Dialectical Behavior (DBT) Therapists in Sacramento, CA

Photo of Leanne Azevedo, Marriage & Family Therapist, MA, LMFT, 97516
Leanne Azevedo
Marriage & Family Therapist, MA, LMFT, 97516
Verified Verified
1 Endorsed
Online Only
That being said, I do use a lot of CBT, DBT, strength-based, solution-focused, relational, and person-centered therapy.
I am a Neurodiversity-Affirming and Neurologically-Informed therapist and have ample experience and training working with ADHD, Autism Spectrum Disorder, and co-occurring diagnoses such as mood and anxiety disorders. I tend to be able to “click” the best with neurodivergent clients who are open to thinking outside of the box, motivated to “do the work” (but may have felt stuck), and who may have historically felt like a misfit or misunderstood by others. I also enjoy working with clients who are navigating relationships and/or parenthood with neurodivergent partners and/or children.
That being said, I do use a lot of CBT, DBT, strength-based, solution-focused, relational, and person-centered therapy.
I am a Neurodiversity-Affirming and Neurologically-Informed therapist and have ample experience and training working with ADHD, Autism Spectrum Disorder, and co-occurring diagnoses such as mood and anxiety disorders. I tend to be able to “click” the best with neurodivergent clients who are open to thinking outside of the box, motivated to “do the work” (but may have felt stuck), and who may have historically felt like a misfit or misunderstood by others. I also enjoy working with clients who are navigating relationships and/or parenthood with neurodivergent partners and/or children.
(916) 352-8874 View (916) 352-8874
Photo of Troy Mickle, Marriage & Family Therapist, LMFT
Troy Mickle
Marriage & Family Therapist, LMFT
Verified Verified
Sacramento, CA 95816
With a deep respect for your unique experiences and perspectives, I integrate a range of therapeutic approaches, including CBT, DBT, Motivational Interviewing, Family Systems, Solution-Focused Therapy, and Rational Emotive Behavior Therapy.
In my therapeutic practice, I strive to create a welcoming and safe space for anyone seeking support. I understand that opening up about your deepest thoughts and concerns requires trust, and I’m here to build that with you through genuine empathy and a strong professional bond. I believe in the power of a personalized approach. By combining evidence-based techniques with a deep understanding of your unique needs, I help guide you toward greater clarity and stronger coping skills. My goal is to empower you to tap into your own resilience, deepen your self-awareness, and embark on a journey of personal growth.
With a deep respect for your unique experiences and perspectives, I integrate a range of therapeutic approaches, including CBT, DBT, Motivational Interviewing, Family Systems, Solution-Focused Therapy, and Rational Emotive Behavior Therapy.
In my therapeutic practice, I strive to create a welcoming and safe space for anyone seeking support. I understand that opening up about your deepest thoughts and concerns requires trust, and I’m here to build that with you through genuine empathy and a strong professional bond. I believe in the power of a personalized approach. By combining evidence-based techniques with a deep understanding of your unique needs, I help guide you toward greater clarity and stronger coping skills. My goal is to empower you to tap into your own resilience, deepen your self-awareness, and embark on a journey of personal growth.
(916) 237-8393 View (916) 237-8393
Photo of Karen Miller, Psychologist, PhD
Karen Miller
Psychologist, PhD
Verified Verified
Sacramento, CA 95816
I integrate different approaches to therapy and has experience in using DBT ( Dialectical Behavioral Therapy), ACT (Acceptance Commitment Therapy), mindfulness, interpersonal approaches, attachment, and family systems theories.
I am a licensed psychologist who specializes in working with people experiencing anxiety, depression, eating disorders, life transitions, career issues, grief/bereavement, gains and losses, self-esteem and body image issues, and trauma. I work collaboratively with clients in order to empower them to be their best selves. I use a client-centered approach to counsel and address clients’ unique challenges from developmental, cultural, and psychological viewpoints. I help clients to see what is in their control to change and where it may help to practice acceptance.
I integrate different approaches to therapy and has experience in using DBT ( Dialectical Behavioral Therapy), ACT (Acceptance Commitment Therapy), mindfulness, interpersonal approaches, attachment, and family systems theories.
