Borderline Personality (BPD) Therapists in Charlotte, NC
![Photo of Taylor Cummins(Vinson), LCMHC](https://photos.psychologytoday.com/1f2cc294-9f71-418e-8342-3a0eeaee5d99/1/320x400.jpeg)
Taylor Cummins(Vinson)
Licensed Clinical Mental Health Counselor, LCMHC
Verified Verified
Charlotte, NC 28210
My name is Taylor Cummins Vinson, and I am a Licensed Clinical Mental Health Counselor (LCMHC, NCC) with six years of clinical experience. My counseling experience includes outpatient counseling for clients who have experienced recent trauma, experienced domestic violence, or have been diagnosed with Borderline Personality Disorder. I typically utilize Cognitive Behavioral (CBT), Dialectical (DBT), and Client-Centered Therapy during sessions and create an environment of positive regard and empathy. I believe goal setting is a collaborative process between the therapist and the client.
My name is Taylor Cummins Vinson, and I am a Licensed Clinical Mental Health Counselor (LCMHC, NCC) with six years of clinical experience. My counseling experience includes outpatient counseling for clients who have experienced recent trauma, experienced domestic violence, or have been diagnosed with Borderline Personality Disorder. I typically utilize Cognitive Behavioral (CBT), Dialectical (DBT), and Client-Centered Therapy during sessions and create an environment of positive regard and empathy. I believe goal setting is a collaborative process between the therapist and the client.
![Photo of Kelli Mehalic, MA, NCC, LCMHC, Counselor](https://photos.psychologytoday.com/fa86cb88-5ea6-47bf-b6c6-8c92cf2f6bbe/3/320x400.jpeg)
My approach to counseling is simple: You can change. You can change your mind, your heart and the direction of your life. As a fervent life-long seeker of meaning and understanding of the human experience, I commit a fearless attitude and tireless ethic to charting your path toward greater happiness, purpose and peace. My clients include adolescents and adults navigating mood disorders, low self-esteem, stress, challenging life changes, faith transitions and religious trauma. I have extensive experience with Borderline Personality Disorder and offer treatment and hope through a combination of modalities including DBT skills.
My approach to counseling is simple: You can change. You can change your mind, your heart and the direction of your life. As a fervent life-long seeker of meaning and understanding of the human experience, I commit a fearless attitude and tireless ethic to charting your path toward greater happiness, purpose and peace. My clients include adolescents and adults navigating mood disorders, low self-esteem, stress, challenging life changes, faith transitions and religious trauma. I have extensive experience with Borderline Personality Disorder and offer treatment and hope through a combination of modalities including DBT skills.
![Photo of Latasha G. Gary, LCMHC, MACC, Counselor](https://photos.psychologytoday.com/2791d0de-14a6-45a7-ae87-16c099062583/3/320x400.jpeg)
I am an EMDR Certified + Brainspotting Psychotherapist specializing in trauma, dissociation, and BPD.
Trauma doesn’t often show it's effects immediately or plainly. It is often hidden in patterns of sleepless nights, negative thinking, anxious worry, and feelings of despair and emptiness. It casts a long shadow that begins to de-color every aspect of life. Activities that were previously enjoyed are scheduled less often. You've noticed not only effects but that it has changed who you are. You’ve noticed that the way you feel about the world & others is very different. The thoughts you have about yourself are no better. And every part of life is categorized by whether it happened “before”. “Before the accident, before the bullying".
I am an EMDR Certified + Brainspotting Psychotherapist specializing in trauma, dissociation, and BPD.
Trauma doesn’t often show it's effects immediately or plainly. It is often hidden in patterns of sleepless nights, negative thinking, anxious worry, and feelings of despair and emptiness. It casts a long shadow that begins to de-color every aspect of life. Activities that were previously enjoyed are scheduled less often. You've noticed not only effects but that it has changed who you are. You’ve noticed that the way you feel about the world & others is very different. The thoughts you have about yourself are no better. And every part of life is categorized by whether it happened “before”. “Before the accident, before the bullying".
