Dialectical Behaviour (DBT) Counselling in Alderley Edge

Photo of Zoë Ross, Psychotherapist, MSc, MBACP
Zoë Ross
Psychotherapist, MSc, MBACP
Are you a successful professional looking for support to recover from narcissistic abuse, emotional abuse and/or coercive control? Perhaps you are struggling to deal with constantly high levels of anxiety, difficulty managing your emotions and feeling like you're never good enough. You might still be coming to terms with the reality that you have suffered narcissistic abuse and are looking for someone who can help you to understand and break free from your past trauma so you can live the life you want to live.
Are you a successful professional looking for support to recover from narcissistic abuse, emotional abuse and/or coercive control? Perhaps you are struggling to deal with constantly high levels of anxiety, difficulty managing your emotions and feeling like you're never good enough. You might still be coming to terms with the reality that you have suffered narcissistic abuse and are looking for someone who can help you to understand and break free from your past trauma so you can live the life you want to live.
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Photo of Dr Helen Hart, Psychologist, PsychD, HCPC - Forensic Psych.
Dr Helen Hart
Psychologist, PsychD, HCPC - Forensic Psych.
Serves Area
Have you ever felt stuck with your family or work roles? Do the people who are meant to love you unconditionally, frequently hold you back? Do you find yourself constantly feeling the need to apologise for things, then wondering what you have done wrong? Maybe you have felt blamed for things in life and want to explore things further. Or you may feel held back by guilt and regret. I can work with you to explore this through a safe and steady process which looks at patterns across your life and within relationships. This will help you to break free from the restraints of negative approval you may have felt for many years.
Have you ever felt stuck with your family or work roles? Do the people who are meant to love you unconditionally, frequently hold you back? Do you find yourself constantly feeling the need to apologise for things, then wondering what you have done wrong? Maybe you have felt blamed for things in life and want to explore things further. Or you may feel held back by guilt and regret. I can work with you to explore this through a safe and steady process which looks at patterns across your life and within relationships. This will help you to break free from the restraints of negative approval you may have felt for many years.
0161 524 3206 View 0161 524 3206
Photo of Antony Jones, Psychotherapist, DCounsPsych, MBABCP
Antony Jones
Psychotherapist, DCounsPsych, MBABCP
2 Endorsed
Online Only
What truly sets me apart is that I’ve been on both sides of the therapy couch. I know what it’s like to wake up with a racing mind, overwhelmed by the thought of facing the day. I know the loneliness of feeling invisible even when surrounded by people. I know the weight of intrusive thoughts and the relentless exhaustion of carrying childhood wounds into adult life. I’ve experienced intensive therapy for anxiety and trauma, and I’ve come through it. This means that when I sit with you, I’m not just relying on textbooks or clinical theory. I meet you with real understanding and absolutely no judgment. I get it, because I’ve lived it!
What truly sets me apart is that I’ve been on both sides of the therapy couch. I know what it’s like to wake up with a racing mind, overwhelmed by the thought of facing the day. I know the loneliness of feeling invisible even when surrounded by people. I know the weight of intrusive thoughts and the relentless exhaustion of carrying childhood wounds into adult life. I’ve experienced intensive therapy for anxiety and trauma, and I’ve come through it. This means that when I sit with you, I’m not just relying on textbooks or clinical theory. I meet you with real understanding and absolutely no judgment. I get it, because I’ve lived it!
0151 453 5500 View 0151 453 5500
Photo of Dr Carla Rainbow, Psychologist, PsychD, HCPC - Clin. Psych.
Dr Carla Rainbow
Psychologist, PsychD, HCPC - Clin. Psych.
Online Only
I am a fully trained EMDR and DBT therapist and also offer all behavioural and humanistic therapies.
I am Dr Carla Rainbow, and I am a Chartered Clinical Psychologist and a registered Counselling Psychotherapist (Dip TC, Dip SP&C, FD, BSc (Hons), PG Dip, MSc, DClinPsy, CPsychol, AFBPsS, Reg, MBACP, MSfDBT, EuroPsy). That means I am qualified to the very highest level, and experienced to be able to help you with even the most complex problems that you might be experiencing. On top of my experience (including in the NHS and prison services), and my qualifications, I work really hard at building effective working relationships, because research suggests that can be one of the most effective indicators for good therapeutic outcomes.
