Borderline Personality (BPD) Therapists in Louisa County, VA

Photo of Steven Joseph Maurno, Licensed Professional Counselor in Louisa County, VA
Steven Joseph Maurno
Licensed Professional Counselor, MA, LPC, CSOTP
Verified Verified
Bumpass, VA 23024  (Online Only)
Feeling anxious or depressed is a reasonable response to living in an uncertain world. For many of us, recent years have brought loss and trauma. It may feel like you will never heal. Learning to cope and adapt may feel overwhelming. You want to be your "old self again," but it feels impossible. You may have tried to heal yourself, only to realize you need help. You may hesitate to seek help for fear of being judged. You may feel that you are alone in your struggles, but I want you to know that you are not alone. There is hope.
Feeling anxious or depressed is a reasonable response to living in an uncertain world. For many of us, recent years have brought loss and trauma. It may feel like you will never heal. Learning to cope and adapt may feel overwhelming. You want to be your "old self again," but it feels impossible. You may have tried to heal yourself, only to realize you need help. You may hesitate to seek help for fear of being judged. You may feel that you are alone in your struggles, but I want you to know that you are not alone. There is hope.
(757) 644-3862 View (757) 644-3862

Online Therapists

Photo of Mackenzie Neylon, Clinical Social Work/Therapist in Louisa County, VA
Mackenzie Neylon
Clinical Social Work/Therapist, LCSW
Verified Verified
2 Endorsed
Richmond, VA 23235
I specialize in working with individuals who struggle with borderline personality disorder, anxiety, depression, and life transitions.
I aspire to create a warm and welcoming environment to help you navigate life's challenges. I am committed to helping you grow and heal as you work towards building a life aligned with your values and purpose. I specialize in working with teens and young adults who are struggling with anxiety, depression, and life transitions.
I specialize in working with individuals who struggle with borderline personality disorder, anxiety, depression, and life transitions.
I aspire to create a warm and welcoming environment to help you navigate life's challenges. I am committed to helping you grow and heal as you work towards building a life aligned with your values and purpose. I specialize in working with teens and young adults who are struggling with anxiety, depression, and life transitions.
(804) 361-8330 View (804) 361-8330
Photo of Dr. Adam Arthur Johnson in Louisa County, VA
Dr. Adam Arthur Johnson
EdD, MEd
Verified Verified
Arlington, VA 22206  (Online Only)
My ideal client is a young adult experiencing challenges in college, or transitioning into college, and has a condition/s that can affect learning such as executive functioning challenges, ADHD, autism, dyslexia, processing disorders (auditory, visual, language), intellectual disability, PTSD and/or 2e as well as mental health challenges such as anxiety, depression, bipolar disorder, borderline personality disorder, and/or schizophrenia. Their goals are to achieve their educational objectives, which generally involves completing a college degree, and to experience increased self-esteem, joy, motivation, and student success.
My ideal client is a young adult experiencing challenges in college, or transitioning into college, and has a condition/s that can affect learning such as executive functioning challenges, ADHD, autism, dyslexia, processing disorders (auditory, visual, language), intellectual disability, PTSD and/or 2e as well as mental health challenges such as anxiety, depression, bipolar disorder, borderline personality disorder, and/or schizophrenia. Their goals are to achieve their educational objectives, which generally involves completing a college degree, and to experience increased self-esteem, joy, motivation, and student success.
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Photo of Joshua Mcleod Crocker, Marriage & Family Therapist in Louisa County, VA
Joshua Mcleod Crocker
Marriage & Family Therapist, LMFT, AAMFT, Superv, Candid
Verified Verified
1 Endorsed
Fairfax, VA 22030
Former positions include: Children's Case Management, Therapist for populations: Severe Mental Illness: Schizophrenia/Biopolar, OCD, Borderline, ADD in Adults and Adolescents, PTSD.
AAMFT Approved Supervisor Candidate: Supervising LMFT and LPC Resident Counselors. (Fairfaxcounseling.org) Specializing in Couples Counseling and youth/young adults, my commitment is to provide a non-judgmental atmosphere where we face hard issues to grow and find more peace in your life. Leaving shame at the door, we dig into what is keeping you "stuck" and find practical tools to move forward. The therapist-client relationship gives one freedom, maybe beyond any other setting, to be fully open, honest and press forward to the best version of yourself.
