist
Aurora Therapy & Neurofeedback
Registered Psychotherapist
Verified Verified
1 Endorsed
Aurora, ON L4G
We are a dedicated team of professionals who are passionate about supporting our clients and our community to heal and thrive from life’s challenges. We take pride in our unique holistic approach, based on combining the most advanced psychotherapy techniques with the latest research in Neurofeedback. Our therapeutic strengths go beyond talk-therapy by tailoring a specific approach to each client. This method considers the unique features to help clients achieve better regulation and connect with own inner resources of their brain, bodies and mind.
We are a dedicated team of professionals who are passionate about supporting our clients and our community to heal and thrive from life’s challenges. We take pride in our unique holistic approach, based on combining the most advanced psychotherapy techniques with the latest research in Neurofeedback. Our therapeutic strengths go beyond talk-therapy by tailoring a specific approach to each client. This method considers the unique features to help clients achieve better regulation and connect with own inner resources of their brain, bodies and mind.
(289) 272-8903 View (289) 272-8903
Photo of Dr. Tina Dadgostari, PhD, CPsych, Psychologist
Dr. Tina Dadgostari
Psychologist, PhD, CPsych
Verified Verified
6 Endorsed
Aurora, ON L4G
Reluctant to be here or excited to dive in? Feeling overwhelmed with anxiety or stress? Struggling with depression or PTSD? Experiencing problems in your relationships? Does your anger feel out of control? Wondering if you have ADHD? Unable to connect to others romantically? Worrying about your child’s performance in school? We offer evidence-based therapy to reduce anxiety, increase mood, improve behaviour, and boost social relationships. We also offer comprehensive psychological assessments to answer any of your looming diagnostic questions.
Reluctant to be here or excited to dive in? Feeling overwhelmed with anxiety or stress? Struggling with depression or PTSD? Experiencing problems in your relationships? Does your anger feel out of control? Wondering if you have ADHD? Unable to connect to others romantically? Worrying about your child’s performance in school? We offer evidence-based therapy to reduce anxiety, increase mood, improve behaviour, and boost social relationships. We also offer comprehensive psychological assessments to answer any of your looming diagnostic questions.
(647) 286-1770 View (647) 286-1770
Photo of Maryam Rahal, MACP, RP (Q), Registered Psychotherapist (Qualifying)
Maryam Rahal
Registered Psychotherapist (Qualifying), MACP, RP (Q)
Verified Verified
Aurora, ON L4G  (Online Only)
Every individual comes from a different background, facing highs and lows that are influenced by different life experiences. At an early age, I was able to see the importance of mental health and how vital it is to advocate for those that are struggling by extending my hand in help. It has always been an interest of mine working with individuals of multiple cultural backgrounds to ensure that any help they receive caters to their cultural limits. I have a high interest in working with individuals who have experienced or are currently experiencing trauma, relationship issues, familial issues, anxiety, depression, and new life changes
Every individual comes from a different background, facing highs and lows that are influenced by different life experiences. At an early age, I was able to see the importance of mental health and how vital it is to advocate for those that are struggling by extending my hand in help. It has always been an interest of mine working with individuals of multiple cultural backgrounds to ensure that any help they receive caters to their cultural limits. I have a high interest in working with individuals who have experienced or are currently experiencing trauma, relationship issues, familial issues, anxiety, depression, and new life changes
(289) 302-7126 View (289) 302-7126
Photo of Michael McNally, MSW, RSW, Registered Social Worker
Michael McNally
Registered Social Worker, MSW, RSW
Verified Verified
Aurora, ON L4G
Struggling with alcohol or drug use, anger management, managing stress, anxiety, depression, and/or relationship issues? We will work together to find solutions and learn new life skills going forward.
Struggling with alcohol or drug use, anger management, managing stress, anxiety, depression, and/or relationship issues? We will work together to find solutions and learn new life skills going forward.
(709) 910-8676 View (709) 910-8676
Photo of Robyn Schachter - York Region Stress and Anxiety Clinic, MEd , CHyp, RP, Registered Psychotherapist
York Region Stress and Anxiety Clinic
Registered Psychotherapist, MEd , CHyp, RP
Verified Verified
Aurora, ON L4G
The York Region Stress and Anxiety Clinic is an integrative facility focused on mental health and well-being. Our highly trained and Registered Psychotherapists offer individual, couples, and family counselling and psychotherapy to the York Region Community. We utilize well-researched and cutting edge treatment methods for the treatment of stress, anxiety, panic, depression, trauma/PTSD, and relationship conflicts. All of our therapists have additional training or certification in particular specialty areas to deliver the best care possible
The York Region Stress and Anxiety Clinic is an integrative facility focused on mental health and well-being. Our highly trained and Registered Psychotherapists offer individual, couples, and family counselling and psychotherapy to the York Region Community. We utilize well-researched and cutting edge treatment methods for the treatment of stress, anxiety, panic, depression, trauma/PTSD, and relationship conflicts. All of our therapists have additional training or certification in particular specialty areas to deliver the best care possible
(647) 696-9520 View (647) 696-9520
Photo of Robyn Schachter, MEd, CHyp, CT, RP, Registered Psychotherapist
Robyn Schachter
Registered Psychotherapist, MEd, CHyp, CT, RP
Verified Verified
2 Endorsed
Aurora, ON L4G
My therapeutic approach is to create inner harmony between your thoughts and emotions. I do this by creating integrative therapeutic experiences utilizing evidence based therapies such as CBT, DBT, Clinical Hypnosis, Brief Solution Based Counselling along with cutting edge holistic methods of mindfulness and client centered psychotherapy. Incorporating these cognitive therapies with the mind and body allows for a unique experience where you can heal from past trauma and move forward with new enthusiasm and excitement.
