Borderline Personality (BPD) Therapists in Millerton, NY

Photo of Cindy Noah, LCSWR, Clinical Social Work/Therapist
Cindy Noah
Clinical Social Work/Therapist, LCSWR
Verified Verified
Millerton, NY 12546
With over 25 years working with adults, adolescents, and families, I believe in collaboration and building trust in the therapeutic process. I work to create a safe, nonjudgmental environment wherein the person can freely discuss difficult emotions and problematic areas of their life. My goal is to help you gain insight and develop new perspectives that will lead to a more positive outlook and improve your overall well being. Exploring obstacles, we will work towards the understanding that making changes takes time and a great deal of courage.
With over 25 years working with adults, adolescents, and families, I believe in collaboration and building trust in the therapeutic process. I work to create a safe, nonjudgmental environment wherein the person can freely discuss difficult emotions and problematic areas of their life. My goal is to help you gain insight and develop new perspectives that will lead to a more positive outlook and improve your overall well being. Exploring obstacles, we will work towards the understanding that making changes takes time and a great deal of courage.
(914) 595-2463 View (914) 595-2463
Photo of Richard O'Connor, MSW, PhD, Clinical Social Work/Therapist
Richard O'Connor
Clinical Social Work/Therapist, MSW, PhD
Verified Verified
Millerton, NY 12546
I specialize in mood disorders and anxiety. I've published five books--Undoing Depression is probably the most familiar---on depression, stress, and happiness, My latest, "Rewire," was released August 2014, and I'm working on a new book about self-destructive behavior. My approach is basically psychodynamic, with a lot of CBT and mindfulness. I believe that anyone can change--the brain can literally be rewired--but it takes a lot of patience and practice. Most of the people I meet have been battered around by life, and it's left scars--difficulty hoping, difficulty trusting. It's my job to mobilize that hope and trust.
I specialize in mood disorders and anxiety. I've published five books--Undoing Depression is probably the most familiar---on depression, stress, and happiness, My latest, "Rewire," was released August 2014, and I'm working on a new book about self-destructive behavior. My approach is basically psychodynamic, with a lot of CBT and mindfulness. I believe that anyone can change--the brain can literally be rewired--but it takes a lot of patience and practice. Most of the people I meet have been battered around by life, and it's left scars--difficulty hoping, difficulty trusting. It's my job to mobilize that hope and trust.
(860) 492-0400 View (860) 492-0400
Photo of Samantha K Case, MSW, LCSW, Clinical Social Work/Therapist
Samantha K Case
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Millerton, NY 12546
Seeking out psychotherapy is an investment in yourself so that you can reach your dreams and overcome emotional hurdles like depression, anxiety, trauma, loss, and addictions. I have experience helping hundreds of people jump over these types of hurdles and get more of what they want from life. In addition to traditional psychotherapy, I offer qEEG, which helps to diagnose and predict cognitive issues based on neurologically distinct brain activity, as well as Neurofeedback to successfully target those areas in the brain identified by the qEEG as dysregulated, resulting in reduction of symptoms and increase in optimal functioning.
Seeking out psychotherapy is an investment in yourself so that you can reach your dreams and overcome emotional hurdles like depression, anxiety, trauma, loss, and addictions. I have experience helping hundreds of people jump over these types of hurdles and get more of what they want from life. In addition to traditional psychotherapy, I offer qEEG, which helps to diagnose and predict cognitive issues based on neurologically distinct brain activity, as well as Neurofeedback to successfully target those areas in the brain identified by the qEEG as dysregulated, resulting in reduction of symptoms and increase in optimal functioning.
(860) 295-4159 View (860) 295-4159
Photo of Jessica Gelfand, LCSW, Clinical Social Work/Therapist
Jessica Gelfand
Clinical Social Work/Therapist, LCSW
Verified Verified
Millerton, NY 12546  (Online Only)
Hello! I'm Jessica, I'm a Licensed Clinical Social Worker (LCSW) working in New York State. I specialize in working with adults with a range of concerns from serious mental health diagnoses to addiction, to anxiety and relationship concerns. I typically work with adults dealing with depression, anxiety, bipolar disorder, substance use disorders, and/or PTSD. I'm happy to discuss diagnoses and conditions not listed as well. I work with individuals of all gender identities, as well as everyone across the LGBTIQA+ spectrum.
