Borderline Personality (BPD) Therapists in Carefree, AZ

Photo of Linda Ann Herbert - Herbert Counseling, LLC, Clinical Social Work/Therapist, LISW-S, LCSW
Herbert Counseling, LLC
Clinical Social Work/Therapist, LISW-S, LCSW
Carefree, AZ 85377
Compassionate, experienced therapist offering in-person sessions in Carefree, AZ and telehealth in OH, CO, TX, and FL. I help adults navigate depression, anxiety, childhood trauma, PTSD, relationship challenges, grief, and life transitions—including growing up in an alcoholic family and questioning your own patterns. When we work together, you’ll have a safe, supportive space to share openly, gain clarity, and build skills you can use in everyday life. My approach blends psychodynamic, trauma-informed, and cognitive-behavioral therapy—always tailored to your needs, goals, and pace. Therapy is a partnership, and my goal is to help.
Compassionate, experienced therapist offering in-person sessions in Carefree, AZ and telehealth in OH, CO, TX, and FL. I help adults navigate depression, anxiety, childhood trauma, PTSD, relationship challenges, grief, and life transitions—including growing up in an alcoholic family and questioning your own patterns. When we work together, you’ll have a safe, supportive space to share openly, gain clarity, and build skills you can use in everyday life. My approach blends psychodynamic, trauma-informed, and cognitive-behavioral therapy—always tailored to your needs, goals, and pace. Therapy is a partnership, and my goal is to help.
(602) 456-5232 View (602) 456-5232
Photo of Jennifer Salas, Licensed Professional Counselor, MC, LPC
Jennifer Salas
Licensed Professional Counselor, MC, LPC
15 Endorsed
Serves Area
Bilingual (English and Spanish). Serving mental health counseling and Immigration Evaluation clients in AZ via Telehealth. Healing is truly possible! Each person has immense strength and resilience. My passion involves walking alongside clients to build upon areas of hope for improved well-being. People do not need to go through these things alone. I strive to provide quality, trustworthy, and professional guidance to my clients in a collaborative manner. I have years of experience assisting those who have gone through trauma, sexuality-based issues, and those struggling to manage difficult emotions, thoughts, and relationships.
Bilingual (English and Spanish). Serving mental health counseling and Immigration Evaluation clients in AZ via Telehealth. Healing is truly possible! Each person has immense strength and resilience. My passion involves walking alongside clients to build upon areas of hope for improved well-being. People do not need to go through these things alone. I strive to provide quality, trustworthy, and professional guidance to my clients in a collaborative manner. I have years of experience assisting those who have gone through trauma, sexuality-based issues, and those struggling to manage difficult emotions, thoughts, and relationships.
(602) 786-8961 View (602) 786-8961

More Therapists Nearby

Photo of Rebecca Noel La Prade, Psychologist, PhD
Rebecca Noel La Prade
Psychologist, PhD
Online Only
Does it feel like anxiety or other emotions hold you hostage? Or do you, your teen, or your college-aged child struggle to make sense of your emotions or feel like emotions (or running from emotions) drive your decisions? Emotions are beautiful and challenging, and I love helping teens, young adults, and adults navigate the storm and build a life worth living. I completed my post-doc training at McLean Hospital and Harvard Medical School in the 3East Intensive Program providing adherent DBT therapy to adolescents. I have experience in a range of settings including community mental health, IOP, PHP, and Residential Treatment.
Does it feel like anxiety or other emotions hold you hostage? Or do you, your teen, or your college-aged child struggle to make sense of your emotions or feel like emotions (or running from emotions) drive your decisions? Emotions are beautiful and challenging, and I love helping teens, young adults, and adults navigate the storm and build a life worth living. I completed my post-doc training at McLean Hospital and Harvard Medical School in the 3East Intensive Program providing adherent DBT therapy to adolescents. I have experience in a range of settings including community mental health, IOP, PHP, and Residential Treatment.
(480) 386-6017 View (480) 386-6017
Photo of Emilie Burns, Clinical Social Work/Therapist, LCSW
Emilie Burns
Clinical Social Work/Therapist, LCSW
1 Endorsed
Online Only
My clinical experience in both inpatient and outpatient settings has allowed me to build the skills necessary to treat a wide variety of issues including Bipolar Disorders, Borderline Personality Disorder, Substance Abuse, Trauma and Anxiety.
