Borderline Personality (BPD) Counselling in Glastonbury

Photo of Julie Page, Counsellor, MBACP
Julie Page
Counsellor, MBACP
Verified Verified
Hi, I'm Julie, and I am passionate about working with people who have experienced abuse or trauma, whether it be sexual, physical or emotional. When we experience trauma we lose part of who we truly are because of the after effects, such as anxiety, depression, panic attacks, flashbacks and dissociation (when we feel distanced from our emotions or ‘spaced out’, as if we’re living on autopilot). I love helping people rediscover who they really are by creating an environment in which they feel safe and completely accepted. I don't analyse you but with careful listening will know what we need to work on.
Hi, I'm Julie, and I am passionate about working with people who have experienced abuse or trauma, whether it be sexual, physical or emotional. When we experience trauma we lose part of who we truly are because of the after effects, such as anxiety, depression, panic attacks, flashbacks and dissociation (when we feel distanced from our emotions or ‘spaced out’, as if we’re living on autopilot). I love helping people rediscover who they really are by creating an environment in which they feel safe and completely accepted. I don't analyse you but with careful listening will know what we need to work on.
01458 555909 View 01458 555909
Photo of Jenna Harper, Counsellor, MNCPS Acc.
Jenna Harper
Counsellor, MNCPS Acc.
Verified Verified
Serves Area
I’m a warm, down to earth counsellor offering an understanding environment for you to feel relaxed and at ease. So you can begin to make sense of the challenges impacting how you feel, your relationships and daily life and find a way through. Choosing the right person can be difficult so I offer a free 15min intro call to ask any questions and help you decide. I support all ages in areas such as bereavement and loss, anxiety, self-esteem and confidence issues, eating disorders and trauma that you are struggling to cope with. Helping you to feel seen and heard to strengthen your self esteem and resilience through our work together.
I’m a warm, down to earth counsellor offering an understanding environment for you to feel relaxed and at ease. So you can begin to make sense of the challenges impacting how you feel, your relationships and daily life and find a way through. Choosing the right person can be difficult so I offer a free 15min intro call to ask any questions and help you decide. I support all ages in areas such as bereavement and loss, anxiety, self-esteem and confidence issues, eating disorders and trauma that you are struggling to cope with. Helping you to feel seen and heard to strengthen your self esteem and resilience through our work together.
01749 608487 View 01749 608487
Photo of Samantha Jones, Psychotherapist, MBACP Accred
Samantha Jones
Psychotherapist, MBACP Accred
Verified Verified
Online Only
I specialize in trauma-informed therapy, recognizing how abuse and neglect can deeply impact the mind, emotions, and nervous system. Whether you’re dealing with anxiety, depression, or more complex mental health challenges, trauma-informed care is essential for healing. My approach focuses on understanding relational patterns shaped by past trauma. We’ll explore how current triggers connect to past experiences, helping you reframe memories in a way that promotes healing. This process allows you to access difficult emotions and integrate them in a healthy way.
I specialize in trauma-informed therapy, recognizing how abuse and neglect can deeply impact the mind, emotions, and nervous system. Whether you’re dealing with anxiety, depression, or more complex mental health challenges, trauma-informed care is essential for healing. My approach focuses on understanding relational patterns shaped by past trauma. We’ll explore how current triggers connect to past experiences, helping you reframe memories in a way that promotes healing. This process allows you to access difficult emotions and integrate them in a healthy way.
01258 444857 View 01258 444857
Photo of Caroline de Francesca, Psychotherapist, MBACP
Caroline de Francesca
Psychotherapist, MBACP
Verified Verified
Serves Area
Navigating life can be hard especially in today's world of conflict and unrest alongside individual issues and struggles. This may leave you feeling you are living your life not as you want but as you think you "should" or that you have few, if any, real choices. Perhaps you feel missed, unseen, unfulfilled or disatisfied? You hide your true feelings or say things you don't mean ? You may have specific issues, unfinished business, things that keep showing up in your life that are not helful and leave you feeling stuck. You may bring a diagnosis or label you want to explore, question, expand, embrace, celebrate or discard...
