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.

Meet the specialists

I also utilize RO-DBT with clients with eating disorders, OCD, and other disorders of overcontrol.

— Jessica Sprengle, Counselor in Austin, TX
 

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
 

Dialectical Behavior Therapy (DBT) is a comprehensive multi-diagnostic, modularized behavioral intervention designed to treat individuals and groups with sever mental disorders and out-of-control cognitive, emotional and behavioral patterns. It has been commonly viewed as a treatment for individuals meeting criteria for Borderline Personality Disorder (BPD) with chronic and high-risk suicidality, substance dependence or other disorders.

— Deborah Blum, Counselor in North Miami Beach, FL

I would like you to think of DBT as a kind of deeper version of CBT (Cognitive Behavioral Therapy). In using DBT, there are elements of mindfulness in the mix. These include working with you as to your awareness of thoughts, feelings, behaviors, and behavioral urges.

— Sandy Marsh, Licensed Marriage & Family Therapist in Los Angeles, CA
 

I have been utilizing dialectical behavior therapy in my practice for over 4 years. The integrations of psycho education and practice provide an ideal opportunity for complete healing for the client. DBT utilizes mindfulness, emotional regulation, distress tolerance, and interpersonal relationship skills to provide a holistic approach to healing.

— Michelle Smith, Licensed Mental Health Counselor in , FL
 

I have been integrating the coping skills from Dialectical Behavioral Therapy into practice with all my clients for many years. DBT skills are excellent life skills and can lead us to a more fulfilling life, no matter what life challenges we face.

— Amelia Mackle, Counselor in Clackamas, OR

Every choice we make has a psychological effect on us. Negative patterns of behavior and thinking can be changed by implementing positive skills. I focus on teaching new skills to confront and eliminate poor behaviors and thought processes.

— Leisa Watkins, Marriage & Family Therapist in Idaho Falls, ID
 

I integrate the importance of mindfulness and skills-development into the weekly therapy practice to address issues of emotion regulation. This is not full-fidelity DBT, but rather an integration of DBT components into an interpersonal style. If you are seeking full-fidelity DBT services, please refer to http://www.dbt-lbc.org/ for a directory of DBT therapists.

— Brittany Boney, Licensed Marriage & Family Therapist in Portland, OR

My clients are taught new coping skills and ways to tolerate difficult emotions. Sometimes, it helps to come to a place of acceptance of the things we cannot control. Trying to control something we cannot change is never a win! I help clients even out the highs and lows, so that you become better able to manage emotions.

— Matianna Baldassari, Licensed Marriage & Family Therapist in Santa Monica, CA

Radically Open Dialectical Behavioral Therapy (RO DBT) is a new treatment for patients who suffer from emotional overcontrol. RO DBT has been developed over the past 20 years for people with chronic depression or anorexia nervosa. Research results suggest that it is effective in these, and other, hard-to-treat groups. While high self-control is generally thought to be a good thing, too much self-control can be a problem for some people. Excessive self-control is associated with social isolation

— Maggie Ritnour, Therapist in Brooklyn, NY
 

I do not provide "pure DBT" which must include a DBT skills training group in addition to individual DBT therapy to be truly DBT. However, I teach clients skills from the DBT modules to help clients be present with their lived experience and move towards valued living or "what matters."

— Rachelle Miller, Counselor in Spokane Valley, WA

Mondays I work with Kristen Lund in St. Paul as a DBT therapist, helping those struggling with emotional regulation. Difficulty regulating emotions often stems from past trauma and from not being taught these skills as young children. Part of your treatment can include participation in DBT group in order to learn and practice concrete skills needed to be effective in your life moving forward.

— Linnea Logas, Counselor in Minneapolis, MN
 

I utilize DBT to help you how to live in the moment, manage stress, identify and take charge of your emotions, and improve relationships with others. I will provide you many tools and techniques to deal with the problem in the here and now.

