Borderline Personality (BPD) Therapists in San Antonio, TX

Photo of Lydia Elizabeth Friese - Mindful Therapy with Lydia, LPC, Licensed Professional Counselor
Mindful Therapy with Lydia
Licensed Professional Counselor, LPC
Verified Verified
San Antonio, TX 78257  (Online Only)
Lydia Friese is a Licensed Professional Counselor , 86941. Lydia earned her M.S. in Clinical Psychology with a specialization in Clinical Counseling. She specializes in relationship issues, Substance Abuse Disorders, ADHD, Borderline Personality Disorder, Bipolar Disorder, PTSD, Anxiety and Depression. She has 3 years of experience in working with children, adolescents, teens, couples, adults and families. Lydia’s goal is to provide clients a safe space for clients to move into awareness and gain self-trust. In turn seeing life's challenges as manageable.
Lydia Friese is a Licensed Professional Counselor , 86941. Lydia earned her M.S. in Clinical Psychology with a specialization in Clinical Counseling. She specializes in relationship issues, Substance Abuse Disorders, ADHD, Borderline Personality Disorder, Bipolar Disorder, PTSD, Anxiety and Depression. She has 3 years of experience in working with children, adolescents, teens, couples, adults and families. Lydia’s goal is to provide clients a safe space for clients to move into awareness and gain self-trust. In turn seeing life's challenges as manageable.
(830) 529-7774 View (830) 529-7774
Photo of Sonya Karlena Boone, DBH, LCSW, MSW, MHSA, Clinical Social Work/Therapist
Sonya Karlena Boone
Clinical Social Work/Therapist, DBH, LCSW, MSW, MHSA
Verified Verified
San Antonio, TX 78245  (Online Only)
Not accepting new clients
I do not take insurance. Schedule a session: mindfulrestoration.as.me/ I use an integrated and solution-focused approach when providing therapy to my clients, which involves assessing if a client has co-morbid issues such as diabetes and depression or chronic pain and anxiety. I specialize in treating anxiety, depression, and personality disorders, i.e., borderline personality disorder, bipolar disorders, trauma, sexual abuse, self-esteem issues, PTSD, clients dealing with adjustment problems, grief & loss, and work-related stressors. I also provide supervision.
I do not take insurance. Schedule a session: mindfulrestoration.as.me/ I use an integrated and solution-focused approach when providing therapy to my clients, which involves assessing if a client has co-morbid issues such as diabetes and depression or chronic pain and anxiety. I specialize in treating anxiety, depression, and personality disorders, i.e., borderline personality disorder, bipolar disorders, trauma, sexual abuse, self-esteem issues, PTSD, clients dealing with adjustment problems, grief & loss, and work-related stressors. I also provide supervision.
(808) 645-4083 View (808) 645-4083
Photo of Scott D Altamirano, MA, LMFT, Marriage & Family Therapist
Scott D Altamirano
Marriage & Family Therapist, MA, LMFT
Verified Verified
San Antonio, TX 78209  (Online Only)
To me, a large part of therapy is about grieving, acceptance, and peace within ourselves and others; I am particularly good at helping people get in touch with their feelings. I tend to work with the heavier side of therapy, that include drug/ alcohol /cannabis addiction, domestic violence, narcissism, borderline, sex/porn addiction, sex offense, sexual shame, couples working through sobriety-recovery dynamics, infidelity, poly relationships, court, and anger management. I tend to work really well with those who enjoy dark humor, who are avoidant by nature, and those who are seeking redemption from guilt/shame.
To me, a large part of therapy is about grieving, acceptance, and peace within ourselves and others; I am particularly good at helping people get in touch with their feelings. I tend to work with the heavier side of therapy, that include drug/ alcohol /cannabis addiction, domestic violence, narcissism, borderline, sex/porn addiction, sex offense, sexual shame, couples working through sobriety-recovery dynamics, infidelity, poly relationships, court, and anger management. I tend to work really well with those who enjoy dark humor, who are avoidant by nature, and those who are seeking redemption from guilt/shame.
