Borderline Personality (BPD) Therapists in Castle Rock, CO
![Photo of Stephanie Bartlett-Goldstein, LPC, LMFT, TF-EAP, Licensed Professional Counselor](https://photos.psychologytoday.com/f1842016-31c9-4edd-bc74-1d93eaedf4c4/1/320x400.jpeg)
Stephanie Bartlett-Goldstein
Licensed Professional Counselor, LPC, LMFT, TF-EAP
Verified Verified
1 Endorsed
Castle Rock, CO 80108
Our team specializes in helping children, adolescents, and adults struggling with eating disorders, anxiety, depression, mood disorders, borderline personality disorder, trauma, fertility and postpartum challenges, and family dynamic challenges. We also offer couples therapy. We utilize techniques that are largely cognitive-behavioral, experiential, and structural as well drawing upon Acceptance & Commitment Therapy. Our team also offers biofeedback to help with self-regulation and anxiety. Finally, we offer trauma-focused equine-assisted psychotherapy. We have found that horses & people can help each other heal beautifully.
Our team specializes in helping children, adolescents, and adults struggling with eating disorders, anxiety, depression, mood disorders, borderline personality disorder, trauma, fertility and postpartum challenges, and family dynamic challenges. We also offer couples therapy. We utilize techniques that are largely cognitive-behavioral, experiential, and structural as well drawing upon Acceptance & Commitment Therapy. Our team also offers biofeedback to help with self-regulation and anxiety. Finally, we offer trauma-focused equine-assisted psychotherapy. We have found that horses & people can help each other heal beautifully.
![Photo of Pam Snyder, MSW, LCSW, ACT, BC-TMH, Clinical Social Work/Therapist](https://photos.psychologytoday.com/cc3b3168-200f-473c-bb06-a30be58ad8a9/2/320x400.jpeg)
Pam Snyder
Clinical Social Work/Therapist, MSW, LCSW, ACT, BC-TMH
Verified Verified
8 Endorsed
Castle Rock, CO 80108
Now Accepting NEW Clients. I work with adult children, partners and siblings of individuals with Narcissistic and Borderline Personality Disorder traits. It can be difficult to find a therapist who truly understand the impact and wounds of being raised in a home or being in a relationship with someone who has narcissistic and borderline traits. My work includes creating a healthy psychological separation, changing the negative internal messages, learning how to respond to others, creating healthy boundaries, stopping the legacy of distorted love and becoming your true and authentic self.
Now Accepting NEW Clients. I work with adult children, partners and siblings of individuals with Narcissistic and Borderline Personality Disorder traits. It can be difficult to find a therapist who truly understand the impact and wounds of being raised in a home or being in a relationship with someone who has narcissistic and borderline traits. My work includes creating a healthy psychological separation, changing the negative internal messages, learning how to respond to others, creating healthy boundaries, stopping the legacy of distorted love and becoming your true and authentic self.
![Photo of Elizabeth Wynn, MA, LPCC, NCC](https://photos.psychologytoday.com/a8045a98-a22e-40db-8551-571be878855a/1/320x400.jpeg)
Elizabeth Wynn
Licensed Professional Counselor Candidate, MA, LPCC, NCC
Verified Verified
4 Endorsed
Castle Rock, CO 80104
I specialize in working with individuals and couples experiencing shifts in identity, depression, addiction, attachment ruptures, BPD, childhood trauma, single event trauma and on women's health across the lifespan.
Looking for a therapist is hard! Congratulations on taking the first steps. Perhaps you are often seen as the one who has it all together and gets it all done, making it hard to find the support you need? Or maybe you're a couple looking for support in a life transition. I specialize in addressing "high-functioning" anxiety and depression, life transitions, self-discovery journeys, work-life wellness, avoiding burnout, and relational concerns. By providing each client or couple with holistic, individualized care combined with a safe space to embrace vulnerability, my clients can uncover wounds, heal, and thrive!
I specialize in working with individuals and couples experiencing shifts in identity, depression, addiction, attachment ruptures, BPD, childhood trauma, single event trauma and on women's health across the lifespan.