I’m a licensed therapist who takes a collaborative, personalized approach to therapy—grounded in curiosity, connection, and care. I’ve worked with people from all walks of life, and I care about creating a space where all parts of you feel welcome. I believe in an individualized approach; therapy with me is tailored to who you are, what you’ve lived through, and where you want to go.
My clinical experience in both inpatient and outpatient settings has allowed me to build the skills necessary to treat a wide variety of issues including Bipolar Disorders, Borderline Personality Disorder, Substance Abuse, Trauma and Anxiety.
I’m a licensed therapist who takes a collaborative, personalized approach to therapy—grounded in curiosity, connection, and care. I’ve worked with people from all walks of life, and I care about creating a space where all parts of you feel welcome. I believe in an individualized approach; therapy with me is tailored to who you are, what you’ve lived through, and where you want to go.
(520) 492-1659 View (520) 492-1659
Photo of Pallavi Lal, Counselor, MS, LPC
Pallavi Lal
Counselor, MS, LPC
12 Endorsed
Scottsdale, AZ 85251
I specialize in Attachment Trauma, Borderline Personality Disorder, PTSD, and Managing Burnout and offer supervision and consultation.
Imagine a life where the inner critic softens, overwhelm gives way to clarity, relationships feel fulfilling and tasks and goals are manageable. Whether you're a high-achieving professional facing burnout, a trauma survivor seeking lasting change, or a therapist looking for clinical supervision rooted in knowledge & clarity—I provide a space to unpack the generational burdening, reinvent tools, and co-create an empowered path forward. Let's explore what’s possible, in a culturally sensitive space—shift the root causes of the depression, anxiety, self harm, relationship issues, low self esteem to Discover a Liberated Authentic Self!
I specialize in Attachment Trauma, Borderline Personality Disorder, PTSD, and Managing Burnout and offer supervision and consultation.
Imagine a life where the inner critic softens, overwhelm gives way to clarity, relationships feel fulfilling and tasks and goals are manageable. Whether you're a high-achieving professional facing burnout, a trauma survivor seeking lasting change, or a therapist looking for clinical supervision rooted in knowledge & clarity—I provide a space to unpack the generational burdening, reinvent tools, and co-create an empowered path forward. Let's explore what’s possible, in a culturally sensitive space—shift the root causes of the depression, anxiety, self harm, relationship issues, low self esteem to Discover a Liberated Authentic Self!
(480) 907-3197 View (480) 907-3197
Photo of Stephanie Kimberly - Kimberly Counseling Services PLLC, Licensed Professional Counselor, LPC
Kimberly Counseling Services PLLC
Licensed Professional Counselor, LPC
Online Only
Waitlist for new clients
Embracing authenticity, my approach prioritizes genuine connections over formalities. I encourage clients to simply be themselves. By creating a space where individuals can be wholly authentic, I believe that therapy becomes more effective and meaningful. My goal is to build a therapeutic relationship based on trust, empathy, and mutual respect, allowing clients to explore their thoughts and emotions openly and without reservation. Ultimately, my aim is for clients to not only feel at ease during therapy but also to look forward to each session as a valuable opportunity for growth.
Embracing authenticity, my approach prioritizes genuine connections over formalities. I encourage clients to simply be themselves. By creating a space where individuals can be wholly authentic, I believe that therapy becomes more effective and meaningful. My goal is to build a therapeutic relationship based on trust, empathy, and mutual respect, allowing clients to explore their thoughts and emotions openly and without reservation. Ultimately, my aim is for clients to not only feel at ease during therapy but also to look forward to each session as a valuable opportunity for growth.
(520) 397-3372 View (520) 397-3372
Photo of Sara McNely, Clinical Social Work/Therapist, LCSW
Sara McNely
Clinical Social Work/Therapist, LCSW
1 Endorsed
Scottsdale, AZ 85258
As a Licensed Clinical Social Worker (LCSW) with a Master’s in Social Work (MSW) from the University of Southern California (USC), I am dedicated to providing compassionate, client-centered care that empowers individuals to heal and grow. With extensive training in Eye Movement Desensitization and Reprocessing (EMDR), Deep Brain Reorienting (DBR), and other psychodynamic therapies, I offer personalized treatment that integrates the latest therapeutic techniques to meet the unique needs of each client. My professional journey includes working in diverse settings from private sectors, hospitals and prisons.