I am a fully trained EMDR and DBT therapist and also offer all behavioural and humanistic therapies.
I am Dr Carla Rainbow, and I am a Chartered Clinical Psychologist and a registered Counselling Psychotherapist (Dip TC, Dip SP&C, FD, BSc (Hons), PG Dip, MSc, DClinPsy, CPsychol, AFBPsS, Reg, MBACP, MSfDBT, EuroPsy). That means I am qualified to the very highest level, and experienced to be able to help you with even the most complex problems that you might be experiencing. On top of my experience (including in the NHS and prison services), and my qualifications, I work really hard at building effective working relationships, because research suggests that can be one of the most effective indicators for good therapeutic outcomes.
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Photo of Sophia Jurewich Williams - SW Virtual Psychology- Dr Sophia Williams, Psychologist, HCPC - Clin. Psych.
SW Virtual Psychology- Dr Sophia Williams
Psychologist, HCPC - Clin. Psych.
Online Only
Waitlist for new clients
Are trauma experiences getting in the way of living a life in line with your goals, beliefs, values, and desires? Does anxiety stop you from doing the things you want to do? Do flashbacks get in the way of functioning at home, work, or school? Have you been diagnosed with a health condition and you’re finding it difficult to adapt? Therapy helps you understand the cause of your symptoms and how to break the cycle. You will learn skills to help you manage these symptoms so that you can achieve other things in your life that are important to you. These might be working, having a family, or simply living trauma-response free.
Are trauma experiences getting in the way of living a life in line with your goals, beliefs, values, and desires? Does anxiety stop you from doing the things you want to do? Do flashbacks get in the way of functioning at home, work, or school? Have you been diagnosed with a health condition and you’re finding it difficult to adapt? Therapy helps you understand the cause of your symptoms and how to break the cycle. You will learn skills to help you manage these symptoms so that you can achieve other things in your life that are important to you. These might be working, having a family, or simply living trauma-response free.
01492 555017 View 01492 555017
Photo of Talia Pollick, Counsellor, MBACP
Talia Pollick
Counsellor, MBACP
Serves Area
Hi, I'm Talia! I am a qualified Integrative Counsellor & founder of The Cedar Counselling Clinic, based in Manchester and Cheshire. My goal is to provide specialist and tailored support to improve your overall mental health & wellbeing. As an Integrative Counsellor, I combine CBT, Psychodynamic, and Humanistic Approaches to help clients feel empowered, recognise their worth, and navigate life's complexities in a safe and nurturing space.​​​ Whether you're facing challenging times, seeking personal growth, or navigating various life transitions, my goal is to de-stigmatise mental health an ensure clients make themselves a priority.
Hi, I'm Talia! I am a qualified Integrative Counsellor & founder of The Cedar Counselling Clinic, based in Manchester and Cheshire. My goal is to provide specialist and tailored support to improve your overall mental health & wellbeing. As an Integrative Counsellor, I combine CBT, Psychodynamic, and Humanistic Approaches to help clients feel empowered, recognise their worth, and navigate life's complexities in a safe and nurturing space.​​​ Whether you're facing challenging times, seeking personal growth, or navigating various life transitions, my goal is to de-stigmatise mental health an ensure clients make themselves a priority.
0161 524 1525 View 0161 524 1525
Photo of Dr Lee Martin, Psychologist, PsychD, HCPC - Clin. Psych.
Dr Lee Martin
Psychologist, PsychD, HCPC - Clin. Psych.
Serves Area
I am a Clinical Psychologist with over 20 years of experience working with individuals and couples experiencing a wide-range of emotional difficulties. I understand that reaching out for help may feel difficult and I offer a free initial consultation where we can introduce ourselves, understand the problem and discuss options for moving forward. I have extensive experience specialising in areas such as relationships, trauma/PTSD, addictions, loss, and adjustment.
I am a Clinical Psychologist with over 20 years of experience working with individuals and couples experiencing a wide-range of emotional difficulties. I understand that reaching out for help may feel difficult and I offer a free initial consultation where we can introduce ourselves, understand the problem and discuss options for moving forward. I have extensive experience specialising in areas such as relationships, trauma/PTSD, addictions, loss, and adjustment.
01625 708951 View 01625 708951

More Therapists Nearby

Photo of Victoria Northern, Counsellor, DCounsPsych, MNCPS Acc.