Kristi Knox
Licensed Clinical Mental Health Counselor, MA, LCMHC
Verified Verified
Charlotte, NC 28227
Waitlist for new clients
I am a Licensed Clinical Mental Health Counselor (LCMHC) specializing in Dialectical Behavior Therapy (DBT) for the treatment of Borderline Personality Disorder (BPD).
I have a vested interest and the expertise of 20+ years to help patients improve self-esteem, self-worth, & mood symptoms, as well as to navigate the complexities of relationships and trauma. Whether you have been in therapy extensively throughout the years or are a beginning client, you may have emotional, interpersonal, thinking and behavioral patterns you would like to make significant and lasting changes to. This is why treatment with me spans several research based stages including skill building; accessing internal resources for bringing about change; and accessing and changing neural networks to bring about healing.
I am a Licensed Clinical Mental Health Counselor (LCMHC) specializing in Dialectical Behavior Therapy (DBT) for the treatment of Borderline Personality Disorder (BPD).
I have a vested interest and the expertise of 20+ years to help patients improve self-esteem, self-worth, & mood symptoms, as well as to navigate the complexities of relationships and trauma. Whether you have been in therapy extensively throughout the years or are a beginning client, you may have emotional, interpersonal, thinking and behavioral patterns you would like to make significant and lasting changes to. This is why treatment with me spans several research based stages including skill building; accessing internal resources for bringing about change; and accessing and changing neural networks to bring about healing.
![Photo of Josephine Shivers, LCSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/ae122e0d-d8c7-4782-b8b0-2a30ebd119c0/1/320x400.png)
Josie Shivers is a Licensed Clinical Social Worker with experience assisting individuals in navigating daily life with a severe and persistent mental illness as well as anxiety and depression. She has worked in an inpatient psychiatric unit where she gained experience working with a variety of diverse clients with a wide range of diagnoses. Josie specializes in mood disorders, borderline personality disorder, and interpersonal challenges. She is passionate about helping individuals manage their individual needs to improve their quality of life.
Josie Shivers is a Licensed Clinical Social Worker with experience assisting individuals in navigating daily life with a severe and persistent mental illness as well as anxiety and depression. She has worked in an inpatient psychiatric unit where she gained experience working with a variety of diverse clients with a wide range of diagnoses. Josie specializes in mood disorders, borderline personality disorder, and interpersonal challenges. She is passionate about helping individuals manage their individual needs to improve their quality of life.
![Photo of Bilal M Ghandour, PhD, Psychologist](https://photos.psychologytoday.com/54f68f25-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
This includes eating disorders, body image, self-harm tendencies, borderline personality disorder, conversion disorder, obsessive tendencies - such as OCD, trichotillomania (repeated hair pulling) and body dysmorphic disorder.
I am a psychologist with many years of experience working with teens and adults with emotional difficulties. I believe the key to successful treatment is a good client-therapist match and your motivation to getting help. In terms of therapy style, I use an interactive, collaborative approach - a genuine and warm dialogue between two persons who work together to understand/resolve issues. Also, I view myself as someone who asks questions that motivate you to gain further insight about issues of concern and, when you are ready to make changes, I will give you tools and skills to implement them.
This includes eating disorders, body image, self-harm tendencies, borderline personality disorder, conversion disorder, obsessive tendencies - such as OCD, trichotillomania (repeated hair pulling) and body dysmorphic disorder.
I am a psychologist with many years of experience working with teens and adults with emotional difficulties. I believe the key to successful treatment is a good client-therapist match and your motivation to getting help. In terms of therapy style, I use an interactive, collaborative approach - a genuine and warm dialogue between two persons who work together to understand/resolve issues. Also, I view myself as someone who asks questions that motivate you to gain further insight about issues of concern and, when you are ready to make changes, I will give you tools and skills to implement them.
![Photo of Raven Ransom, MS, LCMHCA, Counselor](https://photos.psychologytoday.com/a27bb302-3a77-4101-a4e6-c419b00f828a/2/320x400.jpeg)
I am currently accepting new clients who require support for post-traumatic, borderline personality, anxiety disorders, and attachment wounds. As a psychotherapist, my clinical mission is to provide individuals seeking mental health assistance with a safe, confidential, and supportive environment. I am committed to helping all my clients achieve their goals, whether it be overcoming past traumas, managing anxiety and depression, or simply improving communication skills.
