Dialectical Behavior (DBT) Psychiatrists in Lacey, WA

Photo of Shanti Herzog, Psychiatric Nurse Practitioner, APRN, FNP, PMHNP
Shanti Herzog
Psychiatric Nurse Practitioner, APRN, FNP, PMHNP
1 Endorsed
Online Only
While I mainly focus on medication management in my practice, I also utilize elements of Cognitive Behavioral Therapy, Dialectical Behavioral Therapy, Motivational Interviewing, Solution Focused Therapy, and ADHD coaching.
Hi, my name is Shanti! I am a board-certified Family and Psychiatric Mental Health Nurse Practitioner (FNP/PMHNP) specializing in psychiatric medication management for people 13 years and older in Washington State. I work with patients experiencing issues with depression, anxiety, sleep, bipolar disorders, post-traumatic stress, schizophrenia, obsessive compulsive disorders, attention/hyperactivity disorders, and more.
While I mainly focus on medication management in my practice, I also utilize elements of Cognitive Behavioral Therapy, Dialectical Behavioral Therapy, Motivational Interviewing, Solution Focused Therapy, and ADHD coaching.
Hi, my name is Shanti! I am a board-certified Family and Psychiatric Mental Health Nurse Practitioner (FNP/PMHNP) specializing in psychiatric medication management for people 13 years and older in Washington State. I work with patients experiencing issues with depression, anxiety, sleep, bipolar disorders, post-traumatic stress, schizophrenia, obsessive compulsive disorders, attention/hyperactivity disorders, and more.
(360) 997-4920 View (360) 997-4920
Photo of Michelle Bajema - Sound Choice Mental Health—Spravato Olympia WA, Psychiatric Nurse Practitioner
Sound Choice Mental Health—Spravato Olympia WA
Psychiatric Nurse Practitioner
Lacey, WA 98503
Our ideal client is someone who’s lived with depression and tried medications and therapy without lasting relief. They may feel frustrated, discouraged, or emotionally exhausted but they’re still searching for hope. They want to feel like themselves again, to reconnect with joy, purpose, and stability. Many have been told they have treatment-resistant depression, and they’re ready to explore new, evidence-based options. We offer a safe, supportive environment where healing is possible, and where innovative treatments can open the door to real change.
Our ideal client is someone who’s lived with depression and tried medications and therapy without lasting relief. They may feel frustrated, discouraged, or emotionally exhausted but they’re still searching for hope. They want to feel like themselves again, to reconnect with joy, purpose, and stability. Many have been told they have treatment-resistant depression, and they’re ready to explore new, evidence-based options. We offer a safe, supportive environment where healing is possible, and where innovative treatments can open the door to real change.
(360) 795-5015 View (360) 795-5015
Photo of Lisa M Koykar, Psychiatric Nurse Practitioner, PMHNP
Lisa M Koykar
Psychiatric Nurse Practitioner, PMHNP
Lacey, WA 98503
These are the treatment types I use: CBT, DBT, solution-focused therapy, motivational interviewing, and medication management.
My ideal client is someone navigating anxiety, depression, trauma, or mood-related challenges and is seeking a safe space to feel heard, understood, and supported. They may feel stuck or overwhelmed but are ready to take steps toward healing. Their goal is to gain emotional stability, build resilience, and reconnect with a sense of purpose and well-being. They want a collaborative, compassionate partner in their mental health journey someone who sees their strengths and helps them grow into the best version of themselves.
These are the treatment types I use: CBT, DBT, solution-focused therapy, motivational interviewing, and medication management.
My ideal client is someone navigating anxiety, depression, trauma, or mood-related challenges and is seeking a safe space to feel heard, understood, and supported. They may feel stuck or overwhelmed but are ready to take steps toward healing. Their goal is to gain emotional stability, build resilience, and reconnect with a sense of purpose and well-being. They want a collaborative, compassionate partner in their mental health journey someone who sees their strengths and helps them grow into the best version of themselves.
(360) 504-4930 View (360) 504-4930
Photo of Jason Johnson, Psychiatric Nurse Practitioner, PMHNP
Jason Johnson
Psychiatric Nurse Practitioner, PMHNP
1 Endorsed
Online Only
Hello, my name is Dr. Jason Johnson, DNP. With expertise in psychiatry, men's health, addiction, and weight loss, I take a comprehensive and personalized approach to healthcare. My method integrates therapy, medications, vitamins, exercise, and hormone treatments to help patients achieve optimal health and well-being. In providing mental healthcare, my approach is holistic and patient-centered, focusing on integrating various treatment modalities to address the unique needs of each individual. I utilize a combination of therapy, medications, vitamins, exercise, and hormones to create a comprehensive treatment plan.