Victoria Northern
Counsellor, DCounsPsych, MNCPS Acc.
1 Endorsed
I work with adults and young people with various presenting difficulties such as anxiety, OCD, phobias, stress, trauma, depression, anger, loss, low self esteem, self harm, relationship problems and abuse. Counselling is a process people seek when they want changes in their life. It can help us to understand and have better clarity of our thoughts, emotions and behaviours. Let me ask you…Are you feeling stuck? Do you want to feel happier? Are you feeling overwhelmed? Are you feeling lost or hopeless? Are you battling with your inner critic? Do you want to heal from your past? If so let’s start your journey to discovering a new you.
I work with adults and young people with various presenting difficulties such as anxiety, OCD, phobias, stress, trauma, depression, anger, loss, low self esteem, self harm, relationship problems and abuse. Counselling is a process people seek when they want changes in their life. It can help us to understand and have better clarity of our thoughts, emotions and behaviours. Let me ask you…Are you feeling stuck? Do you want to feel happier? Are you feeling overwhelmed? Are you feeling lost or hopeless? Are you battling with your inner critic? Do you want to heal from your past? If so let’s start your journey to discovering a new you.
01484 627413 View 01484 627413
Photo of Leonora Eddolls, Counsellor, MBACP
Leonora Eddolls
Counsellor, MBACP
Serves Area
I have worked as a Relate Counsellor since 2013 specialising in couples, family and individual counselling.   As a neurodivergent individual with a neurodivergent family I developed a special interest in neurodivergence including Adult ADHD and Adult Autism.  I completed additional post graduate training to assist me in supporting individuals and couples in understanding the differences in the way the brain operates between neurodivergent and predominant neurotypes with the aim of building better and stronger relationships.
I have worked as a Relate Counsellor since 2013 specialising in couples, family and individual counselling.   As a neurodivergent individual with a neurodivergent family I developed a special interest in neurodivergence including Adult ADHD and Adult Autism.  I completed additional post graduate training to assist me in supporting individuals and couples in understanding the differences in the way the brain operates between neurodivergent and predominant neurotypes with the aim of building better and stronger relationships.
01572 494640 View 01572 494640
Photo of Dr Itzia Perez Morales - Dr Itzia Perez Morales - Clinical Psychologist, Psychologist, PsychD, HCPC - Clin. Psych.
Dr Itzia Perez Morales - Clinical Psychologist
Psychologist, PsychD, HCPC - Clin. Psych.
Online Only
I specialise in helping people with long-standing trauma and anxiety, who feel stuck in patterns of intrusive thoughts, persistent worries, self-criticism, and regret. Often, there are multiple overlapping difficulties that have affected identity, confidence, relationships, or daily life. I work with people who benefit from longer-term therapy, consistent appointments, and an individualised treatment plan that may involve one therapeutic approach or a carefully integrated combination of therapies. So, if previous therapy didn't brought the change you hoped, if you've felt unheard and unseen, you may be exactly who I work best with.
I specialise in helping people with long-standing trauma and anxiety, who feel stuck in patterns of intrusive thoughts, persistent worries, self-criticism, and regret. Often, there are multiple overlapping difficulties that have affected identity, confidence, relationships, or daily life. I work with people who benefit from longer-term therapy, consistent appointments, and an individualised treatment plan that may involve one therapeutic approach or a carefully integrated combination of therapies. So, if previous therapy didn't brought the change you hoped, if you've felt unheard and unseen, you may be exactly who I work best with.
020 4634 3698 View 020 4634 3698
Photo of Adeela Irfan - Diverse Wellbeing Services Ltd, Psychotherapist, MSc, MBACP Accred
Diverse Wellbeing Services Ltd
Psychotherapist, MSc, MBACP Accred
1 Endorsed
Rochdale OL11
Interpersonal difficulties due to Relational Trauma, Cptsd, anxiety, depression through EMDR,CATand DBT interventions.
As a specialist psychologist and psychotherapist, I work with the National Health Services UK, focusing on services for adults with autism/ADHD, PTSD, couples, psychosexual therapy, and psychological therapy for comorbid mental health conditions. I am deeply interested in the efficacy of psychological therapies for these groups and the necessary adaptations in therapy. My extensive experience in assessment, formulation, and clinical management allows me to contribute to service development, supervision, safeguarding, and the creation of innovative client engagement methods in therapy.
