Borderline Personality Disorder Treatment

EBT Collaborative provides comprehensive, DBT-based treatment for Borderline Personality Disorder (BPD) for adults and teens. Treatment is individualized to each client’s needs and may include comprehensive DBT, family involvement, trauma treatment, and other evidence-based approaches.

DBT Is the Most Evidence-Supported Treatment for BPD

Dialectical Behavior Therapy was developed specifically to treat Borderline Personality Disorder and remains the most extensively researched and effective treatment available. Multiple randomized controlled trials have shown that comprehensive DBT significantly reduces the self-harm, suicidal ideation, psychiatric hospitalizations, and treatment dropout that characterize severe BPD.

Importantly, BPD is treatable. Earlier characterizations of BPD as a permanent or unmanageable condition are not supported by current research. With the right treatment, sustained improvement is achievable.

What BPD Looks Like

BPD is a disorder of the emotion regulation system. Common features include:

  • Intense and rapidly shifting moods

  • Fear of abandonment and unstable relationships

  • Impulsive behaviors that cause harm

  • Self-harm and suicidal ideation, particularly when emotionally activated

  • Chronic emptiness

  • Difficulty with identity and sense of self

  • Dissociation under stress

Many people with BPD also have a significant trauma history, which can complicate treatment when not addressed directly.

Our BPD Treatment Program

  • Our adherent DBT program provides all four required components for BPD treatment:

    • Individual therapy targeting life-threatening and quality-of-life behaviors in a structured hierarchy

    • Weekly DBT skills training group covering mindfulness, distress tolerance, emotion regulation, and interpersonal effectiveness

    • Phone coaching between sessions for real-time support during high-risk moments

    • Therapist consultation team to maintain quality of care

    This is the full program that the clinical research is based on, not a skills-only or adapted version.

  • Adolescents with emerging BPD or BPD features benefit from our multi-family DBT program (DBT-A), which involves parents and caregivers as active participants. Early intervention during adolescence can significantly alter the long-term course of BPD.

  • A significant proportion of people with BPD have a trauma history. For clients where PTSD and BPD co-occur, DBT Prolonged Exposure provides a structured protocol that first builds stabilization skills before moving into trauma processing.

  • BPD and eating disorders frequently co-occur, particularly bulimia and binge eating disorder. Our clinicians are trained to treat both simultaneously, integrating DBT with eating disorder-specific interventions where needed.

BPD Therapy at EBT Collaborative

BPD treatment is available through select EBT Collaborative locations, with telehealth options available where appropriate. Contact our team to learn which treatment options and clinicians are available in your area.

Schedule a Consultation