Personality Disorders Therapists in Portland, OR

Photo of Zara Roth, MA, QMHP, CADC, BS, Pre-Licensed Professional
Zara Roth
Pre-Licensed Professional, MA, QMHP, CADC, BS
Verified Verified
Portland, OR 97216
Not accepting new clients
With the state of the world, mental health is at an all-time low and we are all experiencing collective trauma. I take climate, pandemic, economic, political, societal, and cultural problems into account, on top of personal issues. My goal has always been to help those with trauma, personality disorders, and depression/anxiety by diving into the unconscious, cultivating self-awareness, and creating practical solutions. My clients are diverse and range from 13-65+ yrs old.
With the state of the world, mental health is at an all-time low and we are all experiencing collective trauma. I take climate, pandemic, economic, political, societal, and cultural problems into account, on top of personal issues. My goal has always been to help those with trauma, personality disorders, and depression/anxiety by diving into the unconscious, cultivating self-awareness, and creating practical solutions. My clients are diverse and range from 13-65+ yrs old.
(503) 773-6563 View (503) 773-6563
Photo of Jacqueline Lydston, MSW, LSWAIC, Clinical Social Work/Therapist
Jacqueline Lydston
Clinical Social Work/Therapist, MSW, LSWAIC
Verified Verified
Portland, OR 97217
In my practice I treat adults with PTSD, personality disorders, survivors of domestic violence, sexual abuse, religious trauma, people with suicidal thoughts or self harm, depression, grief, loss, and many other issues. I also see clients diagnosed with bipolar disorder. I work with folks on issues regarding family life: parenting and other relationships. In your therapy, I will work carefully to provide a calm, warm, safe space in which to explore your unique self, and what happiness, satisfaction, and fulfillment look like for you. As therapy progresses, we will talk about everything that is important to you.
In my practice I treat adults with PTSD, personality disorders, survivors of domestic violence, sexual abuse, religious trauma, people with suicidal thoughts or self harm, depression, grief, loss, and many other issues. I also see clients diagnosed with bipolar disorder. I work with folks on issues regarding family life: parenting and other relationships. In your therapy, I will work carefully to provide a calm, warm, safe space in which to explore your unique self, and what happiness, satisfaction, and fulfillment look like for you. As therapy progresses, we will talk about everything that is important to you.
(360) 800-1079 View (360) 800-1079
Photo of Jade Wollman, CSWA
Jade Wollman
Clinical Social Work Associate, CSWA
Verified Verified
1 Endorsed
Portland, OR 97219  (Online Only)
My therapeutic approach is integrative and client-centered, tailored to meet the unique needs and goals of each individual I serve. My nature is warm, caring, and empathic, and I hold the belief that although I may possess clinical expertise, you are the expert on your life. I provide therapeutic services to adults with various mental health conditions, including anxiety, depression, personality disorders, and trauma stemming from intimate partner violence (IPV) and sexual assault (SA). By offering respect and unconditional positive regard to my clients, I strive to create a safe, supportive, and inclusive space for all.
My therapeutic approach is integrative and client-centered, tailored to meet the unique needs and goals of each individual I serve. My nature is warm, caring, and empathic, and I hold the belief that although I may possess clinical expertise, you are the expert on your life. I provide therapeutic services to adults with various mental health conditions, including anxiety, depression, personality disorders, and trauma stemming from intimate partner violence (IPV) and sexual assault (SA). By offering respect and unconditional positive regard to my clients, I strive to create a safe, supportive, and inclusive space for all.
(503) 210-9592 View (503) 210-9592
Photo of Natalie Buller, MA, PCA, Pre-Licensed Professional
Natalie Buller
Pre-Licensed Professional, MA, PCA
Verified Verified
Portland, OR 97210  (Online Only)
Unfortunately, more and more people are suffering from narcissistic abuse through personal relationships.
Teens, college students, and young adults are facing unprecedented issues with depression, anxiety, self-harm, body image, and addictions of all kinds due in large part to the prevalence of social media and technology. These influences have made growing into an adult very confusing. Having someone who can relate, listen, and help navigate our culture is essential. Together, we will discuss what you are feeling, recognize changes that can be made, and learn how to cope on your own.
Unfortunately, more and more people are suffering from narcissistic abuse through personal relationships.