Hello! I'm Jessica, I'm a Licensed Clinical Social Worker (LCSW) working in New York State. I specialize in working with adults with a range of concerns from serious mental health diagnoses to addiction, to anxiety and relationship concerns. I typically work with adults dealing with depression, anxiety, bipolar disorder, substance use disorders, and/or PTSD. I'm happy to discuss diagnoses and conditions not listed as well. I work with individuals of all gender identities, as well as everyone across the LGBTIQA+ spectrum.
(646) 718-0776 View (646) 718-0776

More Therapists Nearby

Photo of Yair Oelbaum, LCSW, Clinical Social Work/Therapist
Yair Oelbaum
Clinical Social Work/Therapist, LCSW
Verified Verified
Pine Plains, NY 12567
My work has focused on clients in their teens, young adulthood and middle adulthood navigating life transitions, overlapping identities, and relational issues. My work has focused on mood disorders (depression and bipolar disorder primarily), anxiety disorders, trauma and issues related to gender identity and sexuality. My clinical experience has provided me with the opportunity to work with people of a wide set of backgrounds and issues.
My work has focused on clients in their teens, young adulthood and middle adulthood navigating life transitions, overlapping identities, and relational issues. My work has focused on mood disorders (depression and bipolar disorder primarily), anxiety disorders, trauma and issues related to gender identity and sexuality. My clinical experience has provided me with the opportunity to work with people of a wide set of backgrounds and issues.
(530) 298-8175 View (530) 298-8175
Photo of Adam Barta - Head In the Right Direction Counseling Services, LCSW-R, Clinical Social Work/Therapist
Head In the Right Direction Counseling Services
Clinical Social Work/Therapist, LCSW-R
Verified Verified
Millbrook, NY 12545
We have been helping people learn how to make the changes they want since 2008. Relationship woes? Existential Angst? Have a troubled teen or child in trouble? Feel stuck your life? You are not alone. There are other people out here going through this too. This is temporary. We will reach out to you, discuss your needs, and pair you with a therapist familiar with your needs. Together, you will meet, identify issues, collaborate to create a plan, follow through with some reasonable interventions, and figure out ways to make the changes last.
We have been helping people learn how to make the changes they want since 2008. Relationship woes? Existential Angst? Have a troubled teen or child in trouble? Feel stuck your life? You are not alone. There are other people out here going through this too. This is temporary. We will reach out to you, discuss your needs, and pair you with a therapist familiar with your needs. Together, you will meet, identify issues, collaborate to create a plan, follow through with some reasonable interventions, and figure out ways to make the changes last.
(646) 819-0218 View (646) 819-0218
Photo of Adam Barta - Head In The Right Direction Counseling Services, MFT, Clinical Social Work/Therapist
Head In The Right Direction Counseling Services
Clinical Social Work/Therapist, MFT
Verified Verified
Millbrook, NY 12545  (Online Only)
Have you ever felt misunderstood, judged, confused, or couldn't find the "right" words to express yourself? What about feeling lonely in a relationship? We have all encountered or experienced these feelings at one point in our lives. Let's have a conversation to explore and unpack all that you seek. I specialize in Marriage & Family dynamics as well as individual and relationship issues. Unpacking all related topics, we will explore the concepts of communication, commitment, intimacy, marriage, premarital relations, divorce, non-traditional couples, and much more.
Have you ever felt misunderstood, judged, confused, or couldn't find the "right" words to express yourself? What about feeling lonely in a relationship? We have all encountered or experienced these feelings at one point in our lives. Let's have a conversation to explore and unpack all that you seek. I specialize in Marriage & Family dynamics as well as individual and relationship issues. Unpacking all related topics, we will explore the concepts of communication, commitment, intimacy, marriage, premarital relations, divorce, non-traditional couples, and much more.
