Dialectical Behavior (DBT) Psychiatrists in Dublin, CA

Photo of April Clark, Psychiatric Nurse Practitioner, MSN, APRN, PMHNPBC
April Clark
Psychiatric Nurse Practitioner, MSN, APRN, PMHNPBC
Online Only
Text (424) 295-6921 for appointment. I am here for children and adults. Treats anxiety, depression. Offering ADHD testing. ESA letters and work leave when appropriate. I am passionate about listening to YOUR story and providing specific personalized psychiatric treatments with both natural and evidence based pharmacologic options. I integrate the most up to date psychiatry treatments with natural supplementation along with feasible life style changes that help patients live more peacefully with less symptoms. Through custom treatments I am here to help make a way to some normalcy and peace in your functionings of daily living.
Text (424) 295-6921 for appointment. I am here for children and adults. Treats anxiety, depression. Offering ADHD testing. ESA letters and work leave when appropriate. I am passionate about listening to YOUR story and providing specific personalized psychiatric treatments with both natural and evidence based pharmacologic options. I integrate the most up to date psychiatry treatments with natural supplementation along with feasible life style changes that help patients live more peacefully with less symptoms. Through custom treatments I am here to help make a way to some normalcy and peace in your functionings of daily living.
(530) 802-8007 View (530) 802-8007
Photo of Sandra Hah - WellPsyche Medical Group, Psychiatrist, MD
WellPsyche Medical Group
Psychiatrist, MD
Serves Area
Do you Over-Think things? Over-Experience your emotions? Do you struggle to focus or complete tasks? Difficulty sleeping? Putting off your mental health is no longer an option! With over 75 clinical experts, WellPsyche and MediPsych providers provide Empathetic Psychotherapy and Personalized Medication Management services for Children, Adolescents, and Adults. 100% of our visits are conducted via Zoom, and we are available mornings, afternoons, and evenings. Meet with your psychiatrist from the privacy and convenience of home or work. We are simplifying the mental health experience so you can become the best version of you!
Do you Over-Think things? Over-Experience your emotions? Do you struggle to focus or complete tasks? Difficulty sleeping? Putting off your mental health is no longer an option! With over 75 clinical experts, WellPsyche and MediPsych providers provide Empathetic Psychotherapy and Personalized Medication Management services for Children, Adolescents, and Adults. 100% of our visits are conducted via Zoom, and we are available mornings, afternoons, and evenings. Meet with your psychiatrist from the privacy and convenience of home or work. We are simplifying the mental health experience so you can become the best version of you!
(925) 489-2842 View (925) 489-2842
Photo of Dr. Zohaib Abbasi, Psychiatrist, MD
Dr. Zohaib Abbasi
Psychiatrist, MD
1 Endorsed
Online Only
UPDATE 7/12/26: I am still taking new patients + + + Hi! I'm a board-certified psychiatrist offering convenient online video visits throughout California and currently accepting new patients. In addition to traditional psychiatric medications and psychotherapy, I specialize in an integrative patient-centered approach, using lifestyle changes and natural treatments that are supported by scientific evidence. I want you to feel empowered and have control over your treatment. I offer personalized care to individuals who want to get a more accurate diagnosis and minimize unnecessary medications.
UPDATE 7/12/26: I am still taking new patients + + + Hi! I'm a board-certified psychiatrist offering convenient online video visits throughout California and currently accepting new patients. In addition to traditional psychiatric medications and psychotherapy, I specialize in an integrative patient-centered approach, using lifestyle changes and natural treatments that are supported by scientific evidence. I want you to feel empowered and have control over your treatment. I offer personalized care to individuals who want to get a more accurate diagnosis and minimize unnecessary medications.
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Photo of Dr. Randall Bailey, Psychiatrist, MD
Dr. Randall Bailey
Psychiatrist, MD
Serves Area
Do you Over-Think things? Over-Experience your emotions? Do you struggle to focus or complete tasks? Difficulty sleeping? Putting off your mental health is no longer an option! With over 75 clinical experts, WellPsyche and MediPsych providers provide Empathetic Psychotherapy and Personalized Medication Management services for Children, Adolescents, and Adults. 100% of our visits are conducted via Zoom, and we are available mornings, afternoons, and evenings. Meet with your psychiatrist from the privacy and convenience of home or work. We are simplifying the mental health experience so you can become the best version of you!