As a Licensed Clinical Social Worker (LCSW) with a Master’s in Social Work (MSW) from the University of Southern California (USC), I am dedicated to providing compassionate, client-centered care that empowers individuals to heal and grow. With extensive training in Eye Movement Desensitization and Reprocessing (EMDR), Deep Brain Reorienting (DBR), and other psychodynamic therapies, I offer personalized treatment that integrates the latest therapeutic techniques to meet the unique needs of each client. My professional journey includes working in diverse settings from private sectors, hospitals and prisons.
(480) 780-2292 View (480) 780-2292
Photo of Izabela Weber, Counselor, MA, MS, LPC, NCC
Izabela Weber
Counselor, MA, MS, LPC, NCC
Serves Area
A key question is: are you new to counseling or did previous therapy not fulfill your expectations? I am a seasoned counselor focused on achieving concrete goals that we establish together. I frequently assess whether you have been making significant progress. If not, we work together on applying alternative methods in order to get where you want and need to be. In my cozy private practice office, you will be receiving my complete attention. This is a place where you find acceptance, peace of mind, and solutions to questions that have been troubling you for a long time.
A key question is: are you new to counseling or did previous therapy not fulfill your expectations? I am a seasoned counselor focused on achieving concrete goals that we establish together. I frequently assess whether you have been making significant progress. If not, we work together on applying alternative methods in order to get where you want and need to be. In my cozy private practice office, you will be receiving my complete attention. This is a place where you find acceptance, peace of mind, and solutions to questions that have been troubling you for a long time.
(480) 520-1381 View (480) 520-1381
Photo of Brynna Barry - Desert Oak Counseling, Licensed Professional Counselor
Desert Oak Counseling
Licensed Professional Counselor
1 Endorsed
Phoenix, AZ 85028
We support individuals who are Childhood Trauma Survivors, Healthcare Workers and First Responders, Individuals Navigating Addiction Recovery, Individuals Living with Anxiety or Depression, Individuals with Borderline Personality & LGBTQ+ Clients Seeking Affirming Care.
Accepting New Clients! Life with trauma, anxiety or depression can feel like moving through the world with an invisible weight that other people can’t see but your body never forgets. When you’re ready to begin healing, our therapists offer a space that is inclusive, affirming, and rooted in deep respect for your story. We accept insurance to help make care more accessible, and we use EMDR and other trauma‑informed therapies to gently get to the core of what’s been holding you back. If you’re curious whether we’re the right fit, you can schedule a free, no‑obligation 15‑minute call.
We support individuals who are Childhood Trauma Survivors, Healthcare Workers and First Responders, Individuals Navigating Addiction Recovery, Individuals Living with Anxiety or Depression, Individuals with Borderline Personality & LGBTQ+ Clients Seeking Affirming Care.
Accepting New Clients! Life with trauma, anxiety or depression can feel like moving through the world with an invisible weight that other people can’t see but your body never forgets. When you’re ready to begin healing, our therapists offer a space that is inclusive, affirming, and rooted in deep respect for your story. We accept insurance to help make care more accessible, and we use EMDR and other trauma‑informed therapies to gently get to the core of what’s been holding you back. If you’re curious whether we’re the right fit, you can schedule a free, no‑obligation 15‑minute call.
(520) 391-7067 View (520) 391-7067
Photo of Jennifer Affuso, Clinical Social Work/Therapist, LCSW
Jennifer Affuso
Clinical Social Work/Therapist, LCSW
Online Only
Are you struggling with depression, anxiety, or PTSD? I'm Jennifer, a Licensed Clinical Social Worker (LCSW) with over 15 years of experience helping individuals navigate life's challenges. I offer virtual therapy sessions tailored to meet your unique needs, providing a safe and supportive environment for growth and healing.
Are you struggling with depression, anxiety, or PTSD? I'm Jennifer, a Licensed Clinical Social Worker (LCSW) with over 15 years of experience helping individuals navigate life's challenges. I offer virtual therapy sessions tailored to meet your unique needs, providing a safe and supportive environment for growth and healing.
