Cary Borderline Personality Disorder Therapy

Borderline Personality Disorder Therapy in Cary, NC—Therapy and Counseling

In certain respects, Pete Davidson is living his dream. Born and raised in New York, Pete is now a cast member in one of the city’s iconic establishments: Saturday Night Live. In other respects, Pete’s life has been a nightmare. When Pete was a child, his father passed away. He was a firefighter who responded to the 9/11 attacks and gave his life to safe others. Pete has spoken freely about his success and his setbacks in life, and when he was recently diagnosed with Borderline Personality Disorder, he did what he has always done. Pete talked about it with honesty, genuineness, and (of course!) humor. He went on Weekend Update, and encouraged audiences, “first of all, if you think you’re depressed, see a doctor and talk to them about medication, and also be healthy. Eating right and exercise can make a huge difference. And finally, if you are in the cast of a late-night comedy show, it might help if they, ya know, do more of your sketches.” Most people probably will not benefit from that last piece of advice, but reaching out for help is very applicable. Borderline Personality Disorder is serious mental illness, but it has treatment. Many people learn how to live their own lives by going to therapy for BPD.

The Borderline Personality Disorder Therapists at Thriveworks Counseling in Cary have guided many people as they battle Borderline Personality Disorder and as they fight for stability in their lives.

Borderline Personality Disorder: Symptoms and Diagnosis

Sylvia Plath described her own struggle with mental health and BPD, saying, “It is as if my life were magically run by two electric currents: joyous positive and despairing negative —whichever is running at the moment dominates my life, floods it.”

The instability that Sylvia described is also chronicled in The Diagnostic and Statistical Manual of Mental Disorders where its official signs and symptoms are outlined. All of BPD’s diagnostics are all marked by instability. Volatility is a defining characteristic, and it shows itself in a variety of ways, such as…

  • An acute and profound fear of separation and abandonment.
  • An acute and profound feeling of emptiness.
  • A quarrelsome personality marked by sarcasm, anger, bitterness, antagonism, and more.
  • A history of fractured relationships (both professional and personal). BPD can often lead people to glorify others, and then, when others do not live up to the expectations, they are vilified.
  • Quickly and regularly switching values, identities, goals, and perceptions.
  • Moving from feeling to feeling: euphoria to anger to joy to anxiety to irritability and more.
  • Experiencing times (minutes, hours, or even days) of paranoid wherein one cannot distinguish reality.
  • Difficulty receiving any form (even appropriate or constructive) criticism and feedback.
  • Suicide ideation, self-harm, attempted suicide, and threats of self-harm or suicide.
  • Taking unnecessary and reckless risks that put oneself and others at risk: substance abuse, reckless driving, engaging in unsafe sex, unchecked gambling, and more.

These signs paint a difficult picture of the challenges BPD can place in an individual’s life, but they are not the whole picture. Borderline Personality Disorder can also increase an individual’s risk for other mental health challenges like addiction, depression, self-harm, eating disorders, and substance abuse.

BPD Development and Risk Factors

The causes of Borderline Personality Disorder are not known, but there are certain factors that can increase its likelihood. Mental health professionals have identified risk factors that can aid the development of BPD, such as…

  • A family history of mental health problems, especially BPD.
  • Surviving childhood neglect or abuse (emotional, physical, and/or sexual), particularly from the hands of a parent or caregiver.
  • A smaller than normal hippocampus size (part of the brain that regulates stress response and emotions).
  • During childhood, having a parent or caregiver die or abandon the family.

Mitigating BPD: Borderline Personality Disorder Therapy

“There’s a special therapy developed for people with borderline personality disorder called dialectical behavioral therapy, or DBT. It’s very practical, focusing on teaching the patients coping skills to keep in their back pocket, like a neurological cheat sheet to pull out in situations where we want our behavior to be different.”
—Eliza Hecht,
“I Have Borderline Personality Disorder.
Here Are 6 Things I Wish People Understood.”

