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Online Therapists

Photo of Natasha Huff - Social Worker - Clinical Supervisor, MSW, RSW, Registered Social Worker
Natasha Huff - Social Worker - Clinical Supervisor
Registered Social Worker, MSW, RSW
Verified Verified
10 Endorsed
Mississauga, ON L5M
I offer individual, couple and family therapy for a wide range of issues including; Divorce/Separation, Trauma, Grief, OCD, ADHD, BPD, Trauma, Depression, Anxiety, Substance Abuse, Self-Image, Family Conflict, and Eating Disorders I have assisted many couples and families in improving their relationships with one another, providing them with the ability to communicate, respect and understand each other better using Collaborative Problem Solving and Emotion-focussed therapy. Success in a relationship does not mean there is no conflict, it means that conflict is handled in a respectful manner and individuals feel heard.
I offer individual, couple and family therapy for a wide range of issues including; Divorce/Separation, Trauma, Grief, OCD, ADHD, BPD, Trauma, Depression, Anxiety, Substance Abuse, Self-Image, Family Conflict, and Eating Disorders I have assisted many couples and families in improving their relationships with one another, providing them with the ability to communicate, respect and understand each other better using Collaborative Problem Solving and Emotion-focussed therapy. Success in a relationship does not mean there is no conflict, it means that conflict is handled in a respectful manner and individuals feel heard.
(416) 985-0925 View (416) 985-0925
Photo of Staci N Weingust, MSW, RSW, Registered Social Worker
Staci N Weingust
Registered Social Worker, MSW, RSW
Verified Verified
Oshawa, ON L1G  (Online Only)
I have over 25 years of experience in the field of Healthcare, with extensive experience working with clients with mental health issues, addiction issues, and court-related issues. During this time, I have worked with individuals of varying ages, couples, families and groups. I see people with a varied range of issues including mood disorders (depression, anxiety, bipolar), trauma, borderline personality, issues of psychosis, phobias, obsessive compulsive behaviours, eating disorders, dual diagnosis, sexual issues, conduct disorder, anger issues and behavioural concerns.
I have over 25 years of experience in the field of Healthcare, with extensive experience working with clients with mental health issues, addiction issues, and court-related issues. During this time, I have worked with individuals of varying ages, couples, families and groups. I see people with a varied range of issues including mood disorders (depression, anxiety, bipolar), trauma, borderline personality, issues of psychosis, phobias, obsessive compulsive behaviours, eating disorders, dual diagnosis, sexual issues, conduct disorder, anger issues and behavioural concerns.
(647) 371-0849 View (647) 371-0849
Lynn O Lightfoot
Psychologist, PhD, MASc, CPsych
Verified Verified
Oakville, ON L6J
I have been working as a Psychologist for many years. It is my goal to create a warm and helpful therapeutic relationship with my clients so that I may assist them with whatever issues they are dealing with. I am comfortable with a number of therapeutic approaches and I try to individualize the treatment plan to the unique needs and preferences of my clients. I have a collaborative approach in my work with adolescents, adults, couples and families. I have assisted clients with a broad range of problems including anxiety, depression, trauma, personality disorders including borderline personality and addictive behaviors
I have been working as a Psychologist for many years. It is my goal to create a warm and helpful therapeutic relationship with my clients so that I may assist them with whatever issues they are dealing with. I am comfortable with a number of therapeutic approaches and I try to individualize the treatment plan to the unique needs and preferences of my clients. I have a collaborative approach in my work with adolescents, adults, couples and families. I have assisted clients with a broad range of problems including anxiety, depression, trauma, personality disorders including borderline personality and addictive behaviors
(289) 272-8209 View (289) 272-8209
Photo of Poonam T Dhir Registered Marriage Family Therapist, RP, RMFT, CCC, Registered Psychotherapist
Poonam T Dhir Registered Marriage Family Therapist
Registered Psychotherapist, RP, RMFT, CCC
Verified Verified
North York, ON M2J  (Online Only)
Praxis Focus: Adults & youth (Individual, Marriage/Couples/family) from diverse cultural, racial, gender, & religious backgrounds rooted in evidence-based, culturally-sensitive, trauma-informed, strength-based interventions for depression, PTSD, anxiety, addictions, marital conflicts; grief & loss, personality disorders ( BPD, OCD), court & MVA clients.
