Therapy for Personality Disorders: Treatments & Benefits

Medically Reviewed:
Dr. Randy Gelow, MD, FASAM
Ray Hamilton, DNP, PMHNP-BC, FNP-C
Last Updated: March 22, 2025

Personality disorders are complex mental health conditions that affect how people think, feel, and interact with others. People often miss or misunderstand these disorders, leaving many without the right care.

The effects can be serious, making it hard to have healthy relationships, succeed at work, or feel good about yourself. Understanding personality disorders and how to treat them can help those affected lead better, more stable lives.

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How Common Are Personality Disorders?

About 9% of people in the U.S. have a personality disorder. However, doctors often fail to diagnose these disorders. People may not seek help or may not notice the signs. Sometimes, the symptoms are so deeply part of a person’s identity that they go unnoticed.

Recognizing how common personality disorders are helps to break the stigma around them. Understanding that many people struggle with these conditions makes it easier to talk about and seek treatment.

Causes of Personality Disorders

Personality disorders can happen because of different reasons. Some of the common causes include:

  • Genetic Factors: Some people may be more likely to have a personality disorder because of family history.
  • Environmental Factors: Childhood trauma, neglect, or abuse can play a role in developing a personality disorder.
  • Neurological Factors: Problems in brain chemistry or changes in brain structure can also contribute to some personality disorders.

These factors can help explain why some people develop these disorders.

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Early Signs of Personality Disorders

Personality disorders usually show up during adolescence or early adulthood. Some early signs include:

  • Rigid Thinking: Difficulty seeing things from others’ points of view.
  • Mood Swings: Emotional reactions that seem out of proportion.
  • Relationship Trouble: Difficulty forming or keeping stable relationships.

Addressing these symptoms as soon as they appear allows individuals to get the support they need to develop healthier coping mechanisms and build stronger relationships.

Types of Personality Disorders

Personality disorders divide into three groups: A, B, and C. Each group has different disorders with unique symptoms.

  • Cluster A: Includes disorders like Paranoid Personality Disorder, where people may appear distrustful or withdrawn.
  • Cluster B: Includes Borderline Personality Disorder (BPD), Narcissistic Personality Disorder, and Antisocial Personality Disorder. These disorders involve intense emotions, impulsivity, and unpredictable behaviors.
  • Cluster C: Includes Avoidant Personality Disorder and Obsessive-Compulsive Personality Disorder (OCPD). These disorders involve anxiety, a fear of rejection, or an excessive need for order.

Early diagnosis and treatment can make a significant difference in managing symptoms and improving quality of life.

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Personality Disorders vs. Mood Disorders

It’s important to understand the difference between personality disorders and mood disorders:

  • Mood Disorders (like Bipolar Disorder) involve mood swings between depression and mania.
  • Personality Disorders involve long-term behavior patterns that affect relationships and self-image.

For example, someone with Borderline Personality Disorder (BPD) may have unstable relationships and mood swings, while someone with Bipolar Disorder may experience mood shifts without the relationship instability.

The Best Therapy for Personality Disorders

The right therapy depends on the type of personality disorder. Here are some effective therapies:

  • Dialectical Behavioral Therapy (DBT): Helps people with Borderline Personality Disorder (BPD) manage emotions and relationships.
  • Cognitive Behavioral Therapy (CBT): Focuses on changing negative thought patterns and behaviors.
  • Schema Therapy: Aims to change long-standing emotional patterns.
  • Group Therapy: Helps people practice social skills and emotional regulation in a group setting.

You can use these therapies alone or together to improve coping skills and relationships.

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Can Personality Disorders Be Managed Long-Term?

Although personality disorders can’t be “cured” in the traditional sense, you can manage them effectively with ongoing treatment. Therapy helps individuals change harmful patterns of behavior and develop healthier coping strategies.

With the right treatment, many people with personality disorders experience long-term improvements. Ongoing care and support are key to maintaining progress and living a fulfilling life.

What Happens If You Leave Personality Disorders Untreated?

Without treatment, personality disorders can lead to serious consequences, such as broken relationships, substance abuse, and worsening symptoms. These conditions can impact every area of life, making it difficult to function.

Seeking treatment can prevent these negative outcomes. Early intervention helps individuals avoid long-term struggles and regain control of their lives.

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Treating Personality Disorders and Substance Use Together

If you have both a personality disorder and substance use issues, dual diagnosis treatment is necessary. The Hope House provides care that addresses both issues at once. This integrated care gives individuals the best chance for long-term recovery.

  • Dual Diagnosis Treatment: Combines therapy for both personality disorders and substance use issues, treating both conditions simultaneously.
  • Integrated Care: Helps to address the root causes of both disorders and supports recovery from all angles.
  • Better Recovery Outcomes: Treating both conditions together leads to more stable and lasting results.
  • Personalized Approach: Treatment plans cater to each person’s unique needs, making sure both personality disorders and substance use issues are managed effectively.

This approach provides individuals with the tools they need to heal and move toward lasting recovery. With the right support, addressing both disorders at the same time greatly improves the chances for a successful outcome.

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Can You Do Online Therapy for Personality Disorders?

Online therapy offers a convenient option for treating personality disorders. It allows for privacy and flexibility, but may not offer the full range of services, such as group therapy or immediate crisis support.

While online therapy can be helpful, it’s important to understand its limitations. Consider the severity of the disorder and whether online therapy can fully meet your needs before deciding if it’s the right choice.

How to Choose the Right Therapy Program for Personality Disorders

Choosing the right therapy program is important for long-term success. When considering a program, it’s essential to make sure it tailors its approach to your specific needs. Personalized care ensures that you receive the most effective treatment for your unique situation.

Additionally, it’s crucial to choose a program that employs licensed therapists who are trained in treating personality disorders. These professionals will have the expertise needed to help you manage your condition and work toward recovery.

If you are dealing with both a personality disorder and substance use issues, it’s also important to find a program that offers dual diagnosis support. This integrated care will address both issues simultaneously, giving you the best chance for long-term recovery.

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Start Healing Now with Effective Therapy for Personality Disorders

At The Hope House, we provide personalized care to meet your unique needs. Our team offers dual diagnosis treatment, family therapy, and holistic approaches to help you on your recovery journey. Our goal is to help you build the skills needed for long-term stability.

If you or someone you love is struggling with a personality disorder, help is available. With the right therapy and support, it’s possible to manage symptoms and live a fulfilling life. Reach out to The Hope House today to learn more about our programs and how we can help.

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