Navigating life can be hard especially in today's world of conflict and unrest alongside individual issues and struggles. This may leave you feeling you are living your life not as you want but as you think you "should" or that you have few, if any, real choices. Perhaps you feel missed, unseen, unfulfilled or disatisfied? You hide your true feelings or say things you don't mean ? You may have specific issues, unfinished business, things that keep showing up in your life that are not helful and leave you feeling stuck. You may bring a diagnosis or label you want to explore, question, expand, embrace, celebrate or discard...
01278 554248 View 01278 554248
Photo of Patricia Deppe, Psychotherapist, MA, MBACP
Patricia Deppe
Psychotherapist, MA, MBACP
Verified Verified
Serves Area
Every client is unique, so my work with you involves an exploration and understanding of your life and experience from birth to present, including unconscious processes and dreams. I seek to understand thought patterns, fears, obstacles and unhelpful perceptions that stand in the way of love and success. You are encouraged to talk about and understand your feelings, and to learn to distinguish between truth and fear.
Every client is unique, so my work with you involves an exploration and understanding of your life and experience from birth to present, including unconscious processes and dreams. I seek to understand thought patterns, fears, obstacles and unhelpful perceptions that stand in the way of love and success. You are encouraged to talk about and understand your feelings, and to learn to distinguish between truth and fear.
020 4572 5081 View 020 4572 5081
Photo of Dr Keith Abbott, Counsellor, PhD, MBACP Accred
Dr Keith Abbott
Counsellor, PhD, MBACP Accred
Verified Verified
Serves Area
I’m passionate about helping you make more of your life, whether you want to work on personal, psychological, relationship, mental health or spiritual issues or to find more meaning, fulfilment, purpose and happiness in life. I have a Masters degree (with Distinction) in Person-Centred Counselling & Psychotherapy Practice. I offer short and long term counselling and psychotherapy, and counselling supervision. I help men, women and couples of many professions, occupations and nationalities, from 18 upwards in UK and (online) overseas. I provide individual sessions, couples sessions and am a qualified counselling supervisor.
I’m passionate about helping you make more of your life, whether you want to work on personal, psychological, relationship, mental health or spiritual issues or to find more meaning, fulfilment, purpose and happiness in life. I have a Masters degree (with Distinction) in Person-Centred Counselling & Psychotherapy Practice. I offer short and long term counselling and psychotherapy, and counselling supervision. I help men, women and couples of many professions, occupations and nationalities, from 18 upwards in UK and (online) overseas. I provide individual sessions, couples sessions and am a qualified counselling supervisor.
01509 323243 View 01509 323243
Photo of Heidi Larner, Psychotherapist, MA, MBACP Accred
Heidi Larner
Psychotherapist, MA, MBACP Accred
Verified Verified
Online Only
I am an Integrative Psychotherapist with 16 years of work experience in the field of mental health. I have extensive experience with complex trauma, PTSD, anxiety, depression, grief and loss, and feelings of fear, anger, shame, and low self-esteem. Maybe you’re feeling anxious, sad, or confused, and it seems too much to face alone. I am here to help you develop self-understanding, and encourage you to adopt new feelings, attitudes, and behaviours towards life situations. My integrative approach is therapeutically adaptive to your unique individual needs, and empowers you to develop trust and confidence in your own inner guidance.
I am an Integrative Psychotherapist with 16 years of work experience in the field of mental health. I have extensive experience with complex trauma, PTSD, anxiety, depression, grief and loss, and feelings of fear, anger, shame, and low self-esteem. Maybe you’re feeling anxious, sad, or confused, and it seems too much to face alone. I am here to help you develop self-understanding, and encourage you to adopt new feelings, attitudes, and behaviours towards life situations. My integrative approach is therapeutically adaptive to your unique individual needs, and empowers you to develop trust and confidence in your own inner guidance.
