Navigating PTSD and Borderline Personality Disorder: The Power of Dialectical Behavior Therapy Skills

Post-traumatic stress disorder (PTSD) and borderline personality disorder (BPD) are two distinct mental health conditions that can co-occur and create unique challenges for those affected. PTSD is a trauma-related disorder characterized by intrusive memories, emotional numbness, and increased arousal, while BPD is marked by emotional instability, impulsivity, and difficulties in relationships. Dialectical behavior therapy (DBT) is a comprehensive therapeutic approach that has effectively treated PTSD and BPD. In this article, we will explore the core components of DBT and how they can be helpful for individuals navigating the complexities of these co-occurring disorders.


Core Components of Dialectical Behavior Therapy

DBT focuses on four core components, which can be instrumental in addressing the symptoms of both PTSD and BPD. These components are mindfulness, emotion regulation, distress tolerance, and interpersonal effectiveness.

  1. Mindfulness: Mindfulness, the practice of being fully present and nonjudgmental, is a foundational skill in DBT. It helps individuals become more aware of their emotions, thoughts, and physical sensations, allowing for more adaptive choices and responses. For individuals with PTSD and BPD, mindfulness can help them gain control over intrusive thoughts, manage emotional reactions, and ground themselves in the present moment.
  2. Emotion Regulation: Emotion regulation skills help individuals understand, accept, and manage their emotions effectively. Identifying emotional triggers, recognizing patterns, and developing healthy coping strategies can lead to greater emotional stability and reduced impulsivity. These skills can be especially beneficial for those with PTSD and BPD, who often experience intense and overwhelming emotions.
  3. Distress Tolerance: Distress tolerance skills teach individuals how to cope with intense emotions and crises without resorting to impulsive or self-destructive behaviors. For people with PTSD and BPD, learning to tolerate emotional pain and discomfort can be crucial in preventing maladaptive coping mechanisms, such as substance abuse or self-harm, and increasing overall resilience.


Dialectical Behavior Therapy Techniques

Various techniques are used in DBT to help individuals with PTSD and BPD develop and apply core skills. These techniques can be practiced in individual therapy sessions, group settings, or as part of a self-help regimen.

  1. Skills Training: Skills training is essential to DBT, typically provided in a group setting. Participants learn and practice the core skills of mindfulness, emotion regulation, distress tolerance, and interpersonal effectiveness. Regular skills training sessions ensure that individuals have ample opportunities to develop and refine their abilities, which can be particularly helpful for those managing PTSD and BPD symptoms.
  2. Individual Therapy: In individual therapy sessions, clients work one-on-one with a trained therapist to address personal challenges and apply DBT skills to specific situations. The therapist helps the client identify and modify unhelpful thought patterns, develop personalized coping strategies, and practice the skills learned in skills training. This tailored approach can be especially beneficial for individuals navigating the complexities of co-occurring PTSD and BPD.
  3. Telephone Coaching: Telephone coaching is additional support available to individuals undergoing DBT. This immediate support helps reinforce the skills learned in therapy and encourages clients to actively implement them daily, which can be particularly valuable for those dealing with PTSD and BPD. Clients can call their therapist for guidance on applying DBT skills to real-life situations as they arise.


Benefits of Dialectical Behavior Therapy for PTSD and BPD

Dialectical behavior therapy has been extensively researched and shown to be effective in treating individuals with PTSD and BPD. Some of the benefits of DBT for those coping with these co-occurring disorders include:

  1. Reduced Emotional Instability: By learning and practicing emotion regulation skills, individuals with PTSD and BPD can experience fewer intense mood swings and a greater sense of emotional control. This leads to improved overall well-being and a reduction in impulsive behaviors.
  2. Improved Relationships: The interpersonal effectiveness skills taught in DBT help individuals with PTSD and BPD communicate more effectively, set boundaries, and manage conflict. These skills lead to healthier relationships and a better support network, which is essential for long-term recovery and personal growth.
  3. Enhanced Coping Strategies: DBT's focus on distress tolerance and mindfulness help individuals with PTSD and BPD find healthier ways to cope with emotional pain, intrusive thoughts, and crises. As a result, maladaptive coping mechanisms, such as self-harm or substance abuse, are significantly reduced.


Final Thoughts

Dialectical behavior therapy is a powerful therapeutic approach for individuals navigating co-occurring PTSD and borderline personality disorder. By focusing on mindfulness, emotion regulation, distress tolerance, and interpersonal effectiveness, DBT equips those with PTSD and BPD with the skills to manage their symptoms, improve relationships, and lead healthier, more fulfilling lives. If you or a loved one are struggling with PTSD and BPD, consider exploring the benefits of DBT with a trained mental health professional to help transform your life for the better.

Grouport Offers BPD Group Supports Online & DBT Skills Group Online

Grouport Therapy delivers online Dialectical Behavior Therapy (DBT) group support for individuals grappling with Borderline Personality Disorder (BPD). Our virtual group sessions guide members in integrating diverse psychotherapy methods, including DBT, into their routines, empowering them to communicate and articulate themselves more effectively.


This therapeutic approach bolsters self-awareness and emotional management by employing mindfulness and acceptance, curbing destructive behaviors, and fostering better interpersonal bonds.

A certified therapist leads weekly remote group meetings, allowing members to participate from their own homes. Based on participant feedback, 70% observed considerable improvements within 8 weeks.


You don't have to tackle these difficulties singlehandedly. Register for one of our courses today and commence your journey towards impactful, lasting personal growth and renewed hope. Join our supportive community and collaborate in pursuit of a brighter future.


Facilitated by a therapist-instructor, this online group imparts essential new techniques to substitute behaviors and emotions that create friction in your daily life and relationships. Due to licensing constraints, our online DBT group therapy sessions are limited to Florida, New York, and New Jersey residents. We encourage you to explore our dialectical behavior therapy skills group if you reside outside these states. Our dialectical behavior skills groups kick off with intensive DBT Core Principles modules, which will help you begin to transform your mental health.

Join a BPD Group Support Session

We offer DBT group therapy online to improve emotion regulation, distress tolerance, mindfulness, & interpersonal skills. Get effective and affordable treatment.

Find my groupFind my groupFind my group

Space is limited, so reserve your seat today.