Borderline Personality (BPD) Therapists in Los Angeles, CA

Photo of Larry S Hymes - Los Angeles DBT, LMFT, Marriage & Family Therapist
Los Angeles DBT
Marriage & Family Therapist, LMFT
Verified Verified
Los Angeles, CA 90036
DBT began as the premiere treatment for Borderline Personality Disorder and then grew to be successful for treating a multitude of issues, including depression, anxiety, mood swings, and a variety of addictions.
Our goal at Los Angeles DBT is to make DBT (Dialectical Behavioral Therapy) accessible to everyone. We are psychotherapists who are "Intensively Trained" in DBT and provide DBT skills groups, individual sessions, and coaching. Dialectical Behavioral Therapy is a skills-based treatment which helps you better regulate your emotions, especially the difficult ones. With DBT you will learn how to have more successful relationships with family, friends, & loved ones. DBT will also provide tools to increase your ability to manage distress, and be more mindful of your thoughts, feelings, and overall environment.
DBT began as the premiere treatment for Borderline Personality Disorder and then grew to be successful for treating a multitude of issues, including depression, anxiety, mood swings, and a variety of addictions.
Our goal at Los Angeles DBT is to make DBT (Dialectical Behavioral Therapy) accessible to everyone. We are psychotherapists who are "Intensively Trained" in DBT and provide DBT skills groups, individual sessions, and coaching. Dialectical Behavioral Therapy is a skills-based treatment which helps you better regulate your emotions, especially the difficult ones. With DBT you will learn how to have more successful relationships with family, friends, & loved ones. DBT will also provide tools to increase your ability to manage distress, and be more mindful of your thoughts, feelings, and overall environment.
(310) 953-3491 View (310) 953-3491
Photo of Ciara Bogdanovic, LMFT, Marriage & Family Therapist
Ciara Bogdanovic
Marriage & Family Therapist, LMFT
Verified Verified
3 Endorsed
Los Angeles, CA 90012
I specialize in working with highly sensitive individuals, complex trauma, and Borderline Personality Disorder.
Are you seeking clarity, peace, and stability? Perhaps you have been to therapy before and are seeking a new approach. Maybe you feel trapped by big emotions, anxiety, or trauma and can’t see a way out. Through my own healing, constant curiosity, and rigorous training I have developed an approach that allows my clients to thrive.
I specialize in working with highly sensitive individuals, complex trauma, and Borderline Personality Disorder.
Are you seeking clarity, peace, and stability? Perhaps you have been to therapy before and are seeking a new approach. Maybe you feel trapped by big emotions, anxiety, or trauma and can’t see a way out. Through my own healing, constant curiosity, and rigorous training I have developed an approach that allows my clients to thrive.
(323) 615-1164 View (323) 615-1164
Photo of Ciaran Kane Phelps, AMFT, Marriage & Family Therapist Associate
Ciaran Kane Phelps
Marriage & Family Therapist Associate, AMFT
Verified Verified
Los Angeles, CA 90034
Waitlist for new clients
My work often centers around folks who are experiencing grief or loss, healing from trauma, navigating life transitions, or experiencing relational challenges. My areas of specialty are neurodivergence (autism, ADHD, etc.), gender exploration, and BPD. I also support folks who are dealing with overwhelming anxiety, depression, dissociation, or cPTSD. I am queer-affirming and trans-affirming. I also have familiarity with spiritual and religious trauma. I bring an anti-oppressive, postmodern, and trauma-informed framework into my work. I support individual adults, kids, families, and couples.
My work often centers around folks who are experiencing grief or loss, healing from trauma, navigating life transitions, or experiencing relational challenges. My areas of specialty are neurodivergence (autism, ADHD, etc.), gender exploration, and BPD. I also support folks who are dealing with overwhelming anxiety, depression, dissociation, or cPTSD. I am queer-affirming and trans-affirming. I also have familiarity with spiritual and religious trauma. I bring an anti-oppressive, postmodern, and trauma-informed framework into my work. I support individual adults, kids, families, and couples.
(424) 363-4350 View (424) 363-4350
Photo of Alyson DiRocco Fisher, PsyD, Psychologist
Alyson DiRocco Fisher
Psychologist, PsyD
Verified Verified
4 Endorsed
Los Angeles, CA 90064
I specialize in treating bipolar disorder, borderline personality disorder, depression, and anxiety.