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Photo of Elaine Hutchinson, Counsellor
Elaine Hutchinson
Counsellor
Verified Verified
Serves Area
Hi, I'm Elaine. I'm a child & adolescent therapist & counsellor who supports children, teens & their families to manage big feelings, stressful situations and other life challenges. I work with children & young people aged 6-25 (as well as some adults) and support them with a huge range of issues from anxiety and worries about school, fostering and adoption, to trauma, bereavement, sexual abuse and domestic violence, covering pretty much everything you can think of in-between. I'm an accredited therapist who offers play & creative arts therapy, TraumaPlay and talking therapy. I have a therapy dog who loves to be involved.
Hi, I'm Elaine. I'm a child & adolescent therapist & counsellor who supports children, teens & their families to manage big feelings, stressful situations and other life challenges. I work with children & young people aged 6-25 (as well as some adults) and support them with a huge range of issues from anxiety and worries about school, fostering and adoption, to trauma, bereavement, sexual abuse and domestic violence, covering pretty much everything you can think of in-between. I'm an accredited therapist who offers play & creative arts therapy, TraumaPlay and talking therapy. I have a therapy dog who loves to be involved.
01749 605317 View 01749 605317

More Therapists Nearby

Photo of Katrina J Campbell-Crocker, Counsellor, MBACP
Katrina J Campbell-Crocker
Counsellor, MBACP
Verified Verified
Serves Area
I have additional diplomas in;•PTSD,• BPD•Attachment Theory•ACES & CPDs in •Understanding Trauma•Suicide• Work Stress , Fatigue & Burnout•Cutting & Self Harm•Mindfulness •Bipolar, •NPD •ODDisorders & Setting Healthy Boundaries in Relationships.
Hi I'm Katrina, an experienced counsellor working with adults & young people aged 13 yrs+. I offer a FREE 15 minute call. Support & human connection is so important when you are struggling. I support a range of complexities such as; •Attachment•Separation&Social Anxiety, Family Reactions to MH •Anxiety, Depression & High-Functioning Depression •Bereavement & Loss •Trauma, Childhood Trauma & Abuse •Domestic Abuse •Racial identity•Emotional Intel •Conn Betw Subs Use & Mental Illness •Disability Discrimination •Low Self Esteem & Low Self Worth •Pers & Narcissistic Pers Disorder •Dissociative Disorder & PTSD •ODD & ADHD.
I have additional diplomas in;•PTSD,• BPD•Attachment Theory•ACES & CPDs in •Understanding Trauma•Suicide• Work Stress , Fatigue & Burnout•Cutting & Self Harm•Mindfulness •Bipolar, •NPD •ODDisorders & Setting Healthy Boundaries in Relationships.
Hi I'm Katrina, an experienced counsellor working with adults & young people aged 13 yrs+. I offer a FREE 15 minute call. Support & human connection is so important when you are struggling. I support a range of complexities such as; •Attachment•Separation&Social Anxiety, Family Reactions to MH •Anxiety, Depression & High-Functioning Depression •Bereavement & Loss •Trauma, Childhood Trauma & Abuse •Domestic Abuse •Racial identity•Emotional Intel •Conn Betw Subs Use & Mental Illness •Disability Discrimination •Low Self Esteem & Low Self Worth •Pers & Narcissistic Pers Disorder •Dissociative Disorder & PTSD •ODD & ADHD.
01626 242446 View 01626 242446
Photo of Lizzy Oakley - Blue Amber Counselling, Psychotherapist, MBACP Accred
Blue Amber Counselling
Psychotherapist, MBACP Accred
Verified Verified
I specialise in working with Borderline Personality Disorder, ADHD, Autism as well as Fibromyalgia and Chronic Fatigue and many other pain and fatigue related conditions,
Hello my name is Lizzy and I work from my own private practice in Brent Knoll Somerset. I offer a kind, caring and confidential counselling service, working with individuals, children & adolescents, couples and the elderly. I offer my counselling sessions as either open-ended or for an agreed time period. I usually work from my therapy room in Brent Knoll but can work within the community and offer home visits to housebound or disabled clients. I take referrals from outside agencies and employers.