Teens, college students, and young adults are facing unprecedented issues with depression, anxiety, self-harm, body image, and addictions of all kinds due in large part to the prevalence of social media and technology. These influences have made growing into an adult very confusing. Having someone who can relate, listen, and help navigate our culture is essential. Together, we will discuss what you are feeling, recognize changes that can be made, and learn how to cope on your own.
(971) 365-3259 View (971) 365-3259
Photo of Molly Frechette, MSW, CSWA, QMHP-C, Clinical Social Work/Therapist
Molly Frechette
Clinical Social Work/Therapist, MSW, CSWA, QMHP-C
Verified Verified
Portland, OR 97219
If the following describes you, then we might be a good therapeutic match: ​ -You've tried talk therapy before and don't feel like it's been effective -You have not had any mental health hospitalizations in the past year. Here are some areas of practice I enjoy working with: Trauma survivors and anyone who has PTSD and/or C-PTSD -The LGBQTIA+ Community -Those seeking healing from codependency -Neurodivergence -Survivors of religious abuse -Survivors of narcissistic abuse.
If the following describes you, then we might be a good therapeutic match: ​ -You've tried talk therapy before and don't feel like it's been effective -You have not had any mental health hospitalizations in the past year. Here are some areas of practice I enjoy working with: Trauma survivors and anyone who has PTSD and/or C-PTSD -The LGBQTIA+ Community -Those seeking healing from codependency -Neurodivergence -Survivors of religious abuse -Survivors of narcissistic abuse.
(503) 676-3884 View (503) 676-3884
Photo of Stacie Wentling, LCSW, Clinical Social Work/Therapist
Stacie Wentling
Clinical Social Work/Therapist, LCSW
Verified Verified
2 Endorsed
Portland, OR 97212  (Online Only)
I work with individuals who are seeking guidance to process trauma, reduce their stress response, recover from narcissistic abusive relationships/ pathological love relationships, incorporate mindfulness of their body, thoughts, feelings, and energy, and learn communication techniques to interact mindfully and effectively.
I work with individuals who are seeking guidance to process trauma, reduce their stress response, recover from narcissistic abusive relationships/ pathological love relationships, incorporate mindfulness of their body, thoughts, feelings, and energy, and learn communication techniques to interact mindfully and effectively.
(971) 260-4205 View (971) 260-4205
Photo of Elizabeth Trautwein, MA, LPC, LMHC, Licensed Professional Counselor
Elizabeth Trautwein
Licensed Professional Counselor, MA, LPC, LMHC
Verified Verified
2 Endorsed
Portland, OR 97202  (Online Only)
If you have been hurt by a narcissistic relationship, I can help! When you have a relationship with a narcissist, the repetitive self centeredness takes its toll. You end up questioning if you are good enough, creating distrust and ultimatley wondering if its even possible for you to have an intimate and healthy relationship. As a therapist who specializes in narcississtic relationships, I've worked to understand brain development, trauma, and healing. My clients share that they are able to establish connection, set boundaries, and finally create relationships that are both fulfilling and supportive.
If you have been hurt by a narcissistic relationship, I can help! When you have a relationship with a narcissist, the repetitive self centeredness takes its toll. You end up questioning if you are good enough, creating distrust and ultimatley wondering if its even possible for you to have an intimate and healthy relationship. As a therapist who specializes in narcississtic relationships, I've worked to understand brain development, trauma, and healing. My clients share that they are able to establish connection, set boundaries, and finally create relationships that are both fulfilling and supportive.
(503) 622-8583 View (503) 622-8583
Photo of Julie Berman - Carewell Portland LLC, MA, MFA, LPC, Licensed Professional Counselor
Carewell Portland LLC
Licensed Professional Counselor, MA, MFA, LPC
Verified Verified
Portland, OR 97214
We have a new clinician who has space! At Carewell we focus on creating healthy relationships, including the one you have with yourself. Let us help you and provide support. Chronic illness, struggles day to day. If you have anxiety issues we will develop coping strategies together — especially helpful during this time in the world. Navigating a divorce, relationship stress, parenting struggles, enduring narcissistic abuse, all are particularly vulnerable. Find support with us and people do better with support.
We have a new clinician who has space! At Carewell we focus on creating healthy relationships, including the one you have with yourself. Let us help you and provide support. Chronic illness, struggles day to day. If you have anxiety issues we will develop coping strategies together — especially helpful during this time in the world. Navigating a divorce, relationship stress, parenting struggles, enduring narcissistic abuse, all are particularly vulnerable. Find support with us and people do better with support.
