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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With DBT, I assist you in entering WISE mind. WISE mind is where logical thinking meets emotional thinking for an even balance. We work on mindfulness skills & emotional regulation skills. We explore finding balance with interventions like PLEASE. This focus is about working on treating physical illness, focusing on balanced eating, avoiding mood altering substances, focusing on balanced sleep and exercise. There are other helpful interventions as well to help with boundaries & communication

— Rachael Jordan, Counselor in Puyallup, 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 Asheville, NC

I've participated in comprehensive DBT training, and have over two years experience co-facilitating and teaching weekly DBT skills group in community mental health. I've used DBT to successfully treat borderline personality, suicidal ideation, PTSD, and other hard-to-treat conditions. Challenging clients to think dialectically, I provide clients a variety of coping skills to better tolerate distress & regulate emotions, which allows clients opportunities to engage in new behaviors.

— Cameron Lewis, Licensed Clinical Mental Health Counselor Associate in Redmond, WA

During my training I sought opportunities to co-lead DBT groups because I knew that the tools within would be helpful for anyone. Though I no longer lead official DBT groups, the skills that I learned as a leader (and can thus provide to you) are enormously helpful for regulating distressing emotions--anger, anxiety, sadness, and the like.

— Jon Reeves, Clinical Psychologist in Seattle, WA

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

Dialectical behavior therapy (DBT) provides clients with new skills to manage painful emotions and decrease conflict in relationships. DBT for individual therapy is focused on enhancing client motivation and helping clients to apply the skills to specific challenges and events in their lives. The primary goal of DBT is to help patients build a mentally healthy life by improving their ability to manage emotions.

— Joyce Fusek, Psychologist in ,

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

Do you feel your mind is being pulled in a hundred different directions at once? Do you have a hard time handling some of your emotions, and does this cause any problems in your relationships? Dialectical behavior therapy (DBT) offers individuals comprehensive skills to manage painful memories and emotions and decrease conflicts in their relationships.Many of us live our daily lives with a constant stream of uncontrollable negative emotions right under our awareness.

— Julie Williams, Counselor

DBT provides what I call an encyclopedia of excellent behavioral coping skills which fall into five categories: changing unhealthy behaviors, mindfulness, emotion regulation, distress tolerance, and interpersonal skills. We work through these skills to identify which ones will be most beneficial for you to integrate into your own life and how you can best utilize them. DBT focuses heavily on the concept of balance, especially between reason and emotion.

— Adam Stanford, Counselor in , CO

I am certified in DBT through the evergreen institute and have worked hard to maintain this certification throughout the years. DBT have 4 modalities all of which can be helpful during eating disorder recovery.

— Gabrielle Morreale, Counselor in Ambler, PA

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

I believe that you are exactly who you need to be, with strengths and talents that help you - AND that you can become better, and develop for yourself a life worth living. I can help you learn and practice skills to improve your ability to tolerate distress, regulate your emotions, have better relationships, and be more present and self-aware. Dialectical represents two things that are true at the same time, like being true to yourself, while also improving who you can be.

— Christi Proffitt, Licensed Mental Health Counselor in Seattle, WA

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

DBT is a scientifically researched, evidence-based therapeutic treatment for individuals struggling with inner conflict, stormy relationships, impulsive and intentional self-harming acts, and other concerns. DBT helps people with these problems regain control of their lives.

— Alexandra Tesnakis, Licensed Mental Health Counselor in Brooklyn, NY

I was trained in DBT in 2017. I have seen clients using this modality for depression, anxiety, panic, and trauma. I have a history of also running DBT groups as well.

— Michelle Dunn, Licensed Professional Counselor

Certified and trained in DBT, my main modality. I pull from the skills of the four DBT modules: Mindfulness, Interpersonal Effectiveness, Emotion Regulation, and Distress Tolerance and tailor a program to your specific needs. I do imply limited use of texting in my DBT based work with clients. DBT is effective and life changing - DBT skills are the skills you wish you learned in school on how to navigate LIFE!

— Lauren Ogren, Licensed Marriage & Family Therapist in San Rafael, CA