(845) 666-3294 View (845) 666-3294

Online Therapists

Photo of Macaul Hodge, MHC-LP
Macaul Hodge
MHC-LP
Verified Verified
1 Endorsed
New York, NY 10016
Macaul has worked with clients suffering from an array of mental and physical health issues including depression, anxiety, PTSD, bipolar disorder, borderline personality disorder, anorexia, chronic illness, and suicidality.
Macaul works to help clients gain awareness of their self-concept and how they experience the world. Macaul believes that clients are the authors of their own stories, but sometimes are too close to see them clearly. Utilizing an integrative approach, Macaul empowers clients to make the desired changes toward creating a fulfilling life.
Macaul has worked with clients suffering from an array of mental and physical health issues including depression, anxiety, PTSD, bipolar disorder, borderline personality disorder, anorexia, chronic illness, and suicidality.
Macaul works to help clients gain awareness of their self-concept and how they experience the world. Macaul believes that clients are the authors of their own stories, but sometimes are too close to see them clearly. Utilizing an integrative approach, Macaul empowers clients to make the desired changes toward creating a fulfilling life.
(929) 930-2531 View (929) 930-2531
Photo of Danielle Cimafonte, LMHC, Counselor
Danielle Cimafonte
Counselor, LMHC
Verified Verified
Long Beach, NY 11561  (Online Only)
Waitlist for new clients
I have experience in working with the young adult/adult population with a variety of different needs. I have worked within both an inpatient and outpatient setting offering support and therapy weekly to meet the needs of my clients. I use a combination of therapeutic modalities with experience in cognitive Behavioral Therapy (CBT) and have intensive training in Dialectical Behavior Therapy (DBT) as well. My training has allowed me to work with people with a number of different diagnoses including Depression, Anxiety, Borderline Personality Disorder, Adjustment Disorder, Self-injurious behavior and suicidal thinking.
I have experience in working with the young adult/adult population with a variety of different needs. I have worked within both an inpatient and outpatient setting offering support and therapy weekly to meet the needs of my clients. I use a combination of therapeutic modalities with experience in cognitive Behavioral Therapy (CBT) and have intensive training in Dialectical Behavior Therapy (DBT) as well. My training has allowed me to work with people with a number of different diagnoses including Depression, Anxiety, Borderline Personality Disorder, Adjustment Disorder, Self-injurious behavior and suicidal thinking.
(516) 517-6645 View (516) 517-6645
Photo of Kathleen DiMartino, LMSW
Kathleen DiMartino
Licensed Master Social Worker, LMSW
Verified Verified
1 Endorsed
Port Jefferson, NY 11777
I have experience with those who have medical problems, are in chronic pain, and have borderline personality disorder.
Life can be both painful and challenging, but that does not mean that you have to go through it alone. Therapy is often a great place to start (or continue) when we are in need of some extra support.
I have experience with those who have medical problems, are in chronic pain, and have borderline personality disorder.
Life can be both painful and challenging, but that does not mean that you have to go through it alone. Therapy is often a great place to start (or continue) when we are in need of some extra support.
(631) 605-7205 View (631) 605-7205
Photo of Tyisha Gaskin - Footprints to Feel Better, Pre-Licensed Professional
Footprints to Feel Better
Pre-Licensed Professional
Verified Verified
New York, NY 10027
We work with depression, anxiety, bipolar, PTSD, eating disorders, bereavement, BPD, autism, ADHD, addiction, sexual abuse, DV, medical illnesses, relationship problems, LGTBQ+, adjustment disorders and forensic cases.
Footprints was started by a therapist who realized that often times the services provided to low socio-economic communities is lacking quality care. We noticed these communities were confronted with long wait times, disrespectful admins, and subpar treatment. The one and only purpose was to exploit the community for profit without providing the level of care deserved. Feel Better Therapy began from the inspiration to provide quality mental health care to the poorest of communities and treating the clients of this community the same way a rich patient would be treated in a clinic treating affluent clients.