Connecting with the right therapist can be challenging. As a clinician, I strive to empower clients to make meaningful changes, while also helping them hold self-compassion in the process. I ground my work in evidence-based therapies, and use an in-depth case conceptualization to understand how problems are getting in the way of the life my clients want to lead.
I specialize in treating bipolar disorder, borderline personality disorder, depression, and anxiety.
Connecting with the right therapist can be challenging. As a clinician, I strive to empower clients to make meaningful changes, while also helping them hold self-compassion in the process. I ground my work in evidence-based therapies, and use an in-depth case conceptualization to understand how problems are getting in the way of the life my clients want to lead.
(310) 564-0785 View (310) 564-0785
Photo of Tahleen Varian, LCSW, Clinical Social Work/Therapist
Tahleen Varian
Clinical Social Work/Therapist, LCSW
Verified Verified
Los Angeles, CA 90049  (Online Only)
I was extensively trained in third-wave CBT-based therapies at Harbor-UCLA Medical Center, and have ample experience in utilizing CBT treatments for depression, anxiety, PTSD, BPD, and substance use.
I often wish I could change my professional moniker from “psychotherapist” to “life enhancer,” because that is truly what I do. I want to help you cultivate self-compassion and acceptance for who you are and where you are at in your life, while at the same time encouraging you to evaluate and change what is not productive. My style can be described as “radically genuine” – I communicate authentically, compassionately and openly. You won’t ever hear that space cadet therapist-y voice coming from me, but you will definitely hear an f-bomb or two.
I was extensively trained in third-wave CBT-based therapies at Harbor-UCLA Medical Center, and have ample experience in utilizing CBT treatments for depression, anxiety, PTSD, BPD, and substance use.
I often wish I could change my professional moniker from “psychotherapist” to “life enhancer,” because that is truly what I do. I want to help you cultivate self-compassion and acceptance for who you are and where you are at in your life, while at the same time encouraging you to evaluate and change what is not productive. My style can be described as “radically genuine” – I communicate authentically, compassionately and openly. You won’t ever hear that space cadet therapist-y voice coming from me, but you will definitely hear an f-bomb or two.
(424) 369-7129 View (424) 369-7129
Photo of Elle Michel, LMFT, Marriage & Family Therapist
Elle Michel
Marriage & Family Therapist, LMFT
Verified Verified
Los Angeles, CA 90064
Do you struggle with trauma, relationships, and anxiety, or worry that you might be beyond help? Give me a call--I've been there and, through my own healing, as well as extensive training and experience, I'm uniquely fit to help others. I specialize in healing complex trauma, compulsive disorders, and borderline personality disorder, using EMDR, DBT, and Brainspotting to achieve tangible results quickly. My clients often tell me that no other therapist has helped them in the way that I have, and that they finally have the tools they need to let go of trauma and thrive.
Do you struggle with trauma, relationships, and anxiety, or worry that you might be beyond help? Give me a call--I've been there and, through my own healing, as well as extensive training and experience, I'm uniquely fit to help others. I specialize in healing complex trauma, compulsive disorders, and borderline personality disorder, using EMDR, DBT, and Brainspotting to achieve tangible results quickly. My clients often tell me that no other therapist has helped them in the way that I have, and that they finally have the tools they need to let go of trauma and thrive.
(310) 340-1746 View (310) 340-1746
Photo of Allie Clingan, LMFT, Marriage & Family Therapist
Allie Clingan
Marriage & Family Therapist, LMFT
Verified Verified
1 Endorsed
Los Angeles, CA 90026
I work with adults and teenagers with eating disorders, addiction, Borderline Personality Disorder, relationship conflict, depression and anxiety.
Carl Jung said, "Who looks outside, dreams; who looks inside, awakes." My goal is to help you understand yourself on a deeper level in order to improve your relationships and remove obstacles that are preventing you from living a meaningful life. I use a variety of modalities including Dialectical Behavior Therapy (DBT), Cognitive Behavior Therapy (CBT), Cognitive Processing Therapy (CPT) and existential therapy. My priority is collaborating with my clients directly to provide you with what you need to move forward in your life.
