Dialectical Behavior Therapy (DBT)

Dialectical behavior therapy (DBT) is an evidence-based psychotherapy, first developed in the 1980s by Marsha M. Linehan, to treat patients suffering from borderline personality disorder. Since then, DBT’s use has broadened and now it is regularly employed as part of a treatment plan for people struggling with behaviors or emotions they can't control. This can include eating disorders, substance abuse, self-harm, and more. DBT is a skills-based approach that focuses on helping people increase their emotional and cognitive control by learning the triggers that lead to unwanted behaviors. Once triggers are identified, DBT teaches coping skills that include mindfulness, emotion regulation, distress tolerance, and interpersonal effectiveness. A therapist specializing in DBT will help you to enhance your own capabilities, improve your motivation, provide support in-the-moment, and better manage your own life with problem-solving strategies. Think this approach might work for you? Reach out to one of TherapyDen’s DBT specialists today.

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DBT-informed therapy assumes that we're doing the best we can, and that we need to learn new behaviors to live with intention. There four DBT skill areas: ​Mindfulness (the practice of being fully aware and present in this one moment​); Distress Tolerance (how to tolerate pain in difficult situations, not change it​); Interpersonal Effectiveness (how to ask for what you want and say no while maintaining self-respect); and Emotion Regulation (how to change emotions that you want to change).

— Peter Fritch, Therapist in Chicago, IL

DBT was designed to help people decrease & eliminate suicidal ideation, & self-harming behaviors, such as cutting or burning. DBT Skills aim to help people learn how to regulate their emotions & effectively respond to upsetting events. It Emphasizes the importance of living life in the present moment, “here and now”. Skills focus on Mindfulness, Interpersonal Effectiveness, Emotion Regulation, & Distress Tolerance. The #1 goal of DBT is to help others “Create lives worth living”.

— Cassie Icenogle Konnoly, Licensed Mental Health Counselor in Lacey, WA

My formal training is in DBT, which has four main parts: Mindfulness, Emotion Regulation, Distress Tolerance, and Interpersonal Effectiveness. DBT was originally created for those in chronic distress, but the skills can easily translate over to helping those struggling with relationships, stress, depression, trauma and life transitions. While I don't exclusively use DBT in my practice, I often utilize different components of DBT to match my client's needs.

— Rachael Lastoff, Licensed Professional Clinical Counselor in Newport, KY

I have received additional training after my doctorate in Behavioral Health from Arizona State University to utilize DBT techniques.

— Sandra Nunez, Licensed Marriage & Family Therapist in san diego, CA

DBT offers four components that are helpful to just about every single person in some persepctive, emotional regulation (how we regulate our emotions under distress), interpersonal effectiveness (help getting needs met), mindfulness (being in the moment, not the past or the future) and distress tolerance (being able to respond to distressing moments). This form of therapy will help improve self control, anger management and your ability to respond when you're having a bad day.

— Regina Guzman, Licensed Clinical Social Worker in Rancho Cucamonga, CA

Do you struggle with any of the following? • Do you feel broken, flawed, like something is wrong with you because your emotions are so intense or overwhelming? • Do you struggle to have control over your emotions? • Do you feel like your emotions sometimes control your life? • Do you want to learn how to better cope with your emotions? If you answered yes to any of the about then Dialectical Behavior Therapy (DBT) is for you. DBT will teach you: • How to be mindful of your emotions and prevent them from controlling you. • How to increase positive emotions and decrease negative emotions. • How to deal more effectively with your negative emotions.

— Duane Osterlind, LMFT, CSAT, Marriage & Family Therapist in Long Beach, CA

Dialectical Behavior Therapy provides me with tangible skills to support you in addressing mental health symptoms, improving effective communication and developing healthy relationships. I use this modality to varying degrees in my work with individuals and families, depending on what is indicated and preferred.

— Nicole Goudreau-Green, Counselor in Pleasantville, NY

My experience is working on a team with DBT therapy in a hospital setting. When we look at the skills individually, DBT can be a resource that can be extremely helpful in learning specific ways to improve your patterns of communication and how you look at and work through emotions.

— Karmen Tuivai, Licensed Clinical Social Worker in Provo, UT

I am trained in principals of Dialectical Behavior Therapy including emotion regulation, distress tolerance, and interpersonal effectiveness.

— Kyle Woodson, Licensed Professional Counselor in Denver, CO

DBT is an evidence based therapy that is proven by research to help you gain relief from distressing emotions, suicidal and self harming urges. Our goal is to help you remain out of a hospital setting with our intensive program while learning how to manage high risk urges such as suicidality and self harm urges. DBT stands for Dialectical Behavior Therapy. A “dialectic” is finding the synthesis between two opposing points of view in order to create balance. DBT’s main goal is to teach clients n

— Ann Guzman, Counselor in Peachtree Corners, GA

Dialectical Behavioral Therapy was originally developed to help individuals suffering from Borderline Personality Disorder, but I believe that these tools can help all of us. We work to integrate skills with a foundation of mindfulness to slow down and understand what is happening in the moment. That is where you can start to gain back your power and take control over your response.

— Emmily Weldon, Counselor in Port St. Lucie, FL

I have extensive training and experience in DBT, having conducted groups and individual therapy for thousands of people over the years. It is also the framework I employ in dealing with the challenges of my own life. It is a highly regarded therapy for persons with borderline personality disorder. It is now recognized as effective over a wide variety of challenges. DBT is not merely a treatment strategy, it is also a world-view, a way of thinking about therapy and clients, validating their essential dignity and worth as human beings.

— John Eichenberger, Counselor in Macedon, NY

Dialectical Behavior Therapy can be used in many capacities for many different concerns. I use it in every one of my sessions to help people incorporate self care, emotional regulation, and effective communication skills.

— Adrienne Marcellus, Mental Health Counselor in Colorado Springs, CO