I am currently accepting new clients who require support for post-traumatic, borderline personality, anxiety disorders, and attachment wounds. As a psychotherapist, my clinical mission is to provide individuals seeking mental health assistance with a safe, confidential, and supportive environment. I am committed to helping all my clients achieve their goals, whether it be overcoming past traumas, managing anxiety and depression, or simply improving communication skills.
![Photo of Imani White, LCSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/b9842fff-7cda-4657-8125-a722f756018c/2/320x400.jpeg)
Hi! I'm a Black female therapist who deeply understands the challenges faced when dealing with societal pressures, trauma - be it generational, historical, racial, or relationship-based, and the general stressors of life. Whether you're grappling with Borderline Personality Disorder (BPD), anxiety, trauma, PTSD, depression or chronic health, know that you are not alone, and I'm here to help. Think of our sessions together as a safe space, a supportive tool to navigate life's ups and downs. I believe in interrupting negative thoughts and feelings that chip away at our self-worth.
Hi! I'm a Black female therapist who deeply understands the challenges faced when dealing with societal pressures, trauma - be it generational, historical, racial, or relationship-based, and the general stressors of life. Whether you're grappling with Borderline Personality Disorder (BPD), anxiety, trauma, PTSD, depression or chronic health, know that you are not alone, and I'm here to help. Think of our sessions together as a safe space, a supportive tool to navigate life's ups and downs. I believe in interrupting negative thoughts and feelings that chip away at our self-worth.
![Photo of Shelley Bunn, MA, LCMHCA, Counselor](https://photos.psychologytoday.com/57390e01-8d4b-4297-8e6a-ae823925c9f6/14/320x400.jpeg)
Feeling misunderstood and unloved by those closest to us is living hell. Pain, hopelessness, and anger burrow deep as repair seems impossible. It's exhausting to cope with past trauma while trying to keep things together in the present. Any added stress, anxiety, or depression is overwhelming. Those of you with Borderline Personality Disorder (BPD) are struggling with these symptoms simultaneously and it's unbearable. I specialize in relationship repair and borderline personality disorder. In family, individual, or marriage counseling I can help you heal, connect, and once again find hope.
Feeling misunderstood and unloved by those closest to us is living hell. Pain, hopelessness, and anger burrow deep as repair seems impossible. It's exhausting to cope with past trauma while trying to keep things together in the present. Any added stress, anxiety, or depression is overwhelming. Those of you with Borderline Personality Disorder (BPD) are struggling with these symptoms simultaneously and it's unbearable. I specialize in relationship repair and borderline personality disorder. In family, individual, or marriage counseling I can help you heal, connect, and once again find hope.
![Photo of Kayla Harmon - InclusiFlora Counseling PLLC, LCSWA, LMSW, LPC, ADC, NCC](https://photos.psychologytoday.com/986dfd26-b9be-40fd-9dc4-e9ade57fc281/1/320x400.png)
InclusiFlora Counseling PLLC
LCSW Associate, LCSWA, LMSW, LPC, ADC, NCC
Verified Verified
Charlotte, NC 28205 (Online Only)
We are LGBTQIA+ affirmative, trauma-informed, neuroaffirmative, and culturally competent for all (BIPOC affirmative and allied). We focus on working with trauma, LGBTQIA+, folx making neurodivergency work for them, specialty with religious trauma, self-harm, couples counseling, BPD, grief, anxiety, and depression. We work with teens and adults in SC, NC and FL. We love working through the good, the bad, and the ugly and supporting our clients to make life feel just a little lighter for them. Text or call today for your FREE-15 minute consult, to make sure you feel like we're a good fit!
We are LGBTQIA+ affirmative, trauma-informed, neuroaffirmative, and culturally competent for all (BIPOC affirmative and allied). We focus on working with trauma, LGBTQIA+, folx making neurodivergency work for them, specialty with religious trauma, self-harm, couples counseling, BPD, grief, anxiety, and depression. We work with teens and adults in SC, NC and FL. We love working through the good, the bad, and the ugly and supporting our clients to make life feel just a little lighter for them. Text or call today for your FREE-15 minute consult, to make sure you feel like we're a good fit!
