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Offered in-person & online

Our therapists offer Borderline Personality Disorder Counseling in Fredericksburg, VA

Start in-person or online sessions with a provider you can trust. We accept most major insurances. Book online or by giving us a call

Connect with a therapist, psychiatrist or counselor near you

Care without the wait

156 licensed therapists & providers in Virginia—2 in Fredericksburg. Available as soon as today, in person and online

Therapy for every life stage

Our providers work with individuals, couples, families, & teens for anxiety, depression, grief, & more

#1 for in-network coverage †

We accept UnitedHealthcare, Cigna, BCBS Plans, Humana, Aetna, & many more. Self-pay options available, no membership fees

Patients who get better

94% of patients feel truly understood by their provider. 3 out of 4 see improvement in depression & anxiety symptoms within 3 months

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5,994 people sought borderline personality disorder counseling help in Virginia in the last year

Discover how starting borderline personality disorder counseling can support your own journey toward a happier, more fulfilling life.

Meet with a therapist as soon as this week

Woodbridge, VA

As a Psychiatric Mental Health Nurse Practitioner deeply committed to culturally competent, compassionate care, I strive to create...

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Richmond, VA

As a therapist, I will do all that I can to learn who you are and what you're looking for, and then help create truly meaningful c...

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Lynchburg, VA

I firmly believe that the counseling process is a collaborative one, and I am excited to walk alongside you during this journey....

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Chesapeake, VA

As a mental health provider, my goal is to walk alongside you to fix not what is broken but to help you find tools to cultivate ho...

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Woodbridge, VA

As a South-Asian therapist, I bring warmth, curiosity, and a deep respect for your unique story, drawing from both my professional...

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We don’t have any providers with availability. Our schedules change daily. We’ll reach out as soon as a spot opens up.

Borderline personality disorder counseling FAQs

What is borderline personality disorder counseling?

Borderline personality disorder counseling in Fredericksburg, VA is the main form of treatment for borderline personality disorder. It teaches individuals skills that enable them to better manage and cope with their symptoms.

How does borderline personality disorder counseling work?

Borderline personality disorder counseling at Thriveworks is personalized to each individual. Depending on your unique needs, it can help you learn to manage uncomfortable feelings, reduce impulsivity, and improve relationships (which might otherwise be negatively affected by your condition).

Is borderline personality disorder counseling conducted in person or online?

Borderline personality disorder counseling with our Thriveworks Fredericksburg therapists can be conducted both in person and online by video. We encourage you to choose the option that works best for you.

How long does borderline personality disorder counseling last?

The length of borderline personality disorder counseling sessions will vary from one person to the next, dependent on their specific needs. However, most treatments for borderline personality disorder last for 1-3 years.

Need more help deciding?

Borderline Personality Disorder – Therapists and Counselors in Fredericksburg, VA

Borderline personality disorder (BPD) is a mental health condition in which an individual has difficulty controlling their emotions. People with BPD feel intense emotions for extended periods of time and have difficulty finding balance within these periods of irregularity. The episodes are brought on by emotional triggers. These emotional episodes can lead to strained relationships, self-harm, low self-esteem, and impulsive actions and decisions.

In recent research, it was determined that over 75% of individuals diagnosed with borderline personality disorder are women. Men are also impacted but commonly misdiagnosed.

Symptoms

Borderline personality disorder experience instability and insecurity within their emotions. These signs and symptoms may include:

  • Frantic efforts to avoid real or imagined abandonment by friends and family.
  • Unstable personal relationships that alternate between idealization (“I’m so in love!”) and devaluation (“I hate her”). This is also sometimes known as “splitting.”
  • Distorted and unstable self-image, which affects moods, values, opinions, goals and relationships.
  • Impulsive behaviors that can have dangerous outcomes, such as excessive spending, unsafe sex, substance abuse or reckless driving.
  • Self-harming behavior including suicidal threats or attempts.
  • Periods of intense depressed mood, irritability or anxiety lasting a few hours to a few days.
  • Chronic feelings of boredom or emptiness.
  • Inappropriate, intense or uncontrollable anger—often followed by shame and guilt.
  • Dissociative feelings—disconnecting from your thoughts or sense of identity or “out of body” type of feelings—and stress-related paranoid thoughts. Severe cases of stress can also lead to brief psychotic episodes.

Causes

As with many mental health illnesses, the root cause of borderline personality disorder is not clear and is the source of many research projects. The factors that contribute to the onset of BPD can range from family history to brain imbalances. Here is a breakdown of a few factors:

  1. Genetics: Individuals who have family members who have been diagnosed with BPD are more likely to develop the disease. Scientists have yet to identify a genetic link but there may be one identified as research improves.
  2. Environment: Individuals who live in toxic environments or experience abuse such as abandonment, physical or sexual trauma, are more likely to develop an illness like BPD. Environmental impact can be difficult for the brain to overcome and therefore create emotional imbalance that reduce an individual’s ability to make sound decisions.

