Psychiatrists in 19102
Rommel Rivera MD, PC
Psychiatrist, MD
Verified Verified
Philadelphia, PA 19102 (Online Only)
Expertise in Psychopharmacology and Medication Management
Expertise in Psychopharmacology and Medication Management
Dr. Jessica Spellun
Psychiatrist, MD
Verified Verified
Philadelphia, PA 19102
Not accepting new clients
Life is complicated. Despite our best efforts, everyone struggles at times. I understand that making changes in your life can be overwhelming. I encourage you to gather courage, ask questions, and have hope that things can get better if you are willing to work for it. My goal is to create a safe, caring, and nonjudgmental space for clients to be heard and understood. My approach prioritizes individuality and a holistic view of emotional wellbeing. Communicating feelings in a safe environment promotes healing through expression, leads to new insights about yourself, and can help you form more meaningful connections with others.
Life is complicated. Despite our best efforts, everyone struggles at times. I understand that making changes in your life can be overwhelming. I encourage you to gather courage, ask questions, and have hope that things can get better if you are willing to work for it. My goal is to create a safe, caring, and nonjudgmental space for clients to be heard and understood. My approach prioritizes individuality and a holistic view of emotional wellbeing. Communicating feelings in a safe environment promotes healing through expression, leads to new insights about yourself, and can help you form more meaningful connections with others.
Elena Del Busto
Psychiatrist, MD
Verified Verified
1 Endorsed
Philadelphia, PA 19102
I am an ABPN Board certified psychiatrist and Clinical Associate at the University of Pennsylvania in the Department of Psychiatry. I have been honored as Top Doc in Philadelphia Magazine in May 2018 and Main Line Today in 2014. I offer an integrated, holistic approach to mental health treatment and believe in using psychotherapy and psychopharmacology when appropriate. I feel it is best to use evidence-based medicine and personalized treatment plans to help optimize outcomes and improve my patients' mental health.
I am an ABPN Board certified psychiatrist and Clinical Associate at the University of Pennsylvania in the Department of Psychiatry. I have been honored as Top Doc in Philadelphia Magazine in May 2018 and Main Line Today in 2014. I offer an integrated, holistic approach to mental health treatment and believe in using psychotherapy and psychopharmacology when appropriate. I feel it is best to use evidence-based medicine and personalized treatment plans to help optimize outcomes and improve my patients' mental health.
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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.