Borderline Personality (BPD) Therapists in Salt Lake City, UT

Photo of Caroline Marriott, LCSW, MPA, Clinical Social Work/Therapist
Caroline Marriott
Clinical Social Work/Therapist, LCSW, MPA
Verified Verified
4 Endorsed
Salt Lake City, UT 84124
Also, I am an individual and group therapist that practices the comprehensive Dialectical Behavioral Therapy (DBT) program proven to rid individuals of Borderline Personality Disorder.
Many people come to my office saying: "Nothing ever changes in my life"; "I'm not good enough"; "I work so hard! Where is my success?"; "Why can't I get along with my partner?"; and, "I feel so alone." In each of these settings, I use a fun-loving, real and powerful approach - using evidence-based therapies and effective interpersonal skills - to validate, accept and support my clients in achieving their goals. I do this by teaching them skills to enjoy their life and relationships, and regulate intense physical, spiritual, mental, and/or emotional thoughts and behaviors.
Also, I am an individual and group therapist that practices the comprehensive Dialectical Behavioral Therapy (DBT) program proven to rid individuals of Borderline Personality Disorder.
Many people come to my office saying: "Nothing ever changes in my life"; "I'm not good enough"; "I work so hard! Where is my success?"; "Why can't I get along with my partner?"; and, "I feel so alone." In each of these settings, I use a fun-loving, real and powerful approach - using evidence-based therapies and effective interpersonal skills - to validate, accept and support my clients in achieving their goals. I do this by teaching them skills to enjoy their life and relationships, and regulate intense physical, spiritual, mental, and/or emotional thoughts and behaviors.
(801) 682-1684 View (801) 682-1684
Photo of Gretchen Faust, CMHC, Counselor
Gretchen Faust
Counselor, CMHC
Verified Verified
Salt Lake City, UT 84111  (Online Only)
I use dialectical behavior therapy when appropriate which is helpful for borderline personality disorder, anxiety, and depressive disorders.
Often times, the hardest part about therapy is getting started. There can be many barriers to taking this step. I am so glad that you are here. I am eager to meet with you and assist you along your mental health journey. Whether you are seeking therapy for support during the highs and lows of life or if you are working through a painful experience, I am here to meet you where you are. I believe therapy should be collaborative and we can work together to identify your goals.
I use dialectical behavior therapy when appropriate which is helpful for borderline personality disorder, anxiety, and depressive disorders.
Often times, the hardest part about therapy is getting started. There can be many barriers to taking this step. I am so glad that you are here. I am eager to meet with you and assist you along your mental health journey. Whether you are seeking therapy for support during the highs and lows of life or if you are working through a painful experience, I am here to meet you where you are. I believe therapy should be collaborative and we can work together to identify your goals.
(435) 441-4631 View (435) 441-4631
Photo of Cheryl Kelstrom-Smith - Cheryl Kelstrom-Smith, LCSW, LLC, LCSW, DBTNC, BBAM, Clinical Social Work/Therapist
Cheryl Kelstrom-Smith, LCSW, LLC
Clinical Social Work/Therapist, LCSW, DBTNC, BBAM
Verified Verified
1 Endorsed
Salt Lake City, UT 84101
This type of therapy was originally written for Borderline Personality Disorder clients.
I offer a simple therapeutic approach for mental health issues. Dialectical Behavior Therapy gives you the freedom to be who you are as well as accepting others for who they are. Learning to control your emotions is unbelievably life changing. My clients have made so many changes in their communication, anger control, letting go of the past, and living in the present. Taking responsibility for your behaviors, not giving others permission to control how you feel,and learning how to love yourself first will make a tremendous impact for a positive change in your life. I look forward to talking with you. Carpe Diem
This type of therapy was originally written for Borderline Personality Disorder clients.