![Photo of Rachel Kitson, PhD, Psychologist](https://photos.psychologytoday.com/513c3a6c-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
Specific diagnostic specialty areas include Asperger's, depression, anxiety, borderline personality disorder, bipolar disorder, and trauma.
I work with teens, young adults, and adults who are struggling with meeting their goals, maintaining healthy relationships, identity issues, and navigating the transitions and stressors life throws. I also enjoy working with couples who have hit road blocks and need guidance and a third party perspective. My approach is interpersonal and I offer a space for clients to gain feedback and accountability through the development of a strong therapeutic alliance. I lead an adult Dialectical Behavior Therapy (DBT) group and incorporate skills training into my practice.
Specific diagnostic specialty areas include Asperger's, depression, anxiety, borderline personality disorder, bipolar disorder, and trauma.
I work with teens, young adults, and adults who are struggling with meeting their goals, maintaining healthy relationships, identity issues, and navigating the transitions and stressors life throws. I also enjoy working with couples who have hit road blocks and need guidance and a third party perspective. My approach is interpersonal and I offer a space for clients to gain feedback and accountability through the development of a strong therapeutic alliance. I lead an adult Dialectical Behavior Therapy (DBT) group and incorporate skills training into my practice.
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![Photo of Chad W Kraska, PsyD, HSP-P, Psychologist](https://photos.psychologytoday.com/e97308bb-4dd0-4176-804f-1d44c8bf1976/2/320x400.jpeg)
My specialty is psychological assessment/evaluations for children and adults. Areas of focus include AD/HD, Autism Spectrum Disorder (Asperger's), Anxiety Disorders, Mood Disorders (Depression and Bipolar), Schizophrenia, Learning Disorders, Disruptive Behavior Disorders (e.g. Oppositional Defiant and Conduct Disorder) and Personality Disorders (e.g. Borderline). I provide IQ testing for school readiness (CAIS testing) and educational evaluations identifying specific learning disorders (e.g. SLD's in reading, writing and math). Additionally, I provide therapeutic services for the above mentioned challenges.
My specialty is psychological assessment/evaluations for children and adults. Areas of focus include AD/HD, Autism Spectrum Disorder (Asperger's), Anxiety Disorders, Mood Disorders (Depression and Bipolar), Schizophrenia, Learning Disorders, Disruptive Behavior Disorders (e.g. Oppositional Defiant and Conduct Disorder) and Personality Disorders (e.g. Borderline). I provide IQ testing for school readiness (CAIS testing) and educational evaluations identifying specific learning disorders (e.g. SLD's in reading, writing and math). Additionally, I provide therapeutic services for the above mentioned challenges.
![Photo of Anna Lanier-Comar, LCMHC, Counselor](https://photos.psychologytoday.com/c7874cae-6d3f-41f3-9a48-b0bf8678696a/2/320x400.jpeg)
I have been practicing in the mental health field for 17 years. I served in the Air Force Reserves for 8 years as a Mental Health Technician while earning my MA in Clinical Mental Health Counseling. I completed the requirements for Licensure while working at an inpatient Eating Disorder Facility in North Carolina. I have been practicing as a Licensed Therapist since 2017. Most of my professional experience is in treating Anxiety, Depression, Bipolar disorder, Borderline personality disorder and Eating disorders. I use a few different modalities in therapy.
I have been practicing in the mental health field for 17 years. I served in the Air Force Reserves for 8 years as a Mental Health Technician while earning my MA in Clinical Mental Health Counseling. I completed the requirements for Licensure while working at an inpatient Eating Disorder Facility in North Carolina. I have been practicing as a Licensed Therapist since 2017. Most of my professional experience is in treating Anxiety, Depression, Bipolar disorder, Borderline personality disorder and Eating disorders. I use a few different modalities in therapy.
![Photo of Brian Robertson, LCSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/03379e21-9a97-46cc-9921-4ff0833abe49/1/320x400.jpeg)
Brian “Rob” Robertson is a Licensed Clinical Social Worker (LCSW) who has experience as an EMDR therapist specializing in trauma, dissociative disorders, and borderline personality disorder. To better serve those he works with, he is only taking new cases dealing with those specialties. Rob also has additional experience in treating victims of sex trafficking, military combat trauma, and victims of ritual abuse and programming (cults). He is also a member of the International Society for the Study of Trauma and Dissociation, as well as the ISSTD Special Interest Group for the Treatment of Organized and Extreme Abuse.