I am a licensed psychologist who specializes in working with people experiencing anxiety, depression, eating disorders, life transitions, career issues, grief/bereavement, gains and losses, self-esteem and body image issues, and trauma. I work collaboratively with clients in order to empower them to be their best selves. I use a client-centered approach to counsel and address clients’ unique challenges from developmental, cultural, and psychological viewpoints. I help clients to see what is in their control to change and where it may help to practice acceptance.
(916) 237-9569 View (916) 237-9569
Photo of Melissa Ramirez, Pre-Licensed Professional, ASW
Melissa Ramirez
Pre-Licensed Professional, ASW
Verified Verified
Sacramento, CA 95811
I tailor each session to fit each client's unique needs, pace, and goals using CBT, DBT, and solution-focused therapy through collaboration, client-centered, and strengths-based techniques.
Life is full of challenges to personal growth, and these issues often bring up feelings of fear and uncertainty. These and other difficult emotions may affect how you view yourself and relationships. We'll collaborate to create a safe space for exploring, unpacking, and navigating what's getting in the way of building the life you want. Our sessions will be aimed at healing from intergenerational trauma and inherited fears to release you from the negative self-talk hindering you. My therapeutic style is warm, collaborative, client-centered, and strengths-based to support you in identifying and reworking unhelpful thinking patterns.
I tailor each session to fit each client's unique needs, pace, and goals using CBT, DBT, and solution-focused therapy through collaboration, client-centered, and strengths-based techniques.
Life is full of challenges to personal growth, and these issues often bring up feelings of fear and uncertainty. These and other difficult emotions may affect how you view yourself and relationships. We'll collaborate to create a safe space for exploring, unpacking, and navigating what's getting in the way of building the life you want. Our sessions will be aimed at healing from intergenerational trauma and inherited fears to release you from the negative self-talk hindering you. My therapeutic style is warm, collaborative, client-centered, and strengths-based to support you in identifying and reworking unhelpful thinking patterns.
(916) 848-5907 View (916) 848-5907
Photo of Makalia J Zinn, Licensed Professional Counselor, LPCC
Makalia J Zinn
Licensed Professional Counselor, LPCC
Verified Verified
1 Endorsed
Sacramento, CA 95818
You can assure that this direction will be within my area of competency ( DBT, ACT, Gestalt, FBT, CBT-E).
My ideal client is someone who is in a space where they are comfortable with confronting the things that have made their life difficult. A person who is ready to move forward mindfully to create the life they desire to live without maladaptive coping strategies.
You can assure that this direction will be within my area of competency ( DBT, ACT, Gestalt, FBT, CBT-E).
My ideal client is someone who is in a space where they are comfortable with confronting the things that have made their life difficult. A person who is ready to move forward mindfully to create the life they desire to live without maladaptive coping strategies.
(916) 527-9288 View (916) 527-9288
Photo of Rebecca R Nation, Marriage & Family Therapist, MA, LMFT
Rebecca R Nation
Marriage & Family Therapist, MA, LMFT
Verified Verified
Sacramento, CA 95825
I am trained in Dialectical Behavioral Therapy ( DBT), a set of skills designed to empower clients to manage their emotions effectively.
I believe that people are all inherently relational beings and when our relationships - whether with ourselves, other people, or God - are hurting, life can become incredibly painful.
I am trained in Dialectical Behavioral Therapy ( DBT), a set of skills designed to empower clients to manage their emotions effectively.
I believe that people are all inherently relational beings and when our relationships - whether with ourselves, other people, or God - are hurting, life can become incredibly painful.
(916) 602-4568 View (916) 602-4568
Photo of Heather L. Damon, Clinical Social Work/Therapist, LCSW
Heather L. Damon
Clinical Social Work/Therapist, LCSW
Verified Verified
Online Only
I also use elements of Dialectical Behavioral Therapy and ACT.
Perhaps you are having difficulties in your primary relationships, perhaps there are stressors at work, perhaps you face a great choice and several obstacles are hindering your clarity and peace. I have been honored to witness individuals and couples overcome many barriers that initially seemed insurmountable. Based on the lived experience of those I work with I believe that a full, happy, and peaceful life is within reach for everyone who seeks it.
I also use elements of Dialectical Behavioral Therapy and ACT.