(442) 203-6839 View (442) 203-6839
Photo of Michelle Jacinto Psychotherapy And Supervision, MA, LPC-S, Licensed Professional Counselor
Michelle Jacinto Psychotherapy And Supervision
Licensed Professional Counselor, MA, LPC-S
Verified Verified
3 Endorsed
San Antonio, TX 78228
The therapeutic relationship I build with individuals, is my priority. I will work closely with you to create a plan that addresses your personal concerns, needs and goals while supporting you throughout your journey. My goal is to help you restore the feelings of wholeness and well-being in a safe and nurturing environment, while also forging resilience and tenacity. My passion is working with those who are struggling with Borderline Personality Disorder, Codependency (CPTSD and other toxic environments) and individuals navigating through existential crisis and loss of autonomy. -.-.-For faster response please email.-.-.-
The therapeutic relationship I build with individuals, is my priority. I will work closely with you to create a plan that addresses your personal concerns, needs and goals while supporting you throughout your journey. My goal is to help you restore the feelings of wholeness and well-being in a safe and nurturing environment, while also forging resilience and tenacity. My passion is working with those who are struggling with Borderline Personality Disorder, Codependency (CPTSD and other toxic environments) and individuals navigating through existential crisis and loss of autonomy. -.-.-For faster response please email.-.-.-
(210) 761-4124 View (210) 761-4124
Photo of Scott D Altamirano, LMFT, MA, Marriage & Family Therapist
Scott D Altamirano
Marriage & Family Therapist, LMFT, MA
Verified Verified
San Antonio, TX 78209
To me, a large part of therapy is about grieving, acceptance, and peace within ourselves and others; I am particularly good at helping people get in touch with their feelings. I tend to work with the heavier side of therapy, that include drug/ alcohol /cannabis addiction, domestic violence, narcissism, borderline, sex/porn addiction, sex offense, sexual shame, couples working through sobriety-recovery dynamics, infidelity, poly relationships, court, and anger management. I tend to work really well with those who enjoy dark humor, who are avoidant by nature, and those who are seeking redemption from guilt/shame.
To me, a large part of therapy is about grieving, acceptance, and peace within ourselves and others; I am particularly good at helping people get in touch with their feelings. I tend to work with the heavier side of therapy, that include drug/ alcohol /cannabis addiction, domestic violence, narcissism, borderline, sex/porn addiction, sex offense, sexual shame, couples working through sobriety-recovery dynamics, infidelity, poly relationships, court, and anger management. I tend to work really well with those who enjoy dark humor, who are avoidant by nature, and those who are seeking redemption from guilt/shame.
(214) 617-1662 View (214) 617-1662
Photo of Stephanie Triana, PhD, Psychologist
Stephanie Triana
Psychologist, PhD
Verified Verified
San Antonio, TX 78213
" Common reasons for feeling stuck are experiencing or witnessing childhood abuse/domestic abuse, trauma, PTSD, rejection or abandonment, low self-esteem, and chronic mental conditions, such as depression, anxiety, and borderline personality disorder.
Healing begins with you, but you don't have to do it alone. I'm here for you during this journey. I have 17 years experience in the mental health field and 15 years experience in treatment. I am EMDR trained, and love helping clients heal from trauma, depression, and anxiety. Trauma is a lot more common than you realize, and includes any experience that has affected your self worth and/or wellbeing. If you feel different or like you don't belong, come see me. I'm real, compassionate, empathic, and transparent.
" Common reasons for feeling stuck are experiencing or witnessing childhood abuse/domestic abuse, trauma, PTSD, rejection or abandonment, low self-esteem, and chronic mental conditions, such as depression, anxiety, and borderline personality disorder.
Healing begins with you, but you don't have to do it alone. I'm here for you during this journey. I have 17 years experience in the mental health field and 15 years experience in treatment. I am EMDR trained, and love helping clients heal from trauma, depression, and anxiety. Trauma is a lot more common than you realize, and includes any experience that has affected your self worth and/or wellbeing. If you feel different or like you don't belong, come see me. I'm real, compassionate, empathic, and transparent.
