Therapists in H2W
I only offer psychotherapy in French. - Graduated in 2001, Mathieu Brami worked as a psychologist in France for more than 10 years. He trained in group and individual psychotherapy with children, adolescents and adults. Arriving in Quebec in 2013, he was recognized as a Clinical Psychologist and became a member of the Order of Psychologists. After an internship in the public system within a CLSC, he quickly joined an adult mental health team. He remained in this environment for 10 years, familiarizing himself with the complexities of front-line work and that of the hospital environment.
I only offer psychotherapy in French. - Graduated in 2001, Mathieu Brami worked as a psychologist in France for more than 10 years. He trained in group and individual psychotherapy with children, adolescents and adults. Arriving in Quebec in 2013, he was recognized as a Clinical Psychologist and became a member of the Order of Psychologists. After an internship in the public system within a CLSC, he quickly joined an adult mental health team. He remained in this environment for 10 years, familiarizing himself with the complexities of front-line work and that of the hospital environment.
I help my clients by working with them to develop a genuine and meaningful relationship that can unfold, modify and heal the unconscious imprints left by old, negative patterns of relating. Our work together will explore your experiences, feelings, and imagination, reflecting both a narrative process and also an intuitive one which deepens as we develop understanding through authenticity, sharing, and trust.
I help my clients by working with them to develop a genuine and meaningful relationship that can unfold, modify and heal the unconscious imprints left by old, negative patterns of relating. Our work together will explore your experiences, feelings, and imagination, reflecting both a narrative process and also an intuitive one which deepens as we develop understanding through authenticity, sharing, and trust.
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Borderline Personality (BPD) Counsellors
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.