Hello, my name is Dr. Jason Johnson, DNP. With expertise in psychiatry, men's health, addiction, and weight loss, I take a comprehensive and personalized approach to healthcare. My method integrates therapy, medications, vitamins, exercise, and hormone treatments to help patients achieve optimal health and well-being. In providing mental healthcare, my approach is holistic and patient-centered, focusing on integrating various treatment modalities to address the unique needs of each individual. I utilize a combination of therapy, medications, vitamins, exercise, and hormones to create a comprehensive treatment plan.
(509) 563-7030 View (509) 563-7030
Photo of Jason Johnson, Psychiatric Nurse Practitioner, DNP
Jason Johnson
Psychiatric Nurse Practitioner, DNP
1 Endorsed
Lacey, WA 98503
My name is Jason Johnson and I am a board certified doctor of nursing practice in psychiatry. I specialize in working with clients seeking evaluation, diagnosis, and treatment for many conditions including ADHD, anxiety, depression, bipolar disorder, PTSD, substance use disorders, schizophrenia, and weight management. In our first few sessions we will survey your health history and concerns so that I can better understand your needs and provide optimal treatment options.
My name is Jason Johnson and I am a board certified doctor of nursing practice in psychiatry. I specialize in working with clients seeking evaluation, diagnosis, and treatment for many conditions including ADHD, anxiety, depression, bipolar disorder, PTSD, substance use disorders, schizophrenia, and weight management. In our first few sessions we will survey your health history and concerns so that I can better understand your needs and provide optimal treatment options.
(360) 634-0596 View (360) 634-0596
Photo of Rachel Helforoush Np, Psychiatric Nurse Practitioner, PMHNP, BC
Rachel Helforoush Np
Psychiatric Nurse Practitioner, PMHNP, BC
Serves Area
I am here to listen and help individuals struggling with a wide variety of psychological symptoms. My approach is symptom-based and my goal is to improve my patients functioning and quality of life. I genuinely want to hear your stories. I specialize in treating individuals with autism, depression, suicidal thoughts, ptsd, postpartum depression, anxiety, alcohol abuse, substance use disorder and much more. Each person is unique and special to me. I can treat people 6 years and older. Healing begins when stories are told in safe places. together we can create a safe place in our minds. You matter and there is hope for healing :)
I am here to listen and help individuals struggling with a wide variety of psychological symptoms. My approach is symptom-based and my goal is to improve my patients functioning and quality of life. I genuinely want to hear your stories. I specialize in treating individuals with autism, depression, suicidal thoughts, ptsd, postpartum depression, anxiety, alcohol abuse, substance use disorder and much more. Each person is unique and special to me. I can treat people 6 years and older. Healing begins when stories are told in safe places. together we can create a safe place in our minds. You matter and there is hope for healing :)
(206) 984-6571 View (206) 984-6571

More Psychiatrists Nearby

Photo of Matthew Clark, Psychiatric Nurse Practitioner, PMHNP-B
Matthew Clark
Psychiatric Nurse Practitioner, PMHNP-B
Tacoma, WA 98405
His approach incorporates evidence-based techniques such as Cognitive Behavioral Therapy (CBT), Dialectical Behavior Therapy ( DBT), and mindfulness to complement medication treatment.
Matthew Clark helps patients across Washington improve their mental health through thoughtful, individualized medication management and evidence-based care. At LifeStance Health, he works with children, adolescents, teens, and adults, supporting those navigating conditions such as ADHD, anxiety, and depression. Matthew takes a patient-centered approach, carefully evaluating each person’s symptoms, history, and goals to develop effective treatment plans that promote stability, clarity, and long-term well-being throughout WA.
His approach incorporates evidence-based techniques such as Cognitive Behavioral Therapy (CBT), Dialectical Behavior Therapy ( DBT), and mindfulness to complement medication treatment.
Matthew Clark helps patients across Washington improve their mental health through thoughtful, individualized medication management and evidence-based care. At LifeStance Health, he works with children, adolescents, teens, and adults, supporting those navigating conditions such as ADHD, anxiety, and depression. Matthew takes a patient-centered approach, carefully evaluating each person’s symptoms, history, and goals to develop effective treatment plans that promote stability, clarity, and long-term well-being throughout WA.