Former positions include: Children's Case Management, Therapist for populations: Severe Mental Illness: Schizophrenia/Biopolar, OCD, Borderline, ADD in Adults and Adolescents, PTSD.
AAMFT Approved Supervisor Candidate: Supervising LMFT and LPC Resident Counselors. (Fairfaxcounseling.org) Specializing in Couples Counseling and youth/young adults, my commitment is to provide a non-judgmental atmosphere where we face hard issues to grow and find more peace in your life. Leaving shame at the door, we dig into what is keeping you "stuck" and find practical tools to move forward. The therapist-client relationship gives one freedom, maybe beyond any other setting, to be fully open, honest and press forward to the best version of yourself.
(571) 487-7122 View (571) 487-7122
Photo of Sarah B Mulhaul, Clinical Social Work/Therapist in Louisa County, VA
Sarah B Mulhaul
Clinical Social Work/Therapist, LCSW, MSW
Verified Verified
Fairfax, VA 22030
I specialize in working with adults and young women who have experienced traumatic events (childhood sexual abuse, rape, domestic violence, physical abuse, car accidents, military trauma, etc) and are experiencing trauma symptoms. The traumatic event may also lead to emotional dysregulation, self harm behaviors, hospitalizations and/or a diagnosis of Borderline Personality Disorder, among many other disorders. I also have a passion for working with veterans of post 9/11 wars who have a diagnosis of PTSD. My goal is to help others find and achieve their "life worth living".
I specialize in working with adults and young women who have experienced traumatic events (childhood sexual abuse, rape, domestic violence, physical abuse, car accidents, military trauma, etc) and are experiencing trauma symptoms. The traumatic event may also lead to emotional dysregulation, self harm behaviors, hospitalizations and/or a diagnosis of Borderline Personality Disorder, among many other disorders. I also have a passion for working with veterans of post 9/11 wars who have a diagnosis of PTSD. My goal is to help others find and achieve their "life worth living".
(571) 496-8509 View (571) 496-8509
Photo of Anber Haq, Pre-Licensed Professional in Louisa County, VA
Anber Haq
Pre-Licensed Professional, MSW
Verified Verified
1 Endorsed
Arlington, VA 22201
I specialize working with eating disorders, anger/impulse control issues, OCD, victims of narcissistic parent(s), borderline personality, fear of commitment and/or abandonment. My therapeutic approach is designed to help individuals who are struggling to navigate circumstances with their lives as well as barriers they are struggling to remove. I work to guide my clients through exploration of their behavior patterns to lead healthier lives. I work to challenge old assumptions of themselves while still encouraging my clients to accept themselves.
I specialize working with eating disorders, anger/impulse control issues, OCD, victims of narcissistic parent(s), borderline personality, fear of commitment and/or abandonment. My therapeutic approach is designed to help individuals who are struggling to navigate circumstances with their lives as well as barriers they are struggling to remove. I work to guide my clients through exploration of their behavior patterns to lead healthier lives. I work to challenge old assumptions of themselves while still encouraging my clients to accept themselves.
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Photo of Alima S Mustapha-Palmer, Licensed Professional Counselor in Louisa County, VA
Alima S Mustapha-Palmer
Licensed Professional Counselor, LPC, NCC
Verified Verified
Alexandria, VA 22314
Are you experiencing difficulty managing stress and anxiety related to a chronic illness? Do you find it difficult to get past traumatic episodes from your past? Do you have intrusive thoughts, difficulty sleeping, problems forming healthy relationships? Are you struggling with drinking too much or other substance abuse challenges, or BPD? If you, your child, or your family needs help, you can expect effective therapy focused on your needs. I have over twenty years of experience and success. You can achieve more while building a successful, and satisfying life. Contact me via phone, text, or email. I am looking forward to helping!
Are you experiencing difficulty managing stress and anxiety related to a chronic illness? Do you find it difficult to get past traumatic episodes from your past? Do you have intrusive thoughts, difficulty sleeping, problems forming healthy relationships? Are you struggling with drinking too much or other substance abuse challenges, or BPD? If you, your child, or your family needs help, you can expect effective therapy focused on your needs. I have over twenty years of experience and success. You can achieve more while building a successful, and satisfying life. Contact me via phone, text, or email. I am looking forward to helping!