(928) 683-7157 View (928) 683-7157
Photo of Buffy Wooten - Wooten & Associates, PLC, PhD
Wooten & Associates, PLC
Verified Verified
Phoenix, AZ 85003
Our practice offers a warm retreat where your experience is honored and our expertise helps to integrate your experience into creating a life worth living. Through the principles of DBT, CBT, Spiritual Integration, and Mind-Body Connective work we believe emotional healing is possible. We understand that relationships form the context for reflection, learning and application and hope to connect you with a therapist who makes the connection work for you. With more than 20 years experience working with DBT and persons needing intensive integrative work recovering from past traumas, we offer opportunities for therapists to specialize in this work under close supervision. This allows us to offer sliding scales to our patients and to provide more options for matching with the therapist they need.
Our practice offers a warm retreat where your experience is honored and our expertise helps to integrate your experience into creating a life worth living. Through the principles of DBT, CBT, Spiritual Integration, and Mind-Body Connective work we believe emotional healing is possible. We understand that relationships form the context for reflection, learning and application and hope to connect you with a therapist who makes the connection work for you. With more than 20 years experience working with DBT and persons needing intensive integrative work recovering from past traumas, we offer opportunities for therapists to specialize in this work under close supervision. This allows us to offer sliding scales to our patients and to provide more options for matching with the therapist they need.
(480) 630-8055 View (480) 630-8055
Photo of Laura Barnes, Clinical Social Work/Therapist, LMSW
Laura Barnes
Clinical Social Work/Therapist, LMSW
1 Endorsed
Phoenix, AZ 85028
I specialize in supporting individuals navigating complex trauma, Borderline Personality Disorder, anxiety, and depression.
Accepting New Clients! If you’re feeling the weight of trauma, unhealthy relationship patterns, or inner conflict, our work together can offer the steadiness and connection you’ve been looking for. I understand how overwhelming it can feel when you're constantly on alert or when emotions shift quickly and intensely. Together, we’ll work at a pace that feels safe, using approaches like EMDR, DBT, and trauma-informed CBT to help you make sense of your experiences and strengthen your sense of self. I’m especially passionate about working with LGBTQ+ and neurodivergent clients, and I strive to create a space that feels affirming.
I specialize in supporting individuals navigating complex trauma, Borderline Personality Disorder, anxiety, and depression.
Accepting New Clients! If you’re feeling the weight of trauma, unhealthy relationship patterns, or inner conflict, our work together can offer the steadiness and connection you’ve been looking for. I understand how overwhelming it can feel when you're constantly on alert or when emotions shift quickly and intensely. Together, we’ll work at a pace that feels safe, using approaches like EMDR, DBT, and trauma-informed CBT to help you make sense of your experiences and strengthen your sense of self. I’m especially passionate about working with LGBTQ+ and neurodivergent clients, and I strive to create a space that feels affirming.
(623) 887-8547 View (623) 887-8547
Photo of Olga Petrova, MAPC
Olga Petrova
Verified Verified
1 Endorsed
Scottsdale, AZ 85250
A journey that looks inward and embodies, what I believe to be, fundamental aspects of life, which are Transformation, Adaptation and Acceptance. To reach this method of consciousness, it can’t be counterfeited, I live it. I came to discover that what I enjoy most is inspiring others and aiding them in finding their own way by unlocking their potential and discovering all the possibilities that lead to their specific and individual transformation.
A journey that looks inward and embodies, what I believe to be, fundamental aspects of life, which are Transformation, Adaptation and Acceptance. To reach this method of consciousness, it can’t be counterfeited, I live it. I came to discover that what I enjoy most is inspiring others and aiding them in finding their own way by unlocking their potential and discovering all the possibilities that lead to their specific and individual transformation.
(602) 769-2278 View (602) 769-2278
Photo of Olivia Wilde, Clinical Social Work/Therapist, LCSW, CCTP
Olivia Wilde
Clinical Social Work/Therapist, LCSW, CCTP
8 Endorsed
Online Only
I specialize in working with pre-teens, teens, and young adults navigating complex trauma, stressful family dynamics, high anxiety, Borderline Personality Disorder, and neurodivergence.
Many of my clients face challenges rooted in discrimination, systemic injustice, and generational trauma. Our sessions together are a safe space to explore your inner world - thoughts, emotions, and learned responses. Nothing is too scary to share here. Healing begins when we understand the patterns that shape us.