The harm that BPD may cause in an individual’s life is not a guarantee. Many people have benefitted from Dialectal Behavior Therapy, a treatment that was created specifically for Borderline Personality Disorder. DBT focuses upon teaching people the skills they need to overcome the instability that BPD introduces into their lives, skills such as…

  • Mindfulness is a simple concept but a difficult practice. Mindfulness teaches people to pay attention to what they are sensing, feeling, and thinking without judging themselves in anyway.
  • Emotional regulation is a skill that allows people to feel their feelings while staying in control of themselves.
  • Distress tolerance teaches people how to respond to life’s inevitable setbacks, hardships, and difficulties with resiliency.
  • Interpersonal effectiveness focuses upon building healthy relationships in many different contexts—at home, in the office, in the community, at school, and more.

Borderline Personality Disorder Therapy in Cary, NC—Setting Up an Appointment

If you are fighting Borderline Personality Disorder, know that you do not have to fight alone. Thriveworks Counseling in Cary offers Borderline Personality Disorder Therapy. When you contact our office, a real person will answer your call. Your first appointment may be the following day. We also accept many different insurance plans, and weekend and evening sessions are offered. Let’s get started. Call today.

Thriveworks Counseling Cary

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Overall Rating: 5★★★★★ based on 11 5 1 11 reviews. See all reviews
Thriveworks Counseling Cary

Dr. Bell is awesome!

My husband and I saw Dr. Bell for marital counseling. She helped us work through things that I thought were impossible! Her style and methods of communicating helped us to examine ourselves and reestablish our relationship. Truly a God-send!
Thriveworks Counseling Cary


I have worked with Brittney Peiffer and cannot recommend her enough! She is attentive and and knowledgable, and genuinely cares for people and their well-being. She is able to provide guidance without judgement - and she has a special talent for building rapport with her clients. I would recommend Brittney to family and friends without hesitation.  She is an incredible asset to the Thriveworks Team!
Thriveworks Counseling Cary


Nicole Kilpatrick is a veryy warm straight fowarded person who has a heart to help others. She is very passionate about the services she provides. She is warm, friendly, private and loyalty is outstanding. She is a giver in many ways and it comes from her heart.
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Grief Counseling

Nicole Kilpatrick is amazing! She actually listens to what you say and helps YOU figure out what steps need to be taken. A good counselor does not judge or makes you feel less than....this is Nicole
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Awesome Service

Nicole Kilpatrick is a phenomenal therapist that is all about making sure her clients needs are met. She is very personable, professional and just a great listener. She wants to know you as a "whole" person and challenges you to be your best person. She is all about staying motivated while moving through the healing process. Anyone can benefit from her expertise and her stellar tips and strategies!!! She is so intuitive and knowledgeable. I give her the highest rating!!
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Great Therapist

My family has had the pleasure of working with Nicole at this company. She is a great therapist and easy to talk to to. She was attentive to our needs and helped us to work through our issues during a very difficult time. Nicole is friendly and experienced in her treatment modalities. We would definitely continue to see her and recommend her to families that are experiencing hardships and need someone to provide support and assurance.
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Highly Recommend

I highly recommend V. Nicole. She is so compassionate, easy to talk to, and has very practical information to provide about how to manage the stress of life. I highly recommend!
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Review for Shahin Sabouri

I recommend Ms. Sabouri, she is empathetic, caring and knowledgeable about human psyche, she offers many useful skills which you can take away with you, into your daily life.
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Review for Shahin Sabouri

In my experience with Shahin, I found her to be a caring, dedicated and thoughtful toward her clients and her clients’ wellbeing has top priority for her.
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Trusting and compassionate

I have known Dr. Bell for 8 years and from her work with Soldiers and families at Fort Bragg. She is compassionate, nonjudgmental, and extremely skilled as a therapist. She is super friendly and always made me happy when I was around her.
Thriveworks Counseling Cary

Managing Principal/Consultant

I've had the pleasure of working with Dr. Debi Bell both in group and one on one settings for the past three years. I've found her to be an ardent and compassionate listener, one who is genuinely concerned about the growth and development of individuals. Dr. Bell's warm and inviting spirit is easily noticeable and carries throughout the counseling experience. The competencies she espouses allows her to effectively work with constituents across various backgrounds and experiences, including military backgrounds. Most noticeable in my interactions with Dr. Bell is that she is an indefatigable persister in helping clients achieve maximum results in the counseling experience.
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Thriveworks Counseling & Psychiatry Cary

Schedule your first appointment with a Thriveworks Counselor or Life Coach!

  • 119 SW Maynard Rd Suite 200,
    Cary, NC 27511

  • Mon-Fri:7AM-9:30PM

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