Photo of Briana Haggerty, Pre-Licensed Professional in 19087, PA
Briana Haggerty
Pre-Licensed Professional, MSEd
Verified Verified
1 Endorsed
Wayne, PA 19087
Something doesn't feel quite right anymore. Or maybe it never has. You've been feeling anxious, depressed, or had trouble expressing yourself. Maybe you've found yourself having big reactions that don't match the size of the situation. Or maybe you're just not sure what's next in life. I’m here to create a space for you to come exactly as you are now while exploring and moving towards the change you want to see in your life. Together we can help you develop confidence in your unique strengths and values, discover the most effective methods for achieving your goals, and find ways to nurture fulfilling relationships and experiences.
Something doesn't feel quite right anymore. Or maybe it never has. You've been feeling anxious, depressed, or had trouble expressing yourself. Maybe you've found yourself having big reactions that don't match the size of the situation. Or maybe you're just not sure what's next in life. I’m here to create a space for you to come exactly as you are now while exploring and moving towards the change you want to see in your life. Together we can help you develop confidence in your unique strengths and values, discover the most effective methods for achieving your goals, and find ways to nurture fulfilling relationships and experiences.
(484) 878-5716 View (484) 878-5716
Photo of Sarah Espenshade, Clinical Social Work/Therapist in 19087, PA
Sarah Espenshade
Clinical Social Work/Therapist, LCSW, CAADC
Verified Verified
2 Endorsed
Wayne, PA 19087
Licensed Clinical Social Worker & Founder of a full-service concierge outpatient behavioral health practice with over 15 years of experience working in residential, outpatient and community-based settings treating adolescents and adults. I specialize in treating complex individuals and families employing a comprehensive, multi-systematic treatment approach utilizing evidence-based practices: motivational interviewing, CBT, DBT, EMDR and experiential therapy. Services include: Interventions, coaching, crisis management, comprehensive evaluation, individual & family counseling, treatment consultation and case management.
Licensed Clinical Social Worker & Founder of a full-service concierge outpatient behavioral health practice with over 15 years of experience working in residential, outpatient and community-based settings treating adolescents and adults. I specialize in treating complex individuals and families employing a comprehensive, multi-systematic treatment approach utilizing evidence-based practices: motivational interviewing, CBT, DBT, EMDR and experiential therapy. Services include: Interventions, coaching, crisis management, comprehensive evaluation, individual & family counseling, treatment consultation and case management.
(484) 380-9197 View (484) 380-9197
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.