We work with depression, anxiety, bipolar, PTSD, eating disorders, bereavement, BPD, autism, ADHD, addiction, sexual abuse, DV, medical illnesses, relationship problems, LGTBQ+, adjustment disorders and forensic cases.
Footprints was started by a therapist who realized that often times the services provided to low socio-economic communities is lacking quality care. We noticed these communities were confronted with long wait times, disrespectful admins, and subpar treatment. The one and only purpose was to exploit the community for profit without providing the level of care deserved. Feel Better Therapy began from the inspiration to provide quality mental health care to the poorest of communities and treating the clients of this community the same way a rich patient would be treated in a clinic treating affluent clients.
(646) 204-2295 View (646) 204-2295
Photo of Diana Chen, PhD, Psychologist
Diana Chen
Psychologist, PhD
Verified Verified
1 Endorsed
New York, NY 10016
I also have expertise working with clients with anxiety, depression, PTSD, trauma, bereavement, mood disorder, borderline personality disorder.
I am a licensed clinical psychologist currently in private practice in NYC. My own personal background of growing up in NYC and having been raised by immigrant parents influenced my chosen career path in psychology. I wanted a profession to help people. By forging a nontraditional path that confronts the common stigma against mental health, I offer shared experiences in an environment that allow people to voice their thoughts and feelings openly without fear. I am trained in numerous clinical models of care but uphold the importance of using an integrative approach of tailoring treatment interventions based on each client's needs.
I also have expertise working with clients with anxiety, depression, PTSD, trauma, bereavement, mood disorder, borderline personality disorder.
I am a licensed clinical psychologist currently in private practice in NYC. My own personal background of growing up in NYC and having been raised by immigrant parents influenced my chosen career path in psychology. I wanted a profession to help people. By forging a nontraditional path that confronts the common stigma against mental health, I offer shared experiences in an environment that allow people to voice their thoughts and feelings openly without fear. I am trained in numerous clinical models of care but uphold the importance of using an integrative approach of tailoring treatment interventions based on each client's needs.
(347) 394-0338 View (347) 394-0338
Photo of Moira Egan, LP, MFA, Licensed Psychoanalyst
Moira Egan
Licensed Psychoanalyst, LP, MFA
Verified Verified
New York, NY 10025
I am an experienced psychotherapist my areas of interest include BPD, CPTSD as well as anxiety and mood disorders. I would like to help you to begin your healing journey no matter how severe you feel your condition to be. My primary goals are to alleviate suffering, to improve insight and understanding and to have my patients regain a sense of agency over their lives.
I am an experienced psychotherapist my areas of interest include BPD, CPTSD as well as anxiety and mood disorders. I would like to help you to begin your healing journey no matter how severe you feel your condition to be. My primary goals are to alleviate suffering, to improve insight and understanding and to have my patients regain a sense of agency over their lives.
(646) 760-6896 View (646) 760-6896
Photo of Fatema Jivanjee-Shakir, LMSW, Clinical Social Work/Therapist
Fatema Jivanjee-Shakir
Clinical Social Work/Therapist, LMSW
Verified Verified
2 Endorsed
New York, NY 10022  (Online Only)
I am a social worker who specializes in the treatment of eating disorders, disordered eating, & body image concerns, as well as mood, anxiety, trauma, borderline personality & relationship problems.
Do you feel consumed with thoughts about food, weight, or body image? Does your relationship with these things impact your mood, self-esteem, relationships, or ability to function? If you answered yes to any of these questions, know that healing is possible. You are not alone in navigating these experiences.
I am a social worker who specializes in the treatment of eating disorders, disordered eating, & body image concerns, as well as mood, anxiety, trauma, borderline personality & relationship problems.
Do you feel consumed with thoughts about food, weight, or body image? Does your relationship with these things impact your mood, self-esteem, relationships, or ability to function? If you answered yes to any of these questions, know that healing is possible. You are not alone in navigating these experiences.