(571) 470-5393 View (571) 470-5393
Photo of Bernadette Schmitt, Licensed Professional Counselor in Louisa County, VA
Bernadette Schmitt
Licensed Professional Counselor, MA, LPC
Verified Verified
Alexandria, VA 22311  (Online Only)
Those experiencing issues such as co-dependency, unhealthy coping skills, emotional disturbance, low self-esteem, Borderline Personality (BPD), and other symptoms often benefit from a combination of techniques I use to strategically and holistically address the areas where they are stuck.
I am passionate about bringing healing to all aspects of a person. I specialize in trauma, complex trauma, PTSD, anxiety, and depression. I take an eclectic approach in my counseling practice and use the techniques that work for each individual in order to bring harmony to all parts of a person’s internal system. Trauma causes deep and lasting effects on the survivor's thought processes, nervous system, and physical body. Behaviors and reactions of trauma survivors can be seemingly unpredictable, confusing, contradictory and lead to pathologizing diagnosis.
Those experiencing issues such as co-dependency, unhealthy coping skills, emotional disturbance, low self-esteem, Borderline Personality (BPD), and other symptoms often benefit from a combination of techniques I use to strategically and holistically address the areas where they are stuck.
I am passionate about bringing healing to all aspects of a person. I specialize in trauma, complex trauma, PTSD, anxiety, and depression. I take an eclectic approach in my counseling practice and use the techniques that work for each individual in order to bring harmony to all parts of a person’s internal system. Trauma causes deep and lasting effects on the survivor's thought processes, nervous system, and physical body. Behaviors and reactions of trauma survivors can be seemingly unpredictable, confusing, contradictory and lead to pathologizing diagnosis.
(540) 517-6607 View (540) 517-6607
Photo of Nicole Fogel, Clinical Social Work/Therapist in Louisa County, VA
Nicole Fogel
Clinical Social Work/Therapist, LCSW
Verified Verified
Lansdowne, VA 20176  (Online Only)
After graduating from NYU with a BSW and then an MSW, I continued on to work with individuals & families throughout my career. I received my license in clinical social work in 2009. I also have my certification to do supervision. My areas of expertise include anxiety, depression, couples & family therapy, ADHD, BPD, Bipolar Disorder, ASD & ODD. I use techniques from CBT, psychotherapy, mindfulness based cognitive therapy, behavior therapy & client centered therapy. During the past six years a lot of my practice has been focused on couples counseling. It has been a wonderful experience helping couples work on communication & love.
After graduating from NYU with a BSW and then an MSW, I continued on to work with individuals & families throughout my career. I received my license in clinical social work in 2009. I also have my certification to do supervision. My areas of expertise include anxiety, depression, couples & family therapy, ADHD, BPD, Bipolar Disorder, ASD & ODD. I use techniques from CBT, psychotherapy, mindfulness based cognitive therapy, behavior therapy & client centered therapy. During the past six years a lot of my practice has been focused on couples counseling. It has been a wonderful experience helping couples work on communication & love.
(571) 496-8996 View (571) 496-8996
Photo of Dr. Aaliyah Gibbons, Psychologist in Louisa County, VA
Dr. Aaliyah Gibbons
Psychologist, PsyD
Verified Verified
Fairfax, VA 22030  (Online Only)
Are you struggling with anxiety, depression, trauma or PTSD, addiction, bipolar disorder, BPD, or grief? From normal life stressors to significant emotional experiences, my goal is to help you understand how these events have impacted who you are and how you've learned to cope. In even the most difficult of circumstances, I can help you find hope and learn the skills necessary to create a life that you truly enjoy.
Are you struggling with anxiety, depression, trauma or PTSD, addiction, bipolar disorder, BPD, or grief? From normal life stressors to significant emotional experiences, my goal is to help you understand how these events have impacted who you are and how you've learned to cope. In even the most difficult of circumstances, I can help you find hope and learn the skills necessary to create a life that you truly enjoy.