(917) 746-4107 View (917) 746-4107
Photo of Jenna Washburn, MA, Licensed Professional Counselor
Jenna Washburn
Licensed Professional Counselor, MA
Verified Verified
1 Endorsed
Portland, OR 97225  (Online Only)
I also offer a unique program called Focused Therapy that seeks to address the following issues: 1) Relationship Struggles and / or Codependency, 2) Caretaker Burnout, 3) Chronic Perfectionism, 4) Building Healthy Boundaries, 5) Surviving Narcissistic Abuse, and / or 6) Counseling Services for Empaths.
It goes without saying these past few years have been an uphill battle. With the stress of a pandemic, the economic hardships facing many, and political divides deepening: it's no wonder anxiety is high. Or depression feels magnified. Or you find yourself falling back into bad habits.  But you don't have to struggle through this time alone. Empathic Counseling can help you cope during this difficult time and empower you to thrive. I work closely with clients across Oregon to help them find freedom from Anxiety, Depression, Addiction, Trauma, or that harsh voice inside you that tells you you're not enough.
I also offer a unique program called Focused Therapy that seeks to address the following issues: 1) Relationship Struggles and / or Codependency, 2) Caretaker Burnout, 3) Chronic Perfectionism, 4) Building Healthy Boundaries, 5) Surviving Narcissistic Abuse, and / or 6) Counseling Services for Empaths.
It goes without saying these past few years have been an uphill battle. With the stress of a pandemic, the economic hardships facing many, and political divides deepening: it's no wonder anxiety is high. Or depression feels magnified. Or you find yourself falling back into bad habits.  But you don't have to struggle through this time alone. Empathic Counseling can help you cope during this difficult time and empower you to thrive. I work closely with clients across Oregon to help them find freedom from Anxiety, Depression, Addiction, Trauma, or that harsh voice inside you that tells you you're not enough.
(503) 739-9189 View (503) 739-9189
Photo of Jeremy Steenstrup Balthazar, MA, QMHP-R
Jeremy Steenstrup Balthazar
Professional Counselor Associate, MA, QMHP-R
Verified Verified
1 Endorsed
Portland, OR 97206  (Online Only)
Not accepting new clients
My practice is grounded in existential therapy which recognizes the importance of meaning, relationships, autonomy, authenticity, agency, creativity, and connection for acceptance, growth, and change. I work with clients collaboratively to individualize therapy, and use a variety of interventions including narrative, psychodynamic, cognitive, polyvagal, attachment, and mindfulness practices. My experience includes working with bipolar disorder, depression, anxiety, grief and bereavement, personality disorders, psychotic disorders, ADHD, sex addiction, substance addiction, and interpersonal relationships.
My practice is grounded in existential therapy which recognizes the importance of meaning, relationships, autonomy, authenticity, agency, creativity, and connection for acceptance, growth, and change. I work with clients collaboratively to individualize therapy, and use a variety of interventions including narrative, psychodynamic, cognitive, polyvagal, attachment, and mindfulness practices. My experience includes working with bipolar disorder, depression, anxiety, grief and bereavement, personality disorders, psychotic disorders, ADHD, sex addiction, substance addiction, and interpersonal relationships.
(503) 966-7356 View (503) 966-7356
Photo of Jennalyn Strickland, LPC, NCC, CADC I, CTP, Licensed Professional Counselor
Jennalyn Strickland
Licensed Professional Counselor, LPC, NCC, CADC I, CTP
Verified Verified
Portland, OR 97239
I assist adults and adolescents who are experiencing a range of presenting concerns, including: depression, anxiety, anger, acute and chronic trauma, substance and behavioral addictions, relationship issues, psychosis, personality disorders or behaviors, obsessive compulsive behaviors, eating disorders, grief, ADHD, and suicidal thoughts or behaviors.
CURRENTLY ACCEPTING NEW CLIENTS! I believe that everyone is capable of healthy change to achieve their maximum potential and reach a deep satisfaction with life. I value depth and spirituality, identifying as a follower of Jesus. This drives me to show compassion, openness, and hope to all people in a nonjudgmental environment, recognizing that every person is a human being who deserves to live a life they find worth living. My desire is to create a space where people can feel comfortable and safe to be their authentic selves as they engage in the process of delving into the human within.
I assist adults and adolescents who are experiencing a range of presenting concerns, including: depression, anxiety, anger, acute and chronic trauma, substance and behavioral addictions, relationship issues, psychosis, personality disorders or behaviors, obsessive compulsive behaviors, eating disorders, grief, ADHD, and suicidal thoughts or behaviors.
