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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I offer a DBT informed approach (not strictly DBT as I pull from other modalities when appropriate) as to me it is the most all encompassing therapy I have come across. It helps teach life skills such as mindfulness practice, radical acceptance, distress tolerance, interpersonal effectiveness and emotional regulation. All such skills can help with most mental health challenges and addictive tendencies.

— Krissy Treviranus, Licensed Clinical Mental Health Counselor in Winter Park, FL
 

Why ruminate when you can free your mind and soul to be in the moment? Can you tell I have a thing for mindfulness. DBT is where mindfulness and CBT meet. The main goals of DBT are to teach people how to live in the moment, develop healthy ways to cope with stress, regulate their emotions, and improve their relationships with self and others.

— Sabrina Samedi, Associate Marriage & Family Therapist in Westlake Village, CA

DBT was born out of CBT and mindfulness, both of which I have studied separately. Getting certified in DBT, thus, seemed natural. I don't do the strict protocols of DBT, which is a group therapy, but I use a lot of the principles frequently.

— Leif Moa-Anderson, Mental Health Counselor in Portland, OR
 

I am formally trained through Marsha Linehan's training foundation and have used DBT in both residential and outpatient settings extensively.

— Kelsey Smith, Licensed Professional Counselor in Atlanta, GA

Dialectics are two seemingly opposite things that can somehow exist at the same time, such as a) accepting yourself for who you are now and b) trying to change for the better. DBT is kind of like a giant playbook of different skills for coping, regulating emotions, relationships, and more. I talk about it all the time. I ALSO talk about its brand-new baby sibling, Radically Open DBT. RO-DBT is all about how social signaling affects our openness to new things.

— Brian Jones, Licensed Mental Health Counselor in Seattle, WA
 

I have over 3 years experience using DBT in a variety of treatment settings. I was trained using DBT inpatient for eating disorders and have applied the skills with many clients in my outpatient practice. I often combine approaches to meet the needs of my individual client.

— Kim Lycan, Licensed Clinical Mental Health Counselor in Richland, WA

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
 

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

Step into healing with Nick Worstell, a seasoned professional with a background in residential care and a specialty in Dialectical Behavior Therapy (DBT). With a wealth of experience in addressing complex issues, he bring expertise to those seeking transformation. Utilizing DBT's powerful tools, we create a nurturing space for growth, combining empathy with evidence-based techniques. Whether it's emotion regulation, interpersonal effectiveness, or distress tolerance, our therapeutic jou

— Nick Worstell, Licensed Professional Counselor in Fort Collins, CO
 

DBT, or Dialectical Behavior Therapy, is a specialized form of therapy that combines cognitive and behavioral techniques with mindfulness practices. It's designed to help individuals manage intense emotions, improve relationships, and enhance overall emotional well-being.

— Emmily Weldon, Counselor in Atlanta, GA

I utilize DBT to help teach emotional regulation, distress tolerance, and mindfulness techniques. The ultimate goal is to find a balance between who you are now and who you want to be after changing some aspects of yourself in the form of positive self-growth.

— Lyndsey Upton, Associate Professional Counselor
 

A fundamental premise of DBT is building a life we want to live in. It's goal-oriented and focuses on skills we can use and actions we can take to better our lives. DBT focuses on 4 core elements we can all learn more about: mindfulness, interpersonal-effectiveness, emotion-regulation and distress-tolerance.

— Damon Dodge, Licensed Marriage & Family Therapist in Los Angeles, CA

DBT is especially helpful for people who feel as if their emotions are running their lives. Many are acting in ways they know are not helping them or their loved ones, as a way to feel some level of control over these emotions. I apply DBT in my work with various mental health difficulties, including depression, anxiety, trauma, and even addictive behaviors.

— Julie Smith, Licensed Mental Health Counselor in Jacksonville, FL
 

My main training has been in DBT in group and individual settings. I work with clients to learn the DBT skills as well as adapt them to their life.

— Shayne Snyder, Mental Health Counselor in New York, NY

DBT skills training uses mindfulness, emotion regulation, interpersonal effectiveness, and distress tolerance skills training to help people improve their coping skills and ability to communicate effectively with others. I have completed trainings in DBT and have experience with this modality.

— Kristen Hornung, Licensed Professional Clinical Counselor in Encinitas, CA