I trust pain is inevitable, but suffering is an option. In fact, what is right with us is greater than what is wrong with us. I help clients access their resilience, motivation, self-agency, self-determination, and inner goodness to reconstruct their narratives & live meaningful contented lives. I am Registered Psychotherapist; Registered Marriage & Family Therapist, & NIHB approved therapist (for Indigenous persons); working as a Clinical Therapist with CMHA. I have extensive experience in CBT, DBT, Couples Therapy, Sex Therapy (sexual dysfunction & sexual offence), Addictions (drugs, gambling), Forensic Therapy (minor crimes, DUI)
Praxis Focus: Adults & youth (Individual, Marriage/Couples/family) from diverse cultural, racial, gender, & religious backgrounds rooted in evidence-based, culturally-sensitive, trauma-informed, strength-based interventions for depression, PTSD, anxiety, addictions, marital conflicts; grief & loss, personality disorders ( BPD, OCD), court & MVA clients.
I trust pain is inevitable, but suffering is an option. In fact, what is right with us is greater than what is wrong with us. I help clients access their resilience, motivation, self-agency, self-determination, and inner goodness to reconstruct their narratives & live meaningful contented lives. I am Registered Psychotherapist; Registered Marriage & Family Therapist, & NIHB approved therapist (for Indigenous persons); working as a Clinical Therapist with CMHA. I have extensive experience in CBT, DBT, Couples Therapy, Sex Therapy (sexual dysfunction & sexual offence), Addictions (drugs, gambling), Forensic Therapy (minor crimes, DUI)
(289) 807-2732 View (289) 807-2732
Photo of Marcus Kupila, MEd, RP, CFRC, Registered Psychotherapist
Marcus Kupila
Registered Psychotherapist, MEd, RP, CFRC
Verified Verified
2 Endorsed
Toronto, ON M6P
Significant experience with first responders, LGBTQ, substance abuse, Borderline Personality Disorder, and suicide/self-harm.
Accepting new clients in person (The Junction, Toronto) and virtual. Trauma & PTSD specialization with First Responders. When most clients come to me they don't know where to start and they haven't been able to overcome their problems alone or with their friend's advice. My clients need someone to listen, someone who knows about the fake face, someone who can help them understand "why"; and help them find a way to get healthy. I have a Masters in Counseling Psychology from OISE UofT the University of Toronto where I learned to use research-supported methods to help clients be empowered. Clients are always the experts on themselves.
Significant experience with first responders, LGBTQ, substance abuse, Borderline Personality Disorder, and suicide/self-harm.
Accepting new clients in person (The Junction, Toronto) and virtual. Trauma & PTSD specialization with First Responders. When most clients come to me they don't know where to start and they haven't been able to overcome their problems alone or with their friend's advice. My clients need someone to listen, someone who knows about the fake face, someone who can help them understand "why"; and help them find a way to get healthy. I have a Masters in Counseling Psychology from OISE UofT the University of Toronto where I learned to use research-supported methods to help clients be empowered. Clients are always the experts on themselves.
(647) 696-6437 View (647) 696-6437
Photo of Megan Armstrong, MSW, BSW, RSW, Registered Social Worker
Megan Armstrong
Registered Social Worker, MSW, BSW, RSW
Verified Verified
London, ON N6C
In the past 10 years in the field, I have developed interest in helping people with emotional understanding and regulation, trauma/PTSD treatment and interpersonal challenges. If you are looking to make changes to how you respond to or express your emotions, we would be a good fit. If you are want to manage your trauma symptoms rather than having them manage you, we would be a good fit. If you are someone who wants to develop further insight and understanding in order to move forward, we would be a good fit.
In the past 10 years in the field, I have developed interest in helping people with emotional understanding and regulation, trauma/PTSD treatment and interpersonal challenges. If you are looking to make changes to how you respond to or express your emotions, we would be a good fit. If you are want to manage your trauma symptoms rather than having them manage you, we would be a good fit. If you are someone who wants to develop further insight and understanding in order to move forward, we would be a good fit.