(210) 880-1810 View (210) 880-1810
Photo of Scott Altamirano, LMFT, MA, Marriage & Family Therapist
Scott Altamirano
Marriage & Family Therapist, LMFT, MA
Verified Verified
San Antonio, TX 78209  (Online Only)
To me, a large part of therapy is about grieving, acceptance, and peace within ourselves and others; I am particularly good at helping people get in touch with their feelings. I tend to work with the heavier side of therapy, that include drug/ alcohol /cannabis addiction, domestic violence, narcissism, borderline, sex/porn addiction, sex offense, sexual shame, couples working through sobriety-recovery dynamics, infidelity, poly relationships, court, and anger management. I tend to work really well with those who enjoy dark humor, who are avoidant by nature, and those who are seeking redemption from guilt/shame.
To me, a large part of therapy is about grieving, acceptance, and peace within ourselves and others; I am particularly good at helping people get in touch with their feelings. I tend to work with the heavier side of therapy, that include drug/ alcohol /cannabis addiction, domestic violence, narcissism, borderline, sex/porn addiction, sex offense, sexual shame, couples working through sobriety-recovery dynamics, infidelity, poly relationships, court, and anger management. I tend to work really well with those who enjoy dark humor, who are avoidant by nature, and those who are seeking redemption from guilt/shame.
(415) 663-2843 View (415) 663-2843
Photo of Christopher Lee Creaturo, MA, LPC, Licensed Professional Counselor
Christopher Lee Creaturo
Licensed Professional Counselor, MA, LPC
Verified Verified
San Antonio, TX 78230  (Online Only)
I specialize in techniques of EMDR for trauma, Internal Family Systems for meeting and healing our exiled parts, Mentalization Based Therapy for Borderline Personality Disorder, Jungian techniques such as dreamwork, and Attachment-informed strategies to improve relationships.
I look for clients that are serious about change, tired of the dead ends and ready to step into a new life path as their best selves. My practice offers tools for trauma, depression, anxiety, and also works to progress life's bigger picture, and aid the search for direction and purpose that we often feel is missing. This toolset includes EMDR and Internal Family Systems, as well the creation of a healing space to reflect. We can bring about hope to the stuck parts of our worlds, and gain an edge to finally be fully present in our own lives and relationships again. Email is preferred to take the next step and see if we fit!
I specialize in techniques of EMDR for trauma, Internal Family Systems for meeting and healing our exiled parts, Mentalization Based Therapy for Borderline Personality Disorder, Jungian techniques such as dreamwork, and Attachment-informed strategies to improve relationships.
I look for clients that are serious about change, tired of the dead ends and ready to step into a new life path as their best selves. My practice offers tools for trauma, depression, anxiety, and also works to progress life's bigger picture, and aid the search for direction and purpose that we often feel is missing. This toolset includes EMDR and Internal Family Systems, as well the creation of a healing space to reflect. We can bring about hope to the stuck parts of our worlds, and gain an edge to finally be fully present in our own lives and relationships again. Email is preferred to take the next step and see if we fit!
(210) 796-4623 View (210) 796-4623
Photo of Faith Roby, LMFT, Marriage & Family Therapist
Faith Roby
Marriage & Family Therapist, LMFT
Verified Verified
San Antonio, TX 78205
I specialize in treating infidelity, post-infidelity stress, trauma, complex PTSD, PTSD, mood disorders, emotion dysregulation, borderline personality disorder, anger issues, lack of assertiveness, family dysfunction, anxiety, faith-based issues, marital sex-based issues, substance use, sex abuse, stress, domestic violence, etc.
I truly believe that while you may come in broken, by faith, you can leave healed! I approach therapy in a collaborative manner with my clients. To effectively collaborate, I have a "no walking on eggshells" policy in our therapeutic space. Hold on, Faith! What does a “no walking on eggshells” policy mean? This policy empowers my clients to present what they may think are the “icky” parts of themselves without fear of being unrighteously judged in therapy. I will work to earn your trust so have faith in me, yourself, and the process as part of your healing journey.
I specialize in treating infidelity, post-infidelity stress, trauma, complex PTSD, PTSD, mood disorders, emotion dysregulation, borderline personality disorder, anger issues, lack of assertiveness, family dysfunction, anxiety, faith-based issues, marital sex-based issues, substance use, sex abuse, stress, domestic violence, etc.