I work with adults and teenagers with eating disorders, addiction, Borderline Personality Disorder, relationship conflict, depression and anxiety.
Carl Jung said, "Who looks outside, dreams; who looks inside, awakes." My goal is to help you understand yourself on a deeper level in order to improve your relationships and remove obstacles that are preventing you from living a meaningful life. I use a variety of modalities including Dialectical Behavior Therapy (DBT), Cognitive Behavior Therapy (CBT), Cognitive Processing Therapy (CPT) and existential therapy. My priority is collaborating with my clients directly to provide you with what you need to move forward in your life.
(818) 369-3586 View (818) 369-3586
Photo of Karen Yeh, JD, MA, LMFT, Marriage & Family Therapist
Karen Yeh
Marriage & Family Therapist, JD, MA, LMFT
Verified Verified
Los Angeles, CA 90004  (Online Only)
I am a DBT therapist specializing in BPD, C-PTSD and other versions of emotion dysregulation. I use primarily DBT to help people who want to work on understanding their emotions better in order to feel more in control of their lives. Learning our emotions more clearly can help us come to a greater understanding of who we are and why. I also help my clients envision the lives they want to have and who they want to be and then work towards those goals. As an Asian-American therapist, I also work with children of immigrants and bicultural folks to find acceptance and peace through this new understanding of themselves.
I am a DBT therapist specializing in BPD, C-PTSD and other versions of emotion dysregulation. I use primarily DBT to help people who want to work on understanding their emotions better in order to feel more in control of their lives. Learning our emotions more clearly can help us come to a greater understanding of who we are and why. I also help my clients envision the lives they want to have and who they want to be and then work towards those goals. As an Asian-American therapist, I also work with children of immigrants and bicultural folks to find acceptance and peace through this new understanding of themselves.
(415) 915-4437 View (415) 915-4437
Photo of Sharon S Dunas, MFT, Marriage & Family Therapist
Sharon S Dunas
Marriage & Family Therapist, MFT
Verified Verified
Los Angeles, CA 90024
When mental illness strikes a family, it is as if 'someone threw a hand grenade into the family.' I can help you deal with your family member with a brain disorder. Let me help you learn to cope and advocate for your relative with schizophrenia, bipolar disorder, depression, depression with psychotic features, panic attacks, obsessive compulsive disorder and borderline personality disorder. You deserve a life even though your relative has a brain disorder. I am President of the National Alliance on Mental Illness for Westside Los Angeles. Check out what we can offer you: website www.namila.org
When mental illness strikes a family, it is as if 'someone threw a hand grenade into the family.' I can help you deal with your family member with a brain disorder. Let me help you learn to cope and advocate for your relative with schizophrenia, bipolar disorder, depression, depression with psychotic features, panic attacks, obsessive compulsive disorder and borderline personality disorder. You deserve a life even though your relative has a brain disorder. I am President of the National Alliance on Mental Illness for Westside Los Angeles. Check out what we can offer you: website www.namila.org
(310) 207-3505 View (310) 207-3505
Photo of Lauren Smith, AMFT, Marriage & Family Therapist Associate
Lauren Smith
Marriage & Family Therapist Associate, AMFT
Verified Verified
4 Endorsed
Los Angeles, CA 90036
My practice primarily centers on helping clients struggling with borderline personality disorder, addiction, trauma, anxiety, low self-esteem, and perfectionism.
The foundation of my therapeutic practice includes meeting clients with empathy, warmth, and authenticity. I strive to help clients gain insight around the ways that the past impacts the present, develop tools to navigate life mindfully, and build towards their vision of a life worth living. I focus on developing a collaborative relationship with clients in which they feel validated, respected, and honored in their own unique journey in life. My goal is to provide a safe and non-judgmental space for clients to begin the process of personal exploration and growth.
My practice primarily centers on helping clients struggling with borderline personality disorder, addiction, trauma, anxiety, low self-esteem, and perfectionism.
The foundation of my therapeutic practice includes meeting clients with empathy, warmth, and authenticity. I strive to help clients gain insight around the ways that the past impacts the present, develop tools to navigate life mindfully, and build towards their vision of a life worth living. I focus on developing a collaborative relationship with clients in which they feel validated, respected, and honored in their own unique journey in life. My goal is to provide a safe and non-judgmental space for clients to begin the process of personal exploration and growth.