CURRENTLY ACCEPTING NEW CLIENTS! I believe that everyone is capable of healthy change to achieve their maximum potential and reach a deep satisfaction with life. I value depth and spirituality, identifying as a follower of Jesus. This drives me to show compassion, openness, and hope to all people in a nonjudgmental environment, recognizing that every person is a human being who deserves to live a life they find worth living. My desire is to create a space where people can feel comfortable and safe to be their authentic selves as they engage in the process of delving into the human within.
(458) 203-3422 View (458) 203-3422
Photo of Torie Wiksell, MA, LMFT, Marriage & Family Therapist
Torie Wiksell
Marriage & Family Therapist, MA, LMFT
Verified Verified
4 Endorsed
Portland, OR 97239  (Online Only)
I'm passionate about helping my clients break toxic patterns and set healthier boundaries. I specialize in working with the adult children of parents with borderline and narcissistic personality disorders. Additionally, I love to work with clients who are struggling with anxiety, depression, relationship issues, and OCD. My style is supportive, honest, and direct with a bit of humor sprinkled in. I love being a therapist, but I'm definitely not the perfect therapist for everyone. I'm straightforward, bubbly, and use profanity on occasion to emphasize a point.
I'm passionate about helping my clients break toxic patterns and set healthier boundaries. I specialize in working with the adult children of parents with borderline and narcissistic personality disorders. Additionally, I love to work with clients who are struggling with anxiety, depression, relationship issues, and OCD. My style is supportive, honest, and direct with a bit of humor sprinkled in. I love being a therapist, but I'm definitely not the perfect therapist for everyone. I'm straightforward, bubbly, and use profanity on occasion to emphasize a point.
(360) 327-8525 View (360) 327-8525
Photo of Steven Ruiz Bettencourt, PsyD, LPC, CHT, EMDR, Licensed Professional Counselor
Steven Ruiz Bettencourt
Licensed Professional Counselor, PsyD, LPC, CHT, EMDR
Verified Verified
1 Endorsed
Portland, OR 97232
Waitlist for new clients
I am a compassionate and intuitive licensed psychotherapist & hypnotist. I have been practicing for 40 years. I specialize in anger management, anxiety, depression, relationship difficulties/couples counseling, motivation, personality disorders, EMDR and hypnosis for a variety of issues. I am a member of the Oregon Counseling Association, American Counseling Association, National Anger Management Association, Oregon Mediation Association, and I am a board member of the Oregon Hypnotherapy Association, and President of World Musado Federation. I am familiar with Spanish, as my father is from Spain although I am not fluent.
I am a compassionate and intuitive licensed psychotherapist & hypnotist. I have been practicing for 40 years. I specialize in anger management, anxiety, depression, relationship difficulties/couples counseling, motivation, personality disorders, EMDR and hypnosis for a variety of issues. I am a member of the Oregon Counseling Association, American Counseling Association, National Anger Management Association, Oregon Mediation Association, and I am a board member of the Oregon Hypnotherapy Association, and President of World Musado Federation. I am familiar with Spanish, as my father is from Spain although I am not fluent.
(503) 496-7421 View (503) 496-7421
Photo of John Sickler, LCSW, Clinical Social Work/Therapist
John Sickler
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Portland, OR 97205
Additional specializations include working with adults of all ages struggling with finding their own unique meaning, seeking successful relationships with others, treating anxiety, personality disorders, and providing couples therapy.
I utilize an insight and awareness oriented style of therapy that is committed to authenticity and humor when possible. More than half of my clients are involved in or exploring ethical non-monogamy or a queer sexual orientation but the most important thing I look for in clients is just a good therapy chemistry between us. I prioritize new clients with Kaiser health insurance due to a new and specific contract I have with them.
Additional specializations include working with adults of all ages struggling with finding their own unique meaning, seeking successful relationships with others, treating anxiety, personality disorders, and providing couples therapy.
I utilize an insight and awareness oriented style of therapy that is committed to authenticity and humor when possible. More than half of my clients are involved in or exploring ethical non-monogamy or a queer sexual orientation but the most important thing I look for in clients is just a good therapy chemistry between us. I prioritize new clients with Kaiser health insurance due to a new and specific contract I have with them.