(519) 902-6982 View (519) 902-6982
Photo of Duane Wiafe, BSW, MSW, RSW, Registered Social Worker
Duane Wiafe
Registered Social Worker, BSW, MSW, RSW
Verified Verified
3 Endorsed
Woodstock, ON N4S
Im enjoy supporting people managing difficult situations. If you are coping with depression, anxiety or any form of stress I am here to help you find some relief from the pain. My recent work while completing my MSW schooling has included the integration of Africentric Theory and Adinkra Symbols into clinical practice. The power of African knowledge and my lived experience can aid your recovery. You have the answers and I will help you uncover them.
Im enjoy supporting people managing difficult situations. If you are coping with depression, anxiety or any form of stress I am here to help you find some relief from the pain. My recent work while completing my MSW schooling has included the integration of Africentric Theory and Adinkra Symbols into clinical practice. The power of African knowledge and my lived experience can aid your recovery. You have the answers and I will help you uncover them.
(226) 455-8256 View (226) 455-8256
Photo of Stephen Fleming - FVB Psychologists, PhD, Psychologist
FVB Psychologists
Psychologist, PhD
Verified Verified
Mississauga, ON L5G
Our assessment and therapy services are conducted by an experienced team of clinicians who joined Fleming Vigna Balmer after gaining many years of valuable experience in the public sector; for example, working in hospitals, universities, rehabilitation centres, social service agencies, and community-based clinics. As a team, we are able to offer a rich, experience-based range of clinical services. All of our clinicians are psychologists or psychological associates registered with the College of Psychologists of Ontario. This means we are independent practitioners licenced to assess, diagnose, and treat the full range of psychological disorders ranging from problems in living to serious mental health issues. In addition, we are consulting psychologists to the pilot recruitment programmes of a number of airlines including Air Canada, Jazz Aviation LP, and Sky Regional Airlines. At Fleming Vigna Balmer services are provided in English, French, Italian, Vietnamese, and Afrikaans.
Our assessment and therapy services are conducted by an experienced team of clinicians who joined Fleming Vigna Balmer after gaining many years of valuable experience in the public sector; for example, working in hospitals, universities, rehabilitation centres, social service agencies, and community-based clinics. As a team, we are able to offer a rich, experience-based range of clinical services. All of our clinicians are psychologists or psychological associates registered with the College of Psychologists of Ontario. This means we are independent practitioners licenced to assess, diagnose, and treat the full range of psychological disorders ranging from problems in living to serious mental health issues. In addition, we are consulting psychologists to the pilot recruitment programmes of a number of airlines including Air Canada, Jazz Aviation LP, and Sky Regional Airlines. At Fleming Vigna Balmer services are provided in English, French, Italian, Vietnamese, and Afrikaans.
(844) 245-7821 x1 View (844) 245-7821 x1
Photo of Amanda Dewar - Strength Counselling Services, MEd, RCC, CCC, RSW, RP, Counsellor
Strength Counselling Services
Counsellor, MEd, RCC, CCC, RSW, RP
Verified Verified
Toronto, ON M4Y  (Online Only)
We are an online counselling agency so do not provide services in person. Strength Counselling Services has licensed, experienced therapists who use evidence-based practices, prioritize client needs, and maintain ethical standards. We offer culturally sensitive, affordable services in a supportive environment. We offer a comprehensive goals assessment, regularly assess progress, and collaborate with other professionals. We provide transparency in our fees and for thirteen years now have held a positive reputation of trust, and client success. Lastly, ensuring our clients' privacy and confidentiality are of utmost importance to us.
We are an online counselling agency so do not provide services in person. Strength Counselling Services has licensed, experienced therapists who use evidence-based practices, prioritize client needs, and maintain ethical standards. We offer culturally sensitive, affordable services in a supportive environment. We offer a comprehensive goals assessment, regularly assess progress, and collaborate with other professionals. We provide transparency in our fees and for thirteen years now have held a positive reputation of trust, and client success. Lastly, ensuring our clients' privacy and confidentiality are of utmost importance to us.
(226) 400-7197 View (226) 400-7197
Photo of Dr. Lisa Bradford, PhD, CPsych, Psychologist
Dr. Lisa Bradford
Psychologist, PhD, CPsych
Verified Verified
Toronto, ON M5R
Do you feel lonely, empty, overwhelmed or stuck? Does it seem like bad things are always happening to you while everyone else is living a happy life? Do you and your partner have the same fights over and over again? I can help you resolve these issues. I am a warm, down-to-earth, authentic, honest, and empathic person who genuinely cares about your well-being. I help individuals work through a wide variety of issues including those related to anxiety, depression, obsessionality, trauma, dissociation, guilt, shame, insomnia, relationships, sexual orientation, eating, and identity and self-esteem. I embrace and celebrate diversity.