I truly believe that while you may come in broken, by faith, you can leave healed! I approach therapy in a collaborative manner with my clients. To effectively collaborate, I have a "no walking on eggshells" policy in our therapeutic space. Hold on, Faith! What does a “no walking on eggshells” policy mean? This policy empowers my clients to present what they may think are the “icky” parts of themselves without fear of being unrighteously judged in therapy. I will work to earn your trust so have faith in me, yourself, and the process as part of your healing journey.
(346) 205-0126 View (346) 205-0126
Photo of Maddie Nutt, LPC, Licensed Professional Counselor
Maddie Nutt
Licensed Professional Counselor, LPC
Verified Verified
3 Endorsed
San Antonio, TX 78258  (Online Only)
No matter the stories you bring in or the identities that you hold, my aim is to create a safe space for you to find healing. I have experience with clients of all ages, from littles to the more-seasoned. I have worked with interpersonal violence survivors, borderline personality disorder, complex PTSD, LGBTQ+ populations, empty-nesters, neurodivergent folk, and those experiencing faith deconstruction or spiritual abuse. I am now taking virtual clients from all over Texas & Oklahoma!
No matter the stories you bring in or the identities that you hold, my aim is to create a safe space for you to find healing. I have experience with clients of all ages, from littles to the more-seasoned. I have worked with interpersonal violence survivors, borderline personality disorder, complex PTSD, LGBTQ+ populations, empty-nesters, neurodivergent folk, and those experiencing faith deconstruction or spiritual abuse. I am now taking virtual clients from all over Texas & Oklahoma!
(469) 457-3500 View (469) 457-3500
Eugeny Tilvaldiev
Clinical Social Work/Therapist, LCSW, LCDC, PsyD
Verified Verified
San Antonio, TX 78228
Therapy is not a one-size-fits-all approach and I work with my clients to tailor therapy to meet their needs. Everyone is different and experiences many challenges in life. To better serve my clients, I start where the client is. With the client’s help, I determine the goals of therapy and we work together to achieve those goals. This process works even if people do not know what they want from therapy except to feel better. Therapy involves many layers and it’s my job as a clinician to guide them through those layers.
Therapy is not a one-size-fits-all approach and I work with my clients to tailor therapy to meet their needs. Everyone is different and experiences many challenges in life. To better serve my clients, I start where the client is. With the client’s help, I determine the goals of therapy and we work together to achieve those goals. This process works even if people do not know what they want from therapy except to feel better. Therapy involves many layers and it’s my job as a clinician to guide them through those layers.
(210) 942-7563 View (210) 942-7563
Photo of Jd Jacobson, LPC-S, CCTP, Licensed Professional Counselor
Jd Jacobson
Licensed Professional Counselor, LPC-S, CCTP
Verified Verified
2 Endorsed
San Antonio, TX 78216
Are you struggling with anxiety, depression, or relationship issues? You want it to get easier, but it never does. Maybe you're feeling numb, on edge, or overwhelmed, your relationships are draining, and the stress of COVID-19 is making everything harder. Whatever your situation is, I’m committed to getting to the root of what's getting in the way so you can start building the life you deserve. I have helped hundreds of clients work through depression, anxiety, trauma, suicidal thoughts, self-harm, and divorce. Through our work together, you'll begin to stop blaming yourself and start creating healthier relationships.
Are you struggling with anxiety, depression, or relationship issues? You want it to get easier, but it never does. Maybe you're feeling numb, on edge, or overwhelmed, your relationships are draining, and the stress of COVID-19 is making everything harder. Whatever your situation is, I’m committed to getting to the root of what's getting in the way so you can start building the life you deserve. I have helped hundreds of clients work through depression, anxiety, trauma, suicidal thoughts, self-harm, and divorce. Through our work together, you'll begin to stop blaming yourself and start creating healthier relationships.