(703) 782-3603 View (703) 782-3603
Photo of Kjerstin Lemke, Licensed Professional Counselor in Louisa County, VA
Kjerstin Lemke
Licensed Professional Counselor, LPC, NCC, C-DBT
Verified Verified
McLean, VA 22102  (Online Only)
Waitlist for new clients
My vast experience as a behavioral health technician in the military, and in the field of counseling has led me to a professional enthusiasm for working with individuals dealing with Crisis, Post Traumatic Stress Disorder (PTSD), Borderline Personality Disorder, Depression, and Anxiety.
With over 10 years clinical experience, I am passionate about using evidence-based practices to help empower you every day, not just when you are in crisis. I am Certified in Dialectical Behavior Therapy. Combining Dialectical Behavioral Therapy, along with Person-Centered and Humanistic approaches I work diligently to create a welcoming, supporting and safe environment where individuals can feel free to express themselves. Working through difficult times alone can often feel overwhelming and defeating without help.
My vast experience as a behavioral health technician in the military, and in the field of counseling has led me to a professional enthusiasm for working with individuals dealing with Crisis, Post Traumatic Stress Disorder (PTSD), Borderline Personality Disorder, Depression, and Anxiety.
With over 10 years clinical experience, I am passionate about using evidence-based practices to help empower you every day, not just when you are in crisis. I am Certified in Dialectical Behavior Therapy. Combining Dialectical Behavioral Therapy, along with Person-Centered and Humanistic approaches I work diligently to create a welcoming, supporting and safe environment where individuals can feel free to express themselves. Working through difficult times alone can often feel overwhelming and defeating without help.
(571) 496-9049 View (571) 496-9049
Photo of Kimberleigh M Mubarak- Rivers Of Hope Counseling, Resident in Counseling in Louisa County, VA
Kimberleigh M Mubarak- Rivers Of Hope Counseling
Resident in Counseling, MS, RIC, CTP
Verified Verified
1 Endorsed
Chantilly, VA 20151  (Online Only)
I enjoy working with all ages and a variety of issues including anxiety, depression, sexual & domestic violence, trauma, grief, BPD, self-esteem issues, and a plethora of other issues.
Making the decision to attend counseling is not an easy one. It takes courage and strength to admit "I need help". Though life presents many challenges, I am a firm believer that everyone is capable of working through tough times but there are times when we need assistance. My goal is to empower, encourage, and give my clients the tools they need to work through any season. I am Resident in Counseling in the Commonwealth of Virginia who has always had a passion and desire for helping others.
I enjoy working with all ages and a variety of issues including anxiety, depression, sexual & domestic violence, trauma, grief, BPD, self-esteem issues, and a plethora of other issues.
Making the decision to attend counseling is not an easy one. It takes courage and strength to admit "I need help". Though life presents many challenges, I am a firm believer that everyone is capable of working through tough times but there are times when we need assistance. My goal is to empower, encourage, and give my clients the tools they need to work through any season. I am Resident in Counseling in the Commonwealth of Virginia who has always had a passion and desire for helping others.
(855) 326-4673 View (855) 326-4673
Photo of Ann Garrett, Licensed Professional Counselor in Louisa County, VA
Ann Garrett
Licensed Professional Counselor, LPC
Verified Verified
Richmond, VA 23236
I work with a variety of conditions, including anxiety, depression, ADHD, trauma, PTSD, borderline personality disorder, mood disorders, grief, and life stages.
Hello, my name is Ann Garrett. I'm a Licensed Professional Counselor and a National Certified Counselor with over 8 years of clinical experience working with various issues and needs. I use a person-centered approach to tailor therapy to the individual. I used a variety of treatment modalities including Cognitive Behavioral Therapy (CBT), Eye Movement Desensitization and Reprocessing (EMDR), Dialectical Behavior Therapy (DBT), Solution Focused, Motivational Interviewing, Mindfulness, and Trauma Focused Cognitive Behavioral Therapy (TF-CBT).
I work with a variety of conditions, including anxiety, depression, ADHD, trauma, PTSD, borderline personality disorder, mood disorders, grief, and life stages.