I specialise in working with Borderline Personality Disorder, ADHD, Autism as well as Fibromyalgia and Chronic Fatigue and many other pain and fatigue related conditions,
Hello my name is Lizzy and I work from my own private practice in Brent Knoll Somerset. I offer a kind, caring and confidential counselling service, working with individuals, children & adolescents, couples and the elderly. I offer my counselling sessions as either open-ended or for an agreed time period. I usually work from my therapy room in Brent Knoll but can work within the community and offer home visits to housebound or disabled clients. I take referrals from outside agencies and employers.
01278 760680 View 01278 760680
Photo of Sarah Jane Leonard, Counsellor, MBACP Accred
Sarah Jane Leonard
Counsellor, MBACP Accred
Verified Verified
Bristol BS3
Specialising in Dialectical Behavioural Therapy for Borderline Personality Disorder and ADHD.
Importantly flexible where needed to suit the modern living and cost of living by offering weekly, fortnightly, monthly, 6 weekly or AD Hoc sessions depending on what suits you.
Specialising in Dialectical Behavioural Therapy for Borderline Personality Disorder and ADHD.
Importantly flexible where needed to suit the modern living and cost of living by offering weekly, fortnightly, monthly, 6 weekly or AD Hoc sessions depending on what suits you.
0117 325 5728 View 0117 325 5728
Photo of Samuel Christmas - Connecting Minds, Psychologist, DCounsPsych, HCPC - Couns. Psych.
Connecting Minds
Psychologist, DCounsPsych, HCPC - Couns. Psych.
Verified Verified
Serves Area
DBT is aimed towards people who struggle to regulate emotions and maintain healthy relationships, including people diagnosed with BPD / EUPD.
Connecting Minds are a collective of highly qualified and experienced psychological practitioners including Consultant Clinical and Counselling Psychologists and psychotherapists. We are dedicated to helping people of all ages improve their wellbeing. We come from a diverse range of background professions and specialities and have all worked for a minimum of ten years within NHS statutory services. Through connecting with each other, pooling our expertise and resources we can better support your unique therapy journey. We pride ourselves on the ability to provide a range of services in a timely and compassionate manner.
DBT is aimed towards people who struggle to regulate emotions and maintain healthy relationships, including people diagnosed with BPD / EUPD.
Connecting Minds are a collective of highly qualified and experienced psychological practitioners including Consultant Clinical and Counselling Psychologists and psychotherapists. We are dedicated to helping people of all ages improve their wellbeing. We come from a diverse range of background professions and specialities and have all worked for a minimum of ten years within NHS statutory services. Through connecting with each other, pooling our expertise and resources we can better support your unique therapy journey. We pride ourselves on the ability to provide a range of services in a timely and compassionate manner.
01562 546794 View 01562 546794
Photo of Tina Elliston - solutions counselling somerset, Counsellor, PsychD, PNCPS Acc.
solutions counselling somerset
Counsellor, PsychD, PNCPS Acc.
Verified Verified
Crewkerne TA18
Borderline Personality.
I am a counsellor and psychotherapist who works with you as an individual, to meet your specific needs. I keep my client numbers low in order to really get to know you and work to meet your needs. I use Counselling skills, CBT, and Solution focused therapy to help you to raise your awareness and achieve the goals and outcomes you want and need. Together we can make a plan and set goals to get you to where you want to be, with new insights and understanding. We can work at your pace, in bite sized chunks. I use worksheets and articles for you to explore relevant topics between sessions, to keep that motivation flowing.
Borderline Personality.
I am a counsellor and psychotherapist who works with you as an individual, to meet your specific needs. I keep my client numbers low in order to really get to know you and work to meet your needs. I use Counselling skills, CBT, and Solution focused therapy to help you to raise your awareness and achieve the goals and outcomes you want and need. Together we can make a plan and set goals to get you to where you want to be, with new insights and understanding. We can work at your pace, in bite sized chunks. I use worksheets and articles for you to explore relevant topics between sessions, to keep that motivation flowing.
01460 207086 View 01460 207086
Photo of Marie Saunders, Counsellor, MNCPS Acc.
Marie Saunders
Counsellor, MNCPS Acc.