(929) 205-4436 View (929) 205-4436
Photo of Mara ---- Sambugaro Framesqui, LMHC, Counselor
Mara ---- Sambugaro Framesqui
Counselor, LMHC
Verified Verified
New York, NY 10069  (Online Only)
In my studies I have focused on depression, borderline personality disorder, ADHD, self-harm, attachment disorder, substance abuse, anger management, behavioral issues, and self-esteem.
There are times in life when there doesn't seem like a way out of emotional pain. Our life histories, traumas, losses, and disappointments can run so deep that you think the only solution is to give up and stay where you are because change seems frightening. I'm confident I’m able to help you have a more joyful life, better relationships, and to create a more optimistic and exciting vision for your future. You can learn the most effective tools and recognize your strengths focusing on yourself in the now. I can teach you how to treat yourself with patience and compassion, while making a real decision to change.
In my studies I have focused on depression, borderline personality disorder, ADHD, self-harm, attachment disorder, substance abuse, anger management, behavioral issues, and self-esteem.
There are times in life when there doesn't seem like a way out of emotional pain. Our life histories, traumas, losses, and disappointments can run so deep that you think the only solution is to give up and stay where you are because change seems frightening. I'm confident I’m able to help you have a more joyful life, better relationships, and to create a more optimistic and exciting vision for your future. You can learn the most effective tools and recognize your strengths focusing on yourself in the now. I can teach you how to treat yourself with patience and compassion, while making a real decision to change.
(929) 284-2534 View (929) 284-2534
Photo of Ann D. Gracer, PhD, Psychologist
Ann D. Gracer
Psychologist, PhD
Verified Verified
Fresh Meadows, NY 11365  (Online Only)
I work best with those struggling w/challenging issues like borderline personality disorder, depression/bipolar disorder, and schizophrenia/psychotic disorders. I also work well w/everyday issues like Panic and Anxiety. I'm active and involved. I'm not one of those therapists who just sits there. I love working in Queens because it is the most ethnically diverse county in the nation. I enjoy working with people from all walks of life, all religions, nationalities, and cultures. I welcome working with Orthodox Jews and other religiously committed individuals.
I work best with those struggling w/challenging issues like borderline personality disorder, depression/bipolar disorder, and schizophrenia/psychotic disorders. I also work well w/everyday issues like Panic and Anxiety. I'm active and involved. I'm not one of those therapists who just sits there. I love working in Queens because it is the most ethnically diverse county in the nation. I enjoy working with people from all walks of life, all religions, nationalities, and cultures. I welcome working with Orthodox Jews and other religiously committed individuals.
(718) 354-8786 View (718) 354-8786
Photo of Massimo Balestri, PhD, Psychologist
Massimo Balestri
Psychologist, PhD
Verified Verified
New York, NY 10024
I treat a wide spectrum of conditions including mood and anxiety disorders (e.g., bipolar, depressive and anxiety disorders), ADHD, marital issues and PTSD. My niche is in personality disorders (e.g., borderline and narcissistic PD). I have extensive experience treating trauma sequelas, dissociative disorders and helping individuals overcome grief. My practice also includes treatment of eating disorders in adults (e.g., bulimia) and parasuicidal behaviour. Although my practice is mainly guided by empirical modalities, I tend to approach each client in an eclectic manner to customize treatment as needed.
I treat a wide spectrum of conditions including mood and anxiety disorders (e.g., bipolar, depressive and anxiety disorders), ADHD, marital issues and PTSD. My niche is in personality disorders (e.g., borderline and narcissistic PD). I have extensive experience treating trauma sequelas, dissociative disorders and helping individuals overcome grief. My practice also includes treatment of eating disorders in adults (e.g., bulimia) and parasuicidal behaviour. Although my practice is mainly guided by empirical modalities, I tend to approach each client in an eclectic manner to customize treatment as needed.
(914) 350-4086 View (914) 350-4086
Photo of Kim Lynn Lehnert - Clear Path DBT, PhD, Psychologist
Clear Path DBT
Psychologist, PhD
Verified Verified
Port Jefferson Station, NY 11776
DBT is effective with borderline PD; chronic suicidal ideation; self-harm behaviors; Major Depression; Bipolar Disorder; Anxiety Disorders; Attention Deficit Hyperactivity Disorder (ADHD); Post-traumatic Stress Disorder (PTSD); High-Functioning Autism Spectrum Disorder (ASD); Eating Disorders; Substance abuse/Addictions; and confusion about gender identity.