I specialize in working with pre-teens, teens, and young adults navigating complex trauma, stressful family dynamics, high anxiety, Borderline Personality Disorder, and neurodivergence.
Many of my clients face challenges rooted in discrimination, systemic injustice, and generational trauma. Our sessions together are a safe space to explore your inner world - thoughts, emotions, and learned responses. Nothing is too scary to share here. Healing begins when we understand the patterns that shape us.
(928) 981-1836 View (928) 981-1836
Photo of Casey Swenson, Licensed Professional Counselor, MA, LPC
Casey Swenson
Licensed Professional Counselor, MA, LPC
3 Endorsed
Online Only
Waitlist for new clients
My areas of specialization include trauma, BPD, dissociation, suicidal thoughts, self-harm, OCD, and anxiety.
Have you been struggling with trauma, abuse, emotional pain, thoughts of suicide, self-harm, or lack of support? Or have you experienced grief, loss, or complications in your relationships? Whether these feelings are temporary or lifelong, we do not need to continue with struggling alone. My goal is to help you feel safer within yourself and in your relationships, and where you can begin to make sense of intense emotions and thoughts. I use evidence-based practices to help regulate emotions, reduce distress, process trauma at a manageable pace, and help regain confidence in your ability to make decisions and trust yourself again.
My areas of specialization include trauma, BPD, dissociation, suicidal thoughts, self-harm, OCD, and anxiety.
Have you been struggling with trauma, abuse, emotional pain, thoughts of suicide, self-harm, or lack of support? Or have you experienced grief, loss, or complications in your relationships? Whether these feelings are temporary or lifelong, we do not need to continue with struggling alone. My goal is to help you feel safer within yourself and in your relationships, and where you can begin to make sense of intense emotions and thoughts. I use evidence-based practices to help regulate emotions, reduce distress, process trauma at a manageable pace, and help regain confidence in your ability to make decisions and trust yourself again.
(520) 379-7351 View (520) 379-7351
Photo of Brooke Marie Bloker, Licensed Professional Counselor, LPC, LMHC
Brooke Marie Bloker
Licensed Professional Counselor, LPC, LMHC
Serves Area
Some stories leave echoes that show up long after the moment has passed. I work with clients navigating complex trauma, dissociation, relational wounds and personality disorders to better understand these patterns and reconnect with themselves. Therapy doesn’t have to mean forcing change, it can begin with curiosity and safety. My approach is direct, compassionate, and grounded in authenticity and an evidenced-based approach as we explore the different parts of your experience together. If you’ve landed here unsure but hopeful, that’s okay. Taking the first step toward healing often begins with simply being willing to look.
Some stories leave echoes that show up long after the moment has passed. I work with clients navigating complex trauma, dissociation, relational wounds and personality disorders to better understand these patterns and reconnect with themselves. Therapy doesn’t have to mean forcing change, it can begin with curiosity and safety. My approach is direct, compassionate, and grounded in authenticity and an evidenced-based approach as we explore the different parts of your experience together. If you’ve landed here unsure but hopeful, that’s okay. Taking the first step toward healing often begins with simply being willing to look.
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Photo of Chelsea Bailey, Counselor, LAC
Chelsea Bailey
Counselor, LAC
5 Endorsed
Online Only
I have experience working with anxiety, depression, OCD (including ERP), trauma and grief, borderline personality disorder, and challenges around self-esteem, boundaries, and relationship repair.
You don’t have to have it all figured out to start therapy. If you’re feeling overwhelmed, stuck in patterns you don’t understand, or disconnected from yourself or your relationships, you’re not alone—and you don’t have to navigate it alone either. I work with adults 18+ and couples who want practical tools and a deeper sense of understanding and self-compassion. My approach is collaborative, nonjudgmental, and tailored to you. I use evidence-based therapies including DBT, CBT, EMDR, and ERP, while always keeping the human experience at the center of our work. We’ll move at a pace that feels safe and supportive.
I have experience working with anxiety, depression, OCD (including ERP), trauma and grief, borderline personality disorder, and challenges around self-esteem, boundaries, and relationship repair.
You don’t have to have it all figured out to start therapy. If you’re feeling overwhelmed, stuck in patterns you don’t understand, or disconnected from yourself or your relationships, you’re not alone—and you don’t have to navigate it alone either. I work with adults 18+ and couples who want practical tools and a deeper sense of understanding and self-compassion. My approach is collaborative, nonjudgmental, and tailored to you. I use evidence-based therapies including DBT, CBT, EMDR, and ERP, while always keeping the human experience at the center of our work. We’ll move at a pace that feels safe and supportive.