Do you feel lonely, empty, overwhelmed or stuck? Does it seem like bad things are always happening to you while everyone else is living a happy life? Do you and your partner have the same fights over and over again? I can help you resolve these issues. I am a warm, down-to-earth, authentic, honest, and empathic person who genuinely cares about your well-being. I help individuals work through a wide variety of issues including those related to anxiety, depression, obsessionality, trauma, dissociation, guilt, shame, insomnia, relationships, sexual orientation, eating, and identity and self-esteem. I embrace and celebrate diversity.
(647) 724-5122 View (647) 724-5122
Photo of Amanda Dewar - Strength Counselling Services, MEd, RCC, CCC, RSW, RP, Counsellor
Strength Counselling Services
Counsellor, MEd, RCC, CCC, RSW, RP
Verified Verified
Milton, ON L9T  (Online Only)
We are an online counselling agency so do not provide services in person. Strength Counselling Services has licensed, experienced therapists who use evidence-based practices, prioritize client needs, and maintain ethical standards. We offer culturally sensitive, affordable services in a supportive environment. We offer a comprehensive goals assessment, regularly assess progress, and collaborate with other professionals. We provide transparency in our fees and for thirteen years now have held a positive reputation of trust, and client success. Lastly, ensuring our clients' privacy and confidentiality are of utmost importance to us.
We are an online counselling agency so do not provide services in person. Strength Counselling Services has licensed, experienced therapists who use evidence-based practices, prioritize client needs, and maintain ethical standards. We offer culturally sensitive, affordable services in a supportive environment. We offer a comprehensive goals assessment, regularly assess progress, and collaborate with other professionals. We provide transparency in our fees and for thirteen years now have held a positive reputation of trust, and client success. Lastly, ensuring our clients' privacy and confidentiality are of utmost importance to us.
(782) 400-0486 View (782) 400-0486
Photo of Moon Naz - FullMoon Psychotherapy, MACP, CCPA, RP, Registered Psychotherapist (Qualifying)
FullMoon Psychotherapy
Registered Psychotherapist (Qualifying), MACP, CCPA, RP
Verified Verified
Pickering, ON L1V  (Online Only)
Are you looking for ways to improve your well-being, overcome past traumas, and increase your self-esteem? Do you seek a therapist who respects your cultural background and provides an accepting, loving setting? It's not uncommon for people’s lives to fall apart after trauma or significant challenges. Restoring hope to those who have endured hardship is my greatest goal. I work with youth, children, and adults to improve their social skills and self-awareness for independent, happy living. I believe you are the expert on your own life and have the resources to restore your well-being.
Are you looking for ways to improve your well-being, overcome past traumas, and increase your self-esteem? Do you seek a therapist who respects your cultural background and provides an accepting, loving setting? It's not uncommon for people’s lives to fall apart after trauma or significant challenges. Restoring hope to those who have endured hardship is my greatest goal. I work with youth, children, and adults to improve their social skills and self-awareness for independent, happy living. I believe you are the expert on your own life and have the resources to restore your well-being.
(289) 318-0622 View (289) 318-0622
Photo of Ulla Woodard - Clinical Supervisor, MSW, RSW, CMFSW, MHt, Registered Social Worker
Ulla Woodard - Clinical Supervisor
Registered Social Worker, MSW, RSW, CMFSW, MHt
Verified Verified
5 Endorsed
Saint Catharines, ON L2S  (Online Only)
I have vacancy to supervise a few counsellors/ therapists. My style is to follow your individual style and provide suggestions to fit your treatment methodology of choice. I believe supervision can effectively support continuous professional growth whether a new or already seasoned therapist.
I have vacancy to supervise a few counsellors/ therapists. My style is to follow your individual style and provide suggestions to fit your treatment methodology of choice. I believe supervision can effectively support continuous professional growth whether a new or already seasoned therapist.