(503) 966-8297 View (503) 966-8297
Photo of Steven M Brown, MA, LMHC, LPC, NCC, Counselor
Steven M Brown
Counselor, MA, LMHC, LPC, NCC
Verified Verified
1 Endorsed
Portland, OR 97202  (Online Only)
Not only limited to the anxiety, depression, bipolar, PTSD, ADHD/ADD, OCD, anger issues, and personality disorders or attachment issues.
A responsible social practitioner, I provide psychological care, and services using American Sign Language (ASL). I work with individuals from diverse cultural backgrounds, including various populations that encompass sign language users. My interests center on developing tailored, specific psychotherapy applications that benefit the patients with hearing losses. Much of my work places an emphasis on the importance of "courageous will" to empower individuals to make choices that are useful and practical.
Not only limited to the anxiety, depression, bipolar, PTSD, ADHD/ADD, OCD, anger issues, and personality disorders or attachment issues.
A responsible social practitioner, I provide psychological care, and services using American Sign Language (ASL). I work with individuals from diverse cultural backgrounds, including various populations that encompass sign language users. My interests center on developing tailored, specific psychotherapy applications that benefit the patients with hearing losses. Much of my work places an emphasis on the importance of "courageous will" to empower individuals to make choices that are useful and practical.
(253) 466-7490 View (253) 466-7490
Photo of Tera Hadassah Gold, LPC, Licensed Professional Counselor
Tera Hadassah Gold
Licensed Professional Counselor, LPC
Verified Verified
Portland, OR 97201  (Online Only)
Waitlist for new clients
I have experience and training in CPTSD, Dissociative Disorders, Ruminating types of Obsessive Compulsive Disorder, ADHD, ASD, and Bipolar Disorder, and Personality Disorders.
My ideal client is someone who is committed to changing their lives for the better. I like to work with people who want to make a difference in the world in their own unique way. True healing and change is always a door we can walk through. Together, we can find out what works so that you can feel better about yourself, express yourself, and share your unique self or selves with the world.
I have experience and training in CPTSD, Dissociative Disorders, Ruminating types of Obsessive Compulsive Disorder, ADHD, ASD, and Bipolar Disorder, and Personality Disorders.
My ideal client is someone who is committed to changing their lives for the better. I like to work with people who want to make a difference in the world in their own unique way. True healing and change is always a door we can walk through. Together, we can find out what works so that you can feel better about yourself, express yourself, and share your unique self or selves with the world.
(971) 248-7816 View (971) 248-7816
Photo of Brooke Autrey, LCSW, Clinical Social Work/Therapist
Brooke Autrey
Clinical Social Work/Therapist, LCSW
Verified Verified
Portland, OR 97229  (Online Only)
Brooke Autrey, LCSW (she/her). I have an eclectic and person-centered approach to therapy to best suit your personal needs! I have dual-diagnosis experience (co-occurring substance use disorders and mental health disorders), treating a wide variety of mental health diagnoses, including mood disorders, personality disorders, trauma and stress related disorders, anxiety disorders, and psychotic disorders. My experience is primarily in dual diagnosis (co-occurring substance use disorders and mental health disorders).
Brooke Autrey, LCSW (she/her). I have an eclectic and person-centered approach to therapy to best suit your personal needs! I have dual-diagnosis experience (co-occurring substance use disorders and mental health disorders), treating a wide variety of mental health diagnoses, including mood disorders, personality disorders, trauma and stress related disorders, anxiety disorders, and psychotic disorders. My experience is primarily in dual diagnosis (co-occurring substance use disorders and mental health disorders).
(503) 966-3904 View (503) 966-3904
Photo of Ellie Gutzke - Central Oregon Counseling, MSW, LCSW, Clinical Social Work/Therapist
Central Oregon Counseling
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Portland, OR 97086  (Online Only)
Not accepting new clients
Some of my areas of expertise include, but are not limited to, depression and anxiety, adjustment disorders, personality disorders, women’s issues, relationship/marital issues, parent-child conflict, hoarding disorder, PTSD and trauma, self-harm and suicidal ideation, attachment issues, eating disorders, self-esteem and body image issues, and grief and loss.
Welcome! Therapy is a process of self-discovery. My goal for each session is to create a warm, approachable, and safe environment in which clients feel heard, understood, and empowered exploring and addressing issues in therapy, while cultivating self-awareness and healthy coping skills. In my practice, I work to build a caring, authentic, and collaborative client-therapist relationship as I believe fostering and nurturing the therapeutic alliance is the catalyst and essential for achieving and experiencing positive, lasting change in your relationships and life.