(210) 982-0872 View (210) 982-0872
Photo of Ray Begaye, LPC, LCDC, Licensed Professional Counselor
Ray Begaye
Licensed Professional Counselor, LPC, LCDC
Verified Verified
San Antonio, TX 78216  (Online Only)
I am from New Mexico and was raised on a farm on the Navajo Reservation before joining the US Army in 2000. After discharging honorably in 2012, I moved to San Antonio, Texas; whereby, I received my Master’s Degree from Wayland Baptist University in Counseling in 2015. I have been a licensed psychotherapist since 2019. I hold a variety of professional licensures: Licensed Professional Counselor and Licensed Chemical Dependency Counselor. I have had a variety of experiences with families, couples, and individual work.
I am from New Mexico and was raised on a farm on the Navajo Reservation before joining the US Army in 2000. After discharging honorably in 2012, I moved to San Antonio, Texas; whereby, I received my Master’s Degree from Wayland Baptist University in Counseling in 2015. I have been a licensed psychotherapist since 2019. I hold a variety of professional licensures: Licensed Professional Counselor and Licensed Chemical Dependency Counselor. I have had a variety of experiences with families, couples, and individual work.
(830) 730-6090 View (830) 730-6090
Photo of Lindsey Osgood, MS, LPC, Licensed Professional Counselor
Lindsey Osgood
Licensed Professional Counselor, MS, LPC
Verified Verified
1 Endorsed
San Antonio, TX 78230
I work with clients wherever they are at. Finding a therapist can be an anxiety inducing process. My focus is to create an environment where clients feel comfortable to untangle their thoughts and be their authentic selves. I aim to assist clients with further knowing themselves with the goal of teaching themselves to be their own therapist. I welcome people of all faiths and backgrounds.
I work with clients wherever they are at. Finding a therapist can be an anxiety inducing process. My focus is to create an environment where clients feel comfortable to untangle their thoughts and be their authentic selves. I aim to assist clients with further knowing themselves with the goal of teaching themselves to be their own therapist. I welcome people of all faiths and backgrounds.
(210) 361-1274 View (210) 361-1274
Photo of Stefanie Malone, LPC-S, Licensed Professional Counselor
Stefanie Malone
Licensed Professional Counselor, LPC-S
Verified Verified
San Antonio, TX 78257  (Online Only)
Dr. Stefanie Malone is a Licensed Professional Counselor and Supervisor and is certified in Dialectical Behavior Therapy. She has over 10 years of experience in the mental health field working with addiction, women's issues, mood disorders, anxiety disorders, children and adolescents, and trauma. Dr. Malone completed her doctorate in Counselor Education and Supervision at the University of Texas at San Antonio and her master of education in Community Counseling at the University of Missouri - St. Louis.
Dr. Stefanie Malone is a Licensed Professional Counselor and Supervisor and is certified in Dialectical Behavior Therapy. She has over 10 years of experience in the mental health field working with addiction, women's issues, mood disorders, anxiety disorders, children and adolescents, and trauma. Dr. Malone completed her doctorate in Counselor Education and Supervision at the University of Texas at San Antonio and her master of education in Community Counseling at the University of Missouri - St. Louis.
(210) 702-2704 View (210) 702-2704
Photo of Miranda M. Solis, MS, NCC, LPC-S, Licensed Professional Counselor
Miranda M. Solis
Licensed Professional Counselor, MS, NCC, LPC-S
Verified Verified
2 Endorsed
San Antonio, TX 78229
I graduated from UTSA in 2012 with a Bachelor of Arts in Psychology with minors in Sociology and Philosophy and again in 2015 with a Master of Science in Clinical Mental Health Counseling. I worked in higher education, counseling college students for nine years. While I have a passion for helping young adults navigate their mental health, I equally enjoy working with teens, couples and families. I draw from various therapeutic styles, including CBT and Relational-Cultural Theory. I enjoy taking a person-centered approach to journey alongside my clients throughout the therapeutic process.
I graduated from UTSA in 2012 with a Bachelor of Arts in Psychology with minors in Sociology and Philosophy and again in 2015 with a Master of Science in Clinical Mental Health Counseling. I worked in higher education, counseling college students for nine years. While I have a passion for helping young adults navigate their mental health, I equally enjoy working with teens, couples and families. I draw from various therapeutic styles, including CBT and Relational-Cultural Theory. I enjoy taking a person-centered approach to journey alongside my clients throughout the therapeutic process.
