Dialectical Behaviour (DBT) Counselling in Colchester

Photo of Dr Kwun Fu Chan, Psychologist, DCounsPsych, HCPC - Couns. Psych.
Dr Kwun Fu Chan
Psychologist, DCounsPsych, HCPC - Couns. Psych.
Life can be difficult to understand. It can be overwhelming. Sometimes, we end up going around in circles. All of us will experience at least some challenging situations at some point in our lives. Psychological therapy is a safe space to understand and overcome these difficulties. I am a Counselling Psychologist, and we can work together and find ways to improve your wellbeing and alleviate your struggles.
Life can be difficult to understand. It can be overwhelming. Sometimes, we end up going around in circles. All of us will experience at least some challenging situations at some point in our lives. Psychological therapy is a safe space to understand and overcome these difficulties. I am a Counselling Psychologist, and we can work together and find ways to improve your wellbeing and alleviate your struggles.
01206 237443 View 01206 237443
Photo of Laura Larkin, Psychotherapist, MNCPS Acc.
Laura Larkin
Psychotherapist, MNCPS Acc.
Struggling with anxiety that comes out of nowhere? Brain fog? Mood swings? Anger and irritability? The 3am insomnia? Low mood? Feeling invisible and as if your mind and body have been hijacked without your consent? Menopause is an emotional and physical rollercoaster, a natural transition – but a nightmare for many women. Often we are juggling this with other life stressors - ageing parents, children leaving home, relationship conflict, juggling work and family life, etc. Whether you are taking HRT or not, I can provide you with support, the emotional tools and the practical coping techniques to help you get your life back on track.
Struggling with anxiety that comes out of nowhere? Brain fog? Mood swings? Anger and irritability? The 3am insomnia? Low mood? Feeling invisible and as if your mind and body have been hijacked without your consent? Menopause is an emotional and physical rollercoaster, a natural transition – but a nightmare for many women. Often we are juggling this with other life stressors - ageing parents, children leaving home, relationship conflict, juggling work and family life, etc. Whether you are taking HRT or not, I can provide you with support, the emotional tools and the practical coping techniques to help you get your life back on track.
020 3995 2007 View 020 3995 2007
Photo of James Rodwell, Counsellor, MBACP
James Rodwell
Counsellor, MBACP
1 Endorsed
That first step into counselling can feel daunting. My priority is to welcome you when we meet. I'm qualified, experienced and offer a half price first session, usually within a week of contact. Saturday and weekday sessions are available. We all find things hard at times in our lives. When we do, it can be good to work through our thoughts and feelings with someone who seeks to understand, not judge us, and offers helpful reflection on our situation.
That first step into counselling can feel daunting. My priority is to welcome you when we meet. I'm qualified, experienced and offer a half price first session, usually within a week of contact. Saturday and weekday sessions are available. We all find things hard at times in our lives. When we do, it can be good to work through our thoughts and feelings with someone who seeks to understand, not judge us, and offers helpful reflection on our situation.
01206 583534 View 01206 583534
Photo of Ian West - Ian West (Accred) Counsellor and Supervisor, Counsellor, DCounsPsych, MBACP Accred
Ian West (Accred) Counsellor and Supervisor
Counsellor, DCounsPsych, MBACP Accred
3 Endorsed
Using an integrative approach, I draw on various therapies like CBT/ DBT for practical strategies, psychodynamic therapy to explore past influences, and person-centred therapy to create a non-judgemental space.
I am an Accredited MBACP Registered Humanistic Integrative Counsellor & Counselling Supervisor with over 10 years of experience in working with individuals, and groups of all ages, sexual orientations and cultural backgrounds. I am based in Colchester CO1. Dependent on your presenting issues/needs I will draw on cognitive, psychodynamic, attachment, and relational theories and concepts, to provide either short-term-focused counselling/therapy or longer-term in-depth psychotherapy.
Using an integrative approach, I draw on various therapies like CBT/ DBT for practical strategies, psychodynamic therapy to explore past influences, and person-centred therapy to create a non-judgemental space.
