Borderline Personality (BPD) Therapists in Olmos Park, TX

Photo of Jacob Pickard, PhD, Psychologist
Jacob Pickard
Psychologist, PhD
Verified Verified
1 Endorsed
Olmos Park, TX 78212
I strive to provide you with the tools to build and maintain a more fulfilling life. Each person has unique needs and goals in their therapy. I will not just passively listen, but will engage you, share my thoughts, and challenge you when appropriate. I strive to provide my clients an atmosphere of flexibility, acceptance, compassion, and humor. For 15 years I have successfully helped clients navigate life issues. Many people come to me feeling overwhelmed or lacking meaning in their life, while others are experiencing depression, anxiety, grief/loss, trauma/PTSD, relationship or gender issues.
I strive to provide you with the tools to build and maintain a more fulfilling life. Each person has unique needs and goals in their therapy. I will not just passively listen, but will engage you, share my thoughts, and challenge you when appropriate. I strive to provide my clients an atmosphere of flexibility, acceptance, compassion, and humor. For 15 years I have successfully helped clients navigate life issues. Many people come to me feeling overwhelmed or lacking meaning in their life, while others are experiencing depression, anxiety, grief/loss, trauma/PTSD, relationship or gender issues.
(210) 526-0456 View (210) 526-0456
Photo of Michelli E Ramon, LCSW, Clinical Social Work/Therapist
Michelli E Ramon
Clinical Social Work/Therapist, LCSW
Verified Verified
Olmos Park, TX 78212
I'm about love, self-compassion, radical acceptance, embracing failure, trusting your innate wisdom and starting over. I fundamentally believe in every person's ability to recover from trauma, addiction and life, in general. Experience has taught me that no one is really avoiding anything. When people accuse you of not dealing with something, what they are really saying is you aren't dealing with it the way they want you to. From my perspective, if you wake up every morning and breathe in and out all day long, you're dealing with your stuff. A tiny bit of intention is all it takes to begin healing.
I'm about love, self-compassion, radical acceptance, embracing failure, trusting your innate wisdom and starting over. I fundamentally believe in every person's ability to recover from trauma, addiction and life, in general. Experience has taught me that no one is really avoiding anything. When people accuse you of not dealing with something, what they are really saying is you aren't dealing with it the way they want you to. From my perspective, if you wake up every morning and breathe in and out all day long, you're dealing with your stuff. A tiny bit of intention is all it takes to begin healing.
(210) 881-7814 View (210) 881-7814
Photo of Josefina (Josie) Cisneros, LPC, Licensed Professional Counselor
Josefina (Josie) Cisneros
Licensed Professional Counselor, LPC
Verified Verified
Olmos Park, TX 78212
Making the decision to address life issues affecting your mental health can feel overwhelming and difficult. As a LPC, I take great privilege helping adults work through issues or situations that cause mental, emotional, and/or spiritual distress. I have experience working with some of the most acute and chronic mental health issues of varying diagnoses. I am trained to diagnose individuals appropriately per my years of clinical work experience as a crisis counselor, and I utilize that information in therapy to help clients gain knowledge, insight, and develop the necessary tools to help them succeed in daily living.
Making the decision to address life issues affecting your mental health can feel overwhelming and difficult. As a LPC, I take great privilege helping adults work through issues or situations that cause mental, emotional, and/or spiritual distress. I have experience working with some of the most acute and chronic mental health issues of varying diagnoses. I am trained to diagnose individuals appropriately per my years of clinical work experience as a crisis counselor, and I utilize that information in therapy to help clients gain knowledge, insight, and develop the necessary tools to help them succeed in daily living.