Do you Over-Think things? Over-Experience your emotions? Do you struggle to focus or complete tasks? Difficulty sleeping? Putting off your mental health is no longer an option! With over 75 clinical experts, WellPsyche and MediPsych providers provide Empathetic Psychotherapy and Personalized Medication Management services for Children, Adolescents, and Adults. 100% of our visits are conducted via Zoom, and we are available mornings, afternoons, and evenings. Meet with your psychiatrist from the privacy and convenience of home or work. We are simplifying the mental health experience so you can become the best version of you!
(424) 396-0329 View (424) 396-0329
Photo of Sarah Blue - WellPsyche Medical Group, Psychiatrist, MD
WellPsyche Medical Group
Psychiatrist, MD
Online Only
Do you Over-Think things? Over-Experience your emotions? Do you struggle to focus or complete tasks? Difficulty sleeping? Putting off your mental health is no longer an option! With over 75 clinical experts, WellPsyche and MediPsych providers provide Empathetic Psychotherapy and Personalized Medication Management services for Children, Adolescents, and Adults. 100% of our visits are conducted via Zoom, and we are available mornings, afternoons, and evenings. Meet with your psychiatrist from the privacy and convenience of home or work. We are simplifying the mental health experience so you can become the best version of you!
Do you Over-Think things? Over-Experience your emotions? Do you struggle to focus or complete tasks? Difficulty sleeping? Putting off your mental health is no longer an option! With over 75 clinical experts, WellPsyche and MediPsych providers provide Empathetic Psychotherapy and Personalized Medication Management services for Children, Adolescents, and Adults. 100% of our visits are conducted via Zoom, and we are available mornings, afternoons, and evenings. Meet with your psychiatrist from the privacy and convenience of home or work. We are simplifying the mental health experience so you can become the best version of you!
(925) 807-8490 View (925) 807-8490
Photo of Ruby Dhaliwal, Psychiatric Nurse Practitioner, PMHNP
Ruby Dhaliwal
Psychiatric Nurse Practitioner, PMHNP
Serves Area
Hello! I'm Ruby, a passionate and board-certified Psychiatric Mental Health Nurse Practitioner. My mission is to deeply understand each individual I serve, crafting tailored treatment plans that address your unique needs. I strive to inspire hope and empower my clients to navigate life's challenges. My expertise spans various forms of psychotherapy, including cognitive behavioral therapy (CBT), interpersonal therapy (IPT), psychodynamic therapy, and supportive therapy. I judiciously integrate psychopharmacology when necessary, ensuring comprehensive care for my patients' mental well-being.
Hello! I'm Ruby, a passionate and board-certified Psychiatric Mental Health Nurse Practitioner. My mission is to deeply understand each individual I serve, crafting tailored treatment plans that address your unique needs. I strive to inspire hope and empower my clients to navigate life's challenges. My expertise spans various forms of psychotherapy, including cognitive behavioral therapy (CBT), interpersonal therapy (IPT), psychodynamic therapy, and supportive therapy. I judiciously integrate psychopharmacology when necessary, ensuring comprehensive care for my patients' mental well-being.
(925) 886-2279 View (925) 886-2279
Photo of Peter Forster, Psychiatrist, MD
Peter Forster
Psychiatrist, MD
Serves Area
I believe that caring and respectful relationships are the basis for any kind of healing. In my work with patients I view what we do together as a collaboration. You are the expert in yourself and your feelings. I bring to that collaboration the expertise from my academic experience and training as well as from the care of thousands of patients with similar problems. Together we create a treatment plan that will lead to a sustained recovery from a mood or anxiety disorder.
I believe that caring and respectful relationships are the basis for any kind of healing. In my work with patients I view what we do together as a collaboration. You are the expert in yourself and your feelings. I bring to that collaboration the expertise from my academic experience and training as well as from the care of thousands of patients with similar problems. Together we create a treatment plan that will lead to a sustained recovery from a mood or anxiety disorder.