Hello, my name is Ann Garrett. I'm a Licensed Professional Counselor and a National Certified Counselor with over 8 years of clinical experience working with various issues and needs. I use a person-centered approach to tailor therapy to the individual. I used a variety of treatment modalities including Cognitive Behavioral Therapy (CBT), Eye Movement Desensitization and Reprocessing (EMDR), Dialectical Behavior Therapy (DBT), Solution Focused, Motivational Interviewing, Mindfulness, and Trauma Focused Cognitive Behavioral Therapy (TF-CBT).
(804) 626-5507 View (804) 626-5507
Photo of Angela White, Licensed Professional Counselor in Louisa County, VA
Angela White
Licensed Professional Counselor, LPC, CACII
Verified Verified
2 Endorsed
Monterey, VA 24465  (Online Only)
I specialize in several areas including depression, anxiety, PTSD, Bipolar, parenting, relationship issues, communication, stress management, life transitions, social anxiety, borderline personality disorder, and addiction.
Teletherapy ONLY. Winston Churchill once said, "If you're going through hell, keep going." Well, that's easier said than done, right? I want to help you "keep going" through whatever hell you feel like you might be in and after you get past it (whatever that looks like for you), help you to learn skills to make it easier next time life comes at you full force. I've been working with adults for the last 12 years and truly cannot imagine doing anything else with my life! I seek to develop authentic, unique, connected relationships with all my clients.
I specialize in several areas including depression, anxiety, PTSD, Bipolar, parenting, relationship issues, communication, stress management, life transitions, social anxiety, borderline personality disorder, and addiction.
Teletherapy ONLY. Winston Churchill once said, "If you're going through hell, keep going." Well, that's easier said than done, right? I want to help you "keep going" through whatever hell you feel like you might be in and after you get past it (whatever that looks like for you), help you to learn skills to make it easier next time life comes at you full force. I've been working with adults for the last 12 years and truly cannot imagine doing anything else with my life! I seek to develop authentic, unique, connected relationships with all my clients.
(540) 516-4071 View (540) 516-4071
Photo of Jacob Sitton, Pre-Licensed Professional in Louisa County, VA
Jacob Sitton
Pre-Licensed Professional
Verified Verified
Lynchburg, VA 24504
Jacob Sitton is a Resident in Counseling who has experience working with adults of all age groups and in individual, couple, and group contexts. Jacob has worked with clients experiencing a variety of issues and conditions, and most consistently finds himself counseling individuals struggling with chronic anxiety, depression and suicidality, low self-esteem, grief, and relational difficulty. He has had the privilege of working with clients who are overcoming trauma, battling addiction, or living with borderline personality disorder. Jacob completed his master's degree in Clinical Mental Health Counseling at Liberty University.
Jacob Sitton is a Resident in Counseling who has experience working with adults of all age groups and in individual, couple, and group contexts. Jacob has worked with clients experiencing a variety of issues and conditions, and most consistently finds himself counseling individuals struggling with chronic anxiety, depression and suicidality, low self-esteem, grief, and relational difficulty. He has had the privilege of working with clients who are overcoming trauma, battling addiction, or living with borderline personality disorder. Jacob completed his master's degree in Clinical Mental Health Counseling at Liberty University.
(434) 595-4490 View (434) 595-4490
Photo of Danakristal Crone, Pre-Licensed Professional in Louisa County, VA
Danakristal Crone
Pre-Licensed Professional
Verified Verified
Richmond, VA 23223
Dana Crone is a Resident Clinical Social Worker. Her clinical experience includes work in inpatient hospitalization, community-based treatment, and outpatient treatment. As a queer-identified POC, she understands the unique issue of identity exploration and intersectionality. She is passionate about helping adolescents, adults, and couples address their unique challenges and live more fulfilled lives. Dana specializes in racial identity, anxiety, depression, relationship issues, life transitions, and borderline personality disorder.
Dana Crone is a Resident Clinical Social Worker. Her clinical experience includes work in inpatient hospitalization, community-based treatment, and outpatient treatment. As a queer-identified POC, she understands the unique issue of identity exploration and intersectionality. She is passionate about helping adolescents, adults, and couples address their unique challenges and live more fulfilled lives. Dana specializes in racial identity, anxiety, depression, relationship issues, life transitions, and borderline personality disorder.