(928) 248-1160 View (928) 248-1160
Photo of Carolyn Dolejs, Licensed Professional Counselor, MA, LPC, NCC
Carolyn Dolejs
Licensed Professional Counselor, MA, LPC, NCC
7 Endorsed
Scottsdale, AZ 85258
Hi, I'm Carolyn! My passion involves working with clients struggling with depression, anxiety, suicidal ideation, self-harm, conflict resolution, adjusting to life transitions, and interpersonal issues. Life is complex, just as people are! I view therapy as a collaborative process where clients can learn skills to manage emotions, build healthy relationships, increase self-worth/self-esteem, and create a sense of meaning and purpose in life. I have extensive experience working with the adolescent & adult population and have specified training in DBT (Dialectical Behavior Therapy).
Hi, I'm Carolyn! My passion involves working with clients struggling with depression, anxiety, suicidal ideation, self-harm, conflict resolution, adjusting to life transitions, and interpersonal issues. Life is complex, just as people are! I view therapy as a collaborative process where clients can learn skills to manage emotions, build healthy relationships, increase self-worth/self-esteem, and create a sense of meaning and purpose in life. I have extensive experience working with the adolescent & adult population and have specified training in DBT (Dialectical Behavior Therapy).
(928) 605-4173 View (928) 605-4173
Photo of Elizabeth Thomas, Clinical Social Work/Therapist, LMSW
Elizabeth Thomas
Clinical Social Work/Therapist, LMSW
Online Only
First off, thank you for being brave enough to take this first step in this journey! Navigating life at any age often brings challenges that are unpredictable, leaving a need of searching for belonging. I believe you deserve to feel confident in your inherent worth and that you belong—always. In the queer community, therapeutic supports are most important and vital for survival. Intersectionality can be beautiful but also lead to loneliness when there is a lack of similarity of your identity around you. As a queer woman of color and as a therapist, I understand the importance of having a space where you can be your truest self.
First off, thank you for being brave enough to take this first step in this journey! Navigating life at any age often brings challenges that are unpredictable, leaving a need of searching for belonging. I believe you deserve to feel confident in your inherent worth and that you belong—always. In the queer community, therapeutic supports are most important and vital for survival. Intersectionality can be beautiful but also lead to loneliness when there is a lack of similarity of your identity around you. As a queer woman of color and as a therapist, I understand the importance of having a space where you can be your truest self.
(520) 210-4913 View (520) 210-4913
Photo of Riana Burnett, Clinical Social Work/Therapist, LCSW
Riana Burnett
Clinical Social Work/Therapist, LCSW
5 Endorsed
Online Only
I take an eclectic approach when it comes to treating BPD and CPTSD, using a combination of cognitive based interventions (CBT) tying in DBT concepts as well as utilizing trauma based modalities (CPT) and attachment based work.
Hi, I'm Riana. If you've spent most of your life feeling like your emotions are too much or like you're constantly bracing for something to go wrong, you're not broken. You're probably just exhausted from carrying more than most people realize. I work with adults who grew up having to figure things out on their own, often because the people who were supposed to be there for them were unreliable. Maybe your parents or caretaker was unpredictable, dismissive, selfish, or just emotionally unavailable. That kind of upbringing leaves scars not just in your memories but how your nervous system reacts and how you relate to the world.
I take an eclectic approach when it comes to treating BPD and CPTSD, using a combination of cognitive based interventions (CBT) tying in DBT concepts as well as utilizing trauma based modalities (CPT) and attachment based work.
Hi, I'm Riana. If you've spent most of your life feeling like your emotions are too much or like you're constantly bracing for something to go wrong, you're not broken. You're probably just exhausted from carrying more than most people realize. I work with adults who grew up having to figure things out on their own, often because the people who were supposed to be there for them were unreliable. Maybe your parents or caretaker was unpredictable, dismissive, selfish, or just emotionally unavailable. That kind of upbringing leaves scars not just in your memories but how your nervous system reacts and how you relate to the world.
(520) 525-5838 View (520) 525-5838

See more therapy options for Carefree

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.