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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We offer comprehensive DBT for struggles with regulating emotions (knowing what and why you are experiencing an emotion, being able to handle and/or reduce rapid and intense mood shifts), interpersonal difficulties (getting and maintaining the relationships you want), impulsive behaviors that make things worse, and feeling confused about who you are (feeling disconnected or empty)

— Marina Krugolets, Licensed Mental Health Counselor in Staten Island, NY

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 Fort Lauderdale, FL

Sometimes we all encounter situations that leaves us broken and helpless to where life begins to lose meaning. Radical acceptance and mindfulness through DBT allows you to accept situations as is knowing you have no control over them. This allows individuals to learn the process of letting go of past hurts and learning to live in the moment with a focus on what is going well in their lives at this point.

— Lauretta Akpoyoware, Licensed Professional Counselor in San Antonio, TX

Our practice runs a DBT and RO DBT program with weekly skills group. Originally it was designed for people with Borderline Personality Disorder, which it's excellent at treating, but it's been shown through many studies to be helpful for many people. DBT helps us learn the skills to be more effective in life, have more control over our emotions while keeping them from having so much control over us, and helping us to be present with ourselves in the day to day.

— Trish Lockhart, Clinical Social Worker in Charlotte, NC

I use DBT to teach distress tolerance, interpersonal skills, crisis management, and other coping skills.

— Caroline Hubschman, Therapist in Northvale, NJ

I have extensive clinical experience in DBT skills and utilize these coping techniques for many disorders.

— andrew leone, Psychologist

A set of life skills that promote being present and balance. Mindfulness skills show us how to be present, non-judgmental, effective, and at peace. Interpersonal Effectiveness skills address assertive communication, setting boundaries, and improve healthy relationships. Distress Tolerance skills teach us how to get through the pain and uncomfortable emotions. Emotional Regulation skills guide us to learn our values, be less emotionally vulnerable, and prioritize self-care.

— Shannon Kilroy, Licensed Professional Counselor

What can Dialectical Behavior Therapy (DBT as we call it in the Bizz) do to help you? In a non clinical jargony way--it offers so many wonderful, practical skills to manage anxiety, depression, and interpersonal conflict. I personally benefit from DBT and have a training in this evidenced based treatment. I have also run a number of groups for all ages and specifically enjoy the Mindfulness aspect of DBT, learning to stay present and check in with oneself is imperative in healing.

— Amy Lynch, Licensed Clinical Social Worker in Littleton, CO

I integrate DBT skills with nearly everybody I work with. DBT offers concrete ways to manage difficult situations, whether they're tolerating large amounts of distress, regulating emotions, being effective in interpersonal relationships, or developing mindfulness skills.

— Wade McDonald, Clinical Psychologist in Frisco, TX

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

DBT helps change lives! Dialectical Behavior Therapy (DBT) is a cognitive behavioral treatment developed by Marsha Linehan, PhD, ABPP. It emphasizes individual psychotherapy and group skills training classes to help people learn and use new skills and strategies to develop a life that they experience as worth living. DBT skills include skills for mindfulness, emotion regulation, distress tolerance, and interpersonal effectiveness. For more in-depth info see https://behavioraltech.org/resources/faqs/dialectical-behavior-therapy-dbt/. I am a certified DBT therapist and have been leading DBT Programs since 1997 and would be happy to help.

— Kimberly Krueger MSW, LCSW, Counselor in Davidson, NC

I am have completed the 16-week foundational training in DBT and work part-time in a comprehensive DBT clinic. I believe that DBT helps clients that are in acute distress or who are struggling with compulsions, intrusive thoughts, or high levels of anxiety to lower their levels of distress and feel more connected to their authentic selves. I also find DBT to be a beautiful compliment to trauma-focused work as it helps to manage triggers without avoidance.

— Molly Nestor Kaye, Marriage and Family Therapist Associate in Beverly Hills, CA

DBT combines standard cognitive-behavioral techniques along with acceptance, mindfulness and distress tolerance. DBT can help with treating anxiety, trauma, PTSD and substance use. DBT can help provide steps and ways to cope with any negative feelings and thoughts that may be coming up for you. DBT is evidence-based therapy modality that can provide healthy ways to manage your emotions, thoughts and beliefs.

— Avni Panchal, Licensed Clinical Social Worker in Oakland, CA

DBT is a highly effective form of therapy that treats many different issues. In DBT you will learn two seemingly different and opposite strategies: acceptance and change. You will learn to accept certain experiences, emotions, as well as accept that our behaviors are reactions, thus valid and in order to make positive changes requires that we manage our emotions in order to move forward. It is then when we find deeper meaning through a "spiritual" existence.

— Monica Pina, Licensed Professional Counselor in Brownsville, TX

I am intensively trained in DBT and currently facilitate Adult and Teen/Parent skills training groups. I completed my training through Behavioral Tech.

— Robin Friedman, Clinical Social Worker in White Plains, NY

Dialectical behavior therapy (DBT) is a type of talk therapy (psychotherapy). It’s based on cognitive behavioral therapy (CBT), but it’s specially adapted for people who experience emotions very intensely. “Dialectical” means combining opposite ideas. DBT focuses on helping people accept the reality of their lives and their behaviors, as well as helping them change their lives, including their unhelpful behaviors.

— Crystal Bettenhausen-Bubulka, Clinical Social Worker in ,

I have been teaching and implementing DBT skills in my practice for the past several years. I am a firm believer that DBT skills can be effective for a variety of issues, and an excellent skill to have at your disposable.

— Timothy Armon, Clinical Social Worker in Chicago, IL