Perhaps you are having difficulties in your primary relationships, perhaps there are stressors at work, perhaps you face a great choice and several obstacles are hindering your clarity and peace. I have been honored to witness individuals and couples overcome many barriers that initially seemed insurmountable. Based on the lived experience of those I work with I believe that a full, happy, and peaceful life is within reach for everyone who seeks it.
(916) 619-5841 View (916) 619-5841
Photo of Jenna Jacobs, Associate Professional Clinical Counselor, MA, APCC
Jenna Jacobs
Associate Professional Clinical Counselor, MA, APCC
Verified Verified
Sacramento, CA 95825
I incorporate a DBT ( dialectical behavioral therapy) skills framework, as well as ACT (acceptance & commitment therapy).
I especially enjoy working with teens and transitional-aged youth, but I also welcome adults seeking support. I have a background working in residential treatment centers, and I welcome those from similar environments seeking support to stay on track. Whether you’re struggling with trauma-related impairments or simply feeling stuck, I’m here to help you explore your experiences and move toward healing in a way that feels authentic and supportive. Together, we’ll create a space that feels safe, collaborative, and tailored to your needs.
I incorporate a DBT ( dialectical behavioral therapy) skills framework, as well as ACT (acceptance & commitment therapy).
I especially enjoy working with teens and transitional-aged youth, but I also welcome adults seeking support. I have a background working in residential treatment centers, and I welcome those from similar environments seeking support to stay on track. Whether you’re struggling with trauma-related impairments or simply feeling stuck, I’m here to help you explore your experiences and move toward healing in a way that feels authentic and supportive. Together, we’ll create a space that feels safe, collaborative, and tailored to your needs.
(916) 252-1058 View (916) 252-1058
Photo of Veronica Ghabour, Licensed Professional Counselor, LPCC
Veronica Ghabour
Licensed Professional Counselor, LPCC
Verified Verified
Online Only
I utilize versatile interventions such as IFS, CBT, DBT, Solution Focused Therapy, Narrative, and Inner Child Work.
Mental health challenges are due to the aftereffects of traumatic experiences. Trauma can place a strain on your family, work, relationships, and even cause issues with self-worth. I specialize in trauma therapy along with treating personality disorders, depression, anxiety, ADHD, and addiction. All these disorders can look different from person to person, and that is where our therapeutic journey of empowerment and self-exploration begins. I concentrate on creating a safe space of growth and self-discovery through unconditional positive regard, emotional regulation, and guided activities.
I utilize versatile interventions such as IFS, CBT, DBT, Solution Focused Therapy, Narrative, and Inner Child Work.
Mental health challenges are due to the aftereffects of traumatic experiences. Trauma can place a strain on your family, work, relationships, and even cause issues with self-worth. I specialize in trauma therapy along with treating personality disorders, depression, anxiety, ADHD, and addiction. All these disorders can look different from person to person, and that is where our therapeutic journey of empowerment and self-exploration begins. I concentrate on creating a safe space of growth and self-discovery through unconditional positive regard, emotional regulation, and guided activities.
(916) 536-7471 View (916) 536-7471
Photo of Patrick Yamamoto - Prestige Therapy, Marriage & Family Therapist, LMFT
Prestige Therapy
Marriage & Family Therapist, LMFT
Verified Verified
Sacramento, CA 95811
We are a team of therapists who specialize in Dialectical Behavior Therapy, focusing on those who have borderline personality traits.
Patrick Yamamoto is the lead therapist at Prestige Therapy, and he has been extensively trained in DBT. We also have a number of sliding scale options for those who have financial limitations. All of our therapists have been fully vaccinated, and we are offering both in-person and telehealth appointments.
We are a team of therapists who specialize in Dialectical Behavior Therapy, focusing on those who have borderline personality traits.
Patrick Yamamoto is the lead therapist at Prestige Therapy, and he has been extensively trained in DBT. We also have a number of sliding scale options for those who have financial limitations. All of our therapists have been fully vaccinated, and we are offering both in-person and telehealth appointments.
(916) 619-2254 View (916) 619-2254
Photo of Jennifer Greene, Marriage & Family Therapist, MA, LMFT
Jennifer Greene
Marriage & Family Therapist, MA, LMFT
Verified Verified
Online Only
I specialize in integrating methods such as Cognitive Behavioral Therapy, Dialectical Behavioral Therapy, Family Systems, Solution-Focused, Coaching, and Brainspotting methods to foster connection and healing.