My therapeutic approach is to create inner harmony between your thoughts and emotions. I do this by creating integrative therapeutic experiences utilizing evidence based therapies such as CBT, DBT, Clinical Hypnosis, Brief Solution Based Counselling along with cutting edge holistic methods of mindfulness and client centered psychotherapy. Incorporating these cognitive therapies with the mind and body allows for a unique experience where you can heal from past trauma and move forward with new enthusiasm and excitement.
(855) 873-4443 View (855) 873-4443
Dannette Graham
Registered Psychotherapist, RP
Verified Verified
Aurora, ON L4G
Child and Adolescent Psychotherapy: Anxiety, Depression, Cutting Self Harm, Trauma, Divorce/Custody Issues, Eating Disorders, Oppositional Defiant Disorders. Adults: Relational Difficulties, Divorce, Work/Life Transitions, Self Destructive Behaviours are some of the reasons people choose to work with me. I am a Registered Psychotherapist, my background is Psychodynamic Psychotherapy- a therapeutic approach that embraces the work of all psychoanalytic therapies: object relations, ego psychology, self-psychology, mentalization and attachment theory. I tailor my approach to the individual child, adolescent or adult.
Child and Adolescent Psychotherapy: Anxiety, Depression, Cutting Self Harm, Trauma, Divorce/Custody Issues, Eating Disorders, Oppositional Defiant Disorders. Adults: Relational Difficulties, Divorce, Work/Life Transitions, Self Destructive Behaviours are some of the reasons people choose to work with me. I am a Registered Psychotherapist, my background is Psychodynamic Psychotherapy- a therapeutic approach that embraces the work of all psychoanalytic therapies: object relations, ego psychology, self-psychology, mentalization and attachment theory. I tailor my approach to the individual child, adolescent or adult.
(289) 302-8239 View (289) 302-8239
Photo of Greg Samuelson, RN, RP
Greg Samuelson
RN, RP
Verified Verified
2 Endorsed
Aurora, ON L4G
I'm a Registered Nurse and Registered Psychotherapist with over 35 years experience in the mental health field. I truly care about your well-being and will work with you to achieve your goals. I provide a number of specialized approaches to assist clients who are experiencing difficulties such as Hearing Voices, Psychosis, Anxiety, Panic Disorder, Depression, Bipolar Affective Disorder, Trauma, Emotion Regulation, Difficulties with Distress Tolerance, and Relationship issues.
I'm a Registered Nurse and Registered Psychotherapist with over 35 years experience in the mental health field. I truly care about your well-being and will work with you to achieve your goals. I provide a number of specialized approaches to assist clients who are experiencing difficulties such as Hearing Voices, Psychosis, Anxiety, Panic Disorder, Depression, Bipolar Affective Disorder, Trauma, Emotion Regulation, Difficulties with Distress Tolerance, and Relationship issues.
(647) 697-8021 View (647) 697-8021
Photo of Jason Koenigbaur - Newmarket Therapy Centre , Registered Psychotherapist
Newmarket Therapy Centre
Registered Psychotherapist
Verified Verified
Aurora, ON L4G
Our most fundamental need is to be seen, heard and accepted as we are. It is no surprise that the strongest determining factor in successful therapy is the therapeutic alliance. Positive change happens when we become more like ourselves rather than trying to be something others want us to be. Our team of experienced psychotherapists are here to support individuals, couples and families with their journeys towards greater wholeness and authenticity. We work with the mind, emotions and nervous system to break unhealthy thinking patterns, unburden emotional pain and trauma, build healthy self-esteem, and find deeper meaning in life.
Our most fundamental need is to be seen, heard and accepted as we are. It is no surprise that the strongest determining factor in successful therapy is the therapeutic alliance. Positive change happens when we become more like ourselves rather than trying to be something others want us to be. Our team of experienced psychotherapists are here to support individuals, couples and families with their journeys towards greater wholeness and authenticity. We work with the mind, emotions and nervous system to break unhealthy thinking patterns, unburden emotional pain and trauma, build healthy self-esteem, and find deeper meaning in life.
(365) 801-0320 View (365) 801-0320
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Borderline Personality (BPD) Counsellors

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.