(726) 200-4378 View (726) 200-4378
Photo of Deborah Loukas, MA, LPC, PLLC, Licensed Professional Counselor
Deborah Loukas
Licensed Professional Counselor, MA, LPC, PLLC
Verified Verified
1 Endorsed
Olmos Park, TX 78212  (Online Only)
Not accepting new clients
Have you been going to therapy for years, yet find yourself still struggling? Perhaps you're highly emotional, angry, anxious, depressed, avoiding, having distressing habits, or feeling hopeless like life isn't worth living. These behaviors are common with individuals who have experienced trauma, abuse, neglect, or who have had highly stressful or difficulties with family of origin, all of which can compromise your sense of self, safety, and your ability to maintain healthy relationships with those you love the most. Know that you are not alone, and that I can help.
Have you been going to therapy for years, yet find yourself still struggling? Perhaps you're highly emotional, angry, anxious, depressed, avoiding, having distressing habits, or feeling hopeless like life isn't worth living. These behaviors are common with individuals who have experienced trauma, abuse, neglect, or who have had highly stressful or difficulties with family of origin, all of which can compromise your sense of self, safety, and your ability to maintain healthy relationships with those you love the most. Know that you are not alone, and that I can help.
(844) 332-6458 View (844) 332-6458

More Therapists Nearby

Photo of Scott Altamirano, LMFT, MA, Marriage & Family Therapist
Scott Altamirano
Marriage & Family Therapist, LMFT, MA
Verified Verified
San Antonio, TX 78209  (Online Only)
To me, a large part of therapy is about grieving, acceptance, and peace within ourselves and others; I am particularly good at helping people get in touch with their feelings. I tend to work with the heavier side of therapy, that include drug/ alcohol /cannabis addiction, domestic violence, narcissism, borderline, sex/porn addiction, sex offense, sexual shame, couples working through sobriety-recovery dynamics, infidelity, poly relationships, court, and anger management. I tend to work really well with those who enjoy dark humor, who are avoidant by nature, and those who are seeking redemption from guilt/shame.
To me, a large part of therapy is about grieving, acceptance, and peace within ourselves and others; I am particularly good at helping people get in touch with their feelings. I tend to work with the heavier side of therapy, that include drug/ alcohol /cannabis addiction, domestic violence, narcissism, borderline, sex/porn addiction, sex offense, sexual shame, couples working through sobriety-recovery dynamics, infidelity, poly relationships, court, and anger management. I tend to work really well with those who enjoy dark humor, who are avoidant by nature, and those who are seeking redemption from guilt/shame.
(415) 663-2843 View (415) 663-2843
Photo of Scott D Altamirano, LMFT, MA, Marriage & Family Therapist
Scott D Altamirano
Marriage & Family Therapist, LMFT, MA
Verified Verified
San Antonio, TX 78209
To me, a large part of therapy is about grieving, acceptance, and peace within ourselves and others; I am particularly good at helping people get in touch with their feelings. I tend to work with the heavier side of therapy, that include drug/ alcohol /cannabis addiction, domestic violence, narcissism, borderline, sex/porn addiction, sex offense, sexual shame, couples working through sobriety-recovery dynamics, infidelity, poly relationships, court, and anger management. I tend to work really well with those who enjoy dark humor, who are avoidant by nature, and those who are seeking redemption from guilt/shame.
To me, a large part of therapy is about grieving, acceptance, and peace within ourselves and others; I am particularly good at helping people get in touch with their feelings. I tend to work with the heavier side of therapy, that include drug/ alcohol /cannabis addiction, domestic violence, narcissism, borderline, sex/porn addiction, sex offense, sexual shame, couples working through sobriety-recovery dynamics, infidelity, poly relationships, court, and anger management. I tend to work really well with those who enjoy dark humor, who are avoidant by nature, and those who are seeking redemption from guilt/shame.