(210) 880-2393 View (210) 880-2393
Photo of Shay-Lyn Porter, MA, LPC, Licensed Professional Counselor
Shay-Lyn Porter
Licensed Professional Counselor, MA, LPC
Verified Verified
San Antonio, TX 78253  (Online Only)
Not accepting new clients
I specialize in working with adolescents and adults with trauma histories, neurodivergence, and addictions but enjoy helping clients work through the wide variety of challenges we are daily presented with. I see clients individually, as couples and families, and in group settings. I am gender-affirming, LGTBQIA2S+ allied, and sex-/kink-positive. I am also a huge nerd and love integrating all the things you love into therapy. I see therapy as a place where you can feel safe being you and can learn to love yourself and live fully embodying all that makes you you.
I specialize in working with adolescents and adults with trauma histories, neurodivergence, and addictions but enjoy helping clients work through the wide variety of challenges we are daily presented with. I see clients individually, as couples and families, and in group settings. I am gender-affirming, LGTBQIA2S+ allied, and sex-/kink-positive. I am also a huge nerd and love integrating all the things you love into therapy. I see therapy as a place where you can feel safe being you and can learn to love yourself and live fully embodying all that makes you you.
(210) 361-3483 View (210) 361-3483
Photo of Linda Andrada Aguero, MA, LPC, Licensed Professional Counselor
Linda Andrada Aguero
Licensed Professional Counselor, MA, LPC
Verified Verified
San Antonio, TX 78254  (Online Only)
Hello! I am a licensed clinical professional counselor in Texas with 15 years of experience working for a Psychiatric Hospital and eight years working as a community counselor, behavior modification, and life coach. My primary therapy orientation is person-centered, emphasizing the importance of the therapist/client relationship, which provides the client with a non-judgment zone. As a result, the client can express themselves fully, and with the help of the therapist, they can create a plan that best suits the client because no two clients are alike, and what works for one individual might not work for another.
Hello! I am a licensed clinical professional counselor in Texas with 15 years of experience working for a Psychiatric Hospital and eight years working as a community counselor, behavior modification, and life coach. My primary therapy orientation is person-centered, emphasizing the importance of the therapist/client relationship, which provides the client with a non-judgment zone. As a result, the client can express themselves fully, and with the help of the therapist, they can create a plan that best suits the client because no two clients are alike, and what works for one individual might not work for another.
(210) 864-6691 View (210) 864-6691
Photo of Kimberly S Goodwin, LCSW-S, Clinical Social Work/Therapist
Kimberly S Goodwin
Clinical Social Work/Therapist, LCSW-S
Verified Verified
2 Endorsed
San Antonio, TX 78230
Finding the right fit for therapy can be a tough challenge. How will I know what it's like to work with a therapist? My clients have described me as "results driven with a clear vision forward no matter what I bring to session", "someone who calls me on my bullshit but in a way I don't feel judged", "imaginative", "like a really encouraging but intense coach for your mental health", "relatable", "never judges" and "like talking to a friend but they know so much about this stuff- like an archeologist but for your mind".
Finding the right fit for therapy can be a tough challenge. How will I know what it's like to work with a therapist? My clients have described me as "results driven with a clear vision forward no matter what I bring to session", "someone who calls me on my bullshit but in a way I don't feel judged", "imaginative", "like a really encouraging but intense coach for your mental health", "relatable", "never judges" and "like talking to a friend but they know so much about this stuff- like an archeologist but for your mind".
(210) 981-3510 View (210) 981-3510
Photo of Mikah Watford, LPC, LCDC, ACCTS, Licensed Professional Counselor
Mikah Watford
Licensed Professional Counselor, LPC, LCDC, ACCTS
Verified Verified
San Antonio, TX 78239
I am an Advanced Clinical Trauma Specialist providing evidence-based treatments for trauma including EMDR. Accelerated Resolution Therapy, and Cognitive Processing therapy. In person and Telehealth sessions available.
I am an Advanced Clinical Trauma Specialist providing evidence-based treatments for trauma including EMDR. Accelerated Resolution Therapy, and Cognitive Processing therapy. In person and Telehealth sessions available.
(210) 879-1798 View (210) 879-1798
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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.