Verified Verified
1 Endorsed
I work for another organisation working with house bound clients with physical disability, chronic long term illness, terminal illness PTSD, EUPD, ( BPD) dementia.
Hi my name is Marie. I am a integrative counsellor working from a person centred core, combining techniques from CBT and CFT in order to work with each person in a way that is right for them. I Have 30 years of experience of working with people with Autism and neurodiversity, and have worked with people with chronic long term illness, disability, dementia as well as PTSD, Anxiety and depression and bereavement. Dealing with physical or mental health conditions or constant pain can be difficult, frustrating and upsetting and I offer clients a space to process this and develop strategies to help them to cope longer term .
I work for another organisation working with house bound clients with physical disability, chronic long term illness, terminal illness PTSD, EUPD, ( BPD) dementia.
Hi my name is Marie. I am a integrative counsellor working from a person centred core, combining techniques from CBT and CFT in order to work with each person in a way that is right for them. I Have 30 years of experience of working with people with Autism and neurodiversity, and have worked with people with chronic long term illness, disability, dementia as well as PTSD, Anxiety and depression and bereavement. Dealing with physical or mental health conditions or constant pain can be difficult, frustrating and upsetting and I offer clients a space to process this and develop strategies to help them to cope longer term .
01747 441260 View 01747 441260
Photo of Craig Philip Smith, Counsellor, MBACP
Craig Philip Smith
Counsellor, MBACP
Verified Verified
Online Only
I have 15 years experience in working with families and adolescents, around a variety of issues from personality clashes to self-harm, eating disorders, attachment issues, borderline personality behaviours, and attempted suicide.
I can work with you around family issues, teen problems, child behaviour, ASC issues, illness and disability. I will support, collaborate and try to make sense of what is going on. All things eventually pass - I will offer to weather the storm with you. I won’t be judging you or not taking you seriously. We will work together - and it will be work - but we will also aim to have fun and be creative in our work.
I have 15 years experience in working with families and adolescents, around a variety of issues from personality clashes to self-harm, eating disorders, attachment issues, borderline personality behaviours, and attempted suicide.
I can work with you around family issues, teen problems, child behaviour, ASC issues, illness and disability. I will support, collaborate and try to make sense of what is going on. All things eventually pass - I will offer to weather the storm with you. I won’t be judging you or not taking you seriously. We will work together - and it will be work - but we will also aim to have fun and be creative in our work.
01225 541093 View 01225 541093
Photo of Peter Aston, Psychotherapist, MUKCP
Peter Aston
Psychotherapist, MUKCP
Verified Verified
Bath BA1
Waitlist for new clients
These include anxiety, depression, bereavement, relationship difficulties, suicidality, physical and sexual abuse, self-harm, borderline personality disorder, grief, loss, and work-related stress.
In the initial sessions the focus is on the difficulties that brought you to therapy through exploring together the background to the issues enabling us to formulate an idea as to how to proceed therapeutically. I offer short and long-term therapy depending on the needs that you bring.
These include anxiety, depression, bereavement, relationship difficulties, suicidality, physical and sexual abuse, self-harm, borderline personality disorder, grief, loss, and work-related stress.
In the initial sessions the focus is on the difficulties that brought you to therapy through exploring together the background to the issues enabling us to formulate an idea as to how to proceed therapeutically. I offer short and long-term therapy depending on the needs that you bring.
01225 258811 View 01225 258811
Photo of Besarta Zogaj, Psychologist, HCPC - Couns. Psych.
Besarta Zogaj
Psychologist, HCPC - Couns. Psych.