Looking for a therapist is hard! Congratulations on taking the first steps. Perhaps you are often seen as the one who has it all together and gets it all done, making it hard to find the support you need? Or maybe you're a couple looking for support in a life transition. I specialize in addressing "high-functioning" anxiety and depression, life transitions, self-discovery journeys, work-life wellness, avoiding burnout, and relational concerns. By providing each client or couple with holistic, individualized care combined with a safe space to embrace vulnerability, my clients can uncover wounds, heal, and thrive!
![Photo of Tamara Pintily - The Unbothered Mind, LCSW, LAC, Clinical Social Work/Therapist](https://photos.psychologytoday.com/f341ef40-b526-4691-b4a9-ea0dc0d30112/2/320x400.jpeg)
The Unbothered Mind
Clinical Social Work/Therapist, LCSW, LAC
Verified Verified
Castle Rock, CO 80104 (Online Only)
Hey friends! If you're on my page, then that's an indication that you're interested in learning more about yourself and obtaining a secure sense of self aka confidence. You may be struggling with your view of self, leading to feelings of anxiety and/or depression. Something happened to you to cause this internal insecurity. And it's not your fault. You're now needing assistance in learning how to discover yourself, how to think differently, and/or how to create healthy responses to stressful situations. You realize that no one can guarantee your happiness besides yourself and are ready to become your own best friend.
Hey friends! If you're on my page, then that's an indication that you're interested in learning more about yourself and obtaining a secure sense of self aka confidence. You may be struggling with your view of self, leading to feelings of anxiety and/or depression. Something happened to you to cause this internal insecurity. And it's not your fault. You're now needing assistance in learning how to discover yourself, how to think differently, and/or how to create healthy responses to stressful situations. You realize that no one can guarantee your happiness besides yourself and are ready to become your own best friend.
![Photo of Matthew Junglas, MS, LPC, NCC, CDBT, CPD, Licensed Professional Counselor](https://photos.psychologytoday.com/44fdf428-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
Matthew Junglas
Licensed Professional Counselor, MS, LPC, NCC, CDBT, CPD
Verified Verified
3 Endorsed
Castle Rock, CO 80108
Hello old friend, we may have never met, but I've seen your pain. The journey from suffering to satisfaction can be a long, uncertain, and winding road. It’s never set. But it's almost always worth it. If you’re ready, I’d like to share that journey with you. I may be able to help you find the peace and freedom that seem so tough to find. If you’re ready to explore your story with me. It’s probably much easier than you think. I can handle the neurobiology and therapeutic interventions, you bring a story and an open mind/heart.
Hello old friend, we may have never met, but I've seen your pain. The journey from suffering to satisfaction can be a long, uncertain, and winding road. It’s never set. But it's almost always worth it. If you’re ready, I’d like to share that journey with you. I may be able to help you find the peace and freedom that seem so tough to find. If you’re ready to explore your story with me. It’s probably much easier than you think. I can handle the neurobiology and therapeutic interventions, you bring a story and an open mind/heart.
![Photo of Jesse Dickinson, MA, LPC, Licensed Professional Counselor](https://photos.psychologytoday.com/e948b5be-9c93-41d8-b007-4ad2056c4cc0/4/320x400.jpeg)
Jesse is deeply reflective and intuitive. He is unwavering, steady and compassionate in the collaborative discovery of your true self. It is not uncommon for those who work with Jesse to experience more growth and healing than in previous therapy experiences. Working with Jesse, you will find yourself at ease with his calming presence. You will feel invited to be yourself, truly witnessed, and guided on the rewarding path to unburdening. You will be glad you took this courageous first step.
Jesse is deeply reflective and intuitive. He is unwavering, steady and compassionate in the collaborative discovery of your true self. It is not uncommon for those who work with Jesse to experience more growth and healing than in previous therapy experiences. Working with Jesse, you will find yourself at ease with his calming presence. You will feel invited to be yourself, truly witnessed, and guided on the rewarding path to unburdening. You will be glad you took this courageous first step.