(289) 210-4777 View (289) 210-4777
Photo of Giovanni Foti, PhD, CPsych, Psychologist
Giovanni Foti
Psychologist, PhD, CPsych
Verified Verified
5 Endorsed
Georgetown, ON L7G
Dr. Foti has extensive experience in helping children, adolescents, and families address a wide range of emotional, behavioural and relationship issues. Rather than viewing psychoeducational assessments as a means of simply diagnosing problems with learning and behaviour, he views the process as a tool for identifying and communicating client strengths, as well as specific strategies for improving client functioning and quality of life. Dr. Foti also provides therapy to children, adolescents and families, with a focus on Cognitive Behavioral Therapy (CBT), Dialectical Behaviour Therapy (DBT), and Motivational Interviewing (MI).
Dr. Foti has extensive experience in helping children, adolescents, and families address a wide range of emotional, behavioural and relationship issues. Rather than viewing psychoeducational assessments as a means of simply diagnosing problems with learning and behaviour, he views the process as a tool for identifying and communicating client strengths, as well as specific strategies for improving client functioning and quality of life. Dr. Foti also provides therapy to children, adolescents and families, with a focus on Cognitive Behavioral Therapy (CBT), Dialectical Behaviour Therapy (DBT), and Motivational Interviewing (MI).
(289) 301-7651 View (289) 301-7651
Ayah Ellithy
Registered Psychotherapist, MEd, RP
Verified Verified
Toronto, ON M4P
Ayah completed her Master's in Counselling Psychology and Psychotherapy in 2019 at Ontario Institute for Studies in Education (OISE), at the University of Toronto (UofT). She is currently a Registered Psychotherapist with the College of Registered Psychotherapists of Ontario (CRPO). Ayah completed her master's practicum at Maplehurst Correctional Complex and Vanier Centre for Women, a provincial prison.
Ayah completed her Master's in Counselling Psychology and Psychotherapy in 2019 at Ontario Institute for Studies in Education (OISE), at the University of Toronto (UofT). She is currently a Registered Psychotherapist with the College of Registered Psychotherapists of Ontario (CRPO). Ayah completed her master's practicum at Maplehurst Correctional Complex and Vanier Centre for Women, a provincial prison.
(647) 956-7187 View (647) 956-7187
Photo of Michael Kwabena Opoku-Forfieh (Counsellor), MSc
Michael Kwabena Opoku-Forfieh (Counsellor)
MSc
Verified Verified
1 Endorsed
Hamilton, ON L8R  (Online Only)
Do you find yourself avoiding certain situations, places, or people? You may feel like you’ve designed your life in a way that keeps you ‘safe’—but realize that you’re actually feeling ‘stuck’. With over 11 years of experience as a therapist and lecturer, in both the UK and Canada, I can help you begin to dismantle the hold trauma, anxiety or depression have had on your life. As a Black male therapist, I bring my lived experience to my practice, specializing in racial trauma, racial identity, and Black masculinity. Together we can help you begin to embrace a life that feels empowered and aligned with your values and goals.
Do you find yourself avoiding certain situations, places, or people? You may feel like you’ve designed your life in a way that keeps you ‘safe’—but realize that you’re actually feeling ‘stuck’. With over 11 years of experience as a therapist and lecturer, in both the UK and Canada, I can help you begin to dismantle the hold trauma, anxiety or depression have had on your life. As a Black male therapist, I bring my lived experience to my practice, specializing in racial trauma, racial identity, and Black masculinity. Together we can help you begin to embrace a life that feels empowered and aligned with your values and goals.
(365) 544-4268 View (365) 544-4268
Photo of Joddie D Walker - Hummingbird Therapy Clinic, CTTS, CTRP, DAAETS, Registered Psychotherapist
Hummingbird Therapy Clinic
Registered Psychotherapist, CTTS, CTRP, DAAETS
Verified Verified
2 Endorsed
Sharon, ON L0G
I value the the trust that a client places in me. I safeguard your vulnerability and work at your comfort level. My philosophy of treatment is the use of evidence-based and trauma-informed practices in a strength-based approach. Helping clients become empowered in their own healing, I am trained in TF-CBT, Eye Movement Desensitization and Reprocessing Therapy (EMDR), and Structured Intervention Trauma-Child and Adolescent (SIT-CAP). I specialize in trauma treatment, grief and loss, stress, anxiety and mood disorders. Together, we create the vision for what healing will look, feel and become in your life.