(925) 968-4250 View (925) 968-4250

More Psychiatrists Nearby

Photo of Amy Clark, Psychiatric Nurse Practitioner, MSN, PMHNP
Amy Clark
Psychiatric Nurse Practitioner, MSN, PMHNP
Serves Area
As a provider I take a holistic approach to behavioral health care and aim to utilize tools outside of just medication management in order to help you attain your individualized goals. I see you as a whole person; mind, body, and soul, and want to provide you with alternatives that conventional psychiatry practitioners often underutilize. I strongly focus on incorporating exercise and nutrition, proper sleep hygiene, talk therapy, and development of executive functioning skills, all as ways to enhance your patient experience and outcomes.
As a provider I take a holistic approach to behavioral health care and aim to utilize tools outside of just medication management in order to help you attain your individualized goals. I see you as a whole person; mind, body, and soul, and want to provide you with alternatives that conventional psychiatry practitioners often underutilize. I strongly focus on incorporating exercise and nutrition, proper sleep hygiene, talk therapy, and development of executive functioning skills, all as ways to enhance your patient experience and outcomes.
(619) 860-1191 View (619) 860-1191
Photo of Bruce Bassi - TelepsychHealth, Psychiatrist, MD, NP, LCPC
TelepsychHealth
Psychiatrist, MD, NP, LCPC
Online Only
Our clinicians draw from a range of evidence-based therapies, tailored to your needs — including CBT (identifying and reshaping unhelpful thoughts and behaviors), DBT (building emotional regulation, distress tolerance, and balancing acceptance with change), ACT (acceptance, mindfulness, and committing to values-based action), Motivational Interviewing and REBT.
We are a group practice made up of psychiatrists and therapists who provide high-quality virtual mental health care to people across multiple states. We understand that timely access to care is crucial. That’s why we typically have openings within 1–2 weeks, so you don’t have to wait months to begin your journey toward wellness. Our mission is to always treat patients with utmost dignity and respect that they deserve.
Our clinicians draw from a range of evidence-based therapies, tailored to your needs — including CBT (identifying and reshaping unhelpful thoughts and behaviors), DBT (building emotional regulation, distress tolerance, and balancing acceptance with change), ACT (acceptance, mindfulness, and committing to values-based action), Motivational Interviewing and REBT.
We are a group practice made up of psychiatrists and therapists who provide high-quality virtual mental health care to people across multiple states. We understand that timely access to care is crucial. That’s why we typically have openings within 1–2 weeks, so you don’t have to wait months to begin your journey toward wellness. Our mission is to always treat patients with utmost dignity and respect that they deserve.
(408) 539-0754 View (408) 539-0754
Photo of Zhi-Yang Tsun - Zhi Tsun, MD PhD - Flourish, Psychiatrist, MD, PhD
Zhi Tsun, MD PhD - Flourish
Psychiatrist, MD, PhD
1 Endorsed
Online Only
I’m a Harvard and MIT-trained, integrative psychiatrist, longevity practitioner, and serial venture-backed entrepreneur. I help executives and entrepreneurs experiencing burnout, anxiety, or depression lead meaningful lives, achieve emotional breakthroughs, improve work performance, and optimize mind-body health for longevity. I believe in a holistic approach that addresses the root cause of your suffering while dramatically improving your life so you can flourish. Accepting patients in CA, NY, PA, MA, NH, ME.
I’m a Harvard and MIT-trained, integrative psychiatrist, longevity practitioner, and serial venture-backed entrepreneur. I help executives and entrepreneurs experiencing burnout, anxiety, or depression lead meaningful lives, achieve emotional breakthroughs, improve work performance, and optimize mind-body health for longevity. I believe in a holistic approach that addresses the root cause of your suffering while dramatically improving your life so you can flourish. Accepting patients in CA, NY, PA, MA, NH, ME.
