Personality Disorders Therapy
Serving San Jose, Sacramento & all of California
Personality
Personality Disorders Therapy to Change Unhelpful, Long-Term Patterns
Personality Disorder therapy can help you if you feel like the same patterns keep tripping you up—no matter how hard you try—you might wonder if there’s something deeper going on. Personality disorders aren’t about being “broken”; they’re about long-standing habits of thinking, feeling, and relating that can make life harder than it needs to be. Here are a few things you may relate to:
- Often feel misunderstood or disconnected from others, even in close relationships.
- Struggle with big swings in how I see myself—sometimes confident, other times worthless.
- Having reactions to stress or conflict feel stronger, longer-lasting, or harder to manage than other people’s.
- Noticing the same problems in relationships, work, or self-esteem coming up again and again.
Personality Disorders therapy can help you end the patterns that keep you stuck. We can work on untangling these patterns and creating more stability, confidence, and connection in your life with therapy for a personality disorder.
Laura Johnson, LMFT, LPCC, is a certified CBT and schema therapist with expertise in personality disorders therapy. I can provide you with personality disorders therapy if you live anywhere in California including San Jose, San Francisco, Sacramento, Los Angeles, and San Diego.
Could I Have a Personality Disorder?
If you’ve ever felt like the same patterns keep tripping you up—no matter how hard you try—you might wonder if there’s something deeper going on. Personality disorders aren’t about being “broken”; they’re about long-standing habits of thinking, feeling, and relating that can make life harder than it needs to be.
Ask yourself:
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Do I often feel misunderstood or disconnected from others, even in close relationships?
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Do I struggle with big swings in how I see myself—sometimes confident, other times worthless?
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Do my reactions to stress or conflict feel stronger, longer-lasting, or harder to manage than other people’s?
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Do I notice the same problems in relationships, work, or self-esteem coming up again and again?
If you’ve answered yes to some of these questions, consider reaching out for support. Together, we can work on untangling these patterns and creating more stability, confidence, and connection in your life.
What is a Personality Disorder?
A personality disorder involves long-standing patterns of thinking, feeling, and behaving that cause ongoing struggles in relationships, work, or self-esteem. These patterns often begin in adolescence and may feel like “just who you are,” but they create unnecessary distress and barriers to living the life you want.
Rather than neat categories, most people have personality traits that may cause more struggle than needed. These traits exist on a spectrum—from mild styles that occasionally get in the way, to rigid patterns that dominate daily life. Common challenges include unstable self-image, difficulty managing stress, and recurring conflicts in relationships.
The good news: with the right therapy, it’s possible to understand these patterns, develop healthier coping skills, and create more stable and fulfilling connections.
Common Types of Personality
There are 10 official personality disorder diagnoses, but most people struggle more with patterns of personality than with neat diagnostic labels. Schema therapy focuses on these underlying patterns and how they affect your life. Here are some of the most common personality disorders schema therapy can help with:
How Schema Therapy Helps
Schema Therapy helps you break free from long-standing “life traps” that keep fueling anxiety, depression, and relationship struggles. It blends insight, emotional healing, and practical tools so you can make lasting changes in how you think, feel, and relate to others.
Schema Therapy identifies 18 possible ‘life traps.’ Here are a few of the most common ones that many people recognize in themselves:
- Defectiveness & Shame – feeling like you’re unworthy or deeply flawed.
- Emotional Deprivation – believing your needs for love and support will never be met.
- Unrelenting Standards – feeling pressure to be perfect and never good enough.
- Failure – expecting to fall short, even when you’re capable.
- Abandonment – fearing that important people in your life will leave you.
In therapy, you’ll work on:
- Identifying schemas – noticing the deep patterns and triggers that keep repeating.
- Exploring childhood roots – understanding where these patterns began and how they still shape you.
- Imagery rescripting & role-play – reworking painful memories and practicing healthier responses.
- Mode work – recognizing your different “parts” (like the inner critic or vulnerable child) and strengthening the healthy self that can take the lead.
- Therapeutic relationship – using the safe, supportive connection with your therapist as a base for growth.
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Building new coping skills – replacing old reactions with strategies that help you feel calmer, stronger, and more in control.
Why Work with Me?
I specialize in helping people with personality disorders make lasting changes by breaking free from the deeply rooted patterns that keep them stuck. As one of the few therapists in California who is both a Certified Cognitive Behavior Therapist and an Advanced Certified Schema Therapist, I bring a unique combination of practical tools and depth-oriented insight to the work.
I completed a rigorous two-year postgraduate training program at the Schema Therapy Institutes of New Jersey–New York City and am a long-standing member of the International Society of Schema Therapy. Clients from across California seek me out for my expertise in Schema Therapy, especially when other approaches haven’t helped them create real, lasting change. My work focuses not only on personality struggles but also on related issues such as anxiety, depression, and the emotional patterns that underlie them.
Frequently Asked Questions about Personality Disorders
What makes a personality disorder different from just having a “difficult personality”?
Everyone has traits that can cause stress, but a personality disorder involves long-standing patterns of thinking, feeling, and behaving that repeatedly cause problems in relationships, work, or self-esteem. The difference is in how rigid and persistent these patterns are—and how much distress they create.
Can someone have traits of a personality disorder without fully meeting the diagnosis?
Yes. Many people struggle with traits—like fear of abandonment, perfectionism, or emotional ups and downs—without meeting the full criteria for a diagnosis. Therapy can still help reduce the struggles and improve relationships, even without a formal label.
Do personality disorders ever go away on their own?
Some patterns may soften with age or life experience, but personality disorders don’t typically disappear on their own. Without treatment, the same struggles tend to repeat. The good news: with the right therapy, change is absolutely possible.
What kinds of therapy help with personality disorders?
Schema Therapy and Dialectical Behavior Therapy (DBT) are two of the most effective approaches. Schema Therapy focuses on the deep life patterns (“schemas”) that drive problems, while DBT emphasizes emotion regulation and relationship skills. CBT can also help with specific symptoms like anxiety or OCD that may overlap.
Is it my fault if I have a personality disorder?
No. Personality disorders usually develop as a response to early experiences and unmet needs. They’re not a character flaw or something you chose. Therapy isn’t about blame—it’s about understanding your patterns and building healthier ways of coping and connecting.
Take the First Step to Get Help with your Personality Struggles
Few therapists specialize in personality disorders, and even fewer are trained in Schema Therapy. With video therapy, you can access this evidence-based treatment from anywhere in California—whether you’re in San Jose, San Francisco, Sacramento, Los Angeles, Orange County, San Diego, or beyond.
If you’re ready to break free from the patterns that have kept you stuck, reach out today. Together, we can start untangling the personality “traps” that hold you back and build a stronger, healthier way forward.