We are a small, private psychology practice in Port Jefferson, NY in Suffolk County on Long Island. Our Dialectical Behavior Therapy (DBT) practice is dedicated to the knowledgeable and compassionate care of individuals struggling with intense emotions, behavioral difficulties, problems in their relationships, and other mental health concerns. Clear Path DBT treats clients across all stages of life, from children (9 years and older) with emotional and behavioral dysregulation, to teens, young adults, college students, adults, and older adults. We strive to help individuals build a life worth living.
DBT is effective with borderline PD; chronic suicidal ideation; self-harm behaviors; Major Depression; Bipolar Disorder; Anxiety Disorders; Attention Deficit Hyperactivity Disorder (ADHD); Post-traumatic Stress Disorder (PTSD); High-Functioning Autism Spectrum Disorder (ASD); Eating Disorders; Substance abuse/Addictions; and confusion about gender identity.
We are a small, private psychology practice in Port Jefferson, NY in Suffolk County on Long Island. Our Dialectical Behavior Therapy (DBT) practice is dedicated to the knowledgeable and compassionate care of individuals struggling with intense emotions, behavioral difficulties, problems in their relationships, and other mental health concerns. Clear Path DBT treats clients across all stages of life, from children (9 years and older) with emotional and behavioral dysregulation, to teens, young adults, college students, adults, and older adults. We strive to help individuals build a life worth living.
(631) 707-9163 View (631) 707-9163
Photo of Andrea Coleman, LMHC, MEd, MA, Counselor
Andrea Coleman
Counselor, LMHC, MEd, MA
Verified Verified
Rockville Centre, NY 11570
I am a NYS licensed Mental Health Counselor. I specialize in treating clients with borderline personality disorder, depression and anxiety disorders. My research interests focus on adolescents exhibiting cutting behavior as well as mindfulness meditation. I have presented at local and state conferences and have conducted several clinical trainings related to anxiety, autism, and developmental disabilities at surrounding regional agencies.
I am a NYS licensed Mental Health Counselor. I specialize in treating clients with borderline personality disorder, depression and anxiety disorders. My research interests focus on adolescents exhibiting cutting behavior as well as mindfulness meditation. I have presented at local and state conferences and have conducted several clinical trainings related to anxiety, autism, and developmental disabilities at surrounding regional agencies.
(631) 449-7688 View (631) 449-7688
Photo of Brittany Lynn Shillingford, LMHC, Counselor
Brittany Lynn Shillingford
Counselor, LMHC
Verified Verified
Port Jefferson, NY 11777  (Online Only)
I specialize in treating anxiety and depression, as well as clients diagnosed with Bipolar Disorder or Borderline Personality Disorder.
Book with me now by clicking on my website. I know life can throw some pretty mean curveballs. Life can get extremely difficult to navigate, causing stress, anxiety, depression, and anger. I would be honored to work with you, to help you make it through these difficult times and get to a better place. I believe that everyone has the inner resources to heal their wounds and improve their lives. As your therapist, I can help you to access these resources and utilize them to achieve your goals. My objective is to help you discover your full potential, and to be the very best version of yourself.
I specialize in treating anxiety and depression, as well as clients diagnosed with Bipolar Disorder or Borderline Personality Disorder.
Book with me now by clicking on my website. I know life can throw some pretty mean curveballs. Life can get extremely difficult to navigate, causing stress, anxiety, depression, and anger. I would be honored to work with you, to help you make it through these difficult times and get to a better place. I believe that everyone has the inner resources to heal their wounds and improve their lives. As your therapist, I can help you to access these resources and utilize them to achieve your goals. My objective is to help you discover your full potential, and to be the very best version of yourself.
(516) 217-2242 View (516) 217-2242

See more therapy options for Millerton

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.