I offer a simple therapeutic approach for mental health issues. Dialectical Behavior Therapy gives you the freedom to be who you are as well as accepting others for who they are. Learning to control your emotions is unbelievably life changing. My clients have made so many changes in their communication, anger control, letting go of the past, and living in the present. Taking responsibility for your behaviors, not giving others permission to control how you feel,and learning how to love yourself first will make a tremendous impact for a positive change in your life. I look forward to talking with you. Carpe Diem
(801) 251-7258 View (801) 251-7258
Jenny Patterson Vasquez
Clinical Social Work/Therapist, LCSW
Verified Verified
2 Endorsed
Salt Lake City, UT 84117
DBT is a highly effective and hopeful treatment model for BPD and other identified concerns affected by problems of emotional regulation.
I have a strong belief in the possibilities of healing, growth and change within an authentic collaborative client/therapist relationship. I have over 18 years of experience working with individuals and families recovering from trauma, living with chronic illness, working through relationship concerns and facing the challenges of mental illness. Taking the first steps to heal is often difficult, or even painful, however in doing so we can create a "path with heart" and meaning. I take a mindfulness based, goal oriented and active approach to therapy with focus on developing critical life skills.
DBT is a highly effective and hopeful treatment model for BPD and other identified concerns affected by problems of emotional regulation.
I have a strong belief in the possibilities of healing, growth and change within an authentic collaborative client/therapist relationship. I have over 18 years of experience working with individuals and families recovering from trauma, living with chronic illness, working through relationship concerns and facing the challenges of mental illness. Taking the first steps to heal is often difficult, or even painful, however in doing so we can create a "path with heart" and meaning. I take a mindfulness based, goal oriented and active approach to therapy with focus on developing critical life skills.
(801) 784-2670 View (801) 784-2670
Photo of Harrison Burns, CSW, Clinical Social Work/Therapist
Harrison Burns
Clinical Social Work/Therapist, CSW
Verified Verified
2 Endorsed
Salt Lake City, UT 84107
Everyone comes to therapy for different reasons and in different places in their life. My goal is to provide a welcoming, non-judgmental, and supportive space to my clients that allows for the creation of a healthy therapeutic relationship. I work with adolescents, adults and couples who are struggling with symptoms of anxiety, depression, bipolar, OCD, trauma, and borderline personality disorder ( BPD).
Everyone comes to therapy for different reasons and in different places in their life. My goal is to provide a welcoming, non-judgmental, and supportive space to my clients that allows for the creation of a healthy therapeutic relationship. I work with adolescents, adults and couples who are struggling with symptoms of anxiety, depression, bipolar, OCD, trauma, and borderline personality disorder ( BPD).
(385) 284-0328 View (385) 284-0328
Photo of Josh Kivlovitz, LCSW, DBT-LBC, Clinical Social Work/Therapist
Josh Kivlovitz
Clinical Social Work/Therapist, LCSW, DBT-LBC
Verified Verified
Salt Lake City, UT 84111
I specialize in Dialectical Behavior Therapy (DBT), Acceptance & Commitment Therapy (ACT), and Prolonged Exposure (PE) to support teens and adults struggling with suicidal thoughts, self-harm, trauma, BPD or other behavioral/emotional concerns.
NOTE: I am currently only taking teen and adult clients seeking Dialectical Behavior Therapy or Prolonged Exposure. Clients interested in DBT can join my waitlist by contacting DBT Network of Utah at 801-568-2898 or dbtnetworkofutah.net (no current waitlist for teens/families), and clients interested in Prolonged Exposure can contact me directly through PsychologyToday or my website to join my waitlist. If you or your teen feel stuck in painful emotions, behavioral patterns, or painful past experiences, you are in the right place!
I specialize in Dialectical Behavior Therapy (DBT), Acceptance & Commitment Therapy (ACT), and Prolonged Exposure (PE) to support teens and adults struggling with suicidal thoughts, self-harm, trauma, BPD or other behavioral/emotional concerns.
NOTE: I am currently only taking teen and adult clients seeking Dialectical Behavior Therapy or Prolonged Exposure. Clients interested in DBT can join my waitlist by contacting DBT Network of Utah at 801-568-2898 or dbtnetworkofutah.net (no current waitlist for teens/families), and clients interested in Prolonged Exposure can contact me directly through PsychologyToday or my website to join my waitlist. If you or your teen feel stuck in painful emotions, behavioral patterns, or painful past experiences, you are in the right place!