(214) 617-1662 View (214) 617-1662
Photo of Scott D Altamirano, MA, LMFT, Marriage & Family Therapist
Scott D Altamirano
Marriage & Family Therapist, MA, LMFT
Verified Verified
San Antonio, TX 78209  (Online Only)
To me, a large part of therapy is about grieving, acceptance, and peace within ourselves and others; I am particularly good at helping people get in touch with their feelings. I tend to work with the heavier side of therapy, that include drug/ alcohol /cannabis addiction, domestic violence, narcissism, borderline, sex/porn addiction, sex offense, sexual shame, couples working through sobriety-recovery dynamics, infidelity, poly relationships, court, and anger management. I tend to work really well with those who enjoy dark humor, who are avoidant by nature, and those who are seeking redemption from guilt/shame.
To me, a large part of therapy is about grieving, acceptance, and peace within ourselves and others; I am particularly good at helping people get in touch with their feelings. I tend to work with the heavier side of therapy, that include drug/ alcohol /cannabis addiction, domestic violence, narcissism, borderline, sex/porn addiction, sex offense, sexual shame, couples working through sobriety-recovery dynamics, infidelity, poly relationships, court, and anger management. I tend to work really well with those who enjoy dark humor, who are avoidant by nature, and those who are seeking redemption from guilt/shame.
(442) 203-6839 View (442) 203-6839
Photo of Faith Roby, LMFT, Marriage & Family Therapist
Faith Roby
Marriage & Family Therapist, LMFT
Verified Verified
San Antonio, TX 78205
I specialize in treating infidelity, post-infidelity stress, trauma, complex PTSD, PTSD, mood disorders, emotion dysregulation, borderline personality disorder, anger issues, lack of assertiveness, family dysfunction, anxiety, faith-based issues, marital sex-based issues, substance use, sex abuse, stress, domestic violence, etc.
I truly believe that while you may come in broken, by faith, you can leave healed! I approach therapy in a collaborative manner with my clients. To effectively collaborate, I have a "no walking on eggshells" policy in our therapeutic space. Hold on, Faith! What does a “no walking on eggshells” policy mean? This policy empowers my clients to present what they may think are the “icky” parts of themselves without fear of being unrighteously judged in therapy. I will work to earn your trust so have faith in me, yourself, and the process as part of your healing journey.
I specialize in treating infidelity, post-infidelity stress, trauma, complex PTSD, PTSD, mood disorders, emotion dysregulation, borderline personality disorder, anger issues, lack of assertiveness, family dysfunction, anxiety, faith-based issues, marital sex-based issues, substance use, sex abuse, stress, domestic violence, etc.
I truly believe that while you may come in broken, by faith, you can leave healed! I approach therapy in a collaborative manner with my clients. To effectively collaborate, I have a "no walking on eggshells" policy in our therapeutic space. Hold on, Faith! What does a “no walking on eggshells” policy mean? This policy empowers my clients to present what they may think are the “icky” parts of themselves without fear of being unrighteously judged in therapy. I will work to earn your trust so have faith in me, yourself, and the process as part of your healing journey.
(346) 205-0126 View (346) 205-0126
Photo of Michelle Jacinto Psychotherapy And Supervision, MA, LPC-S, Licensed Professional Counselor
Michelle Jacinto Psychotherapy And Supervision
Licensed Professional Counselor, MA, LPC-S
Verified Verified
3 Endorsed
Balcones Heights, TX 78201
The therapeutic relationship I build with individuals, is my priority. I will work closely with you to create a plan that addresses your personal concerns, needs and goals while supporting you throughout your journey. My goal is to help you restore the feelings of wholeness and well-being in a safe and nurturing environment, while also forging resilience and tenacity. My passion is working with those who are struggling with Borderline Personality Disorder, Codependency (CPTSD and other toxic environments) and individuals navigating through existential crisis and loss of autonomy. -.-.-For faster response please email.-.-.-
The therapeutic relationship I build with individuals, is my priority. I will work closely with you to create a plan that addresses your personal concerns, needs and goals while supporting you throughout your journey. My goal is to help you restore the feelings of wholeness and well-being in a safe and nurturing environment, while also forging resilience and tenacity. My passion is working with those who are struggling with Borderline Personality Disorder, Codependency (CPTSD and other toxic environments) and individuals navigating through existential crisis and loss of autonomy. -.-.-For faster response please email.-.-.-
(210) 761-4124 View (210) 761-4124
Photo of Kelsie McGuire, MA, LPC, EMDR, MI, Licensed Professional Counselor
Kelsie McGuire
Licensed Professional Counselor, MA, LPC, EMDR, MI
Verified Verified
San Antonio, TX 78201  (Online Only)
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.