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Photo of Larry S Hymes, MFT, Marriage & Family Therapist
Larry S Hymes
Marriage & Family Therapist, MFT
Verified Verified
Los Angeles, CA 90036
I am Intensely DBT trained from The Linehan Institute. DBT began as the premiere treatment for Borderline Personality Disorder and then grew to be successfully used for a variety of issues, including: depression, anxiety, impulsivity, couples counselling and substance addiction. I also use a variety of other practices and therapies, including: CBT, Motivational Interviewing, and Trauma Informed Therapy. My process is always to ask you, the client, what it is you want, what would that look like, and what is in your way. Then we collaborate to get you there!
I am Intensely DBT trained from The Linehan Institute. DBT began as the premiere treatment for Borderline Personality Disorder and then grew to be successfully used for a variety of issues, including: depression, anxiety, impulsivity, couples counselling and substance addiction. I also use a variety of other practices and therapies, including: CBT, Motivational Interviewing, and Trauma Informed Therapy. My process is always to ask you, the client, what it is you want, what would that look like, and what is in your way. Then we collaborate to get you there!
(323) 609-5715 View (323) 609-5715
Photo of Susan Horvat, MA, LPCC, Counselor
Susan Horvat
Counselor, MA, LPCC
Verified Verified
Los Angeles, CA 90025  (Online Only)
It takes courage to start/restart therapy - well done for taking the first step! Whether your therapeutic needs are straightforward or complex, my ultimate goal is to empower you. I specialize in treating BPD and complex trauma. Many of my clients identify as creative, sensitive, and/or neurodiverse (ADHD, Autism) and tend to struggle with some combination of anxiety, depression, disordered eating, and/or substance abuse. Whatever you're facing, we will customize your treatment plan together in order to get you the best, most efficient results possible.
It takes courage to start/restart therapy - well done for taking the first step! Whether your therapeutic needs are straightforward or complex, my ultimate goal is to empower you. I specialize in treating BPD and complex trauma. Many of my clients identify as creative, sensitive, and/or neurodiverse (ADHD, Autism) and tend to struggle with some combination of anxiety, depression, disordered eating, and/or substance abuse. Whatever you're facing, we will customize your treatment plan together in order to get you the best, most efficient results possible.
(714) 408-7006 View (714) 408-7006
Photo of Shira B Feinstein, MA, AMFT, Marriage & Family Therapist Associate
Shira B Feinstein
Marriage & Family Therapist Associate, MA, AMFT
Verified Verified
3 Endorsed
Los Angeles, CA 90064
Do you keep having the same argument over and over with your partner? Let's figure out the underlying needs so you can change the dance. Are you constantly in your head with fear, anxiety, or traumatic memories running your life? Let's get you back in the driver's seat. Is a pattern of "blowing things up" ruining your relationships? I'll teach you tools to help you get what you really want. I specialize in couples therapy and treating adults with trauma, OCD, BPD, and anxiety disorders. Clients describe me as warm, non-judgmental, and validating.
Do you keep having the same argument over and over with your partner? Let's figure out the underlying needs so you can change the dance. Are you constantly in your head with fear, anxiety, or traumatic memories running your life? Let's get you back in the driver's seat. Is a pattern of "blowing things up" ruining your relationships? I'll teach you tools to help you get what you really want. I specialize in couples therapy and treating adults with trauma, OCD, BPD, and anxiety disorders. Clients describe me as warm, non-judgmental, and validating.
(213) 737-4522 View (213) 737-4522
Photo of Dr. Kelly A Williams, PsyD, LMFT, Marriage & Family Therapist
Dr. Kelly A Williams
Marriage & Family Therapist, PsyD, LMFT
Verified Verified
1 Endorsed
Los Angeles, CA 90064
Welcome! I want you to know that engaging in counseling is not an admission of failure. On the contrary, it is a bold statement of growth and strength. I specialize in Borderline Personality Disorder, Couples and Marital Counseling, and Trauma. Most of my clients find me easy to talk to and appreciate my practical and relational approach to treatment. Call for a free consultation - ACCEPTING NEW CLIENTS. I accept Private Payors, Cigna, Blue Shield of California, Magellan, United Healthcare, and Optum Health Insurance.