Diagnosis

Borderline personality disorder does not have a concrete testing, which can make it extremely difficult to diagnose. Mental health professionals use comprehensive testing and evaluations that help to determine if the symptoms are in fact indicative of BPD.

Treatment

BPD patients are treated using personalized plans that address their symptoms. Mental health professionals can use one or more techniques during therapy that includes medication, group therapy, or psychotherapy. Cognitive behavioral therapy (CBT) is usual the first method of treatment mental health professionals uses to treat BPD patients.

These methods are adjusted as the plan progresses depending on how effective the treatment plan is in managing BPD symptoms. If a patient is suicidal, short-term hospitalization may be necessary to ensure their safety until their episode is stabilized.

Pricing & insurance

Our therapists accept most major insurance and we offer self-pay options too.
Learn more about pricing for therapy and counseling at Thriveworks.

Our therapists and counselors in Fredericksburg accept 32 insurance plans

  • Adventist Health Associates | Employee Health Plan

  • Adventist Health Associates | Non-Employee Health Plan

  • Aetna

  • Anthem Blue Cross and Blue Shield Virginia Medicare Advantage

  • Anthem Blue Cross and Blue Shield Virginia | BCBS HMO

  • Anthem Blue Cross and Blue Shield Virginia | BCBS PPO

  • Anthem Blue Cross and Blue Shield Virginia | Exchange

  • CareFirst Blue Cross and Blue Shield of Virginia | BCBS HMO

  • CareFirst Blue Cross and Blue Shield of Virginia | BCBS PPO

  • Carelon

  • Cigna | Evernorth

  • Compsych

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Self-pay costs at Fredericksburg
Talk therapy

Talk therapy

Includes individual, couples, child/ teen, & family therapy

First session

$1

Ongoing sessions

$1

Talk therapy

Psychiatry

Includes reducing symptoms with medication & management

First session

$1

Ongoing sessions

$1

Hear from our clients

4.7 Learn about verified reviews
★★★★★
Lisa was very kind and caring, regardless of the sessions purpose of “getting to know me”. I already walked away with encouragement and knowledge that I did not have.
Ivy Aug 2026Thriveworks.com verified review
★★★★★
My provider takes the time to focus on my issues and concerns. I’m comfortable with talking with her and the environment is one where I can open up and really address my thoughts and feelings.
Claire Aug 2026Thriveworks.com verified review
★★★★★
While the situation that landed me here was not good. The experience has exceeded expectations for me. My provider is great and so helpful. I have recommended Thriveworks to many acquaintances.
Mateo Aug 2026Thriveworks.com verified review
★★★★★
My provider is exactly what I needed. I'm grateful that I was connected to someone who communicates with me the way I need, who understands even if she doesn’t always agree, and who has been with me during many challenges and helped me still make it through.
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Alexa Aug 2026Thriveworks.com verified review
★★★★★
Can’t bday is a great balance for me - a trusted confidant who is supportive but firm and calls me out when needed always with my safety and security in mind.
Ana Jul 2026Thriveworks.com verified review
★★★★★
I absolutely like my therapist. I don’t think I’ve ever had a therapist that I’ve been so confident in. Thrive works is definitely has been a very good company to work with.
Isabella Jul 2026Thriveworks.com verified review
★★★★★
Aimee is caring and compassionate. She provides many useful suggestions for me to try.
Aliyah Jul 2026Thriveworks.com verified review
★★★★★
I like that Lisa is consistent and has open availability. She knows the appropriate amount of letting me brain dump and where to reel it in to helps us make some real progress/ breakthroughs
Adrian Jul 2026Thriveworks.com verified review
8 of 40 reviews

Where to find us

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Address

701 Kenmore Ave Suite 105
Fredericksburg, VA 22401

Getting here

Thriveworks Counseling & Psychiatry Fredericksburg is located near Kenmore Avenue and Mary Ball Street, off Route 1. It is near the Kenmore Historic Mansion and a short distance from the University of Mary Washington.

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Phone number

(540) 413-0358
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Languages spoken by VA providers

  • English
  • Spanish
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Hours

Tuesday 8:00am - 9:30pm
Wednesday 8:00am - 9:30pm
Thursday 8:00am - 9:30pm
Friday 8:00am - 9:30pm
Saturday 8:00am - 9:30pm
Sunday 8:00am - 9:30pm
Monday 8:00am - 9:30pm

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Tuesday 8:00am - 11:00pm
Wednesday 8:00am - 11:00pm
Thursday 8:00am - 11:00pm
Friday 8:00am - 11:00pm
Saturday 8:00am - 6:00pm
Sunday 8:00am - 6:00pm
Monday 8:00am - 11:00pm

Shown in ET

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