Quick Answer
Borderline personality disorder (BPD) involves intense, rapidly shifting emotions, a deep fear of abandonment, unstable relationships and self-image, and impulsivity. At East Texas Psychiatry and Counseling in Tyler, board-certified psychiatric nurse practitioners treat borderline personality disorder with coordinated medication management and therapy — in person or by secure video across Texas, with most new patients seen within a week.
Key Takeaways
- Borderline Personality Disorder is a recognized, treatable condition — not a personal failing — and most people improve with the right, individualized plan.
- Common signs include intense, shifting emotions, fear of abandonment, unstable relationships, impulsive behavior, and a professional evaluation clarifies the picture without you having to self-diagnose.
- Care at East Texas Psychiatry begins with an unhurried 90-minute psychiatric evaluation that shapes a plan around your history and goals.
- Treatment may combine evidence-based medication management and therapy, coordinated under one roof and adjusted over time.
- You can be seen in person at our Tyler clinic on Loop 323 or by secure telepsychiatry anywhere in Texas, with most new patients seen within a week.
01 — OverviewOverview
Borderline personality disorder (BPD) involves intense, rapidly shifting emotions, a deep fear of abandonment, unstable relationships and self-image, and impulsivity. It can be painful and isolating — and, importantly, it is treatable, with many people achieving lasting improvement.
Borderline Personality Disorder (BPD) is a condition involving instability in emotions, self-image, and relationships, along with impulsivity.
Borderline Personality Disorder is one of the mental health conditions we treat at East Texas Psychiatry, and effective care often connects with related support such as dialectical behavior therapy and personality disorders.
02Signs & Symptoms
Signs include emotional intensity and rapid mood shifts, fear of abandonment, unstable relationships, impulsive behavior, an unstable sense of self, and difficulty regulating emotions.
| Question | What to know |
|---|---|
| Is it treatable? | Yes. Most people improve with an individualized plan of medication management, therapy, or both. |
| Who does it affect? | People of many ages and backgrounds; our team treats adults, and Karen A. English, PMHNP-BC, focuses on children and adolescents. |
| How do we start? | With a 90-minute psychiatric evaluation that clarifies the diagnosis and builds a plan with you. |
| In person or virtual? | Both — in person at our Tyler clinic on Loop 323, or by secure video anywhere in Texas. |
| How soon can I be seen? | Most new patients are seen within a week. Call (430) 288-5800 to start. |
03Causes & Risk Factors
BPD develops from a combination of genetics, temperament, and life experiences, often including invalidating or traumatic environments. It is not a character flaw.
04How We Help
The most effective treatment is Dialectical Behavior Therapy (DBT), often with medication management for co-occurring symptoms. Care begins with a psychiatric evaluation; co-founder Antonio Brigham brings depth in complex care.
The challenge
Living with borderline personality disorder can quietly erode sleep, focus, relationships, and the ability to enjoy daily life — and waiting often makes it harder.
Our approach
A board-certified PMHNP evaluates what's really going on and builds an evidence-based plan — medication management, therapy, or both — tailored to you.
The outcome
With coordinated, monitored care that's adjusted over time, most people find meaningful, lasting relief and get back to the life they want.
Take the first step
Help for borderline personality disorder starts with one conversation — most new patients are seen within a week.
05What to Expect
You'll begin with an unhurried evaluation, leave with a clear understanding and a plan, and have coordinated follow-up as treatment evolves. This page is educational and isn't a substitute for personalized medical advice.
06Trusted Resources & Support
These national organizations offer reliable, evidence-based information and 24/7 support:
NIMH — Help for Mental Illnesses · SAMHSA National Helpline · 988 Suicide & Crisis Lifeline · MedlinePlus — Mental Health
The Bottom Line
Borderline Personality Disorder is treatable, and help is closer than it feels. The most important step is the first one — a conversation with a board-certified PMHNP who listens. Call (430) 288-5800 or schedule online; most new patients are seen within a week.
Frequently Asked Questions
Is BPD treatable?
Yes. With evidence-based therapy like DBT, many people experience major, lasting improvement in emotions, relationships, and quality of life.
What is DBT?
Dialectical Behavior Therapy (DBT) teaches skills for managing intense emotions, tolerating distress, and improving relationships. It's the leading treatment for BPD.
Is medication used for BPD?
Therapy is central, but medication can help with co-occurring symptoms like depression or anxiety. Your provider will tailor the plan.
How We Reviewed This Page
This page was written for East Texas Psychiatry and Counseling and reviewed by our board-certified psychiatric-mental health nurse practitioners for clinical accuracy. It draws on guidance from primary sources such as the National Institute of Mental Health and other .gov/.org authorities cited below, and reflects how our Tyler-based team approaches care. It is reviewed and updated regularly.
What's new: June 2026 — full content review and brand-aligned rebuild.
References & Trusted Resources
- National Institute of Mental Health — Health Topics. https://www.nimh.nih.gov/health/topics
- 988 Suicide & Crisis Lifeline. https://988lifeline.org/
- SAMHSA National Helpline. https://www.samhsa.gov/find-help/national-helpline