![Photo of Kelsie McGuire, MA, LPC, EMDR, MI, Licensed Professional Counselor](https://photos.psychologytoday.com/b1cdcdd2-1a05-44a7-9770-a66dfda56ab8/1/320x400.jpeg)
Kelsie McGuire
Licensed Professional Counselor, MA, LPC, EMDR, MI
Verified Verified
Castle Rock, CO 80104 (Online Only)
Waitlist for new clients
In my first years in the field, I noticed the trend of individuals understanding their patterns of self-sabotage but still feeling unable to break these as the therapeutic work they have done was all cognitive and therefore, had not resulted in a heart change. People would be able to understand from a logical sense that they had worth for example, but struggled to feel worthy or treat themselves as having value in spite of having engaged in therapy for years. To address this, I pursued continued education in order to better help these particular clients.
In my first years in the field, I noticed the trend of individuals understanding their patterns of self-sabotage but still feeling unable to break these as the therapeutic work they have done was all cognitive and therefore, had not resulted in a heart change. People would be able to understand from a logical sense that they had worth for example, but struggled to feel worthy or treat themselves as having value in spite of having engaged in therapy for years. To address this, I pursued continued education in order to better help these particular clients.
![Photo of Laurie Anne Marcellin - enCourage Counseling Trauma and Therapist Therapy, MA, LPC, NCC, CATP, ACS, Licensed Professional Counselor](https://photos.psychologytoday.com/44927ff6-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
enCourage Counseling Trauma and Therapist Therapy
Licensed Professional Counselor, MA, LPC, NCC, CATP, ACS
Verified Verified
1 Endorsed
Castle Rock, CO 80104
Therapists need a safe space for healing too! You work hard to be effective and compassionate with your clients, and you know that your work is best when you take care of your own emotional needs. You may be facing burnout, your own trauma or life challenges or just the realization that “it’s time” to return to therapy. As therapists, it's our unique challenge to let ourselves relax and trust someone to take care of us in effective ways. You'll immediately feel supported in a non-judgmental and highly confidential space. I offer a safe place for healing with the therapist in mind.
Therapists need a safe space for healing too! You work hard to be effective and compassionate with your clients, and you know that your work is best when you take care of your own emotional needs. You may be facing burnout, your own trauma or life challenges or just the realization that “it’s time” to return to therapy. As therapists, it's our unique challenge to let ourselves relax and trust someone to take care of us in effective ways. You'll immediately feel supported in a non-judgmental and highly confidential space. I offer a safe place for healing with the therapist in mind.
![Photo of Camille L. Reich, PhD, MS, LMFT, Marriage & Family Therapist](https://photos.psychologytoday.com/5226fb51-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
COUPLES, FAMILY, CHILD and INDIVIDUAL THERAPY. True Happiness and Stability Stems from the Quality of our Significant Relationships! I work from a strength-based, solution-focused, and systemic or relational orientation, all are evidence-based approaches. I focus on people's strengths and possibilities while addressing their real life difficulties. I also provide personality, relationship (couple) and career assessments. I believe in a holistic approach to the therapeutic process that incorporates biological, psychological, social, and spiritual dimensions empowering a person or family towards mastering life to its fullest!
COUPLES, FAMILY, CHILD and INDIVIDUAL THERAPY. True Happiness and Stability Stems from the Quality of our Significant Relationships! I work from a strength-based, solution-focused, and systemic or relational orientation, all are evidence-based approaches. I focus on people's strengths and possibilities while addressing their real life difficulties. I also provide personality, relationship (couple) and career assessments. I believe in a holistic approach to the therapeutic process that incorporates biological, psychological, social, and spiritual dimensions empowering a person or family towards mastering life to its fullest!
![Photo of Shauna Roubidoux, MA, LPC, Licensed Professional Counselor](https://photos.psychologytoday.com/5b62ae9c-cbe5-4c37-a893-71c0d43e50c6/1/320x400.jpeg)
Shauna Roubidoux
Licensed Professional Counselor, MA, LPC
Verified Verified
Castle Rock, CO 80109 (Online Only)
Welcome! I’m Shauna Roubidoux, a licensed therapist specializing in trauma recovery and maternal mental health. With a background in Law Enforcement dispatch and military service, I bring a unique understanding of stress and trauma. My therapeutic approach integrates Eye Movement Desensitization and Reprocessing (EMDR) to help clients process trauma and anxiety effectively. I have a special interest in supporting mothers through postpartum depression and anxiety, offering a safe space for exploration and developing coping strategies.