I am an Accredited MBACP Registered Humanistic Integrative Counsellor & Counselling Supervisor with over 10 years of experience in working with individuals, and groups of all ages, sexual orientations and cultural backgrounds. I am based in Colchester CO1. Dependent on your presenting issues/needs I will draw on cognitive, psychodynamic, attachment, and relational theories and concepts, to provide either short-term-focused counselling/therapy or longer-term in-depth psychotherapy.
01206 482901 View 01206 482901
Photo of Taner Paul Hassan, Counsellor, MBACP
Taner Paul Hassan
Counsellor, MBACP
2 Endorsed
I am qualified in CBT, DBT, Transactional Analysis, Person Centred, Psychodynamic, Motivational Interviewing, Solution Focussed, Trauma Therapy, Addiction Therapy, Couples Therapy,
Hi I’m an Integrative Psychotherapist & Performance Coach. I work with individuals, Couples, Adults, Teenagers, Professional Athletes & People in the public eye. Assisting in many presenting issues such as anxiety, phobias. Specialist Area of Expertise: Sex & Porn Addiction, Substance Misuse & Alcohol, Addiction. It is important that whoever you seek help from you give yourself the chance to work through your issues and become your own scientist. I will never tell you what to do but help guide you and explore your issues together to help you achieve your goals.
I am qualified in CBT, DBT, Transactional Analysis, Person Centred, Psychodynamic, Motivational Interviewing, Solution Focussed, Trauma Therapy, Addiction Therapy, Couples Therapy,
Hi I’m an Integrative Psychotherapist & Performance Coach. I work with individuals, Couples, Adults, Teenagers, Professional Athletes & People in the public eye. Assisting in many presenting issues such as anxiety, phobias. Specialist Area of Expertise: Sex & Porn Addiction, Substance Misuse & Alcohol, Addiction. It is important that whoever you seek help from you give yourself the chance to work through your issues and become your own scientist. I will never tell you what to do but help guide you and explore your issues together to help you achieve your goals.
01206 489711 View 01206 489711
Photo of Kristina England, Counsellor, MA, MBACP
Kristina England
Counsellor, MA, MBACP
Online Only
Since completing my degrees I have also completed courses in behavioural therapies such as DBT, CBT and CFT
Our emotions are designed to keep us safe. However, our minds don’t always respond the way we would like to, with many of us struggling to manage depression and/or anxiety. Sometimes presenting challenges in our relationships and other areas of our lives. Thankfully, we can adapt our brain, soothe, understand, and teach it how to respond more helpfully.
Since completing my degrees I have also completed courses in behavioural therapies such as DBT, CBT and CFT
Our emotions are designed to keep us safe. However, our minds don’t always respond the way we would like to, with many of us struggling to manage depression and/or anxiety. Sometimes presenting challenges in our relationships and other areas of our lives. Thankfully, we can adapt our brain, soothe, understand, and teach it how to respond more helpfully.
020 4634 3083 View 020 4634 3083
Photo of Christian U. Ilodibe, Counsellor, MBACP
Christian U. Ilodibe
Counsellor, MBACP
I have BA (Hons) in Person-centred counselling, which has helped in my understanding of various issues we face in our daily lives, garnered during my training and working with various clients, and offering pastoral care to members of my local community. These issues may include but not limited to depression, anxiety, bereavement, stress, trauma, divorce, etc. I will work in an empathetic, non-directive and non-judgemental way to ensure you get what you need from counselling by openly discussing and making shared decisions with you, with the belief that different clients need different things at different times
I have BA (Hons) in Person-centred counselling, which has helped in my understanding of various issues we face in our daily lives, garnered during my training and working with various clients, and offering pastoral care to members of my local community. These issues may include but not limited to depression, anxiety, bereavement, stress, trauma, divorce, etc. I will work in an empathetic, non-directive and non-judgemental way to ensure you get what you need from counselling by openly discussing and making shared decisions with you, with the belief that different clients need different things at different times
01206 239172 View 01206 239172
Photo of Sara Joanne Swinn, Counsellor, MBACP Accred
Sara Joanne Swinn
Counsellor, MBACP Accred
I am Integratively trained using DBT skills to regulate and understand emotions working in a trauma informed way to manage issues including anxiety, trauma, relationships , domestic violence, childhood abuse, burn out, diversity issues and issues involving students.
