Psychiatrists in San Diego, CA
![Photo of Vincent David Feitosa, MSN, FNP, PMHNPBC, Psychiatric Nurse Practitioner](https://photos.psychologytoday.com/043e80d7-3a95-4d90-99f9-68e72071a88e/3/320x400.jpeg)
Vincent David Feitosa
Psychiatric Nurse Practitioner, MSN, FNP, PMHNPBC
Verified Verified
1 Endorsed
San Diego, CA 92103 (Online Only)
Greetings to new patients! We are thrilled to extend a warm welcome to individuals from all walks of life, with a special emphasis on those navigating challenges such as anxiety, depression, insomnia, bipolar, schizoaffective disorder, dual diagnosis, ADHD, and LGBTQI+ concerns. As a seasoned Psychiatric Nurse Practitioner Board Certified, I bring a wealth of experience, particularly in working with the chronically mentally ill. In our welcoming and nonjudgmental environment, our focus is on providing more than just medication support; we aim to instill hope, relief, and quality of life. Discover a Path to Wellness with Us!
Greetings to new patients! We are thrilled to extend a warm welcome to individuals from all walks of life, with a special emphasis on those navigating challenges such as anxiety, depression, insomnia, bipolar, schizoaffective disorder, dual diagnosis, ADHD, and LGBTQI+ concerns. As a seasoned Psychiatric Nurse Practitioner Board Certified, I bring a wealth of experience, particularly in working with the chronically mentally ill. In our welcoming and nonjudgmental environment, our focus is on providing more than just medication support; we aim to instill hope, relief, and quality of life. Discover a Path to Wellness with Us!
![Photo of Blanca Cervantes - Mind Thrive Health , MD, Psychiatrist](https://photos.psychologytoday.com/8e75deab-311f-42bb-91a2-8611e7b40edf/1/320x400.png)
Mind Thrive health offers Virtual mental health group therapy. Individual therapy and medication management.
Mind Thrive health offers Virtual mental health group therapy. Individual therapy and medication management.
See more therapy options for San Diego
Borderline Personality (BPD) Psychiatrists
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.