Welcome! I’m Shauna Roubidoux, a licensed therapist specializing in trauma recovery and maternal mental health. With a background in Law Enforcement dispatch and military service, I bring a unique understanding of stress and trauma. My therapeutic approach integrates Eye Movement Desensitization and Reprocessing (EMDR) to help clients process trauma and anxiety effectively. I have a special interest in supporting mothers through postpartum depression and anxiety, offering a safe space for exploration and developing coping strategies.
![Photo of Kendra Liedtke, MSW, LCSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/3d979847-46cd-11ea-a6ad-06142c356176/3/320x400.jpeg)
Kendra Liedtke
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
1 Endorsed
Castle Rock, CO 80104
Feeling stuck? Overwhelmed with difficult emotions, rumination or impulsive behaviors? Finding yourself engaging in the same ineffective patterns? Having difficulty healing from the past or managing a current traumatic event, loss or life adjustment? I am a strengths-based, certified EMDR therapist with over 20 years counseling experience with adults, intensive training in DBT, and influenced by IFS therapy. My style is warm, engaging, non-judgmental and down to earth. I believe that you are the expert on your life, and starting where you are, we will work together to help facilitate acceptance, healing and growth.
Feeling stuck? Overwhelmed with difficult emotions, rumination or impulsive behaviors? Finding yourself engaging in the same ineffective patterns? Having difficulty healing from the past or managing a current traumatic event, loss or life adjustment? I am a strengths-based, certified EMDR therapist with over 20 years counseling experience with adults, intensive training in DBT, and influenced by IFS therapy. My style is warm, engaging, non-judgmental and down to earth. I believe that you are the expert on your life, and starting where you are, we will work together to help facilitate acceptance, healing and growth.
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![Photo of Jennifer Peck, LCSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/2bbb0bef-e060-4d3f-bcdc-a360ff145a2e/2/320x400.jpeg)
Jennifer Peck
Clinical Social Work/Therapist, LCSW
Verified Verified
Castle Rock, CO 80109 (Online Only)
I am an experienced therapist specializing in TRAUMA, PTSD, DOMESTIC ABUSE, DEPRESSION, SEXUAL ABUSE, SUICIDAL IDEATION AND SUBSTANCE ABUSE. Many people have insight into their problems, but are unable to fix them on their own. We will work together to understand your current feelings and behaviors, why they are disrupting your life, and help build new skills and strategies with the goal of achieving a life worth living.
I am an experienced therapist specializing in TRAUMA, PTSD, DOMESTIC ABUSE, DEPRESSION, SEXUAL ABUSE, SUICIDAL IDEATION AND SUBSTANCE ABUSE. Many people have insight into their problems, but are unable to fix them on their own. We will work together to understand your current feelings and behaviors, why they are disrupting your life, and help build new skills and strategies with the goal of achieving a life worth living.
![Photo of Joy McGowan, MA, LPCC](https://photos.psychologytoday.com/22c620b4-c33e-4040-ab06-49830dd5cead/1/320x400.png)
Joy McGowan
Licensed Professional Counselor Candidate, MA, LPCC
Verified Verified
1 Endorsed
Castle Rock, CO 80104
Are you feeling anxious, alone, worried, or overwhelmed in today's fast paced world? Are you looking for someone to walk beside you as you embark on a journey of self discovery and healing? Have you tried to create a change and yet haven't been able to achieve the goal alone? I walk beside my clients to help uncover their strengths and facilitate the growth and healing they seek. So whatever you are carrying right now - if it is accompanied by anxiety, worry, sleeplessness, overwhelm, or pain - let's connect to help decrease those unpleasant experiences. My desire is to help you find healing- you don't have to live this way.
Are you feeling anxious, alone, worried, or overwhelmed in today's fast paced world? Are you looking for someone to walk beside you as you embark on a journey of self discovery and healing? Have you tried to create a change and yet haven't been able to achieve the goal alone? I walk beside my clients to help uncover their strengths and facilitate the growth and healing they seek. So whatever you are carrying right now - if it is accompanied by anxiety, worry, sleeplessness, overwhelm, or pain - let's connect to help decrease those unpleasant experiences. My desire is to help you find healing- you don't have to live this way.