(253) 313-9697 View (253) 313-9697
Photo of Desirae Dorsey - Anywhere Wellness Desirae Dorsey PMHNP, Psychiatric Nurse Practitioner, PMHNP, ARNP
Anywhere Wellness Desirae Dorsey PMHNP
Psychiatric Nurse Practitioner, PMHNP, ARNP
Online Only
Ready to find the right balance for your mental health? I’m a dedicated mental health provider with a holistic and natural approach to supporting you on your wellness journey. My goal is to partner with you to help you achieve your mental health goals, whether they are related to emotional well-being, stress management, or balancing your mental health in everyday life. I tailor my services to meet your unique needs. I value collaboration and provide a safe, non-judgmental space for you to explore your concerns and work toward solutions that feel right for you.
Ready to find the right balance for your mental health? I’m a dedicated mental health provider with a holistic and natural approach to supporting you on your wellness journey. My goal is to partner with you to help you achieve your mental health goals, whether they are related to emotional well-being, stress management, or balancing your mental health in everyday life. I tailor my services to meet your unique needs. I value collaboration and provide a safe, non-judgmental space for you to explore your concerns and work toward solutions that feel right for you.
(425) 494-4438 View (425) 494-4438
Photo of Dr. Adel Mostafavi - 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 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 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!
(425) 475-1599 View (425) 475-1599
Photo of Barbara Rix, Psychiatric Nurse Practitioner, DNP, ARNP, FNP-BC, PMHNP
Barbara Rix
Psychiatric Nurse Practitioner, DNP, ARNP, FNP-BC, PMHNP
3 Endorsed
Online Only
The ideal mental health client I envision is open, reflective, and ready for change, even if they don’t fully know how to navigate the process. They might face challenges such as anxiety or feelings of overwhelm, self-criticism, navigating life transitions, or experiencing disconnection. Their goals often include cultivating peace and balance, developing self-acceptance, building resilience and strength, fostering authenticity and connection, and gaining clarity and purpose. Note, I do not prescribe controlled substances outside WA, and there is no guarantee I will prescribe any controlled substances.
The ideal mental health client I envision is open, reflective, and ready for change, even if they don’t fully know how to navigate the process. They might face challenges such as anxiety or feelings of overwhelm, self-criticism, navigating life transitions, or experiencing disconnection. Their goals often include cultivating peace and balance, developing self-acceptance, building resilience and strength, fostering authenticity and connection, and gaining clarity and purpose. Note, I do not prescribe controlled substances outside WA, and there is no guarantee I will prescribe any controlled substances.
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Photo of Amy Disla - Specializing in ADHD Treatment Amy Disla, Psychiatric Nurse Practitioner, PMHNP, ARNP, ADHD-CP
Specializing in ADHD Treatment Amy Disla
Psychiatric Nurse Practitioner, PMHNP, ARNP, ADHD-CP
Online Only
I use evidence-based methods such as CBT, DBT, motivational interviewing, and strength-based therapy.
Hi, I’m Amy. Living with anxiety or ADHD can make everyday life feel overwhelming and unpredictable. You might struggle to focus, feel constantly on edge, overthink simple decisions, or feel frustrated when your brain doesn’t seem to cooperate no matter how hard you try. Over time, this can impact your confidence, relationships, and sense of control. I bring years of experience working with individuals navigating anxiety and ADHD, using science-based, evidence-backed techniques to guide care as a ADHD Certified Clinical Service Provider (ADHD-CCSP).
I use evidence-based methods such as CBT, DBT, motivational interviewing, and strength-based therapy.
Hi, I’m Amy. Living with anxiety or ADHD can make everyday life feel overwhelming and unpredictable. You might struggle to focus, feel constantly on edge, overthink simple decisions, or feel frustrated when your brain doesn’t seem to cooperate no matter how hard you try. Over time, this can impact your confidence, relationships, and sense of control. I bring years of experience working with individuals navigating anxiety and ADHD, using science-based, evidence-backed techniques to guide care as a ADHD Certified Clinical Service Provider (ADHD-CCSP).