Interpersonal difficulties due to Relational Trauma, Cptsd, anxiety, depression through EMDR,CATand DBT interventions.
As a specialist psychologist and psychotherapist, I work with the National Health Services UK, focusing on services for adults with autism/ADHD, PTSD, couples, psychosexual therapy, and psychological therapy for comorbid mental health conditions. I am deeply interested in the efficacy of psychological therapies for these groups and the necessary adaptations in therapy. My extensive experience in assessment, formulation, and clinical management allows me to contribute to service development, supervision, safeguarding, and the creation of innovative client engagement methods in therapy.
01706 300329 View 01706 300329
Photo of Dr Emma Shepley, Psychologist, PsychD, HCPC - Clin. Psych.
Dr Emma Shepley
Psychologist, PsychD, HCPC - Clin. Psych.
Online Only
You may be feeling stuck in unhelpful patterns of thoughts or emotions, or finding life overwhelming in ways that are hard to explain. Perhaps anxiety, low mood, trauma, or long-standing difficulties are impacting various areas of your life. You might also be questioning whether you are autistic and looking for clarity, understanding, or validation after years of feeling different or misunderstood. If you are looking to make sense of your experiences and feel more at ease with yourself, I can help.
You may be feeling stuck in unhelpful patterns of thoughts or emotions, or finding life overwhelming in ways that are hard to explain. Perhaps anxiety, low mood, trauma, or long-standing difficulties are impacting various areas of your life. You might also be questioning whether you are autistic and looking for clarity, understanding, or validation after years of feeling different or misunderstood. If you are looking to make sense of your experiences and feel more at ease with yourself, I can help.
0161 524 0824 View 0161 524 0824
Photo of Ollie Markham - Sonder Therapies- Emdr,CBT,Psychedelics,Supervisor, Psychotherapist, MBABCP
Sonder Therapies- Emdr,CBT,Psychedelics,Supervisor
Psychotherapist, MBABCP
3 Endorsed
Serves Area
I integrate ACT, DBT, Narrative therapy, Mindfulness and Interpersonal techniques.
Hey, I'm Ollie, a CBT/EMDR therapist/supervisor with 15 years experience. I specialise in OCD, Trauma/PTSD, Phobias, Anxiety and Depression. I'm trained in Tik disorders, Psychedelic Integration and Gambling Addiction. My passion is to see clients regain their joie de vivre, overcome their fears and retake control of their lives. I'm authentic, down to earth, honest and transparent. To be congruent as therapists, we need to own ourselves - It's vital to therapy - Being relatable, being present, being there. Marcus Aurelius once said: “You have power over your mind, not external events - Know this and you will find strength”
I integrate ACT, DBT, Narrative therapy, Mindfulness and Interpersonal techniques.
Hey, I'm Ollie, a CBT/EMDR therapist/supervisor with 15 years experience. I specialise in OCD, Trauma/PTSD, Phobias, Anxiety and Depression. I'm trained in Tik disorders, Psychedelic Integration and Gambling Addiction. My passion is to see clients regain their joie de vivre, overcome their fears and retake control of their lives. I'm authentic, down to earth, honest and transparent. To be congruent as therapists, we need to own ourselves - It's vital to therapy - Being relatable, being present, being there. Marcus Aurelius once said: “You have power over your mind, not external events - Know this and you will find strength”
01924 943376 View 01924 943376
Photo of Lynne Douglas, Psychotherapist, MBABCP
Lynne Douglas
Psychotherapist, MBABCP
Online Only
Specialist EMDR therapy from the comfort of your own home. Ideal for busy professionals, people in remote areas, anyone struggling to leave their home or living abroad. No long commutes, no traffic jams. Computer and stable internet connection needed only. Healthyminds4u is a growing service, we have a specialist in Eating Disorders and a specialist working with fostered young people 16+. Check Healthyminds4u website to book.
Specialist EMDR therapy from the comfort of your own home. Ideal for busy professionals, people in remote areas, anyone struggling to leave their home or living abroad. No long commutes, no traffic jams. Computer and stable internet connection needed only. Healthyminds4u is a growing service, we have a specialist in Eating Disorders and a specialist working with fostered young people 16+. Check Healthyminds4u website to book.
01246 948652 View 01246 948652
Photo of Craig Stasiuk, Counsellor, MSc, MNCPS Acc.
Craig Stasiuk
Counsellor, MSc, MNCPS Acc.