![Photo of Dawnelle Tilden, MA, LAC, LPC, Drug & Alcohol Counselor](https://photos.psychologytoday.com/3e417a01-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
Dawnelle Tilden
Drug & Alcohol Counselor, MA, LAC, LPC
Verified Verified
3 Endorsed
Castle Rock, CO 80104
Are you a parent who has found that managing your teen's emotions, behaviors and school performance a bigger challenge than you thought? Are you seeking support on how to set appropriate healthy boundaries while still maintaining a loving relationship with others? Are you wondering how to improve your situation? I can help you by exploring the challenges you are facing and empower you, to reconnect with yourself and others. We will explore the past but focus on the present to plan for a better future. If you are desiring change and are willing to make change, together we can figure out how.
Are you a parent who has found that managing your teen's emotions, behaviors and school performance a bigger challenge than you thought? Are you seeking support on how to set appropriate healthy boundaries while still maintaining a loving relationship with others? Are you wondering how to improve your situation? I can help you by exploring the challenges you are facing and empower you, to reconnect with yourself and others. We will explore the past but focus on the present to plan for a better future. If you are desiring change and are willing to make change, together we can figure out how.
![Photo of Kyrzia Parker - One Starfish Counseling and Supervision, LCSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/801fac87-d5ea-4958-ba22-1299b3af42d2/2/320x400.jpeg)
One Starfish Counseling and Supervision
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Castle Rock, CO 80104 (Online Only)
Hello there, I’m Kyrzia Parker (she/her), MSW, LCSW, CDWF and I hold a Masters Degree in Social Work from the University of Denver. I am also EMDR trained. I have worked with a variety of clients who have struggled with ongoing mental health concerns and specializes with those currently struggling with shame, anxiety, trauma and depression. I am a Certified Daring Way Facilitator (CDWF). The Daring Way is an empirically based training and certification program for helping professionals, based on the research of Dr. Brené Brown.
Hello there, I’m Kyrzia Parker (she/her), MSW, LCSW, CDWF and I hold a Masters Degree in Social Work from the University of Denver. I am also EMDR trained. I have worked with a variety of clients who have struggled with ongoing mental health concerns and specializes with those currently struggling with shame, anxiety, trauma and depression. I am a Certified Daring Way Facilitator (CDWF). The Daring Way is an empirically based training and certification program for helping professionals, based on the research of Dr. Brené Brown.
![Photo of Dallas J Chismar, MA, LPC, Licensed Professional Counselor](https://photos.psychologytoday.com/651e788b-94cf-4ba0-93cc-165dd314b6a0/2/320x400.jpeg)
Dallas J Chismar
Licensed Professional Counselor, MA, LPC
Verified Verified
Castle Rock, CO 80104
Waitlist for new clients
My goal as a clinician is to help guide my clients on their own healing journeys toward self-exploration and acceptance. My practice is open to adults, adolescents, and couples. I have experience working with victims and perpetrators of domestic violence, self-esteem, addiction, personality disorders, trauma disorders, depression, and anxiety.
My goal as a clinician is to help guide my clients on their own healing journeys toward self-exploration and acceptance. My practice is open to adults, adolescents, and couples. I have experience working with victims and perpetrators of domestic violence, self-esteem, addiction, personality disorders, trauma disorders, depression, and anxiety.
![Photo of Steven M Ferradino, LPC, Licensed Professional Counselor](https://photos.psychologytoday.com/2d212e7d-4fab-4b60-9ebe-139e5f400ffd/2/320x400.jpeg)
Collaborative Insight Counseling will provide opportunities of hope to children, adolescents, adults and families struggling with emotional health. I believe everyone has the ability to discover their own strengths and lead peaceful, productive and successful lives. My intention is to support you in discovering your own strengths and collaboratively foster those skills promoting personal development.
Collaborative Insight Counseling will provide opportunities of hope to children, adolescents, adults and families struggling with emotional health. I believe everyone has the ability to discover their own strengths and lead peaceful, productive and successful lives. My intention is to support you in discovering your own strengths and collaboratively foster those skills promoting personal development.