My ideal client is someone who is seeking balance in life, dealing with stress, and striving for personal growth. I help them by integrating mind-body practices, fostering self awareness, and empowering them to achieve holistic well being through compassionate client centered approach.
I specialize in integrating methods such as Cognitive Behavioral Therapy, Dialectical Behavioral Therapy, Family Systems, Solution-Focused, Coaching, and Brainspotting methods to foster connection and healing.
My ideal client is someone who is seeking balance in life, dealing with stress, and striving for personal growth. I help them by integrating mind-body practices, fostering self awareness, and empowering them to achieve holistic well being through compassionate client centered approach.
(916) 710-8749 View (916) 710-8749
Photo of Aisha Mariama Stribling, Associate Professional Clinical Counselor
Aisha Mariama Stribling
Associate Professional Clinical Counselor
Verified Verified
1 Endorsed
Sacramento, CA 95814
Grounded in my faith and cultural sensitivity, I employ a strengths-based approach, fostering hope and empowering clients through techniques such as CBT, DBT, and Solution-Focused therapy.
I am part pf a group practice that specializes in maternal mental health and paternal mental health. with a special focused in servicing those who identifies as minorities including African American/African descents/black and those who are mixed race, or multiethnic/multiracial and interfaith families. Client's faith and spiritual beliefs are integrated.
Grounded in my faith and cultural sensitivity, I employ a strengths-based approach, fostering hope and empowering clients through techniques such as CBT, DBT, and Solution-Focused therapy.
I am part pf a group practice that specializes in maternal mental health and paternal mental health. with a special focused in servicing those who identifies as minorities including African American/African descents/black and those who are mixed race, or multiethnic/multiracial and interfaith families. Client's faith and spiritual beliefs are integrated.
(916) 992-2620 View (916) 992-2620
Photo of Cliff William Henderson, Marriage & Family Therapist, LMFT
Cliff William Henderson
Marriage & Family Therapist, LMFT
Verified Verified
3 Endorsed
Sacramento, CA 95819
I practice the following therapy models: Cognitive Behavioral Therapy (CBT), Dialectical Behavioral Therapy ( DBT), Harm Reduction, Mindfulness, Person-Centered/Client-Centered, Strength-Based, Trauma Informed Care, and Acceptance Commitment Therapy (ACT).
My name is Cliff, but I go by "Will", and I'm a therapist whose prime focus is to better an individual's life experience by embracing our current identity and achieving our set goals. All our experiences in life are valid and should be acknowledged. Through therapy we will go on the journey of processing our life experiences for the purpose of being a stronger and well-balanced individual. My goal is to provide a safe environment to begin your journey in experiencing a healthy and happy life and/or maintaining one. The goals we set together in session will also help us with our achievements in our day-to-day life.
I practice the following therapy models: Cognitive Behavioral Therapy (CBT), Dialectical Behavioral Therapy ( DBT), Harm Reduction, Mindfulness, Person-Centered/Client-Centered, Strength-Based, Trauma Informed Care, and Acceptance Commitment Therapy (ACT).
My name is Cliff, but I go by "Will", and I'm a therapist whose prime focus is to better an individual's life experience by embracing our current identity and achieving our set goals. All our experiences in life are valid and should be acknowledged. Through therapy we will go on the journey of processing our life experiences for the purpose of being a stronger and well-balanced individual. My goal is to provide a safe environment to begin your journey in experiencing a healthy and happy life and/or maintaining one. The goals we set together in session will also help us with our achievements in our day-to-day life.
(916) 866-3345 View (916) 866-3345
Photo of Heather Waddle, Clinical Social Work/Therapist, LCSW, CCTP
Heather Waddle
Clinical Social Work/Therapist, LCSW, CCTP
Verified Verified
1 Endorsed
Online Only
I am competent in Narrative, CBT, DBT, Solutions Focused and trauma focused approaches.
Hello! I'm Heather, a Licensed Clinical Social Worker, with a background spanning nearly 15 years. Together we will go at your unique pace, ensuring that you feel safe and supported along the way. I primarily work with women, young adults, professionals, and LGBT folks experiencing a range of symptoms and life stressors related to relationships, anxiety, depression, ADHD, trauma, and life transitions. Many of my clients are dealing with changes like starting out in their career, relationship beginnings or endings, or loss of a loved one. I provide personalized support to help you thrive in your personal and professional life.