I can provide a safe, caring and confidential environment to help you explore your emotions, encouraging self discovery and promote change, if appropriate. I am able to offer telephone and online counselling and have a wide range of experience in this area, as well as face to face sessions in Gt Horkesley & Colchester. I am a qualified Registered and Accredited Counsellor with the BACP and hold a Diploma in Integrative Counselling (Accredited Course) with the British Association of Counselling and Psychotherapy I am trained in Creative Therapies, which involves Art work, & play therapy and I am a trained Relationship Counsellor.
I am Integratively trained using DBT skills to regulate and understand emotions working in a trauma informed way to manage issues including anxiety, trauma, relationships , domestic violence, childhood abuse, burn out, diversity issues and issues involving students.
I can provide a safe, caring and confidential environment to help you explore your emotions, encouraging self discovery and promote change, if appropriate. I am able to offer telephone and online counselling and have a wide range of experience in this area, as well as face to face sessions in Gt Horkesley & Colchester. I am a qualified Registered and Accredited Counsellor with the BACP and hold a Diploma in Integrative Counselling (Accredited Course) with the British Association of Counselling and Psychotherapy I am trained in Creative Therapies, which involves Art work, & play therapy and I am a trained Relationship Counsellor.
020 3835 5415 View 020 3835 5415
Photo of Clare Louise Brookes - ReAlign Psychological Therapies, Counsellor, MUKCP
As an integrative psychotherapeutic counsellor, I don’t believe in a 'one size fits all' approach. Instead, I draw upon a variety of therapeutic traditions to tailor our work specifically to you, your unique background, and your personal goals. Together, we will create a safe, confidential, and non-judgemental space where you can speak openly and feel truly heard. My role is not to analyse you from a distance, but to work collaboratively alongside you—honouring your past, understanding your present, and helping you build the tools for a more fulfilling future, We will explore it all at a pace that feels safe and right for you.
As an integrative psychotherapeutic counsellor, I don’t believe in a 'one size fits all' approach. Instead, I draw upon a variety of therapeutic traditions to tailor our work specifically to you, your unique background, and your personal goals. Together, we will create a safe, confidential, and non-judgemental space where you can speak openly and feel truly heard. My role is not to analyse you from a distance, but to work collaboratively alongside you—honouring your past, understanding your present, and helping you build the tools for a more fulfilling future, We will explore it all at a pace that feels safe and right for you.
07852 692137 View 07852 692137
Photo of Melissa Bizier, Psychotherapist, MSc, MBACP Accred
Melissa Bizier
Psychotherapist, MSc, MBACP Accred
2 Endorsed
Online Only
Waitlist for new clients
I'm a psychotherapist with over 14 years of experience, originally trained in Person-Centred Therapy, further trained in Dialectical Behaviour Therapy ( DBT) and Mindfulness Self-Compassion.
Parenting can be one of life’s greatest joys, but it can also feel overwhelming, exhausting, and full of guilt or self-doubt. I work with parents who want to feel more in control of their emotions, more confident in their decisions, and more connected to their children and themselves.
I'm a psychotherapist with over 14 years of experience, originally trained in Person-Centred Therapy, further trained in Dialectical Behaviour Therapy ( DBT) and Mindfulness Self-Compassion.
Parenting can be one of life’s greatest joys, but it can also feel overwhelming, exhausting, and full of guilt or self-doubt. I work with parents who want to feel more in control of their emotions, more confident in their decisions, and more connected to their children and themselves.
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Photo of Philippe Jacquet - Philippe Jacquet & Associates, Psychotherapist, HCPC-Art Therap.
Philippe Jacquet & Associates
Psychotherapist, HCPC-Art Therap.
