Therapy | Personality Disorders

Building a life worth living

Borderline Personality Disorder (BPD) is often misunderstood. It is fundamentally a difficulty with emotional regulation and interpersonal relationships. There is hope, and treatment works.

Washington State residents

The emotional rollercoaster

If you live with BPD, you likely feel things more intensely and for longer than others. A minor slight can feel like a devastating abandonment. This can lead to a pattern of unstable relationships, impulsivity, and a fragmented sense of self.

We don't view this as you being "manipulative" or "attention-seeking." We see it as you doing your best to survive intense pain without the toolkit you need.

How we work with BPD

Our approach is informed by Dialectical Behavior Therapy (DBT), the gold standard for BPD treatment. We balance acceptance (you are doing the best you can) with change (you need to do better to get the life you want).

Medication vs. Therapy

There is no specific medication for BPD itself, though meds can help with co-occurring anxiety or depression. The primary treatment is therapy—learning the skills to regulate your own nervous system.
  • Mindfulness: Learning to observe your emotions without being hijacked by them
  • Distress Tolerance: Surviving crises without making them worse (e.g., self-harm)
  • Emotion Regulation: Understanding what emotions do and how to change them
  • Interpersonal Effectiveness: Asking for what you need and saying no

Who this is for

This is helpful if you are struggling with:

  • Intense fear of abandonment
  • Chronic feelings of emptiness
  • Impulsive behaviors (spending, substance use, risky sex)
  • Self-harm or suicidal thoughts
Next step

Break the cycle

You don't have to be a prisoner of your emotions. Let's build a toolkit for stability.