(804) 376-5593 View (804) 376-5593
Photo of Amanda N Trent, Psychologist in Louisa County, VA
Amanda N Trent
Psychologist, PsyD, LCP
Verified Verified
1 Endorsed
Williamsburg, VA 23188
I specialize in assessing and treating Post-traumatic Stress Disorder (PTSD) and other trauma-based symptoms, as well as Borderline Personality traits.
I typically work with people who have experienced some type of traumatic event or events, either recently or from childhood. They are tired of being bullied by their own thoughts and emotions and not being able to experience a fulfilling life or enjoy intimate relationships. Being in Hampton Roads, I have worked with many military families who have their own unique stressors and traumas. I also love working with other mental health clinicians who may need their own support for managing mental health concerns, relational conflict, or coping with work-related burn out and compassion fatigue.
I specialize in assessing and treating Post-traumatic Stress Disorder (PTSD) and other trauma-based symptoms, as well as Borderline Personality traits.
I typically work with people who have experienced some type of traumatic event or events, either recently or from childhood. They are tired of being bullied by their own thoughts and emotions and not being able to experience a fulfilling life or enjoy intimate relationships. Being in Hampton Roads, I have worked with many military families who have their own unique stressors and traumas. I also love working with other mental health clinicians who may need their own support for managing mental health concerns, relational conflict, or coping with work-related burn out and compassion fatigue.
(757) 210-5723 View (757) 210-5723
Photo of Samantha Lynn Wooldridge Felton, Licensed Professional Counselor in Louisa County, VA
Samantha Lynn Wooldridge Felton
Licensed Professional Counselor, MA, MS
Verified Verified
Therapy is a transformative process, It is a courageous act to enter therapy and it takes great personal strength to enter counseling. I work with my patients to foster a comfortable and safe environment, free from labels or judgments. I have experience working with families of and persons suffering from ptsd, adhd, borderline personality disorder, oppositional defiant disorder, body image disorders, and educational concerns. I am trauma informed,haveexperience working with military, first responders, law enforcement and their families.
Therapy is a transformative process, It is a courageous act to enter therapy and it takes great personal strength to enter counseling. I work with my patients to foster a comfortable and safe environment, free from labels or judgments. I have experience working with families of and persons suffering from ptsd, adhd, borderline personality disorder, oppositional defiant disorder, body image disorders, and educational concerns. I am trauma informed,haveexperience working with military, first responders, law enforcement and their families.
(804) 348-0519 View (804) 348-0519
Photo of Ashley Conzel, Counselor in Louisa County, VA
Ashley Conzel
Counselor, LPC, NCC
Verified Verified
1 Endorsed
Arlington, VA 22216  (Online Only)
I specialize in trauma, codependency and familial enmeshment, and Borderline Personality Disorder.
I see clients who have historically experienced unstable relationships and find themselves in uncomfortable relationship dynamics. I work with clients to provide information about trauma responses and replace self-sabotaging behaviors with adaptive coping strategies. My skillset is in working with people who have symptoms of personality disorders and those who have had difficulty safely expressing their emotions in the past. When people gain insight into their emotions and behaviors, positive changes occur.
I specialize in trauma, codependency and familial enmeshment, and Borderline Personality Disorder.
I see clients who have historically experienced unstable relationships and find themselves in uncomfortable relationship dynamics. I work with clients to provide information about trauma responses and replace self-sabotaging behaviors with adaptive coping strategies. My skillset is in working with people who have symptoms of personality disorders and those who have had difficulty safely expressing their emotions in the past. When people gain insight into their emotions and behaviors, positive changes occur.
(703) 420-5412 View (703) 420-5412
Photo of Katelyn Brazelton, Resident in Counseling in Louisa County, VA
Katelyn Brazelton
Resident in Counseling, RIC
Verified Verified
Winchester, VA 22601
Waitlist for new clients
I have experience with a wide range of disorders including Bipolar Disorder and BPD.
As a Resident in Counseling working towards licensure I will help clients not only reach their goals but feel confident in working towards bettering their mental health through various modalities.
I have experience with a wide range of disorders including Bipolar Disorder and BPD.
As a Resident in Counseling working towards licensure I will help clients not only reach their goals but feel confident in working towards bettering their mental health through various modalities.
(540) 503-3223 View (540) 503-3223

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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.