Welcome! I want you to know that engaging in counseling is not an admission of failure. On the contrary, it is a bold statement of growth and strength. I specialize in Borderline Personality Disorder, Couples and Marital Counseling, and Trauma. Most of my clients find me easy to talk to and appreciate my practical and relational approach to treatment. Call for a free consultation - ACCEPTING NEW CLIENTS. I accept Private Payors, Cigna, Blue Shield of California, Magellan, United Healthcare, and Optum Health Insurance.
(818) 287-0456 View (818) 287-0456
Photo of Amie M. Roe, LCSW, Clinical Social Work/Therapist
Amie M. Roe
Clinical Social Work/Therapist, LCSW
Verified Verified
4 Endorsed
Los Angeles, CA 90230  (Online Only)
I do this by staying unrelentingly curious and putting my mind to work alongside yours using Mentalization Based Treatment (MBT), an evidence based treatment for Borderline Personality Disorder (BPD).
When my clients first come to me, their lives feel chaotic and out of control. No matter what they do, they can’t seem to break free from recurrent depression, major ups and downs in their mood, and significant difficulties in their relationships. All they want is to feel more peace within themselves and in the relationships that matter to them the most. They want to be able to live life on their terms, and yet, this keeps on eluding them, even though they might be really accomplished in other areas of their life, like work.
I do this by staying unrelentingly curious and putting my mind to work alongside yours using Mentalization Based Treatment (MBT), an evidence based treatment for Borderline Personality Disorder (BPD).
When my clients first come to me, their lives feel chaotic and out of control. No matter what they do, they can’t seem to break free from recurrent depression, major ups and downs in their mood, and significant difficulties in their relationships. All they want is to feel more peace within themselves and in the relationships that matter to them the most. They want to be able to live life on their terms, and yet, this keeps on eluding them, even though they might be really accomplished in other areas of their life, like work.
(347) 673-0604 View (347) 673-0604
Photo of Thomas Dunleavy, LCSW, Clinical Social Work/Therapist
Thomas Dunleavy
Clinical Social Work/Therapist, LCSW
Verified Verified
3 Endorsed
Los Angeles, CA 90036  (Online Only)
I'm a mindfulness-based therapist specializing in DBT, CBT, and ACT with focused interest in the treatment of Borderline Personality, anxiety, and emotion regulation, especially within the LGBTQ+ community.
If you’re anything like me or my clients, you’re very much aware that your overwhelming thoughts and emotions keep coming, even though it seems like you’ve done everything you can to stop them. Maybe you’re stressed and can’t relax, believing that you have to do everything by yourself...but then you’re hard on yourself for having feelings and needs! You likely know you don't want to lose your temper so easily or be controlled by your thoughts, and you know that you want more from your life than how it is now. What you likely don’t know is how to make this vision of a life worth living a reality. You're certainly not alone!
I'm a mindfulness-based therapist specializing in DBT, CBT, and ACT with focused interest in the treatment of Borderline Personality, anxiety, and emotion regulation, especially within the LGBTQ+ community.
If you’re anything like me or my clients, you’re very much aware that your overwhelming thoughts and emotions keep coming, even though it seems like you’ve done everything you can to stop them. Maybe you’re stressed and can’t relax, believing that you have to do everything by yourself...but then you’re hard on yourself for having feelings and needs! You likely know you don't want to lose your temper so easily or be controlled by your thoughts, and you know that you want more from your life than how it is now. What you likely don’t know is how to make this vision of a life worth living a reality. You're certainly not alone!
(323) 817-0512 View (323) 817-0512
Photo of Margarita Lorence, PhD, Psychologist
Margarita Lorence
Psychologist, PhD
Verified Verified
1 Endorsed
Los Angeles, CA 90095  (Online Only)
I help people to manage overwhelming emotion and specialize in complex presentations of trauma, borderline personality disorder, and OCD.
I help people 20 and older manage exhausting emotions that torture, pressure them into knee jerk reactions, and make relationships difficult. Using evidence-based practical techniques, with a dash of warmth and humor, we'll work together to see the big picture, map a path, and manage what's in the way of getting some peace.
I help people to manage overwhelming emotion and specialize in complex presentations of trauma, borderline personality disorder, and OCD.