My path to psychotherapy began in my own suffering — years confronting addiction and eating disorders before I ever sat in the therapist's chair. That experience, alongside 25 years of clinical practice at Harley Street, shapes how I work. I am a Jungian analyst with over 20 years of EMDR experience, and hold a Doctorate of Professional Practice — the only clinician in Europe with doctoral research on male eating disorders. Hazelden Foundation trained. Former clinical supervisor at Promis Recovery Centre for five years.
My path to psychotherapy began in my own suffering — years confronting addiction and eating disorders before I ever sat in the therapist's chair. That experience, alongside 25 years of clinical practice at Harley Street, shapes how I work. I am a Jungian analyst with over 20 years of EMDR experience, and hold a Doctorate of Professional Practice — the only clinician in Europe with doctoral research on male eating disorders. Hazelden Foundation trained. Former clinical supervisor at Promis Recovery Centre for five years.
020 3962 2191 View 020 3962 2191
Photo of Joshua Archer, Counsellor
Joshua Archer
Counsellor
1 Endorsed
Serves Area
Using a blend of CBT, DBT, BA and other evidence-based approaches, I bring creativity into sessions with visual aids and animation.
You might feel stuck, anxious, overwhelmed, or lost in your thoughts. Maybe life has thrown too much at once—or you’ve carried something for too long. You might be neurodivergent, dealing with trauma, addiction, or navigating family struggles. I pride myself that my clients are heard, supported, and offered real tools for change. If, and when you are ready to talk, I offer a safe, straightforward space—online or in Braintree—to help you move forward, your way. I have supported children of all ages, adults and older adults for over 10 years and will take a unique approach to improve you, or a loved ones, quality of life.
Using a blend of CBT, DBT, BA and other evidence-based approaches, I bring creativity into sessions with visual aids and animation.
You might feel stuck, anxious, overwhelmed, or lost in your thoughts. Maybe life has thrown too much at once—or you’ve carried something for too long. You might be neurodivergent, dealing with trauma, addiction, or navigating family struggles. I pride myself that my clients are heard, supported, and offered real tools for change. If, and when you are ready to talk, I offer a safe, straightforward space—online or in Braintree—to help you move forward, your way. I have supported children of all ages, adults and older adults for over 10 years and will take a unique approach to improve you, or a loved ones, quality of life.
01376 297213 View 01376 297213
Photo of Chris Harrad, Psychotherapist, MBACP
Chris Harrad
Psychotherapist, MBACP
Serves Area
Perhaps you're feeling down or anxious, maybe you're unsure about the future of a relationship, or just feel that you aren't living the life you were meant to lead. Therapy I offer represents a safe, accepting, confidential space to look at whatever issues you may be facing right now, and find a way forwards. I can offer a chance to be heard and seen, an opportunity to work through your thoughts and feelings, and a time to develop new skills. Whatever your needs may be, I am here to offer support.
Perhaps you're feeling down or anxious, maybe you're unsure about the future of a relationship, or just feel that you aren't living the life you were meant to lead. Therapy I offer represents a safe, accepting, confidential space to look at whatever issues you may be facing right now, and find a way forwards. I can offer a chance to be heard and seen, an opportunity to work through your thoughts and feelings, and a time to develop new skills. Whatever your needs may be, I am here to offer support.
01245 945727 View 01245 945727
Photo of Dr Rebecca Moran, Psychologist, PsychD, HCPC - Clin. Psych.
Dr Rebecca Moran
Psychologist, PsychD, HCPC - Clin. Psych.
Serves Area
I have specific training in a number of therapy approaches including EMDR & DBT.
I am a Clinical Psychologist and EMDR therapist, registered with the Health & Care Professions Council (HCPC, Reg: PYL041023). For over a decade, I have worked in public healthcare settings in the UK and Ireland; helping people, of all ages, to cope with and recover from emotional and behavioural difficulties such as Attachment issues, Anxiety, Depression, PTSD, phobias and the impact of Trauma/Developmental Trauma. My approach is warm, compassionate, and empathetic. I provide a supportive and confidential space for you to safely explore your difficulties and current needs.
I have specific training in a number of therapy approaches including EMDR & DBT.