![Photo of Timi Schuessler - Envision Counseling Clinic, Counselor](https://photos.psychologytoday.com/e48ff96f-5598-4fc0-9fa3-ae190e20a366/1/320x400.png)
Envision Counseling Clinic is bringing hope to our local communities. People across Colorado come to us when they have done all they know to do and are still stuck. We help clients find relief, face their challenges, and forge a new path: a path they couldn't envision alone, a path that leads to life. Our therapists integrate Christian beliefs with sound psychological research, and respect the complicated nature of our clients' concerns. By bringing together psychologists and counselors, our Christian counseling center is able to help our clients open up new possibilities and move forward. Give us a call!
Envision Counseling Clinic is bringing hope to our local communities. People across Colorado come to us when they have done all they know to do and are still stuck. We help clients find relief, face their challenges, and forge a new path: a path they couldn't envision alone, a path that leads to life. Our therapists integrate Christian beliefs with sound psychological research, and respect the complicated nature of our clients' concerns. By bringing together psychologists and counselors, our Christian counseling center is able to help our clients open up new possibilities and move forward. Give us a call!
![Photo of Joan Q Palan, LCSW, LMFT, CACIII, Clinical Social Work/Therapist](https://photos.psychologytoday.com/3bf74deb-46cd-11ea-a6ad-06142c356176/5/320x400.jpeg)
Joan Q Palan
Clinical Social Work/Therapist, LCSW, LMFT, CACIII
Verified Verified
1 Endorsed
Castle Rock, CO 80104 (Online Only)
I believe that every individual, couple and family has its own unique strengths that are sometimes hard to remember when feeling overwhelmed and alone.
I understand what a big step it can be to decide on a therapist, therefore, I offer an initial 30 minute session at no charge as an opportunity for us to decide if we are a good fit or to provide you with additional resources to access.
I enjoy working with families, couples and adolescents and use a strengths-based approach in my practice. I'm really looking forward to working within the Conifer community
I believe that every individual, couple and family has its own unique strengths that are sometimes hard to remember when feeling overwhelmed and alone.
I understand what a big step it can be to decide on a therapist, therefore, I offer an initial 30 minute session at no charge as an opportunity for us to decide if we are a good fit or to provide you with additional resources to access.
I enjoy working with families, couples and adolescents and use a strengths-based approach in my practice. I'm really looking forward to working within the Conifer community
![Photo of Tunnel Light Therapy - - - Heidi R Smith, MBA, MS, LPCC](https://photos.psychologytoday.com/6258388b-dc4c-4fd9-8f32-686410e7a521/2/320x400.jpeg)
Tunnel Light Therapy - - - Heidi R Smith
Licensed Professional Counselor Candidate, MBA, MS, LPCC
Verified Verified
Castle Rock, CO 80104
Do you crave connection, validation, and empathy? Have you struggled to feel understood and free from judgement while navigating life and processing your deep thoughts, big emotions, and prior trauma? At Tunnel Light Therapy, that's possible. Offering in-person and online therapy to clients in most life stages (teenagers, adults, couples) and specializing in anxiety, trauma, EMDR, depression, mood and personality disorders, I can serve as a safe and compassionate partner to you (or your child) on the path toward greater, more sustainable mental health. Your unique therapeutic needs and goals are welcome at Tunnel Light Therapy.
Do you crave connection, validation, and empathy? Have you struggled to feel understood and free from judgement while navigating life and processing your deep thoughts, big emotions, and prior trauma? At Tunnel Light Therapy, that's possible. Offering in-person and online therapy to clients in most life stages (teenagers, adults, couples) and specializing in anxiety, trauma, EMDR, depression, mood and personality disorders, I can serve as a safe and compassionate partner to you (or your child) on the path toward greater, more sustainable mental health. Your unique therapeutic needs and goals are welcome at Tunnel Light Therapy.
See more therapy options for Castle Rock
Nearby Borderline Personality (BPD) Therapists Searches for Castle Rock
- Castle Pines
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- Elizabeth
- Englewood
- Franktown
- Greenwood Village
- Highlands Ranch
- Littleton
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- Parker
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.