— Nicole Byrne, Licensed Marriage & Family Therapist in Oakland, CA

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 Fairport, NY
 

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 am truly passionate about the heart behind Dialectical Behavioral Therapy: radical acceptance of who you are and where you are in the moment, while making the changes necessary to be more aligned with your values. I'm currently under supervision for DBT by a Linehan Board of Certification, Certified clinician. I also believe wholeheartedly in the efficacy of mindfulness-based practices in order to become more aware of our thoughts and emotions and to be fully present in our lives.

— Sarah Fink, Licensed Mental Health Counselor in Boston, MA

I utilize DBT to help learn how to live in the moment, manage stress, identify and take charge of your emotions, and improve relationships with others. I will provide you many tools and techniques to deal with the problem in the here and now.

— Nicole Byrne, Licensed Marriage & Family Therapist in Oakland, CA
 

Dialectical behavioral therapy (DBT) is a type of cognitive behavioral therapy which tries to identify and change negative thinking patterns and pushes for positive behavioral changes.

— Sheri Galens, Counselor in ,

Originally developed for people suffering from Borderline Personality Disorder, I believe this modality has concepts that help all of us! The number one tool here is mindfulness, which can help us slow things down in order to understand what is happening in the moment, and identify what is the most healthy response.

— Sara Rotger, Marriage & Family Therapist in Montrose, CA
 

You will benefit from DBT through mindfulness, regulating your emotions, tolerating distress, and having effective interpersonal relationships.

— Gerda Phillips, Counselor in Phoenix, AZ

DBT nicely expands perspective by providing alternate scenarios through use of dialectics and accompanying skills. Created by Marsha Linehan, this modality offers several coping skills to use in extremely emotional moments. The coping skills fall into the following categories: interpersonal effectiveness, emotion regulation, distress tolerance, and mindfulness. If you're looking for tools to add to your toolbox, DBT is the modality of choice.

— Amanda Roberson, Counselor in Beaverton, OR
 

I am not certified in DBT; however, I do enjoy using its tools and skills to improve flexibility in thinking and behavior.

— Liberty McClead, Licensed Clinical Social Worker in Sharpsburg, GA

In 2017, I completed the comprehensive training in Dialectical Behavioral Therapy through the DBT Institute of Michigan. I co-facilitated a DBT Skills Group in 2018. Our work will be DBT informed and consistently utilized if there is a need for this service.

— Victoria Fisher, Licensed Clinical Social Worker in Grand Rapids, MI
 

Dialectical Behavior Therapy is a form of Cognitive Behavioral Therapy that focuses on helping us manage emotional pain and successfully navigate our relationships. It seeks to accomplish these goals by improving one's ability to regulate difficult emotions, tolerate distressing feelings or experiences, practice acceptance for the things they cannot change, and communicate with others. These compose some of the hallmarks of my practice, and have helped my patients enormously.

— Saira Malhotra, Therapist in Denver, CO

I have been utilizing Dialectical Behavior Therapy in my practice for over 4 years. The integrations of psycho education and practice provide an ideal opportunity for complete healing for the client. DBT utilizes mindfulness, emotional regulation, distress tolerance, and interpersonal relationship skills to provide a holistic approach to healing.

— Michelle Smith, Licensed Mental Health Counselor in , FL

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.

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

* Training with Marsha Linehan * Individual therapy to follow the completion of DBT skills group program * Valuable skills for everyone at all ages

— Barbara Schnichels, Licensed Clinical Social Worker in Burnsville, MN
 

Experience in traditional DBT and intensive training in RO DBT, Meredith will work closely with you to identify life changing skills that will regulate mood or help you with social signaling that get you the results you want out of relationships.

— Meredith Riddick, Counselor in Ashburn, VA

Radically Open Dialectical Behavior Therapy (RO DBT) is a new treatment for patients who suffer from emotional overcontrol. RO DBT has been developed over the past 20 years for people with chronic depression or anorexia nervosa. Research results suggest that it is effective in these, and other, hard-to-treat groups. While high self-control is generally thought to be a good thing, too much self-control can be a problem for some people.