(253) 652-5604 View (253) 652-5604
Photo of Claudia Almeida, Psychiatric Nurse Practitioner, PMHNP, -BC
Claudia Almeida
Psychiatric Nurse Practitioner, PMHNP, -BC
1 Endorsed
Online Only
CBT and DBT will help you develop the coping skills to navigate negative thought patterns and teach you emotion regulation
I specialize in working with high-achieving women navigating burnout, high-functioning depression, anxiety, trauma (CPTSD/PTSD), adult ADHD, and major life transitions. Many of the women I work with are outwardly capable and accomplished, yet internally overwhelmed or quietly depleted. I also welcome motivated adults who resonate with a structured, integrative, and depth-oriented approach to psychiatric care. As an integrative psychiatric nurse practitioner, I provide comprehensive and thoughtful treatment that extends beyond symptom management. Care may include medication when clinically appropriate, alongside relational therapy,
CBT and DBT will help you develop the coping skills to navigate negative thought patterns and teach you emotion regulation
I specialize in working with high-achieving women navigating burnout, high-functioning depression, anxiety, trauma (CPTSD/PTSD), adult ADHD, and major life transitions. Many of the women I work with are outwardly capable and accomplished, yet internally overwhelmed or quietly depleted. I also welcome motivated adults who resonate with a structured, integrative, and depth-oriented approach to psychiatric care. As an integrative psychiatric nurse practitioner, I provide comprehensive and thoughtful treatment that extends beyond symptom management. Care may include medication when clinically appropriate, alongside relational therapy,
(206) 317-4840 View (206) 317-4840
Photo of Mercedes Stepp, Psychiatric Nurse Practitioner, MSN, APRN, PMHNP
Mercedes Stepp
Psychiatric Nurse Practitioner, MSN, APRN, PMHNP
1 Endorsed
Online Only
Many people come to therapy feeling emotionally exhausted, overwhelmed, anxious, stuck, or disconnected from themselves. Some are struggling with trauma, mood swings, anxiety, burnout, relationship stress, or painful experiences they have carried for years while still trying to function in everyday life. I provide psychiatric evaluations, medication management, and therapy through telehealth in a supportive, collaborative, and nonjudgmental environment. I believe treatment works best as a partnership — you bring your experiences and goals, and together we create a plan that helps you feel more stable, empowered, and moving forward.
Many people come to therapy feeling emotionally exhausted, overwhelmed, anxious, stuck, or disconnected from themselves. Some are struggling with trauma, mood swings, anxiety, burnout, relationship stress, or painful experiences they have carried for years while still trying to function in everyday life. I provide psychiatric evaluations, medication management, and therapy through telehealth in a supportive, collaborative, and nonjudgmental environment. I believe treatment works best as a partnership — you bring your experiences and goals, and together we create a plan that helps you feel more stable, empowered, and moving forward.
(206) 312-1283 View (206) 312-1283
Photo of Kelechi Nwaorgu - Three Points Healing, Psychiatric Nurse Practitioner, DNP, PMHNP, RDN, LMHC, LICSW
Three Points Healing
Psychiatric Nurse Practitioner, DNP, PMHNP, RDN, LMHC, LICSW
Olympia, WA 98506
Three Points Healing offers new wellness tools such as Psychotherapy, Medication Management, IV Ketamine, Nasal Esketamine, Transcranial Magnetic Stimulation, Medication-Assisted Treatment (MAT), Nutritional Counseling, Medical Nutritional Therapy, Weight loss, Massage Therapy, and Rejuvenating self-care services (Spa Therapy). This holistic approach allows patients to create new connections within their bodies, adopt a positive mindset, and reach a deeper healing state.
Three Points Healing offers new wellness tools such as Psychotherapy, Medication Management, IV Ketamine, Nasal Esketamine, Transcranial Magnetic Stimulation, Medication-Assisted Treatment (MAT), Nutritional Counseling, Medical Nutritional Therapy, Weight loss, Massage Therapy, and Rejuvenating self-care services (Spa Therapy). This holistic approach allows patients to create new connections within their bodies, adopt a positive mindset, and reach a deeper healing state.
(360) 488-8211 View (360) 488-8211
Photo of Desirae Dorsey - PTSD, Trauma, Grief Counseling Anywhere Wellness, Psychiatric Nurse Practitioner, PMHNP, ARNP
PTSD, Trauma, Grief Counseling Anywhere Wellness
Psychiatric Nurse Practitioner, PMHNP, ARNP
Online Only
I use a variety of evidence-based approaches, including CBT, DBT, motivational interviewing, and strength-based therapy.
If trauma, grief, or difficult relationships are disrupting your life, making it hard to focus, sleep, or trust yourself, it can feel exhausting and isolating. You might be replaying past experiences, stuck in cycles of anxiety or anger, or wondering why healing feels impossible.
I use a variety of evidence-based approaches, including CBT, DBT, motivational interviewing, and strength-based therapy.
If trauma, grief, or difficult relationships are disrupting your life, making it hard to focus, sleep, or trust yourself, it can feel exhausting and isolating. You might be replaying past experiences, stuck in cycles of anxiety or anger, or wondering why healing feels impossible.
