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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Therapy used to help folks regulate emotions they struggle to deal with.

— Andrea Moore, Associate Clinical Social Worker

We teach DBT skills in a flexible way tailored to our clients. These are skills that are helpful for all of us (why didn’t we learn them in middle school?) to support emotional awareness and regulation, develop healthy communication and assertiveness, and be able to get through intense moments in our life. These skills can also be helpful for clients to gain more self-reliance between therapy sessions, and trust themselves to make wise choices!

— Tatyana Kholodkov, Clinical Psychologist in Durham, NC

I am intensively trained in DBT through the Linehan Institute. I have 6+ years of experience in running DBT skills groups as well as working with DBT clients individually.

— Marci Saltzman, Clinical Social Worker in Towson, MD

My specialty is in DBT and I have taken multiple multi-day trainings on DBT.

— Rebecca Szymborski, Social Worker in New York, NY

Dialectical Behavior Therapy (DBT) is a cognitive-behavioral treatment originally developed by Marsha M. Linehan. Diagnosed herself with BPD, Linehan had insight into how to improve treatment services for this population. The goal of Dialectical Behavioral Therapy is to help people identify and use their strengths. In addition, this helps clients build self-esteem and positive feelings about life. Thus, DBT combines both cognitive and behavioral therapy techniques to further this goal.

— Newport Academy, Mental Health Counselor in Atlanta, GA

DBT was originally developed by psychologist Marsha Linehan, Ph.D. to support individuals experiencing Borderline Personality Disorder. DBT, however, has been found to be helpful for individuals aiming to cope with other experiences, such as anxiety, depression, addiction, and eating disorders. DBT focuses on 4 specific modules: mindfulness, distress tolerance, emotion regulation, and interpersonal effectiveness skills.

— Leslie Aguilar, Licensed Marriage & Family Therapist in Studio City, CA

I have 60 hours of intensive training and hundreds of hours on DBT consultation teams. I have also helped several clients adopt DBT principles and learn skills that have truly changed their lives. DBT acknowledges both that people are trying the best they can with what they have AND that they can change behavior to make lasting changes. In therapy, we will look at accepting ourselves AND learning emotion regulation, mindfulness, distress tolerance, and assertiveness skills.

— Shelby Milhoan, Psychotherapist in Towson, MD

The theory of DBT (balancing Acceptance with Change) and the skills (Mindfulness, Distress Tolerance, Emotion Regulation, Interpersonal Effectiveness) are incredibly helpful tools for understanding what is happening and what is holding us back, and making effective change. As we work together, I will draw from DBT theory and skills to help you feel like you are managing your emotions, rather than your emotions ruling *you*.

— Lina Lewis-Arevalo, Licensed Professional Counselor in Philadelphia, PA

Supporting the individual in developing skills to manage their life challenges is essential. I use DBT to help individuals improve their communication skills, self-regulation skills, and distress tolerance skills.

— Sandra Berger, Licensed Marriage & Family Therapist in OAKLAND, CA

Dialectical Behavior Therapy (DBT) is a powerful evidence-based approach for managing intense emotions, handling stress, and building a life you love. I teach clients of all ages to develop practical skills for mindfulness, distress tolerance, emotion regulation, and interpersonal effectiveness. I tailor DBT to fit your unique needs. I aim to provide a supportive and caring environment where you can learn to navigate life's challenges with greater resilience and create positive, lasting change.

— Shannon McNamara, Psychiatric Nurse Practitioner in Scottsdale, AZ

DBT aims to help people create lives worth living. For treatment with DBT to be considered comprehensive, it needs to include all four of these modes of treatment, including: • Individual therapy to enhance motivation • Skills groups to enhance capabilities • Phone coaching to generalize skills to natural environment • Consultation team meetings to enhance therapist motivation and capability

— Amy Studer, Licensed Professional Counselor in , MO

I help clients better understand and express emotions through more effective behavioral actions.

— Walter Sposkoski, Licensed Clinical Social Worker in Monroeville, PA

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

Dialectical Behavior Therapy teaches skills in four specific areas. These are practical skills for everyday use that will help you manage your emotions, behaviors, and stressors more effectively. These skill areas include Mindfulness, Distress Tolerance, Emotion Regulation, & Interpersonal Effectiveness. I am passionate about Dialectical Behavior Therapy and proud to be intensively trained in this treatment. You can always expect high-quality DBT treatment delivered with enthusiasm & expertise.

— Jessica Aron, Clinical Psychologist in , NY

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

Dialectical Behavioral Therapy (DBT) is an evidence-based therapy derived from Cognitive Behavioral Therapy (CBT), Narrative Therapy and Positive Psychology. I use elements of DBT in my work with clients and I can also provide full scope DBT to clients who would like to use exclusively DBT.

— Danielle Greenspan, Licensed Marriage & Family Therapist in Sacramento, CA

Feeling overwhelmed by emotional ups and downs? Dialectical Behavior Therapy (DBT) could be the solution. This evidence-based approach is designed to help you gain better control over your emotional responses and behaviors. Through a series of tailored exercises and mindfulness practices, DBT equips you with the skills to manage stress, improve relationships, and achieve a more balanced life.

— Ehsan Shabahang, Licensed Clinical Mental Health Counselor in ,

I have been trained in DBT since 2018 and have experience using it in both group and individual settings. I deeply understand the concepts and enjoy teaching skills that improve mindfulness, emotion regulation, distress tolerance, interpersonal effectiveness, and self-concept. One of the things I like about DBT is that it builds on an individual's existing skills and helps them to find space between stimulus and response, reducing reactivity and improving impulse control.

— Adrienne Iannazzo, Art Therapist in Arlington, VA