I value the the trust that a client places in me. I safeguard your vulnerability and work at your comfort level. My philosophy of treatment is the use of evidence-based and trauma-informed practices in a strength-based approach. Helping clients become empowered in their own healing, I am trained in TF-CBT, Eye Movement Desensitization and Reprocessing Therapy (EMDR), and Structured Intervention Trauma-Child and Adolescent (SIT-CAP). I specialize in trauma treatment, grief and loss, stress, anxiety and mood disorders. Together, we create the vision for what healing will look, feel and become in your life.
(289) 273-4759 View (289) 273-4759
Photo of Connie Marangwanda - Connie Marangwanda, MSW, RSW, Registered Social Worker
Connie Marangwanda
Registered Social Worker, MSW, RSW
Verified Verified
Hamilton, ON L9A  (Online Only)
Experience in working with women, children, men, couples, families and agencies, I have certificates from U of T in Dialectical Behaviour Therapy and Concurrent Disorders as well as training in EMDR, CBT, mindfulness/meditation, ACT, IFS, solution focused brief therapy, motivational interviewing, emotion focused, narrative therapy, experiential therapies and addiction treatment to name a few. My approaches are trauma informed. I am able to offer thorough assessments and treatment that aim to heal deeply rooted emotional and behavioural patterns that might be keeping you stuck.
Experience in working with women, children, men, couples, families and agencies, I have certificates from U of T in Dialectical Behaviour Therapy and Concurrent Disorders as well as training in EMDR, CBT, mindfulness/meditation, ACT, IFS, solution focused brief therapy, motivational interviewing, emotion focused, narrative therapy, experiential therapies and addiction treatment to name a few. My approaches are trauma informed. I am able to offer thorough assessments and treatment that aim to heal deeply rooted emotional and behavioural patterns that might be keeping you stuck.
(289) 274-4882 View (289) 274-4882
Photo of Jim Salmon, MA, CPsych, Psychologist
Jim Salmon
Psychologist, MA, CPsych
Verified Verified
Aurora, ON L4G  (Online Only)
Offering therapy/counseling and assessment services with immediate availability. I am an experienced psychologist offering professional, trauma-informed, evidence-based counseling services to adults with a wide range of concerns. My approach a good fit for anyone who is struggling with overwhelming emotions, difficult thoughts, or finding themselves stuck in problematic patterns of behavior. If you're already tried counseling or other strategies in the past that have led to temporary or short-term changes, only to have your problems inevitably come back, my approach to therapy may be what you're looking for.
Offering therapy/counseling and assessment services with immediate availability. I am an experienced psychologist offering professional, trauma-informed, evidence-based counseling services to adults with a wide range of concerns. My approach a good fit for anyone who is struggling with overwhelming emotions, difficult thoughts, or finding themselves stuck in problematic patterns of behavior. If you're already tried counseling or other strategies in the past that have led to temporary or short-term changes, only to have your problems inevitably come back, my approach to therapy may be what you're looking for.
(289) 402-5044 View (289) 402-5044
Photo of Amanda Dewar - Strength Counselling Services, MEd, RCC, CCC, RSW, RP, Counsellor
Strength Counselling Services
Counsellor, MEd, RCC, CCC, RSW, RP
Verified Verified
Burlington, ON L7N  (Online Only)
Currently, we provide online counseling services exclusively, featuring a talented team of counselors from diverse backgrounds who can tackle a wide range of mental health issues. Our primary goal is to nurture the holistic well-being of our clients, addressing their physical, mental, emotional, and spiritual aspects through exceptional counseling services. We cater to individuals, couples, and families, tailoring our approach for each unique client. In the event of client dissatisfaction with a therapist, we pledge to either find an appropriate replacement or suggest an unaffiliated alternative expert to ensure their needs are met.
Currently, we provide online counseling services exclusively, featuring a talented team of counselors from diverse backgrounds who can tackle a wide range of mental health issues. Our primary goal is to nurture the holistic well-being of our clients, addressing their physical, mental, emotional, and spiritual aspects through exceptional counseling services. We cater to individuals, couples, and families, tailoring our approach for each unique client. In the event of client dissatisfaction with a therapist, we pledge to either find an appropriate replacement or suggest an unaffiliated alternative expert to ensure their needs are met.
(289) 806-1148 View (289) 806-1148

See more therapy options for Brantford

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.