(385) 316-6123 View (385) 316-6123
Photo of Stephanie Epstein, LCSW, Clinical Social Work/Therapist
Stephanie Epstein
Clinical Social Work/Therapist, LCSW
Verified Verified
5 Endorsed
Salt Lake City, UT 84124  (Online Only)
Stephanie is always client-centered and rooted in evidence-based practices. She has received extensive training in various modalities addressing diagnoses of complex trauma (CPTSD), PTSD, borderline personality disorder ( BPD), mood disorders, anxiety disorders, substance abuse, depression, and dissociative disorders. She believes that the decision to enter therapy is courageous, and the path of self-discovery and fulfillment is one of the most profound journeys on which we embark. This path requires that each person be witnessed, seen, and held in a compassionate and supportive space.
Stephanie is always client-centered and rooted in evidence-based practices. She has received extensive training in various modalities addressing diagnoses of complex trauma (CPTSD), PTSD, borderline personality disorder ( BPD), mood disorders, anxiety disorders, substance abuse, depression, and dissociative disorders. She believes that the decision to enter therapy is courageous, and the path of self-discovery and fulfillment is one of the most profound journeys on which we embark. This path requires that each person be witnessed, seen, and held in a compassionate and supportive space.
(385) 526-4369 View (385) 526-4369
Photo of Karen A McCauley - Karen A McCauley, CMHC, CMHC, LMFT, Counselor
Karen A McCauley, CMHC
Counselor, CMHC, LMFT
Verified Verified
Salt Lake City, UT 84111
MBT is an evidence-based treatment that may be effective in treating Borderline Personality Disorder as well as other mood disorders and interpersonal problems.
I specialize in working with adults and adolescents who are struggling with symptoms of depression and anxiety, as well as other serious mental illnesses, including personality disorders. Many of my patients have difficulty managing intense feelings and moods in relationships. I work with adolescents and young adults who may have been diagnosed with Borderline Personality Disorder. I also offer intensive psychoanalytically-oriented psychotherapy for highly motivated individuals looking to make deep personality-driven changes in their lives.
MBT is an evidence-based treatment that may be effective in treating Borderline Personality Disorder as well as other mood disorders and interpersonal problems.
I specialize in working with adults and adolescents who are struggling with symptoms of depression and anxiety, as well as other serious mental illnesses, including personality disorders. Many of my patients have difficulty managing intense feelings and moods in relationships. I work with adolescents and young adults who may have been diagnosed with Borderline Personality Disorder. I also offer intensive psychoanalytically-oriented psychotherapy for highly motivated individuals looking to make deep personality-driven changes in their lives.
(801) 335-9073 View (801) 335-9073
Photo of Gretchen Faust, LMHC, Counselor
Gretchen Faust
Counselor, LMHC
Verified Verified
Salt Lake City, UT 84119  (Online Only)
I have experience conducting dialectical behavior therapy groups which is beneficial for clients with borderline personality disorder, depression, and anxiety.
Hi! My name is Gretchen Faust, and I am a Clinical Mental Health Counselor licensed in the state of Utah. I enjoy working with adolescents and adults. I specialize in working with those with personality disorders, depression and anxiety. I am flexible in my therapeutic approach based on the needs of my clients. I believe that all people are doing the best they can in each moment, but also want to improve themselves. I used a strength-based approach and utilize dialectical behavior therapy and cognitive behavior therapy. I also used EMDR with those suffering from trauma.
I have experience conducting dialectical behavior therapy groups which is beneficial for clients with borderline personality disorder, depression, and anxiety.
Hi! My name is Gretchen Faust, and I am a Clinical Mental Health Counselor licensed in the state of Utah. I enjoy working with adolescents and adults. I specialize in working with those with personality disorders, depression and anxiety. I am flexible in my therapeutic approach based on the needs of my clients. I believe that all people are doing the best they can in each moment, but also want to improve themselves. I used a strength-based approach and utilize dialectical behavior therapy and cognitive behavior therapy. I also used EMDR with those suffering from trauma.