I am competent in Narrative, CBT, DBT, Solutions Focused and trauma focused approaches.
Hello! I'm Heather, a Licensed Clinical Social Worker, with a background spanning nearly 15 years. Together we will go at your unique pace, ensuring that you feel safe and supported along the way. I primarily work with women, young adults, professionals, and LGBT folks experiencing a range of symptoms and life stressors related to relationships, anxiety, depression, ADHD, trauma, and life transitions. Many of my clients are dealing with changes like starting out in their career, relationship beginnings or endings, or loss of a loved one. I provide personalized support to help you thrive in your personal and professional life.
(916) 623-1980 View (916) 623-1980
Photo of Kristine Hughes, Marriage & Family Therapist, LMFT
Kristine Hughes
Marriage & Family Therapist, LMFT
Verified Verified
Online Only
My therapeutic approach utilizes techniques from Mindfulness, Cognitive Behavioral Therapy, Dialectical Behavioral Therapy, and Acceptance and Commitment Therapy.
My greatest successes have been in treating individuals experiencing mood disorders such as depression and bipolar disorder, anxiety/panic attacks, substance abuse/addiction, self-harm and suicidal ideation, stress, relationship problems, abuse, and trauma.
My therapeutic approach utilizes techniques from Mindfulness, Cognitive Behavioral Therapy, Dialectical Behavioral Therapy, and Acceptance and Commitment Therapy.
My greatest successes have been in treating individuals experiencing mood disorders such as depression and bipolar disorder, anxiety/panic attacks, substance abuse/addiction, self-harm and suicidal ideation, stress, relationship problems, abuse, and trauma.
(916) 776-5929 View (916) 776-5929
Photo of Jessica Hidalgo, Associate Professional Clinical Counselor, APCC
Jessica Hidalgo
Associate Professional Clinical Counselor, APCC
Verified Verified
1 Endorsed
Sacramento, CA 95825
Using a relational approach, I draw from Psychodynamic Therapy, CBT, and DBT to help you navigate anxiety, depression, trauma, and relationship challenges.
Feeling overwhelmed, stuck, or disconnected? You deserve a space where you feel heard and supported. Whether you're navigating anxiety, depression, trauma, or relationship challenges, I provide a warm, affirming space to explore your experiences without judgment. I work with youth, adults, couples, and families, including LGBTQIA+ and neurodivergent communities. My approach is tailored to you, whether you want to build coping skills, strengthen relationships, or reconnect with yourself. Wherever you are on your journey, I’m here to meet you with compassion and support.
Using a relational approach, I draw from Psychodynamic Therapy, CBT, and DBT to help you navigate anxiety, depression, trauma, and relationship challenges.
Feeling overwhelmed, stuck, or disconnected? You deserve a space where you feel heard and supported. Whether you're navigating anxiety, depression, trauma, or relationship challenges, I provide a warm, affirming space to explore your experiences without judgment. I work with youth, adults, couples, and families, including LGBTQIA+ and neurodivergent communities. My approach is tailored to you, whether you want to build coping skills, strengthen relationships, or reconnect with yourself. Wherever you are on your journey, I’m here to meet you with compassion and support.
(916) 226-3685 View (916) 226-3685
Photo of Michelle Paulsen, Clinical Social Work/Therapist, LMFT
Michelle Paulsen
Clinical Social Work/Therapist, LMFT
Verified Verified
Sacramento, CA 95825
Michelle treats patient between the ages of 12 and 90 utilizing Person Centered, Cognitive Behavioral Therapy, DBT, Gestalt, and ERP in her approach with clients.
In her free time, Michelle enjoys spending time with her children. She also loves being outdoors, going to the beach and swimming. Michelle has a Master of Science in Marriage, Family, Child Therapy from University of Phoenix-Sacramento. She received her Bachelor of Science in English from University of California, Davis.
Michelle treats patient between the ages of 12 and 90 utilizing Person Centered, Cognitive Behavioral Therapy, DBT, Gestalt, and ERP in her approach with clients.
In her free time, Michelle enjoys spending time with her children. She also loves being outdoors, going to the beach and swimming. Michelle has a Master of Science in Marriage, Family, Child Therapy from University of Phoenix-Sacramento. She received her Bachelor of Science in English from University of California, Davis.