(206) 565-0106 View (206) 565-0106
Photo of Susan King, Psychiatric Nurse Practitioner, MSN, PMHNP-B
Susan King
Psychiatric Nurse Practitioner, MSN, PMHNP-B
Lakewood, WA 98499
Susan King is a Psychiatric Mental Health Nurse Practitioner in Washington who has been practicing since 2014. She has a Bachelor’s degree in Nursing from Pacific Lutheran University and a Master’s in Nursing from the University of Cincinnati as a Psychiatric Mental Health Nurse Practitioner. Susan provides appropriate medication and education to help manage the symptoms of mental health issues and therapeutic support. Outside of work, Susan enjoys working with animals and loves gardening.
Susan King is a Psychiatric Mental Health Nurse Practitioner in Washington who has been practicing since 2014. She has a Bachelor’s degree in Nursing from Pacific Lutheran University and a Master’s in Nursing from the University of Cincinnati as a Psychiatric Mental Health Nurse Practitioner. Susan provides appropriate medication and education to help manage the symptoms of mental health issues and therapeutic support. Outside of work, Susan enjoys working with animals and loves gardening.
(253) 201-0022 View (253) 201-0022
Photo of LINDA MATTHEWS, Psychiatric Nurse Practitioner, DNP, PMHNP, BC
LINDA MATTHEWS
Psychiatric Nurse Practitioner, DNP, PMHNP, BC
2 Endorsed
Online Only
Matthews uses a holistic, patient-centered approach, integrating DBT-informed strategies to support emotional balance and practical coping skills.
Her goal is to partner with patients to create personalized treatment plans that promote healing, confidence, and improved quality of life.
Matthews uses a holistic, patient-centered approach, integrating DBT-informed strategies to support emotional balance and practical coping skills.
Her goal is to partner with patients to create personalized treatment plans that promote healing, confidence, and improved quality of life.
(425) 699-4298 View (425) 699-4298
Photo of Amy Disla - Amy Disla, PMHNP, Anywhere Wellness, Psychiatric Nurse Practitioner, PMHNP
Amy Disla, PMHNP, Anywhere Wellness
Psychiatric Nurse Practitioner, PMHNP
Online Only
Hi, I’m Amy and I want you to know that whatever you’re carrying, you don’t have to carry it alone. Maybe you’re feeling constantly overwhelmed, anxious for no clear reason, or stuck in cycles of motivation and burnout. Maybe your moods feel like they shift without warning, or you're struggling to stay focused and follow through, no matter how hard you try. Whether you're dealing with anxiety, ADHD, depression, or bipolar disorder—there is support, and there is a way forward.
Hi, I’m Amy and I want you to know that whatever you’re carrying, you don’t have to carry it alone. Maybe you’re feeling constantly overwhelmed, anxious for no clear reason, or stuck in cycles of motivation and burnout. Maybe your moods feel like they shift without warning, or you're struggling to stay focused and follow through, no matter how hard you try. Whether you're dealing with anxiety, ADHD, depression, or bipolar disorder—there is support, and there is a way forward.
(425) 600-5936 View (425) 600-5936
Photo of Dr. Adel Mostafavi - WellPsyche Medical Group, Psychiatrist, MD
WellPsyche Medical Group
Psychiatrist, MD
Olympia, WA 98501
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 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 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!
(360) 919-0716 View (360) 919-0716
Photo of Lené Douthett - Trauma, PTSD, Grief Lené Douthett, Psychiatric Nurse Practitioner, PMHNP
Trauma, PTSD, Grief Lené Douthett
Psychiatric Nurse Practitioner, PMHNP
Online Only
Hi, I’m Lené and I believe healing begins with being truly heard. If you’re feeling weighed down by anxiety, moving through depression, struggling with changes in your life, or carrying the pain of a difficult relationship or loss, you’re not alone. Sometimes, life can feel like it’s shifting beneath your feet, leaving you unsure of where to turn or how to take the next step. I specialize in talk therapy that blends practical tools with space for deeper reflection and meaning. For those who wish, I also welcome spirituality into the healing process.
Hi, I’m Lené and I believe healing begins with being truly heard. If you’re feeling weighed down by anxiety, moving through depression, struggling with changes in your life, or carrying the pain of a difficult relationship or loss, you’re not alone. Sometimes, life can feel like it’s shifting beneath your feet, leaving you unsure of where to turn or how to take the next step. I specialize in talk therapy that blends practical tools with space for deeper reflection and meaning. For those who wish, I also welcome spirituality into the healing process.
(425) 464-3899 View (425) 464-3899

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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.