(323) 643-8569 View (323) 643-8569
Photo of Helena Ashby, LCSW, Clinical Social Work/Therapist
Helena Ashby
Clinical Social Work/Therapist, LCSW
Verified Verified
2 Endorsed
Salt Lake City, UT 84101
I am experienced in treating anxiety, depression, self-worth issues, trauma, perfectionism, and borderline personality disorder.
I believe that despite life’s challenges, and often because of them, every individual has their own unique strengths and capabilities. Every individual has worth and purpose. Our own difficult life circumstances or misperceptions can sometimes mask these truths, but I seek to help my clients remember and internalize them. Hope and healing can be found by drawing on the strengths within!
I am experienced in treating anxiety, depression, self-worth issues, trauma, perfectionism, and borderline personality disorder.
I believe that despite life’s challenges, and often because of them, every individual has their own unique strengths and capabilities. Every individual has worth and purpose. Our own difficult life circumstances or misperceptions can sometimes mask these truths, but I seek to help my clients remember and internalize them. Hope and healing can be found by drawing on the strengths within!
(385) 244-2454 View (385) 244-2454
Photo of Shannon Mcquade, LCSW, LMT, CHT, Clinical Social Work/Therapist
Shannon Mcquade
Clinical Social Work/Therapist, LCSW, LMT, CHT
Verified Verified
Salt Lake City, UT 84124  (Online Only)
Waitlist for new clients
The privilege of a lifetime is to become who you truly are - Carl Jung… This quote has been my guiding inspiration on my own journey and in my work with others. It can be so easy to lose yourself in the day to day endeavor of living. This can be particularly true for those who have suffered with a history of trauma. Fortunately, within a trusting therapeutic relationship, it is possible to find yourself and become the person you truly are. I have witnessed this happen again and again.
The privilege of a lifetime is to become who you truly are - Carl Jung… This quote has been my guiding inspiration on my own journey and in my work with others. It can be so easy to lose yourself in the day to day endeavor of living. This can be particularly true for those who have suffered with a history of trauma. Fortunately, within a trusting therapeutic relationship, it is possible to find yourself and become the person you truly are. I have witnessed this happen again and again.
(801) 853-8744 View (801) 853-8744
Photo of Jessica Little, LCSW, Clinical Social Work/Therapist
Jessica Little
Clinical Social Work/Therapist, LCSW
Verified Verified
4 Endorsed
Salt Lake City, UT 84109
Waitlist for new clients
I believe that each person has the innate ability to overcome life's challenging obstacles. I'm committed to supporting each client and often times their family members through their journey. I have extensive experience working with complex/developmental trauma, PTSD/TBI, attachment disorders, dissociative identity disorders, personality disorders, suicide ideation/intervention/attempt, LGBTQ issues, Veteran specific services and place an emphasis on using the most advanced evidenced based modalities in my practice with clients.
I believe that each person has the innate ability to overcome life's challenging obstacles. I'm committed to supporting each client and often times their family members through their journey. I have extensive experience working with complex/developmental trauma, PTSD/TBI, attachment disorders, dissociative identity disorders, personality disorders, suicide ideation/intervention/attempt, LGBTQ issues, Veteran specific services and place an emphasis on using the most advanced evidenced based modalities in my practice with clients.
(385) 213-1062 View (385) 213-1062
Photo of Holly Stone, LCSW, Clinical Social Work/Therapist
Holly Stone
Clinical Social Work/Therapist, LCSW
Verified Verified
2 Endorsed
Salt Lake City, UT 84111
Life is both endlessly beautiful and complex. I approach each client relationship with the goal that through individual sessions I can help clients tap more deeply into their own beauty while better understanding their own complexity. I work to give you concrete tools that you can use in everyday life to more adeptly navigate change, relationship difficulties, trauma, depression, anxiety, and ADHD. My approach is collaborative. Together we will use multiple therapeutic tools to dig deeper into patterns of thought and behavior, including DBT, CBT, and Mindfulness techniques.