Brian “Rob” Robertson is a Licensed Clinical Social Worker (LCSW) who has experience as an EMDR therapist specializing in trauma, dissociative disorders, and borderline personality disorder. To better serve those he works with, he is only taking new cases dealing with those specialties. Rob also has additional experience in treating victims of sex trafficking, military combat trauma, and victims of ritual abuse and programming (cults). He is also a member of the International Society for the Study of Trauma and Dissociation, as well as the ISSTD Special Interest Group for the Treatment of Organized and Extreme Abuse.
![Photo of Rachel Merritt, MSW, LCSWA, Clinical Social Work/Therapist](https://photos.psychologytoday.com/7b7871cf-1605-4634-a3a9-61f07c0740c2/3/320x400.jpeg)
Rachel Merritt
Clinical Social Work/Therapist, MSW, LCSWA
Verified Verified
3 Endorsed
Charlotte, NC 28210
Hi, my name is Rachel Merritt. I am currently a Licensed Clinical Social Work Associate. I have experience working with adults and adolescents who have been diagnosed with anxiety, depression, ADHD, BPD, & OCD. My area of focus has been working with adults in individual therapy, working with couples through relationships difficulties and intimacy issues and working with groups in the treatment of trauma. My biggest goal is to help you reconnect and become the best version of yourself.
Hi, my name is Rachel Merritt. I am currently a Licensed Clinical Social Work Associate. I have experience working with adults and adolescents who have been diagnosed with anxiety, depression, ADHD, BPD, & OCD. My area of focus has been working with adults in individual therapy, working with couples through relationships difficulties and intimacy issues and working with groups in the treatment of trauma. My biggest goal is to help you reconnect and become the best version of yourself.
![Photo of Mathilda Rose Jones, LCSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/79c7bfc5-945a-41d9-a984-e67f7a032639/1/320x400.jpeg)
Mathilda Rose Jones
Clinical Social Work/Therapist, LCSW
Verified Verified
Charlotte, NC 28202 (Online Only)
I am a Licensed Clinical Social Worker having experience working with children, adolescents and adults. The primary focus of my practice has been trauma recovery. I have also provided services in group settings equiping adults, children and families with empowerment and behavioral modification strategies. Although my clinical nucleus is trauma, I have also helped individuals struggling with depression, anxiety, ADHD, behavioral modification, and Borderline Personality Disorder.
I am a Licensed Clinical Social Worker having experience working with children, adolescents and adults. The primary focus of my practice has been trauma recovery. I have also provided services in group settings equiping adults, children and families with empowerment and behavioral modification strategies. Although my clinical nucleus is trauma, I have also helped individuals struggling with depression, anxiety, ADHD, behavioral modification, and Borderline Personality Disorder.
![Photo of Tina Rix, MS, LMFT-S, Marriage & Family Therapist](https://photos.psychologytoday.com/1536ef08-70f2-4cd1-9761-f337b6c1baae/1/320x400.jpeg)
Tina Rix
Marriage & Family Therapist, MS, LMFT-S
Verified Verified
Charlotte, NC 28203 (Online Only)
Hello, I'm a Nigerian American, Sr. Licensed Marriage and Family Therapist in Texas with 20 years of professional work experience. I treat music industry professionals and everyday people, who are survivors of Narcissistic Abuse, and other types of emotional and psychological abuse. I also treat clients with partners, siblings, work colleagues, and community leaders who exhibit many characteristics of narcissistic, borderline, histrionic, or antisocial (aka psychopathy) personality disorder traits. Other areas of treatment are listed on our website. I'm also a Therapist for Major Music Artists' World Tours & for the film industry.