I help people 20 and older manage exhausting emotions that torture, pressure them into knee jerk reactions, and make relationships difficult. Using evidence-based practical techniques, with a dash of warmth and humor, we'll work together to see the big picture, map a path, and manage what's in the way of getting some peace.
(925) 289-9307 View (925) 289-9307
Photo of Megan Rich, AMFT, Marriage & Family Therapist Associate
Megan Rich
Marriage & Family Therapist Associate, AMFT
Verified Verified
Los Angeles, CA 90077
Working with adults, adolescents and groups, I treat clinical issues including anxiety, depression, mood disorders, borderline personality disorder, low self esteem and relationship issues.
I provide client-centered and collaborative relational therapy informed by evidence-based treatments such as DBT, CBT, and ACT. My practice is rooted in compassion and self-determination and I help my clients dismantle the obstacles that hold them back from leading fulfilling lives. Together, we’ll identify your goals and values and build the skills required to live in line with both by exploring the personal historical patterns that have brought you to this point in your life.
Working with adults, adolescents and groups, I treat clinical issues including anxiety, depression, mood disorders, borderline personality disorder, low self esteem and relationship issues.
I provide client-centered and collaborative relational therapy informed by evidence-based treatments such as DBT, CBT, and ACT. My practice is rooted in compassion and self-determination and I help my clients dismantle the obstacles that hold them back from leading fulfilling lives. Together, we’ll identify your goals and values and build the skills required to live in line with both by exploring the personal historical patterns that have brought you to this point in your life.
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Photo of Kelsie Testa, LMFT, Marriage & Family Therapist
Kelsie Testa
Marriage & Family Therapist, LMFT
Verified Verified
Los Angeles, CA 90025  (Online Only)
I specialize in working with folks who struggle with borderline personality disorder, depression, anxiety, substance abuse and co-occurring disorders.
Hi, my name is Kelsie. For many of us, the response to painful thoughts, emotions and life events is to check out, numb, avoid or shut down. To me, therapy work is not about learning to get rid of all the "bad stuff." It’s about learning how to show up and keep going DESPITE the "bad stuff." I combine a warm and accepting style with concrete skills to help you regulate your emotions, tolerate distress, identify values and goals that make life worth living and challenge thought patterns that get in the way. Above all, my approach is collaborative: we will decide together what balance of those tools will work best for you.
I specialize in working with folks who struggle with borderline personality disorder, depression, anxiety, substance abuse and co-occurring disorders.
Hi, my name is Kelsie. For many of us, the response to painful thoughts, emotions and life events is to check out, numb, avoid or shut down. To me, therapy work is not about learning to get rid of all the "bad stuff." It’s about learning how to show up and keep going DESPITE the "bad stuff." I combine a warm and accepting style with concrete skills to help you regulate your emotions, tolerate distress, identify values and goals that make life worth living and challenge thought patterns that get in the way. Above all, my approach is collaborative: we will decide together what balance of those tools will work best for you.
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Photo of Kristin Ortiz, LCSW, Clinical Social Work/Therapist
Kristin Ortiz
Clinical Social Work/Therapist, LCSW
Verified Verified
2 Endorsed
Los Angeles, CA 90038  (Online Only)
Finding the right therapist can be daunting, especially if you’ve struggled to connect with someone who understands your unique challenges. I hope my profile is the last you need to review and that, together, we can discover your ideal path forward. I specialize in Dialectical Behavior Therapy. DBT is helpful for those who experience distress as a result of their deep emotional ranges and has been proven to be one of the most effective interventions for Borderline Personality Disorder. Because PTSD is often at the root of these concerns, I use Prolonged Exposure to help people move forward in their lives, unburdened by trauma.
Finding the right therapist can be daunting, especially if you’ve struggled to connect with someone who understands your unique challenges. I hope my profile is the last you need to review and that, together, we can discover your ideal path forward. I specialize in Dialectical Behavior Therapy. DBT is helpful for those who experience distress as a result of their deep emotional ranges and has been proven to be one of the most effective interventions for Borderline Personality Disorder. Because PTSD is often at the root of these concerns, I use Prolonged Exposure to help people move forward in their lives, unburdened by trauma.
(424) 408-8547 View (424) 408-8547
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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.