Life is both endlessly beautiful and complex. I approach each client relationship with the goal that through individual sessions I can help clients tap more deeply into their own beauty while better understanding their own complexity. I work to give you concrete tools that you can use in everyday life to more adeptly navigate change, relationship difficulties, trauma, depression, anxiety, and ADHD. My approach is collaborative. Together we will use multiple therapeutic tools to dig deeper into patterns of thought and behavior, including DBT, CBT, and Mindfulness techniques.
(385) 238-1592 View (385) 238-1592
Photo of Jessica Flynn, PhD, Psychologist
Jessica Flynn
Psychologist, PhD
Verified Verified
Salt Lake City, UT 84119  (Online Only)
I provide compassionate, LGBTQIA+ and anti-racist, evidence-based care for those suffering from mood and anxiety symptoms. Teens, adults, couples and families. Telehealth and self-pay only. Utah residents only. (I cannot provide care from a full DBT program, however, I can provide DBT-informed care if that is appropriate).
I provide compassionate, LGBTQIA+ and anti-racist, evidence-based care for those suffering from mood and anxiety symptoms. Teens, adults, couples and families. Telehealth and self-pay only. Utah residents only. (I cannot provide care from a full DBT program, however, I can provide DBT-informed care if that is appropriate).
(801) 845-9290 View (801) 845-9290
Photo of Charlotte Wray, LCSW, Clinical Social Work/Therapist
Charlotte Wray
Clinical Social Work/Therapist, LCSW
Verified Verified
Salt Lake City, UT 84124
My goal as a therapist is to provide a safe space to explore issues that have created significant barriers to growth, healing, and change. If you've experienced a stressful, troubling event that's left you feeling powerless, you may have been traumatized. I utilize the latest research to help those affected to not only begin the process of healing, but learn how to engage and effectively diminish and manage symptoms. I am trauma-informed, with training in mind body bridging, a holistic therapeutic approach incorporating the mind, body, spirit, and emotions that support the healing process. I am also trained in IBSR, and EMDR.
My goal as a therapist is to provide a safe space to explore issues that have created significant barriers to growth, healing, and change. If you've experienced a stressful, troubling event that's left you feeling powerless, you may have been traumatized. I utilize the latest research to help those affected to not only begin the process of healing, but learn how to engage and effectively diminish and manage symptoms. I am trauma-informed, with training in mind body bridging, a holistic therapeutic approach incorporating the mind, body, spirit, and emotions that support the healing process. I am also trained in IBSR, and EMDR.
(801) 859-2659 View (801) 859-2659
Photo of Victoria Choate, LCSW , MSW, Clinical Social Work/Therapist
Victoria Choate
Clinical Social Work/Therapist, LCSW , MSW
Verified Verified
3 Endorsed
Salt Lake City, UT 84102
Live your life free of depression, anxiety, and disconnection! I offer genuine acceptance and connection in a way that allows for us to unpack, understand, and work with emotions, empowering you to become unstuck and to navigate life as your authentic self. It doesn't take long to nail down strategies and skills for immediate and long-lasting improvement to your quality of life! Together, we'll combine proven, research-based therapies (DBT, CBT, Mindfulness training) to meet the goals that come from your truest self.
Live your life free of depression, anxiety, and disconnection! I offer genuine acceptance and connection in a way that allows for us to unpack, understand, and work with emotions, empowering you to become unstuck and to navigate life as your authentic self. It doesn't take long to nail down strategies and skills for immediate and long-lasting improvement to your quality of life! Together, we'll combine proven, research-based therapies (DBT, CBT, Mindfulness training) to meet the goals that come from your truest self.