Verified Verified
Serves Area
You are not broken. You may be experiencing emotional injury, and/or psychological distress, but this does not communicate brokenness. On the contrary, this communicates an emotional BUILD. You might be struggling with symptoms of anxiety, depression, women's issues, trauma, grief, loss, low self-esteem, low self-worth, etc. It may even be likely that you have learned how to live in a way that attempts to guard you from any additional emotional injuries. Essentially, your life experiential may have taught you how to build a wall of emotional defense, but that is not your truest self
You are not broken. You may be experiencing emotional injury, and/or psychological distress, but this does not communicate brokenness. On the contrary, this communicates an emotional BUILD. You might be struggling with symptoms of anxiety, depression, women's issues, trauma, grief, loss, low self-esteem, low self-worth, etc. It may even be likely that you have learned how to live in a way that attempts to guard you from any additional emotional injuries. Essentially, your life experiential may have taught you how to build a wall of emotional defense, but that is not your truest self
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Photo of Gemma Marie Owen - Gemma Owen Counselling (MBACP) Accred, Counsellor, MBACP Accred
Gemma Owen Counselling (MBACP) Accred
Counsellor, MBACP Accred
Verified Verified
1 Endorsed
Bristol BS32
I am a Humanistic, trauma informed counsellor and member of the British Association for Counselling and Psychotherapy. I understand there are times when life can feel overwhelming and daily life can become more of a struggle. This can often feel isolating and confusing, but it is important to know that you don’t have to go through it alone. My aim is to provide a warm, welcoming and supportive environment in which you feel able to explore your feelings and emotions without fear of judgement. I am able to help with many of life's challenges and have specialist experience of working with survivors of sexual abuse and sexual violence.
I am a Humanistic, trauma informed counsellor and member of the British Association for Counselling and Psychotherapy. I understand there are times when life can feel overwhelming and daily life can become more of a struggle. This can often feel isolating and confusing, but it is important to know that you don’t have to go through it alone. My aim is to provide a warm, welcoming and supportive environment in which you feel able to explore your feelings and emotions without fear of judgement. I am able to help with many of life's challenges and have specialist experience of working with survivors of sexual abuse and sexual violence.
0117 325 3561 View 0117 325 3561
Photo of Jessica Hunter, Psychologist, PsychD, HCPC - Clin. Psych.
Jessica Hunter
Psychologist, PsychD, HCPC - Clin. Psych.
Verified Verified
Bristol BS32
Waitlist for new clients
I am a clinical psychologist with substantial experience of working with individuals with personality difficulties (with or without a formal diagnosis of personality disorder), PTSD, and complex trauma. Other areas of clinical expertise include anxiety, burnout, low self-esteem, dissociation and low mood. In therapy I aim to bring compassion to the ways people have learned to cope with adversity and emotional pain. I welcome anyone who is looking to understand themselves and their coping styles better, and/or is seeking ways to break cycles and gain new skills to help them move forwards in their lives.
I am a clinical psychologist with substantial experience of working with individuals with personality difficulties (with or without a formal diagnosis of personality disorder), PTSD, and complex trauma. Other areas of clinical expertise include anxiety, burnout, low self-esteem, dissociation and low mood. In therapy I aim to bring compassion to the ways people have learned to cope with adversity and emotional pain. I welcome anyone who is looking to understand themselves and their coping styles better, and/or is seeking ways to break cycles and gain new skills to help them move forwards in their lives.
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Photo of Laura Hall, Psychotherapist, MBACP
Laura Hall
Psychotherapist, MBACP
Verified Verified
1 Endorsed
Online Only
Looking for a therapist can be a daunting experience, especially if things are tough for you right now, but you have taken the first step! I have experienced many times, both as a counsellor and personally in therapy, how people begin to feel less burdened and overwhelmed in their life when they feel really heard and accepted without judgement or criticism. I believe that the counselling relationship is a collaborative and dynamic process, and I am always receptive to feedback, as it can shape the dynamic between us. I feel that therapy can be proactive, and not just reactive. I have no expectations on what we speak about.
Looking for a therapist can be a daunting experience, especially if things are tough for you right now, but you have taken the first step! I have experienced many times, both as a counsellor and personally in therapy, how people begin to feel less burdened and overwhelmed in their life when they feel really heard and accepted without judgement or criticism. I believe that the counselling relationship is a collaborative and dynamic process, and I am always receptive to feedback, as it can shape the dynamic between us. I feel that therapy can be proactive, and not just reactive. I have no expectations on what we speak about.
07479 065444 View 07479 065444
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.