Trauma, Personality and Relationships
Therapy for BPD: Borderline Personality Disorder
This might sound familiar if…
- Your emotions shift in intensity very quickly, and sometimes feel disproportionate to the people around you.
- Fear of being abandoned shapes how you relate to people, even without a clear sign that it's about to happen.
- It's hard to describe who you are outside your relationships or how you feel in the moment.
- You've tried therapy before and feel like it never got to the root of this.
"Borderline personality disorder is a treatable, manageable condition. There's no need to live life on the edge, and no need to be numbed either — there's a balance, and it can be found."
— Diana Ileana Martínez Álvarez
What BPD is
Borderline personality disorder is marked by intense emotional instability, fear of abandonment, and difficulty holding a stable sense of identity over time.
How it feels from the inside
Abrupt mood shifts, relationships that swing between idealization and rupture, a constant fear of being abandoned, and a sense of not quite knowing who you are outside those swings.
How the psychoanalytic approach works
The work holds a stable space where those swings can be thought about rather than only acted out, building a consistent therapeutic relationship step by step.
Coordination with psychiatry
BPD often benefits from combined care. IMALVA does not prescribe medication and coordinates with psychiatry when needed.
What the online process looks like
Sessions are weekly, by video call, with the same containing structure as an in-person process.
Not sure this is it?
If what resonates most is seasonal shifts in energy and mood, rather than swings tied to your relationships and sense of identity, that conversation belongs on Anxiety and Depression (bipolar disorder).
See Anxiety and DepressionFrequently asked questions
Is BPD treatable? +
Yes. Sustained psychotherapeutic work helps stabilize the emotional and relational instability characteristic of BPD, sometimes alongside psychiatry.
How long does the process take? +
[Pending confirmation — no timelines are promised, see spec §1 Voice: "no promised outcomes or timelines"]
Does online therapy work for BPD? +
The online format doesn’t change the underlying psychoanalytic work; what matters is the continuity and consistency of the process.
One step at a time
You don't need this figured out, or even the right words for it, to start. The first step isn't a diagnosis. It's a conversation.