(720) 706-5980 View (720) 706-5980
Photo of Shawna Scarnato, MA, LPC-S, Licensed Professional Counselor
Shawna Scarnato
Licensed Professional Counselor, MA, LPC-S
Verified Verified
1 Endorsed
San Antonio, TX 78215  (Online Only)
I am a Licensed Professional Counselor-Supervisor (LPC-S) with over 15 years’ experience working with adults, adolescents and their families. Life comes with struggles, but these struggles don't have to become who we are. I believe we all find our own ways of coping and healing, but sometimes we need additional support to help us make healthy decisions.
I am a Licensed Professional Counselor-Supervisor (LPC-S) with over 15 years’ experience working with adults, adolescents and their families. Life comes with struggles, but these struggles don't have to become who we are. I believe we all find our own ways of coping and healing, but sometimes we need additional support to help us make healthy decisions.
(210) 880-2120 View (210) 880-2120
Photo of Dr. Fancy Patrick, PhD, MS, LPC, Licensed Professional Counselor
Dr. Fancy Patrick
Licensed Professional Counselor, PhD, MS, LPC
Verified Verified
San Antonio, TX 78205  (Online Only)
Life is filled with many challenges that may seem unbearable. Learn how to effectively manage complex emotions and process difficult experiences with Best Hopes, who offers virtual counseling sessions for people from all backgrounds in Texas. Using integrated therapies, Best Hopes can help you overcome hard times so you can start living your best life.
Life is filled with many challenges that may seem unbearable. Learn how to effectively manage complex emotions and process difficult experiences with Best Hopes, who offers virtual counseling sessions for people from all backgrounds in Texas. Using integrated therapies, Best Hopes can help you overcome hard times so you can start living your best life.
(254) 280-4453 View (254) 280-4453
Photo of Elizabeth Wymer, LPC, Licensed Professional Counselor
Elizabeth Wymer
Licensed Professional Counselor, LPC
Verified Verified
2 Endorsed
San Antonio, TX 78212
Are you suffering from anxiety? The physical symptoms can be so difficult, but I have seen clients get relief very quickly once they decide to seek care. My office offers a warm and inviting atmosphere where clients feel heard, respected, and empowered. Every individual's journey is unique, and I will provide you with a treatment plan tailored to address your specific needs and get the results that you are looking for.
Are you suffering from anxiety? The physical symptoms can be so difficult, but I have seen clients get relief very quickly once they decide to seek care. My office offers a warm and inviting atmosphere where clients feel heard, respected, and empowered. Every individual's journey is unique, and I will provide you with a treatment plan tailored to address your specific needs and get the results that you are looking for.
(210) 625-8257 View (210) 625-8257
Photo of Jocelyn Sipes - Back Porch Therapy, PLLC, LCSW-S, Clinical Social Work/Therapist
Back Porch Therapy, PLLC
Clinical Social Work/Therapist, LCSW-S
Verified Verified
San Antonio, TX 78201  (Online Only)
You have many choices when it comes to picking a counselor/therapist, but what is the most important thing to consider when choosing? Does the person appear to be kind? Do they have the qualifications to serve you? Does he/she make you feel comfortable and ease the anxiety you might be feeling regarding sharing such personal information so quickly? How does the office environment feel (telehealth or in the office)? More importantly, how quickly do you feel your exact problem is being addressed?