(833) 454-5224 View (833) 454-5224
Photo of Dr. Sandra Hah, Psychiatrist, MD
Dr. Sandra Hah
Psychiatrist, MD
Danville, CA 94526
Do you Over-Think things? Over-Experience your emotions? Do you struggle to focus or complete tasks? Difficulty sleeping? Putting off your mental health is no longer an option! With over 75 clinical experts, WellPsyche and MediPsych providers provide Empathetic Psychotherapy and Personalized Medication Management services for Children, Adolescents, and Adults. 100% of our visits are conducted via Zoom, and we are available mornings, afternoons, and evenings. Meet with your psychiatrist from the privacy and convenience of home or work. We are simplifying the mental health experience so you can become the best version of you!
Do you Over-Think things? Over-Experience your emotions? Do you struggle to focus or complete tasks? Difficulty sleeping? Putting off your mental health is no longer an option! With over 75 clinical experts, WellPsyche and MediPsych providers provide Empathetic Psychotherapy and Personalized Medication Management services for Children, Adolescents, and Adults. 100% of our visits are conducted via Zoom, and we are available mornings, afternoons, and evenings. Meet with your psychiatrist from the privacy and convenience of home or work. We are simplifying the mental health experience so you can become the best version of you!
(925) 386-2640 View (925) 386-2640
Photo of Dr. Adel Mostafavi, Psychiatrist, MD
Dr. Adel Mostafavi
Psychiatrist, MD
San Francisco, CA 94104
Do you Over-Think things? Over-Experience your emotions? Do you struggle to focus or complete tasks? Difficulty sleeping? Putting off your mental health is no longer an option! With over 75 clinical experts, WellPsyche and MediPsych providers provide Empathetic Psychotherapy and Personalized Medication Management services for Children, Adolescents, and Adults. 100% of our visits are conducted via Zoom, and we are available mornings, afternoons, and evenings. Meet with your psychiatrist from the privacy and convenience of home or work. We are simplifying the mental health experience so you can become the best version of you!
Do you Over-Think things? Over-Experience your emotions? Do you struggle to focus or complete tasks? Difficulty sleeping? Putting off your mental health is no longer an option! With over 75 clinical experts, WellPsyche and MediPsych providers provide Empathetic Psychotherapy and Personalized Medication Management services for Children, Adolescents, and Adults. 100% of our visits are conducted via Zoom, and we are available mornings, afternoons, and evenings. Meet with your psychiatrist from the privacy and convenience of home or work. We are simplifying the mental health experience so you can become the best version of you!
(415) 862-0765 View (415) 862-0765
Photo of Angela Njoroge, Psychiatric Nurse Practitioner, PMHNP, -BC, APRN, MSN
Angela Njoroge
Psychiatric Nurse Practitioner, PMHNP, -BC, APRN, MSN
6 Endorsed
Tracy, CA 95376
Hi, my name is Angela! I am a Board Certified Psychiatric Mental Health Nurse Practitioner. As a nurse, my journey in mental health care has been transformative. I've witnessed the resilience of the human spirit through the darkest struggles. Transitioning to a Psychiatric Mental health Nurse Practitioner, I've learned that empathy and active listening are my most potent tools. Life has taught me that compassion transcends textbooks, and every patient has a unique story. My experiences have deepened my understanding of the intricate web of mental health, making me an advocate for de-stigmatizing mental illnesses and fostering hope.
Hi, my name is Angela! I am a Board Certified Psychiatric Mental Health Nurse Practitioner. As a nurse, my journey in mental health care has been transformative. I've witnessed the resilience of the human spirit through the darkest struggles. Transitioning to a Psychiatric Mental health Nurse Practitioner, I've learned that empathy and active listening are my most potent tools. Life has taught me that compassion transcends textbooks, and every patient has a unique story. My experiences have deepened my understanding of the intricate web of mental health, making me an advocate for de-stigmatizing mental illnesses and fostering hope.