I am a Clinical Psychologist and EMDR therapist, registered with the Health & Care Professions Council (HCPC, Reg: PYL041023). For over a decade, I have worked in public healthcare settings in the UK and Ireland; helping people, of all ages, to cope with and recover from emotional and behavioural difficulties such as Attachment issues, Anxiety, Depression, PTSD, phobias and the impact of Trauma/Developmental Trauma. My approach is warm, compassionate, and empathetic. I provide a supportive and confidential space for you to safely explore your difficulties and current needs.
01245 945723 View 01245 945723
Photo of Sarah Turner, Psychotherapist, DCounsPsych, MBACP Accred
Sarah Turner
Psychotherapist, DCounsPsych, MBACP Accred
Serves Area
I offer integrative therapy and as a qualified DBT therapist I offer DBT informed therapy and skills groups.
Do you struggle with your emotions? Do you find yourself feeling moody and irritable? Maybe you are battling with high levels of anxiety that is ruining your life. Maybe you’re feeling sad and depressed robbing you of enjoyment in your life. Do you experience a range of intense emotions in a short space of time and slow to get back to “normal”? Do you end up having angry outbursts then feel full of regret afterwards? Do your relationships suffer as a result of intense emotions? Have you developed coping strategies that whilst in the moment might help but longer term are causing additional issues?
I offer integrative therapy and as a qualified DBT therapist I offer DBT informed therapy and skills groups.
Do you struggle with your emotions? Do you find yourself feeling moody and irritable? Maybe you are battling with high levels of anxiety that is ruining your life. Maybe you’re feeling sad and depressed robbing you of enjoyment in your life. Do you experience a range of intense emotions in a short space of time and slow to get back to “normal”? Do you end up having angry outbursts then feel full of regret afterwards? Do your relationships suffer as a result of intense emotions? Have you developed coping strategies that whilst in the moment might help but longer term are causing additional issues?
01283 372017 View 01283 372017
Photo of Dr Noreen Dera - Trauma Psychologist - Dr Noreen Dera, Psychologist, PsychD, HCPC - Clin. Psych.
Trauma Psychologist - Dr Noreen Dera
Psychologist, PsychD, HCPC - Clin. Psych.
2 Endorsed
Serves Area
I offer a wide range of therapies such as IFS, CBT, DBT, Acceptance Commitment Therapy, Compassion-Focussed Therapy,.
On paper, your life works but something still feels off. Maybe you’re doing all the right things, but you’ve lost the spark. Perhaps you notice the same patterns repeating and you are ready to break free of them. Our sessions together can be a place to figure things out, to untangle the thoughts, emotions, and behaviours that have left you feeling lost, disconnected or uncertain. I offer a warm, calm and compassionate space to help you understand yourself more deeply, reconnect with what matters, and create lasting change from the inside and out.
I offer a wide range of therapies such as IFS, CBT, DBT, Acceptance Commitment Therapy, Compassion-Focussed Therapy,.
On paper, your life works but something still feels off. Maybe you’re doing all the right things, but you’ve lost the spark. Perhaps you notice the same patterns repeating and you are ready to break free of them. Our sessions together can be a place to figure things out, to untangle the thoughts, emotions, and behaviours that have left you feeling lost, disconnected or uncertain. I offer a warm, calm and compassionate space to help you understand yourself more deeply, reconnect with what matters, and create lasting change from the inside and out.
01279 744854 View 01279 744854
Photo of Adam Digby, Psychotherapist, MBACP
Adam Digby
Psychotherapist, MBACP
Online Only
I am a Registered Counsellor & Specialist Consultant in Mental Health with over a decade and a half of experience helping adults & young people overcome difficulties impacting emotional well-being and mental health. I specialise in working with Individuals, Men and Young People (16y.o.a+). I deliberately keep the number of people I work with low and have found through experience, this allows me much greater flexibility when working with my clients. My fee structure as indicated is £80 per session (50 minutes) and £100 for our first session which runs longer at 90 minutes, giving us adequate time together on our first meeting.
