Photo of Noah D Freedman, Psychiatrist in 11415, NY
Noah D Freedman
Psychiatrist, MD
Verified Verified
Kew Gardens, NY 11415
Not accepting new clients
Are you held back by old patterns that you have struggled with forever? Are you concerned that your current medications and lifestyle choices are digging you into a rut that you may not be able to escape? I want to help you achieve the goals that are most important to you. We will devote careful attention to examining all the important aspects of your life with compassion, curiosity, and intelligence, to help you begin your journey anew. I will bring to our sessions my years of training and experience along with a well-seasoned perspective. I have studied mind-body medicine and the use of nutraceuticals as well as pharmaceuticals.
Are you held back by old patterns that you have struggled with forever? Are you concerned that your current medications and lifestyle choices are digging you into a rut that you may not be able to escape? I want to help you achieve the goals that are most important to you. We will devote careful attention to examining all the important aspects of your life with compassion, curiosity, and intelligence, to help you begin your journey anew. I will bring to our sessions my years of training and experience along with a well-seasoned perspective. I have studied mind-body medicine and the use of nutraceuticals as well as pharmaceuticals.
(929) 556-6527 View (929) 556-6527

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Borderline Personality (BPD) Psychiatrists

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.