Serves Area
You may appear to be coping on the outside, yet internally feel overwhelmed, anxious, low, or emotionally exhausted. Perhaps you are carrying the impact of trauma, loss, relationship difficulties, or a persistent sense that something is not quite right. Many of the people I work with are thoughtful and self-aware, yet tired of managing alone. Therapy offers a space to pause, understand what is happening beneath the surface, and begin to move forward with greater clarity.
You may appear to be coping on the outside, yet internally feel overwhelmed, anxious, low, or emotionally exhausted. Perhaps you are carrying the impact of trauma, loss, relationship difficulties, or a persistent sense that something is not quite right. Many of the people I work with are thoughtful and self-aware, yet tired of managing alone. Therapy offers a space to pause, understand what is happening beneath the surface, and begin to move forward with greater clarity.
028 2044 2038 View 028 2044 2038
Photo of Nadim Ikhlas Siddiqui, Psychologist, DCounsPsych, CPsychol
Nadim Ikhlas Siddiqui
Psychologist, DCounsPsych, CPsychol
Oldham OL3
Cognitive Behaviour Therapy (CBT), Clinical evidence based Mindfulness, aimed at effective treatment of most psychological issues. I am an Expert Witness and do court work (especially trauma).I aim to get desired results quickly (I am not a fan of long term therapy, but do offer long term support, if needed). I believe action oriented client, centered therapy works better than just "active listening, "which clients often find frustrating. Empowering people to help themselves is useful and reduces realiance on a therapist, I aim to make myself redundant and not needed by a client. Remote therapy works really well in my experience.
Cognitive Behaviour Therapy (CBT), Clinical evidence based Mindfulness, aimed at effective treatment of most psychological issues. I am an Expert Witness and do court work (especially trauma).I aim to get desired results quickly (I am not a fan of long term therapy, but do offer long term support, if needed). I believe action oriented client, centered therapy works better than just "active listening, "which clients often find frustrating. Empowering people to help themselves is useful and reduces realiance on a therapist, I aim to make myself redundant and not needed by a client. Remote therapy works really well in my experience.
07480 638263 View 07480 638263
Photo of Julio Cervantes, Psychotherapist, MA, MBACP Accred
Julio Cervantes
Psychotherapist, MA, MBACP Accred
1 Endorsed
Online Only
DBT might help me address emotional regulation.
I am a bilingual (English/Spanish) senior accredited psychotherapist with over 20 years of experience supporting individuals, couples, and families in the United States, the UK and Europe. My approach is strengths-based and solution-focused, designed to empower you to develop practical tools and emotional resilience for everyday life.
DBT might help me address emotional regulation.
I am a bilingual (English/Spanish) senior accredited psychotherapist with over 20 years of experience supporting individuals, couples, and families in the United States, the UK and Europe. My approach is strengths-based and solution-focused, designed to empower you to develop practical tools and emotional resilience for everyday life.
020 4652 6572 View 020 4652 6572
Photo of Dr Rebecca Dale, Psychologist, PsychD, HCPC - Clin. Psych.
Dr Rebecca Dale
Psychologist, PsychD, HCPC - Clin. Psych.
2 Endorsed
Online Only
I draw on models including ACT, CBT, CFT, DBT and MBCT.
It can be overwhelming finding the right therapist and therapeutic approach for you. I aim to make the process of therapy clear and comprehensible, starting with building a shared understanding (formulation) of your difficulties and setting goals. Over the last 14 years I have worked across the NHS and independent practice, supporting adults and young people with mood difficulties (including anxiety and depression), adjustment to physical health conditions, and eating disorders. My clinical experience and training, together with your self-knowledge, is our starting point for therapeutic work.
I draw on models including ACT, CBT, CFT, DBT and MBCT.
It can be overwhelming finding the right therapist and therapeutic approach for you. I aim to make the process of therapy clear and comprehensible, starting with building a shared understanding (formulation) of your difficulties and setting goals. Over the last 14 years I have worked across the NHS and independent practice, supporting adults and young people with mood difficulties (including anxiety and depression), adjustment to physical health conditions, and eating disorders. My clinical experience and training, together with your self-knowledge, is our starting point for therapeutic work.
0161 524 9497 View 0161 524 9497
Photo of Dr Niki Whitelock, Psychologist, PsychD, HCPC - Clin. Psych.