(209) 231-8985 View (209) 231-8985
Photo of Alejandro Perez - Dr. Perez @ Evolve Psychiatry, Psychiatrist, MD
Dr. Perez @ Evolve Psychiatry
Psychiatrist, MD
Cupertino, CA 95014
Do racing thoughts, restless nights, and constant self-doubt drain your energy and peace of mind? Are you overwhelmed by the need for certainty, struggling with poor concentration, or feeling burdened by your own hypersensitivity? Whether your challenges stem from brain chemistry, genetics, or hurtful parenting, you don’t have to face them alone. At Evolve Psychiatry, our compassionate team of medical experts and seasoned psychotherapists partners with you to explore and finally answer these questions. Together, we’ll cultivate the skills you need to feel more confident in yourself and more connected to the world around you.
Do racing thoughts, restless nights, and constant self-doubt drain your energy and peace of mind? Are you overwhelmed by the need for certainty, struggling with poor concentration, or feeling burdened by your own hypersensitivity? Whether your challenges stem from brain chemistry, genetics, or hurtful parenting, you don’t have to face them alone. At Evolve Psychiatry, our compassionate team of medical experts and seasoned psychotherapists partners with you to explore and finally answer these questions. Together, we’ll cultivate the skills you need to feel more confident in yourself and more connected to the world around you.
(408) 692-9593 View (408) 692-9593
Aniruddh Verma
Psychiatric Nurse Practitioner, MSN, PMHNP
Pleasant Hill, CA 94523
Committed to compassionate, patient-centered care, develops comprehensive treatment plans that integrate evidence-based psychopharmacology with holistic wellness strategies.
Committed to compassionate, patient-centered care, develops comprehensive treatment plans that integrate evidence-based psychopharmacology with holistic wellness strategies.
(925) 386-2918 View (925) 386-2918
Photo of Hendrick Soh, Psychiatrist, MD
Hendrick Soh
Psychiatrist, MD
1 Endorsed
Online Only
Every child and teen is unique, and their care should reflect that. Dr. Soh is a highly trained child and adolescent psychiatrist with strong clinical expertise in ADHD, anxiety, depression, trauma, and behavioral concerns. He works closely with an experienced psychiatric nurse practitioner team at Well Coast Medical to provide thorough psychiatric evaluations through secure telehealth across California. By considering emotional development, school stressors, and family dynamics, Dr. Soh and his team partner with families to offer medication management, therapy, and supportive interventions that help children and teens thrive.
Every child and teen is unique, and their care should reflect that. Dr. Soh is a highly trained child and adolescent psychiatrist with strong clinical expertise in ADHD, anxiety, depression, trauma, and behavioral concerns. He works closely with an experienced psychiatric nurse practitioner team at Well Coast Medical to provide thorough psychiatric evaluations through secure telehealth across California. By considering emotional development, school stressors, and family dynamics, Dr. Soh and his team partner with families to offer medication management, therapy, and supportive interventions that help children and teens thrive.
(415) 855-7612 View (415) 855-7612
Photo of Moira Kessler - Moira Kessler, MD, Psychiatrist, MD
Moira Kessler, MD
Psychiatrist, MD
1 Endorsed
Serves Area
I have a strong background in Cognitive Behavioral Therapy (CBT), Dialectical Behavioral Therapy ( DBT), and mindfulness-based treatment modalities.
I am accepting new patients. Please contact me by e-mail. I am located in Michigan and also am licensed to see patients in California, New York, & Massachusetts. My strongest clinical background is in treating adults, older children, and adolescents with symptoms of anxiety and/or depression. I offer individual psychotherapy as well as medication management. I also have expertise in consulting with schools to help support students. I have worked extensively with patients and families in improving relationships and communication. I have clinical expertise in diagnostic assessments, consultation, and care linkage.
I have a strong background in Cognitive Behavioral Therapy (CBT), Dialectical Behavioral Therapy ( DBT), and mindfulness-based treatment modalities.
I am accepting new patients. Please contact me by e-mail. I am located in Michigan and also am licensed to see patients in California, New York, & Massachusetts. My strongest clinical background is in treating adults, older children, and adolescents with symptoms of anxiety and/or depression. I offer individual psychotherapy as well as medication management. I also have expertise in consulting with schools to help support students. I have worked extensively with patients and families in improving relationships and communication. I have clinical expertise in diagnostic assessments, consultation, and care linkage.
