Amber Miller Licensed Professional Counselor, Wisconsin

What I treat · Personality disorders

Personality disorders, worked slowly and respectfully.

Personality disorders are diagnoses with reputations they often do not deserve. The work is real, the change is real, and the slow pace is the work, not a sign it is not working.

Clients I see with a personality-disorder diagnosis have often been treated badly by parts of the mental-health system. The label can become a reason to be dismissed, even by therapists. I do not do that. I treat the diagnosis as one piece of information among many about a real person sitting in front of me.

Borderline-spectrum work is the most common version of this in my practice. It is workable. The long arc is months and years, not weeks. The day-to-day work is dialectical behavioral skills paired with the slower person-centered work of figuring out what the patterns are protecting.

How we work on it

Dialectical behavioral skills come in heavily. Person-centered work holds the room while we build trust. Some weeks the work is symptom-focused; some weeks it is the older, slower work underneath.

With a clear personality-disorder diagnosis, the medication picture often runs alongside. I am not a prescriber, so if medication is part of your picture I will work alongside your psychiatrist.

A personality-disorder diagnosis is a description of patterns, not a sentence. The patterns formed for reasons. The reasons are workable.

What this is not

Full DBT programs (the multi-component model with weekly group, individual session, and between-session phone coaching) are a different commitment. I do DBT-informed individual therapy, not the full program; for the full program I can refer you. And weekly outpatient therapy is the wrong level of care for an active crisis: 988 by phone, text, or chat is the first step there.

What to do next

If a personality-disorder diagnosis or pattern is what brought you here, the next step is to schedule the consultation or intake session.

Schedule a free 15 minutes consult

Common questions

Things people ask before reaching out.

Do you do full DBT?

Not the full multi-component DBT program. I do DBT-informed individual therapy. If you need the full program I will refer you to a clinician who runs one.

Do you treat narcissistic personality disorder?

I see clients whose patterns include NPD-adjacent traits, often paired with self-esteem work. NPD as a primary specialty is less common in my caseload than borderline-spectrum work.

Is BadgerCare in-network?

Yes. BadgerCare, Medicaid, Medicare, and most major Wisconsin commercial plans bill in-network. The current list is on the insurance and fees page.

Where I can see you

By telehealth, anywhere in Wisconsin.

Common cities and college towns where I work with clients on this. If yours is not listed, telehealth covers you all the same.

Also serving across Wisconsin

Don't see your city? Telehealth covers any Wisconsin address. Get in touch.

A·M LPC 12237

Reaching out is the hardest part. After that, I take it from there.