I am a Registered Counsellor & Specialist Consultant in Mental Health with over a decade and a half of experience helping adults & young people overcome difficulties impacting emotional well-being and mental health. I specialise in working with Individuals, Men and Young People (16y.o.a+). I deliberately keep the number of people I work with low and have found through experience, this allows me much greater flexibility when working with my clients. My fee structure as indicated is £80 per session (50 minutes) and £100 for our first session which runs longer at 90 minutes, giving us adequate time together on our first meeting.
01621 730608 View 01621 730608
Photo of Adrian I Martiniuc - Your Psychotherapist, Psychologist, PsychD, CPsychol
Your Psychotherapist
Psychologist, PsychD, CPsychol
Online Only
Do you ever feel worried, stuck, lost, hopeless, lonely, lethargic, anxious, unable to sleep – less able to cope with life? Does this affect your ability to enjoy relationships, work, everyday life? Most of us experience challenging times at various stages of our lives but we don’t have to be alone with this. Psychological therapy offers a safe place that helps you to understand and overcome your issues. I will work with you as a team to understand symptoms, underlying issues, their causes and maintenance specific to you. We will find ways forward to relieving symptoms and distress and improving your wellbeing.
Do you ever feel worried, stuck, lost, hopeless, lonely, lethargic, anxious, unable to sleep – less able to cope with life? Does this affect your ability to enjoy relationships, work, everyday life? Most of us experience challenging times at various stages of our lives but we don’t have to be alone with this. Psychological therapy offers a safe place that helps you to understand and overcome your issues. I will work with you as a team to understand symptoms, underlying issues, their causes and maintenance specific to you. We will find ways forward to relieving symptoms and distress and improving your wellbeing.
020 8103 3863 View 020 8103 3863
Photo of Denise Moreton - Denise Moreton International Online, Counsellor, MBACP
Denise Moreton International Online
Counsellor, MBACP
Online Only
I have day time and evening online availability and can accommodate shift working.... I offer a calm and confidential space for you to share and explore your thoughts and feelings; allowing you to talk about whatever is on your mind as honestly as you can. I have a welcoming and down to earth approach and will work with you and help you explore and untangle your fears or worries. I work with a wide variety of emotional difficulties, mental health challenges and relationship issues including, but not limited to, anxiety, depression, adult and childhood trauma, and relationship / family difficulties.
I have day time and evening online availability and can accommodate shift working.... I offer a calm and confidential space for you to share and explore your thoughts and feelings; allowing you to talk about whatever is on your mind as honestly as you can. I have a welcoming and down to earth approach and will work with you and help you explore and untangle your fears or worries. I work with a wide variety of emotional difficulties, mental health challenges and relationship issues including, but not limited to, anxiety, depression, adult and childhood trauma, and relationship / family difficulties.
01205 334540 View 01205 334540

More Therapists Nearby

Photo of Clare Pattison, Counsellor, MNCPS Acc.
Clare Pattison
Counsellor, MNCPS Acc.
1 Endorsed
Hi. I'm Clare, Perhaps feeling anxious has brought you here today or you're juggling everything and trying to hold it together. Maybe you're navigating a' painful breakup, grieving the loss of a loved one or pet, or you are - or have been, in a relationship thats left you doubting your worth, feeling burnt out from juggling too much, saying yes when you mean no, never switching off? These are just some of the many reasons people reach out for support. Whatever your reason is, if it is something you are struggling with, its important to me too. Reaching out is never as scary as you think and it could be the best thing you do.
Hi. I'm Clare, Perhaps feeling anxious has brought you here today or you're juggling everything and trying to hold it together. Maybe you're navigating a' painful breakup, grieving the loss of a loved one or pet, or you are - or have been, in a relationship thats left you doubting your worth, feeling burnt out from juggling too much, saying yes when you mean no, never switching off? These are just some of the many reasons people reach out for support. Whatever your reason is, if it is something you are struggling with, its important to me too. Reaching out is never as scary as you think and it could be the best thing you do.
01284 672023 View 01284 672023

See more therapy options for Colchester

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.