Some of my areas of expertise include, but are not limited to, depression and anxiety, adjustment disorders, personality disorders, women’s issues, relationship/marital issues, parent-child conflict, hoarding disorder, PTSD and trauma, self-harm and suicidal ideation, attachment issues, eating disorders, self-esteem and body image issues, and grief and loss.
Welcome! Therapy is a process of self-discovery. My goal for each session is to create a warm, approachable, and safe environment in which clients feel heard, understood, and empowered exploring and addressing issues in therapy, while cultivating self-awareness and healthy coping skills. In my practice, I work to build a caring, authentic, and collaborative client-therapist relationship as I believe fostering and nurturing the therapeutic alliance is the catalyst and essential for achieving and experiencing positive, lasting change in your relationships and life.
(541) 320-7402 View (541) 320-7402
Photo of Kelsey Zettle, MSW, LCSW, Clinical Social Work/Therapist
Kelsey Zettle
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
1 Endorsed
Portland, OR 97204  (Online Only)
Feeling depressed and unmotivated? Anxious and plagued by ruminating thoughts? Feeling hopeless about your ability to improve? We will work together to establish concrete goals for your treatment, address external barriers and cognitive distortions halting progress, and build skills to manage your distress. My goal is to support you and provide more directive services, as needed, to help you attain your ideal level of functioning and most authentic self!
Feeling depressed and unmotivated? Anxious and plagued by ruminating thoughts? Feeling hopeless about your ability to improve? We will work together to establish concrete goals for your treatment, address external barriers and cognitive distortions halting progress, and build skills to manage your distress. My goal is to support you and provide more directive services, as needed, to help you attain your ideal level of functioning and most authentic self!
(971) 206-6314 View (971) 206-6314
Photo of Adam Rodriguez, PsyD, Psychologist
Adam Rodriguez
Psychologist, PsyD
Verified Verified
2 Endorsed
Portland, OR 97205
I am a licensed clinical psychologist with over 10 years of experience. I have a specialty in social justice themes and work heavily with the LGBTQ community, particularly with people of color. My approach to psychotherapy is warm, empathic, and compassionate. I treat each individual professionally and with respect and with acknowledgement of your individual strengths. I listen attentively to your thoughts and feelings, while also focusing on factors that are out of your conscious awareness (such as anxieties, values, and expectations) that can get expressed in relationships or through problematic patterns or symptoms.
I am a licensed clinical psychologist with over 10 years of experience. I have a specialty in social justice themes and work heavily with the LGBTQ community, particularly with people of color. My approach to psychotherapy is warm, empathic, and compassionate. I treat each individual professionally and with respect and with acknowledgement of your individual strengths. I listen attentively to your thoughts and feelings, while also focusing on factors that are out of your conscious awareness (such as anxieties, values, and expectations) that can get expressed in relationships or through problematic patterns or symptoms.
(503) 616-5375 View (503) 616-5375
Personality Disorders Therapists

What are the common treatment options for personality disorders?

Personality disorders are typically treated with psychotherapy, sometimes in conjunction with medication. Therapy can help people with personality disorders develop skills to tolerate difficult emotions, navigate interpersonal relationships, and solidify their sense of self. Medications can treat symptoms that co-occur with the disorder, such as depression, anger, aggression, and impulsivity.

When to seek treatment for personality disorders?

Even though treatment for personality disorders can be an uphill battle, it’s best to seek help if you suspect that you or a loved one is struggling with one, because personality disorders can create substantial problems in life. Symptoms depend on the specific disorder, but overall signs of personality disorders include consistent difficulty maintaining close relationships, dramatic variations in self-esteem, and an unstable sense of identity.

How long does therapy take for personality disorders?

The timeline for treating personality disorders isn’t as clear-cut as it is for other disorders. Change can be difficult, taking from around one year to five, 10, or more. The key is finding a therapist who has extensive experience treating the relevant disorder. For example, a psychologist who specializes in narcissistic personality disorder has specific communication strategies that allow them to sustain the relationship and be more effective with narcissistic patients.

Can therapy help people with personality disorders?

Research suggests that for those who are motivated to address concerns or interpersonal conflict related to a personality disorder, therapy is far more effective than no treatment, and that most people in therapy see improvements. However, since personality disorders involve entrenched elements of identity, they are less responsive to treatment than are other mental health conditions. Finding an expert who has extensive experience working with a given personality disorder is one factor that increases the likelihood of successful treatment.