— Maggie Ritnour, Therapist in Brooklyn, NY
 

Combines concepts from Cognitive Behavioral Therapy and Eastern philosophy, including mindfulness and radical acceptance. An evidence-based approach found to be helpful with diverse problems in living, DBT can help provide children, teens, and families with adaptive coping and communication strategies.

— Christine Brent, Clinical Social Worker in Rochester, NY

I got my start as a group therapist, with a highly behavioral approach. I have run a DBT Skills group and teach DBT Skills and concepts in individual therapy whenever it appears the techniques could be helpful. I like to say that everyone could use a little DBT, regardless of your diagnosis, because it empowers the individual to manage their emotions, have healthy and communicative relationships, and learn how to spend more time in the present moment.

— Laura Knudsen, Counselor in Newton, MA
 

Dialectical Behavior Therapy is a set of skills that involves mindfulness, working to reduce not so good thoughts and behaviors, and assertiveness. It was initially developed to work with people with severe substance dependence and personality disorders, but is now used for a wide variety of problems.

— Willard Vaughn, Licensed Professional Counselor in , VA

I also utilize RO-DBT with clients with eating disorders, OCD, and other disorders of overcontrol.

— Jessica Sprengle, Counselor in Austin, TX
 

We are in the process of being a state registered DBT team and offering full DBT services under state supervision and training. Our trainer was directly trained by Marsha Linehand, the mastermind behind Dialectical Behavior Therapy. We seek to offer the model as intended by its creator and we not only offer it, but practice DBT skills in our own lives.

— The Wellness Counseling Center, LLC, Licensed Professional Counselor in Harrisonville, MO
 

Intensively trained in DBT and have successfully opened DBT programs in PHP/IOP programs for adolescents and adults. Work with clients to identify if they need comprehensive DBT to meet their treatment needs or DBT informed treatment.

— Nathalie Edmond, Clinical Psychologist in Ewing, NJ

Dialectical behavioral therapy (DBT) is a type of cognitive behavioral therapy. Cognitive behavioral therapy tries to identify and change negative thinking patterns and pushes for positive behavioral changes. DBT may be used to treat suicidal and other self-destructive behaviors.

— Tara Kleinschmidt, Counselor in Vancouver, WA
 

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

In DBT, we learn to think and act dialectically. A dialectic is when two opposing things are both true. The skills taught in DBT are mindfulness, emotion regulation, distress tolerance, interpersonal, and self compassion.

— Brandi Reinhard-Ferrese, Counselor in Bozeman, MT
 

I am a Dialectical Behavior Therapy (DBT) Intensively Trained Clinician through Behavioral Tech (an affiliate of the Linehan Institute). I helped start a brand new comprehensive DBT program from the ground up in 2015 and led a team of 8 clinicians teaching up to 5 DBT classes and serving 70 clients at a time.

— Heather McKenzie, Counselor in Cary, NC

I have been intensively trained by DBT founder Marsha Linehan's company BTech in DBT. I have been practicing DBT for almost 10 years with great results. I have continued my education by attending multiple DBT workshops and trainings, including one by Marsha Linehan herself!

— Jenna Rasmussen, Counselor in Portland, OR
 

I have specific training on implementing various components of DBT. I am trained in skills training. While I cannot offer "pure" DBT, the services I am able to provide encompass the philosophy behind DBT as well as the skills interventions. DBT is the go to intervention for tough to treat problems related to personality disorders.

— Michelle Fortier, Licensed Clinical Social Worker in Tallahassee, FL
 

DBT a therapy similar to CBT which focuses on changing patterns of behavior that are not helpful, such as self-harm and suicidal thinking. The goal is to help people increase emotional and cognitive regulation by identifying triggers that lead to reactive states. Developing Mindfulness skills and Radical Acceptance are core components of this treatment.

— Kesha Martin, Counselor in San Antonio, TX