You have many choices when it comes to picking a counselor/therapist, but what is the most important thing to consider when choosing? Does the person appear to be kind? Do they have the qualifications to serve you? Does he/she make you feel comfortable and ease the anxiety you might be feeling regarding sharing such personal information so quickly? How does the office environment feel (telehealth or in the office)? More importantly, how quickly do you feel your exact problem is being addressed?
(903) 730-6198 View (903) 730-6198
Photo of Chandra Brandt, LPC, NCC, C-FRC, Licensed Professional Counselor
Chandra Brandt
Licensed Professional Counselor, LPC, NCC, C-FRC
Verified Verified
2 Endorsed
San Antonio, TX 78201
Feeling adrift, overwhelmed, or uncertain about your life's direction? You're not alone. Life's twists and turns can leave us feeling lost, but together, we can find a better way. Whether you're wrestling with mood swings, substance use, grief, or battling with self-esteem, I'm here to help. Let's roll up our sleeves and dive deep into understanding the thoughts, emotions, and behaviors that have been holding you back. Together, we'll unearth practical strategies to propel you forward on your journey to wholeness.
Feeling adrift, overwhelmed, or uncertain about your life's direction? You're not alone. Life's twists and turns can leave us feeling lost, but together, we can find a better way. Whether you're wrestling with mood swings, substance use, grief, or battling with self-esteem, I'm here to help. Let's roll up our sleeves and dive deep into understanding the thoughts, emotions, and behaviors that have been holding you back. Together, we'll unearth practical strategies to propel you forward on your journey to wholeness.
(210) 904-8346 View (210) 904-8346
Photo of Cassidy Tolopka - Betty's Co. , MA, LPC, Licensed Professional Counselor
Betty's Co.
Licensed Professional Counselor, MA, LPC
Verified Verified
San Antonio, TX 78205  (Online Only)
It's okay to not be okay. The right help might be therapy or a mix of therapy and medication. We offer both to protect your mental health. As a counselor, I understand that being a young woman in today's world can be overwhelming and challenging. We work with clients who are feeling anxious or stressed while navigating the added pressures and changes of growing up, or simply feeling stuck in the current moment. Our clients are ready and motivated to trade in their negative false beliefs for healthier ways to cope and thrive.
It's okay to not be okay. The right help might be therapy or a mix of therapy and medication. We offer both to protect your mental health. As a counselor, I understand that being a young woman in today's world can be overwhelming and challenging. We work with clients who are feeling anxious or stressed while navigating the added pressures and changes of growing up, or simply feeling stuck in the current moment. Our clients are ready and motivated to trade in their negative false beliefs for healthier ways to cope and thrive.
(210) 960-9730 View (210) 960-9730
Photo of Traci Lee Kaiser, LCSW, BCD, Veteran, Clinical Social Work/Therapist
Traci Lee Kaiser
Clinical Social Work/Therapist, LCSW, BCD, Veteran
Verified Verified
San Antonio, TX 78209  (Online Only)
Change is hard, but worth it. Clients can expect an empathic and caring, but no-nonsense, approach to tackling issues. I specialize in Military/Veteran issues, anxiety and trauma treatment to clients residing anywhere in TX, NC & AK. No travel required! I provide a non-judgmental atmosphere that enables frank, honest discussions that promote change. I have a good history with clients seeking out initial care as well as those who have been unsuccessful with other therapists. I do not accept insurance, as I believe care should be authentic and person-centered without coding or billing guidelines dictating care.
Change is hard, but worth it. Clients can expect an empathic and caring, but no-nonsense, approach to tackling issues. I specialize in Military/Veteran issues, anxiety and trauma treatment to clients residing anywhere in TX, NC & AK. No travel required! I provide a non-judgmental atmosphere that enables frank, honest discussions that promote change. I have a good history with clients seeking out initial care as well as those who have been unsuccessful with other therapists. I do not accept insurance, as I believe care should be authentic and person-centered without coding or billing guidelines dictating care.
