Personality Disorders

Many different types of waves at Carlsbad beach.

Borderline Personality Disorder

Borderline personality disorder (BPD) is a disorder of emotion regulation. Individuals with BPD feel more intensely than other people, and it takes them longer to return to baseline. This can be a beautiful quality, deepening love and life experience, yet can also be destructive when expressed through certain behaviors, such as self-harm and suicidality. It can also be hard to know who you are and to maintain relationships. Extensive research indicates that with dialectical behavior therapy (DBT), available at Centered Ground, it is possible to move past this diagnosis, perhaps retaining the underlying temperament, yet without the detriment to self and others. Indeed not just surviving, but thriving, with a life worth living.

Bird flying alone in perfectly clear blue sky.

Avoidant Personality Disorder

At some level it may be normal to avoid anxiety-provoking social interaction.  However, with avoidant personality disorder, avoidance is a pervasive pattern that markedly interferes with functioning. This extends beyond social anxiety. For example, isolation can result, including estrangement from family, limited acquaintances rather than closer friendships, and severe difficulty developing and maintaining romantic partnerships. Work and school can also be impaired. Although actually deeply desiring relationships, the risk of even the slightest possibly critical feedback from others feels too threatening, and when experienced is so aversive, withdrawal swiftly follows. With radically open dialectical behavior therapy (RO DBT), available at Centered Ground, it is possible to overcome this pattern.

Two surfboard laying on the beach.

Obsessive-Compulsive Personality Disorder

Obsessive compulsive personality disorder (OCPD) is a pervasive pattern of rigidity, markedly interfering with functioning. For example, OCPD can impact relationships, work, school, and activities of daily living. This extends beyond obsessive-compulsive disorder (OCD), which is a discrete presentation that can usually be resolved with a focused course of exposure and response prevention (ERP). Radically open dialectical behavior therapy (RO DBT), available at Centered Ground, offers a more extensive approach that can help promote increased flexibility and social connection.