Borderline Personality Disorder and DBT: can therapy really help me?
If you’ve heard the term Borderline Personality Disorder (BPD) and felt overwhelmed, you’re not alone. It’s one of the most misunderstood mental health conditions. And also one of the most treatable. One of the best-supported treatments for BPD is Dialectical Behaviour Therapy (DBT).
What Is Borderline Personality Disorder?
Borderline Personality Disorder (BPD) affects how you relate to others, how you manage emotions, and how you see yourself. If you struggle with intense emotions, unstable relationships, or fear of abandonment, you may be dealing with BPD.
Common symptoms of BPD include:
- Rapid emotional shifts
- Fear of rejection or abandonment
- Intense or unstable relationships
- Difficulty controlling anger
- Impulsive behaviours (spending, substance use, etc.)
- Chronic feelings of emptiness
- Self-harm or suicidal thoughts
It’s important to know: These are symptoms, not flaws. Many individuals with BPD have experienced early trauma, neglect, or emotional invalidation. This isn’t your fault. And yes, you can get better.
Borderline Personality Disorder and DBT: Why It Works
DBT was specifically created for Borderline Personality Disorder by Dr. Marsha Linehan in the 1990s. Since then, it has become the gold standard of care.
DBT helps because it teaches four core skills that people with BPD often didn’t learn growing up:
- Mindfulness – Being present and aware without judgment
- Distress Tolerance – Managing pain without making things worse
- Emotion Regulation – Understanding and reducing emotional reactivity
- Interpersonal Effectiveness – Navigating relationships and asking for what you need
Instead of focusing only on talking about your past, DBT gives you practical tools to handle the now. It’s structured, skills-based, and proven to help reduce emotional distress and self-destructive behaviours.
Learn more about DBT therapy options at Grigore Counselling.
What Does a DBT Program Look Like?
Grigore Counselling offers DBT that may include:
- Individual sessions (weekly, focused on personal goals)
- Skills training (learning and applying DBT strategies)
- Therapist consultation teams (ensuring top-quality care)
Even if you’re not ready for the full program, many clients benefit from DBT-informed therapy. We tailor your treatment based on your needs.
What to Expect Emotionally
Many clients ask: Is DBT hard?
The honest answer: yes, sometimes. It’s work. You’ll face uncomfortable emotions and challenge patterns that no longer serve you. But it’s also empowering. Clients often tell us:
“For the first time, I don’t feel like a problem. I feel understood and I have tools.”
Borderline Personality Disorder and DBT: Who It Helps
DBT is effective not only for BPD, but also for:
- PTSD
- Suicidal ideation
- Self-harm
- Depression
- Anxiety
- Eating disorders
- Addictions
DBT is especially helpful when emotions feel like they “take over” or when relationships feel chaotic.
The Long-Term Outlook
Here’s the good news: BPD is treatable. Studies show that 88% of people with BPD no longer meet criteria after a year or more of DBT. With commitment and the right support, recovery is absolutely possible.
Our clinicians provide DBT-informed care that respects your identity, trauma history, and cultural background. You’ll be met with compassion, not judgment.
FAQs About Borderline Personality Disorder and DBT
1. Can DBT work even if I’ve tried therapy before and it didn’t help?
Yes. DBT is a different approach—structured, practical, and research-backed. Many clients who didn’t improve with other therapies find success with DBT.
2. How long does DBT take to work?
Most DBT programs last 6–12 months. Some clients start seeing change in a few weeks; others need longer. Your therapist will work with your pace.
3. Is BPD a lifelong condition?
No. With the right support and commitment, many people no longer meet diagnostic criteria within 1–2 years. Change is absolutely possible.