When you’re seeking personality disorder treatment for adults, you deserve a tailored treatment program that combines evidence-based therapies, emotional regulation skills, and long-term support. You may be facing chronic instability, intense emotions, or relationship challenges—rest assured, comprehensive care can help you build stability and reclaim control over your life.
In this article you’ll explore key therapies like dialectical behavior therapy and cognitive behavioral therapy, understand different levels of care, learn how insurance works for personality disorder services, compare leading treatment centers, and plan for lasting recovery. Let’s walk through the steps toward a structured, safe path to emotional well-being.
Understanding personality disorders
Personality disorders involve enduring patterns of thoughts, feelings, and behaviors that significantly impact daily life and relationships. Borderline personality disorder (BPD), one of the more commonly diagnosed conditions, affects about 1.6 percent of adults and often includes fears of abandonment, unstable self-image, and impulsive actions. Although insurers sometimes classify BPD as an Axis II diagnosis and limit coverage, it is very much a real and treatable condition.
Common symptoms may include:
- Intense mood swings and emotional volatility
- Chronic feelings of emptiness or identity confusion
- Impulsive behaviors such as reckless driving or substance use
- Self-harm or suicidal thoughts
- Unstable relationships marked by alternating idealization and devaluation
Recognizing these patterns is the first step toward finding the right support.
Explore evidence-based therapies
Dialectical behavior therapy
Dialectical behavior therapy (DBT) is widely regarded as the gold-standard approach for personality disorders characterized by emotional dysregulation. In a DBT therapy program for adults you’ll learn skills to manage intense emotions, improve relationships, and reduce self-destructive behaviors.
Key DBT components
- Weekly individual counseling for personalized feedback
- Skills groups covering mindfulness, distress tolerance, emotion regulation, and interpersonal effectiveness
- 24/7 phone coaching to apply skills in real-world moments
- Homework assignments to practice new strategies
Insurance coverage for DBT
- In-network programs often require prior authorization
- Out-of-network care can be reimbursed via superbills
- Coinsurance and deductibles vary by plan
- Some centers assist with appeals if claims are denied
Cognitive behavioral therapy
Cognitive behavioral therapy helps you identify and challenge unhelpful thought patterns that fuel emotional instability. By working with a trained therapist, you learn healthier coping strategies and problem-solving techniques.
Role of CBT in treatment
- Encourages self-reflection and insight into behavior
- Teaches skills to counter negative thinking
- Reduces risk of relapse by strengthening adaptive responses
- Can be combined with DBT for a comprehensive plan
For guidance on managing emotional dysregulation, see our resource on therapy for adults with emotional dysregulation.
Trauma-informed therapy
Many adults with personality disorders have a history of trauma. A trauma-informed approach ensures you feel safe and supported as you address underlying wounds.
Benefits of trauma-informed care
- Validates your experiences and promotes trust
- Integrates coping skills before processing trauma directly
- Fosters resilience through a supportive environment
- Often paired with DBT or CBT for holistic recovery
Explore options in our bpd and trauma treatment for adults guide.
Assess treatment levels
Choosing the right level of care depends on the severity of symptoms, current support system, and insurance benefits. Below are common options:
Outpatient programs
Outpatient therapy allows you to live at home and attend weekly sessions. Ideal for those with stable housing and strong support networks.
Day treatment programs
A structured day program offers intensive therapy during business hours, then you return home at night. It’s a middle ground between outpatient and residential care.
Partial hospitalization programs
Partial hospitalization provides a higher level of support—therapy sessions throughout the day, medical monitoring, and group work—without overnight stays.
Residential treatment
For those needing 24-hour care, residential treatment for adults with personality disorders offers a safe, immersive environment. You receive individual therapy, group sessions, and skills coaching under one roof. Learn more about our residential treatment for adults with personality disorders.
Evaluate insurance coverage
Navigating insurance can feel daunting, especially when personality disorders are viewed as non-acute. Here’s how to advocate for your care:
In-network vs out-of-network
- In-network providers often have lower copays and streamlined authorization
- Out-of-network care may require filing superbills for reimbursement
Prior authorization requirements
- Most insurers require documentation of medical necessity
- Your provider can submit treatment plans and clinical notes to secure approval
Handling denials
- Request a peer-to-peer review if initial claims are rejected
- Work with your treatment center’s billing team to appeal
- Set short-term goals with your therapist while appeals are pending
Understanding these elements helps you access the coverage you need for long-term stabilization.
Compare reputable centers
Below is a comparison of three leading programs known for their expertise in personality disorder care:
| Center | Coverage | Treatment programs | Key features |
|---|---|---|---|
| Skyland Trail | In-network and out-of-network options | DBT residential and DBT day treatment | Weekly individual therapy, skills groups, 24/7 coaching |
| BrightQuest | Major insurers and out-of-network | Individualized residential plans | Family involvement, multilevel family programs |
| The Gunderson Residence | In-network | 60-day evaluation and skills track | DBT, MBT, GPM, TFP, weekly family therapy |
Each center offers tailored treatment programs designed to address personality disorder symptoms and co-occurring conditions.
Plan for long-term recovery
Recovery doesn’t end when treatment does. A strong aftercare plan helps you maintain gains and adapt to daily life.
Aftercare and support
- Continued outpatient therapy or group meetings
- Regular check-ins with a case manager or therapist
- Peer support groups focused on emotional regulation
Family involvement
Family members can offer motivation, accountability, and unconditional support. Many programs invite loved ones to participate in educational workshops and therapy sessions.
Self-care strategies
- Develop a daily routine with mindfulness practices
- Engage in regular physical activity and balanced nutrition
- Practice journaling to monitor mood patterns
- Build a network of trusted friends or support groups
A comprehensive approach ensures you have the support necessary for lasting recovery.
Take next steps
You don’t have to navigate personality disorder treatment alone. If you’re ready to explore options, start by consulting with a provider about your needs and insurance benefits. For specialized DBT you can trust, visit our dbt therapy program for adults page. You deserve a supportive environment and individualized plan that guides you toward emotional stability and lasting well-being.
