Specializing in CBT and DBT-based treatment of borderline personality disorder and severe emotional dysregulation, Claire Deierhoi-Clark, PhD practices in downtown San Diego's Middletown district on Kettner Boulevard through the Wise Self Psychology practice. Her PhD from Palo Alto University included a clinical neuroscience specialization and women's health concentration through Stanford University, credentials that inform a psychopharmacology-aware therapy model often coordinating prescriptions filled at University Compounding Pharmacy in Bankers Hill. The Gottman Method component of her practice applies research-derived interventions for couples, using the Sound Relationship House framework to map conflict patterns and repair sequences in distressed partnerships. DBT skills training follows Marsha Linehan's four-module structure—distress tolerance, emotion regulation, interpersonal effectiveness, and mindfulness—with biosignal tracking of autonomic arousal to calibrate session pacing, a somatic-awareness approach that aligns with the nervous-system work at Urbanspine nearby in Bankers Hill. Highest-acuity cases require concurrent individual DBT and skills-group enrollment with diary-card monitoring, phone coaching protocols, and weekly therapist-consultation team review to manage active suicidal ideation and self-harm behaviors per Linehan's comprehensive treatment model.