Borderline Personality (BPD) Therapists in 78220

Photo of Rebecca A. Hagerling, Licensed Professional Counselor in 78220, TX
Rebecca A. Hagerling
Licensed Professional Counselor, CMDP, C-DBT
Verified Verified
1 Endorsed
San Antonio, TX 78220  (Online Only)
My great passion as a Health & Wellness Professional is to help you build a healthier relationship with food & your body, cultivate emotional agility to freely express yourself, & be able to communicate your needs/wants to others more effectively. While I’d love to help you improve your mental health through physical activity & balanced nutrition, I also understand that everyone’s starting point in therapy can look very different. It would be my pleasure in meeting you where you are in your journey to help build your own tool box of skills so that you can lead the life you deserve to live.
My great passion as a Health & Wellness Professional is to help you build a healthier relationship with food & your body, cultivate emotional agility to freely express yourself, & be able to communicate your needs/wants to others more effectively. While I’d love to help you improve your mental health through physical activity & balanced nutrition, I also understand that everyone’s starting point in therapy can look very different. It would be my pleasure in meeting you where you are in your journey to help build your own tool box of skills so that you can lead the life you deserve to live.
(210) 851-9728 View (210) 851-9728
Photo of World of Hope Counseling Center, PLLC, Licensed Professional Counselor in 78220, TX
World of Hope Counseling Center, PLLC
Licensed Professional Counselor, MS, LPC-S
Verified Verified
San Antonio, TX 78220
We all need help. Whether it may be learning how to make healthy decisions, reducing anxiety, controlling impulses, learning to assertively communicate or to reduce depressive symptoms. Understanding ourselves, defining our wants and needs can be important in making life-changing choices. In therapy, the goal is to meet you where you are at in life and collaboratively move towards obtaining your goals. Many times we expect immediate results without having to make any internal changes; leaving us unfulfilled, sad and anxious. The changes begin within ourselves to see desired responses from others.
We all need help. Whether it may be learning how to make healthy decisions, reducing anxiety, controlling impulses, learning to assertively communicate or to reduce depressive symptoms. Understanding ourselves, defining our wants and needs can be important in making life-changing choices. In therapy, the goal is to meet you where you are at in life and collaboratively move towards obtaining your goals. Many times we expect immediate results without having to make any internal changes; leaving us unfulfilled, sad and anxious. The changes begin within ourselves to see desired responses from others.
(210) 538-6432 View (210) 538-6432

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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.