Photo of Paula F Eagle, Psychiatrist in New York, NY
Paula F Eagle
Psychiatrist, MD
Verified Verified
New York, NY 10016
If you are anxious and depressed despite trying different medications and treatments and, you can't seem to get the relief you need, and if you still don't connect in relationships, and can't find satisfaction in your accomplishments, or engage in self-destructive behavior, then I am the person to contact. I have traditional training in psychoanalysis and psychopharmacology, but I also use hypnosis, EMDR, and other innovative forms of treatment. I believe that communication is the key to effective treatment and that our teamwork is essential to the development of trust and empathy necessary in developing healthy relationships..
If you are anxious and depressed despite trying different medications and treatments and, you can't seem to get the relief you need, and if you still don't connect in relationships, and can't find satisfaction in your accomplishments, or engage in self-destructive behavior, then I am the person to contact. I have traditional training in psychoanalysis and psychopharmacology, but I also use hypnosis, EMDR, and other innovative forms of treatment. I believe that communication is the key to effective treatment and that our teamwork is essential to the development of trust and empathy necessary in developing healthy relationships..
(212) 448-0248 View (212) 448-0248
Photo of Marcia Starkman, Psychiatric Nurse in New York, NY
Marcia Starkman
Psychiatric Nurse, MSN, APRN, PMHCNS, BC
Verified Verified
New York, NY 10010  (Online Only)
Not accepting new clients
Things are tough all over! It can be hard to ask for & find help. I’m a warm, compassionate, Psychiatric Clinical Nurse Specialist in solo practice. I ONLY do "talk therapy,” using a combination of evidence based methods. I do NOT provide OR refill medications OR prescriptions! Confidential (e-mail, text, video, phone) and remote - whatever way works for you. I mainly work with women, but welcome everyone! My specialties are reproductive mental health (PMDD, PMAD, pregnancy loss, infertility, menopause), anxiety/mood disorders, BPD, HSPs, kids, life transitions, disordered eating, nomads, nurses, young adults & college students.
Things are tough all over! It can be hard to ask for & find help. I’m a warm, compassionate, Psychiatric Clinical Nurse Specialist in solo practice. I ONLY do "talk therapy,” using a combination of evidence based methods. I do NOT provide OR refill medications OR prescriptions! Confidential (e-mail, text, video, phone) and remote - whatever way works for you. I mainly work with women, but welcome everyone! My specialties are reproductive mental health (PMDD, PMAD, pregnancy loss, infertility, menopause), anxiety/mood disorders, BPD, HSPs, kids, life transitions, disordered eating, nomads, nurses, young adults & college students.
(267) 609-5744 View (267) 609-5744
Borderline Personality (BPD) Psychiatrists

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.