(858) 463-6932 View (858) 463-6932
Photo of Nona Khara, Clinical Social Work/Therapist, LCSW
Nona Khara
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Online Only
My approach is drawn from both classic and contemporary evidence-based theories including attachment, psychodynamic, humanistic/existential, acceptance-commitment, trauma-focused, cognitive behavior & dialectical behavior therapy.
We all endure challenges at some point or another in our lives yet we continue to strive forward to find peace, solace, content, or happiness. Therapy can help identify those goals, overcome barriers, and henceforth, head toward betterment & enrichment via personal growth.
My approach is drawn from both classic and contemporary evidence-based theories including attachment, psychodynamic, humanistic/existential, acceptance-commitment, trauma-focused, cognitive behavior & dialectical behavior therapy.
We all endure challenges at some point or another in our lives yet we continue to strive forward to find peace, solace, content, or happiness. Therapy can help identify those goals, overcome barriers, and henceforth, head toward betterment & enrichment via personal growth.
(916) 472-0960 View (916) 472-0960
Photo of Isela Edens, Clinical Social Work/Therapist, ASW
Isela Edens
Clinical Social Work/Therapist, ASW
Verified Verified
Online Only
Using CBT, DBT, narrative, and somatic therapies, I support you in breaking free from unhelpful patterns and building emotional resilience.
Are you feeling weighed down by anxiety, depression, anger issues, or relationship struggles rooted in past experiences? My approach meets you where you are, offering comfort and trust as we work through each session. Healing is like a wave, with natural ups and downs, but we’ll move forward together on a steady, upward path. If you’re feeling stuck or caught in repetitive patterns, I’m here to help you understand these cycles, empowering you to create a more authentic life. Through a supportive, safe environment, we’ll explore your unique needs, helping you build resilience and confidence as you move toward meaningful change.
Using CBT, DBT, narrative, and somatic therapies, I support you in breaking free from unhelpful patterns and building emotional resilience.
Are you feeling weighed down by anxiety, depression, anger issues, or relationship struggles rooted in past experiences? My approach meets you where you are, offering comfort and trust as we work through each session. Healing is like a wave, with natural ups and downs, but we’ll move forward together on a steady, upward path. If you’re feeling stuck or caught in repetitive patterns, I’m here to help you understand these cycles, empowering you to create a more authentic life. Through a supportive, safe environment, we’ll explore your unique needs, helping you build resilience and confidence as you move toward meaningful change.
(916) 908-0610 View (916) 908-0610
Photo of Allison Alvarez-Lara, Marriage & Family Therapist, MS, LMFT
Allison Alvarez-Lara
Marriage & Family Therapist, MS, LMFT
Verified Verified
2 Endorsed
Sacramento, CA 95831
Some of the treatment types that I use are Cognitive Behavioral Therapy (CBT), Dialectical Behavior Therapy ( DBT), Mindfulness Based Cognitive Therapy (MBCT), Person Centered Therapy, and Play Therapy for Children.
Do you have a hard time putting yourself first? Do you find yourself walking on eggshells in your relationships? Are you a worrier? Do those worries and negative thoughts interfere constantly with your daily life? You may feel like your brain never stops, even waking up in the middle of the night with a million thoughts in your head. You might find yourself replaying situations from yesterday or from 10 years ago obsessing about what went wrong. You often get stuck in a never-ending loop of anxiety and guilt. It’s exhausting, frustrating, and overwhelming!
Some of the treatment types that I use are Cognitive Behavioral Therapy (CBT), Dialectical Behavior Therapy ( DBT), Mindfulness Based Cognitive Therapy (MBCT), Person Centered Therapy, and Play Therapy for Children.
Do you have a hard time putting yourself first? Do you find yourself walking on eggshells in your relationships? Are you a worrier? Do those worries and negative thoughts interfere constantly with your daily life? You may feel like your brain never stops, even waking up in the middle of the night with a million thoughts in your head. You might find yourself replaying situations from yesterday or from 10 years ago obsessing about what went wrong. You often get stuck in a never-ending loop of anxiety and guilt. It’s exhausting, frustrating, and overwhelming!
(916) 619-3009 View (916) 619-3009
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Dialectical Behavior (DBT) Therapists

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.