Dr Niki Whitelock
Psychologist, PsychD, HCPC - Clin. Psych.
Online Only
I use evidence-based approaches including CBT Emdr, Compassion Focused Therapy, DBT, attachment and trauma-informed therapy, always tailored to your specific needs.
As a HCPC-registered Clinical Psychologist with 15 years in the NHS and private practice, I help people of all ages find their way forward when they feel stuck. I specialise in supporting people with: • Anxiety and panic • Depression and low mood • Self-esteem and confidence • Trauma (including PTSD) • Relationship and family difficulties. Whether you're facing a sudden situation that has left you feeling lost, or you've been struggling with persistent difficulties and are finally ready to seek help, I provide a warm, collaborative space to understand what's happening and develop practical strategies for lasting change.
I use evidence-based approaches including CBT Emdr, Compassion Focused Therapy, DBT, attachment and trauma-informed therapy, always tailored to your specific needs.
As a HCPC-registered Clinical Psychologist with 15 years in the NHS and private practice, I help people of all ages find their way forward when they feel stuck. I specialise in supporting people with: • Anxiety and panic • Depression and low mood • Self-esteem and confidence • Trauma (including PTSD) • Relationship and family difficulties. Whether you're facing a sudden situation that has left you feeling lost, or you've been struggling with persistent difficulties and are finally ready to seek help, I provide a warm, collaborative space to understand what's happening and develop practical strategies for lasting change.
0161 524 8479 View 0161 524 8479
Photo of Zoe Rivers - Beyond Barriers Therapy Services, Psychologist, HCPC - Clin. Psych.
Beyond Barriers Therapy Services
Psychologist, HCPC - Clin. Psych.
If you have been struggling with anxiety, self-criticism, shame, low mood, difficult emotions & relationships, it may be the right time to find a trusted therapist; someone to help you understand & grow from the effects of adversity, stress & trauma. Our wellbeing can be affected by many things - work stress, early adversity, significant trauma or relationships, and we do our best to find helpful coping strategies. When our ways of coping don't work so well, we can feel stuck and isolated - psychological therapy can help us move beyond those barriers. I focus on you as an individual, without using labels or diagnoses.
If you have been struggling with anxiety, self-criticism, shame, low mood, difficult emotions & relationships, it may be the right time to find a trusted therapist; someone to help you understand & grow from the effects of adversity, stress & trauma. Our wellbeing can be affected by many things - work stress, early adversity, significant trauma or relationships, and we do our best to find helpful coping strategies. When our ways of coping don't work so well, we can feel stuck and isolated - psychological therapy can help us move beyond those barriers. I focus on you as an individual, without using labels or diagnoses.
07723 490322 View 07723 490322
Dialectical Behaviour (DBT) Counsellors
Who is DBT for?
Dialectical Behaviour Therapy (DBT) is designed for people who experience extreme emotional suffering because they lack the skills of emotion regulation and distress tolerance. The basic affliction can underlie a wide range of conditions, from borderline and other personality disorders to PTSD and treatment-resistant anxiety and depression. The therapy is helpful to those whose emotional reactivity is so intense it is disruptive to everyday functioning and leads to frequent crises.

Why do people need DBT?
The ability to regulate emotions is a core psychological skill that enables people to function in life and pay attention to the world outside themselves; it is consistently associated with well-being. DBT is designed to help people learn how to manage and regulate their emotions. Originally developed to treat people with borderline personality disorder whose extreme emotional suffering led to self-harming behaviour and suicide attempts, the therapy is now applied to other conditions involving emotion dysregulation, particularly when other treatments have failed.

What happens in DBT?
Individuals meet weekly with their therapist to discuss their experiences relating to moods, behaviour, and skills. Using checklists they maintain, they review emotional experiences and positive practices they engage in. The diaries help individuals discern what led up to a specific problem encountered, this is followed by discussion of the consequences of their actions. In addition, individuals may meet in class-like small groups to learn skills such as mindfulness, emotion regulation and distress tolerance.

How long does DBT last?
Because it is intended to establish long-lasting behavioural change among those with persistent problems, DBT is designed to last six months to a year. DBT includes both weekly sessions of individual therapy and weekly skills-training sessions conducted in small groups. Studies of DBT have documented improvement within a year of treatment, particularly in controlling self-harmful behaviour; nevertheless, individuals may require therapy for several years.