(801) 316-8260 View (801) 316-8260
Photo of Alison H Watts, CMHC, CSAC
Alison H Watts
Mental Health Counselor, CMHC, CSAC
Verified Verified
Salt Lake City, UT 84101
Currently accepting new clients without insurance. I am honored to have been working in this field for 10+ years. I have worked with many people in the most dire of circumstances and been witness to them transforming their experiences into a life of purpose. I have worked extensively with individuals in crisis whether a recent or past event. I have specifically helped people that have been suicidal, suffer from trauma, have been involved in corrections or the prison system, foster care, Division of Child Services, and those struggling with personality disorders. I have additional experience in substance use and addiction treatment.
Currently accepting new clients without insurance. I am honored to have been working in this field for 10+ years. I have worked with many people in the most dire of circumstances and been witness to them transforming their experiences into a life of purpose. I have worked extensively with individuals in crisis whether a recent or past event. I have specifically helped people that have been suicidal, suffer from trauma, have been involved in corrections or the prison system, foster care, Division of Child Services, and those struggling with personality disorders. I have additional experience in substance use and addiction treatment.
(801) 416-2547 View (801) 416-2547
Photo of Bailee Gacioch, MSW, LCSW, Clinical Social Work/Therapist
Bailee Gacioch
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Salt Lake City, UT 84107
Everyone has a story and their experiences are apart of what makes them who they are today. I’m a firm believer that people want to be the best versions of themselves. Therapy is a great tool to achieve this goal. I work with individuals to help guide them through the process through a holistic and strengths based approach. I specialize in treating OCD through ERP. I also treat trauma, anxiety, depression, self harm, behavioral health issues and I’m an advocate and ally for the LGBTQ+ community. I will help you change negative thinking and behaviors to change the world around you in a healthy and successful way.
Everyone has a story and their experiences are apart of what makes them who they are today. I’m a firm believer that people want to be the best versions of themselves. Therapy is a great tool to achieve this goal. I work with individuals to help guide them through the process through a holistic and strengths based approach. I specialize in treating OCD through ERP. I also treat trauma, anxiety, depression, self harm, behavioral health issues and I’m an advocate and ally for the LGBTQ+ community. I will help you change negative thinking and behaviors to change the world around you in a healthy and successful way.
(385) 853-5544 View (385) 853-5544
Photo of Monica Cook, LCSW, Clinical Social Work/Therapist
Monica Cook
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Salt Lake City, UT 84108  (Online Only)
If you've been in a slump, need answers, or your life feels out of control, speaking to a therapist may be just the thing to get you through this time of your life. Therapists are not alike. We bring with us our personalities and skill sets, and that's ok! Maybe you've never been to a therapist. Maybe you've been to several. My focus is on your goals (so, start thinking about what you want out of therapy). I use a very cerebral approach to your healing. We will identify, dissect, and reformulate the way you see the world around you in a loving and compassionate environment. If you're ready for change, then I'm your gal.
If you've been in a slump, need answers, or your life feels out of control, speaking to a therapist may be just the thing to get you through this time of your life. Therapists are not alike. We bring with us our personalities and skill sets, and that's ok! Maybe you've never been to a therapist. Maybe you've been to several. My focus is on your goals (so, start thinking about what you want out of therapy). I use a very cerebral approach to your healing. We will identify, dissect, and reformulate the way you see the world around you in a loving and compassionate environment. If you're ready for change, then I'm your gal.
(385) 257-4030 View (385) 257-4030
Photo of Kendra Lindsey - Hopeful Alliance, MSW, LCSW, Clinical Social Work/Therapist
Hopeful Alliance
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Salt Lake City, UT 84102
Life is full of unexpected bumps, making handling the emotional and behavioral responses that follow them challenging. Many who walk in my door already know what they need and want. My role is to be not only a listening ear but also to provide insight and skills to assist with your healing. I believe in tailoring my treatment to fit your individual needs and making building a solid therapeutic relationship a priority.
Life is full of unexpected bumps, making handling the emotional and behavioral responses that follow them challenging. Many who walk in my door already know what they need and want. My role is to be not only a listening ear but also to provide insight and skills to assist with your healing. I believe in tailoring my treatment to fit your individual needs and making building a solid therapeutic relationship a priority.
(801) 889-2027 View (801) 889-2027
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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.