(979) 491-9875 View (979) 491-9875
Photo of Shanna Dominguez - Dominguez Psychotherapy and Counseling Center, MEd, LPC, NCC, Licensed Professional Counselor
Dominguez Psychotherapy and Counseling Center
Licensed Professional Counselor, MEd, LPC, NCC
Verified Verified
San Antonio, TX 78248
My name is Shanna Dominguez and I am a Licensed Professional Counselor. You may be experiencing worry, fear, anxiety, depression, or a variety of other emotions. Good news, those emotions can be managed, I believe there are two experts in the room: You are the expert of your life and I am the clinical expert. I have had the privilege of working with adults, couples, and adolescents. I use a variety of techniques and theories to guide my work with you depending on what fits your needs. I specialize in CBT and DBT methods. As humans, we not only want to feel understood, but we want to understand ourselves & why we do the things we do.
My name is Shanna Dominguez and I am a Licensed Professional Counselor. You may be experiencing worry, fear, anxiety, depression, or a variety of other emotions. Good news, those emotions can be managed, I believe there are two experts in the room: You are the expert of your life and I am the clinical expert. I have had the privilege of working with adults, couples, and adolescents. I use a variety of techniques and theories to guide my work with you depending on what fits your needs. I specialize in CBT and DBT methods. As humans, we not only want to feel understood, but we want to understand ourselves & why we do the things we do.
(915) 465-3585 View (915) 465-3585
Photo of Vanessa Delgado, LCSW, Clinical Social Work/Therapist
Vanessa Delgado
Clinical Social Work/Therapist, LCSW
Verified Verified
San Antonio, TX 78205
The weight of our experiences, emotions, or circumstances can get overwhelming and lead to intrusive thoughts. In those moments, therapy utilizing trauma-informed care is an effective tool. Therapy is more than just a place to talk; it's a sanctuary for your well-being. It's a dedicated space where you can explore your thoughts, feelings, and experiences in a non-judgmental, confidential, and supportive environment. As a trauma informed therapist, I will serve as your trusted ally to guide you through challenges faced in your life.
The weight of our experiences, emotions, or circumstances can get overwhelming and lead to intrusive thoughts. In those moments, therapy utilizing trauma-informed care is an effective tool. Therapy is more than just a place to talk; it's a sanctuary for your well-being. It's a dedicated space where you can explore your thoughts, feelings, and experiences in a non-judgmental, confidential, and supportive environment. As a trauma informed therapist, I will serve as your trusted ally to guide you through challenges faced in your life.
(210) 941-3789 View (210) 941-3789
Photo of Dr. Cheryl Paulhus, LPC, Licensed Professional Counselor
Dr. Cheryl Paulhus
Licensed Professional Counselor, LPC
Verified Verified
San Antonio, TX 78206  (Online Only)
My name is Dr. Cheryl Paulhus. I am a Licensed Professional Counselor in Texas with 30 years of professional work experience. I have experience in helping clients with stress, depression, anxiety, relationship issues, trauma, abuse, coping with grief and loss, life transitions and pain management. I work with each client to experience lasting and meaningful healing in different ways, not a one-size-fits-all approach. I have a compassionate and approachable demeanor and collaborate with each client to assist them in identifying the areas they need to focus on in their own way, in their own time.
My name is Dr. Cheryl Paulhus. I am a Licensed Professional Counselor in Texas with 30 years of professional work experience. I have experience in helping clients with stress, depression, anxiety, relationship issues, trauma, abuse, coping with grief and loss, life transitions and pain management. I work with each client to experience lasting and meaningful healing in different ways, not a one-size-fits-all approach. I have a compassionate and approachable demeanor and collaborate with each client to assist them in identifying the areas they need to focus on in their own way, in their own time.
(832) 402-8995 View (832) 402-8995

See more therapy options for Olmos Park

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.