(650) 542-0240 View (650) 542-0240
Photo of Vassilis N. Panagopoulos, Psychiatrist, MD
Vassilis N. Panagopoulos
Psychiatrist, MD
Online Only
I oftentimes use Cognitive Behavioral Therapy in my practice in combination with techniques from other schools of psychotherapy such as the psychodynamic approach, motivational interviewing, dialectical behavioral therapy depending on the current needs and goals of the patient.
DON'T MISS work to see your psychiatrist! I work outside of regular business hours (esp. early mornings and late evenings) which works extremely well for the busy professionals I take care of... I am a Yale and Washington University-trained double-board certified psychiatrist accepting new patients as I just launched my online practice and work exclusively online. I am happy to treat any mental health problem. I do not provide prescriptions for controlled substances due to restrictions related to practicing over telemedicine but if needed I can make recommendations to your Primary Care Physician...
I oftentimes use Cognitive Behavioral Therapy in my practice in combination with techniques from other schools of psychotherapy such as the psychodynamic approach, motivational interviewing, dialectical behavioral therapy depending on the current needs and goals of the patient.
DON'T MISS work to see your psychiatrist! I work outside of regular business hours (esp. early mornings and late evenings) which works extremely well for the busy professionals I take care of... I am a Yale and Washington University-trained double-board certified psychiatrist accepting new patients as I just launched my online practice and work exclusively online. I am happy to treat any mental health problem. I do not provide prescriptions for controlled substances due to restrictions related to practicing over telemedicine but if needed I can make recommendations to your Primary Care Physician...
(818) 960-6219 View (818) 960-6219
Photo of Dr. Adel Mostafavi, Psychiatrist, MD
Dr. Adel Mostafavi
Psychiatrist, MD
Santa Clara, CA 95054
Do you Over-Think things? Over-Experience your emotions? Do you struggle to focus or complete tasks? Difficulty sleeping? Putting off your mental health is no longer an option! With over 75 clinical experts, WellPsyche and MediPsych providers provide Empathetic Psychotherapy and Personalized Medication Management services for Children, Adolescents, and Adults. 100% of our visits are conducted via Zoom, and we are available mornings, afternoons, and evenings. Meet with your psychiatrist from the privacy and convenience of home or work. We are simplifying the mental health experience so you can become the best version of you!
Do you Over-Think things? Over-Experience your emotions? Do you struggle to focus or complete tasks? Difficulty sleeping? Putting off your mental health is no longer an option! With over 75 clinical experts, WellPsyche and MediPsych providers provide Empathetic Psychotherapy and Personalized Medication Management services for Children, Adolescents, and Adults. 100% of our visits are conducted via Zoom, and we are available mornings, afternoons, and evenings. Meet with your psychiatrist from the privacy and convenience of home or work. We are simplifying the mental health experience so you can become the best version of you!
(408) 583-5562 View (408) 583-5562
Photo of Connie Cha, Psychiatrist, MD
Connie Cha
Psychiatrist, MD
Palo Alto, CA 94301
I integrate mindfulness practices and DBT techniques to foster self-awareness and emotional regulation.
My interests include assisting individuals of all ages through significant life transitions, such as career changes, parenthood, and academic pursuits as well as relationship issues. I recognize the unique and complex nature of each person’s experiences and strive to foster a deeper understanding of each individual and adjust to their needs and goals.
I integrate mindfulness practices and DBT techniques to foster self-awareness and emotional regulation.
My interests include assisting individuals of all ages through significant life transitions, such as career changes, parenthood, and academic pursuits as well as relationship issues. I recognize the unique and complex nature of each person’s experiences and strive to foster a deeper understanding of each individual and adjust to their needs and goals.
(650) 547-4449 View (650) 547-4449

See more therapy options for Dublin

Dialectical Behavior (DBT) Psychiatrists
Who is DBT for?
Dialectical Behavior 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 behavior 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, behavior, 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 behavioral 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 behavior; nevertheless, individuals may require therapy for several years.