Hello, I'm a Nigerian American, Sr. Licensed Marriage and Family Therapist in Texas with 20 years of professional work experience. I treat music industry professionals and everyday people, who are survivors of Narcissistic Abuse, and other types of emotional and psychological abuse. I also treat clients with partners, siblings, work colleagues, and community leaders who exhibit many characteristics of narcissistic, borderline, histrionic, or antisocial (aka psychopathy) personality disorder traits. Other areas of treatment are listed on our website. I'm also a Therapist for Major Music Artists' World Tours & for the film industry.
![Photo of Bree Normandin, LCMHC, LCAS, MTS, NCC, CCS-I](https://photos.psychologytoday.com/de84188f-94ff-488a-9f9c-daf55a83163f/1/320x400.jpeg)
Bree Normandin
Licensed Clinical Mental Health Counselor, LCMHC, LCAS, MTS, NCC, CCS-I
Verified Verified
2 Endorsed
Charlotte, NC 28210 (Online Only)
Welcome to my therapeutic space. I am honored to guide you on your journey toward healing and growth. With over a decade of experience in Western North Carolina, I specialize in treating addiction, anxiety, depression, ADHD, Autism Spectrum Disorder, and Borderline Personality Disorder. My approach is tailored to help you overcome these challenges and achieve personal growth.
Welcome to my therapeutic space. I am honored to guide you on your journey toward healing and growth. With over a decade of experience in Western North Carolina, I specialize in treating addiction, anxiety, depression, ADHD, Autism Spectrum Disorder, and Borderline Personality Disorder. My approach is tailored to help you overcome these challenges and achieve personal growth.
![Photo of Mary Candace Bryant, MSW, LCSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/9af7490a-93f0-4591-9e7f-4f5ac94b4287/2/320x400.jpeg)
Mary Candace Bryant
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Charlotte, NC 28210 (Online Only)
I specialize in Depression, Anxiety, Mood disorders, Coping with Addictions, Trauma and Abuse (and often trauma-related diagnoses like BPD), LGBTQIA+ Issues, and ADHD.
Life can just feel really HARD sometimes. Coming to therapy can give you a place to unpack, unburden and untangle all of the “stuff” that’s weighing you down. I love connecting with my clients in a relaxed, open-minded, inclusive space that allows them to feel free to be themselves! In therapy, we will work together to figure out what feeling "OK" or "better" would look like, then we will collaborate on how to move towards that.
I specialize in Depression, Anxiety, Mood disorders, Coping with Addictions, Trauma and Abuse (and often trauma-related diagnoses like BPD), LGBTQIA+ Issues, and ADHD.
Life can just feel really HARD sometimes. Coming to therapy can give you a place to unpack, unburden and untangle all of the “stuff” that’s weighing you down. I love connecting with my clients in a relaxed, open-minded, inclusive space that allows them to feel free to be themselves! In therapy, we will work together to figure out what feeling "OK" or "better" would look like, then we will collaborate on how to move towards that.
![Photo of Stacey Hope - Hope Counseling and Wellness, LLC , MS, LPCA , LCMHCA](https://photos.psychologytoday.com/fbf6e09f-a4aa-4476-a293-dd453ef931c2/3/320x400.jpeg)
Hope Counseling and Wellness, LLC
Licensed Professional Counselor Associate, MS, LPCA , LCMHCA
Verified Verified
Charlotte, NC 28201
I come alongside clients to address symptoms of anxiety, depression, trauma, family of origin issues, psychotic disorders, and borderline personality disorder using an integration of therapy models.
I am Stacey Hope, owner and therapist at Hope Counseling and Wellness. My clients appreciate the warm, accepting, and non-judgmental approach I take to building therapeutic relationships. I create a safe space, whether virtually or in-person, for clients to be themselves and to work toward their mental health goals. My clients learn how to be accountable for and to gain better control of their own mental, physical, and spiritual well-being.
I come alongside clients to address symptoms of anxiety, depression, trauma, family of origin issues, psychotic disorders, and borderline personality disorder using an integration of therapy models.
I am Stacey Hope, owner and therapist at Hope Counseling and Wellness. My clients appreciate the warm, accepting, and non-judgmental approach I take to building therapeutic relationships. I create a safe space, whether virtually or in-person, for clients to be themselves and to work toward their mental health goals. My clients learn how to be accountable for and to gain better control of their own mental, physical, and spiritual well-being.
See more therapy options for Charlotte
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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.