Dialectical Behavior (DBT) Therapists in Clairemont Mesa, San Diego, CA

Photo of Rachel Diskin: Hope Therapy Group, Clinical Social Work/Therapist in Clairemont Mesa, San Diego, CA
Rachel Diskin: Hope Therapy Group
Clinical Social Work/Therapist, MA, LCSW
Verified Verified
Clairemont Mesa, San Diego, CA 92117
I have found great success utilizing ACT, CBT, Mindfulness practices, DBT interventions and SFBT.
You have made the first step, having the strength to reach out. I am excited to walk beside you on your journey to take care of yourself. My focus is in providing a safe, non-judgmental space, meeting you where you are and working toward your personal goals. Whether self-esteem, relationship issues, loneliness, phase of life transitions, or difficult past experiences, I utilize evidence-based practices and practice with a client-centered and strengths-based approach. I recognize that depression and anxiety can feel like a roadblock to living the life you want.
I have found great success utilizing ACT, CBT, Mindfulness practices, DBT interventions and SFBT.
You have made the first step, having the strength to reach out. I am excited to walk beside you on your journey to take care of yourself. My focus is in providing a safe, non-judgmental space, meeting you where you are and working toward your personal goals. Whether self-esteem, relationship issues, loneliness, phase of life transitions, or difficult past experiences, I utilize evidence-based practices and practice with a client-centered and strengths-based approach. I recognize that depression and anxiety can feel like a roadblock to living the life you want.
(858) 943-0347 View (858) 943-0347
Photo of Naomi Bernal: Hope Therapy Group, Marriage & Family Therapist in Clairemont Mesa, San Diego, CA
Naomi Bernal: Hope Therapy Group
Marriage & Family Therapist, MA, LMFT
Verified Verified
5 Endorsed
Clairemont Mesa, San Diego, CA 92117
I utilize evidence-based modalities, which include: CBT (Cognitive Behavioral Therapy), ACT (Acceptance Commitment Therapy) and DBT (Dialectical Behavioral Therapy).
Welcome and Congratulations! I am glad you made it here! Just the act of looking for a therapist shows that you are making strides toward recovery! I have experience providing treatment to a variety of clients (youth, Transitional Aged Youths to adults) and settings (School-based, Residential, Partial Hospitalization (PHP), Intensive Outpatient (IOP) and Outpatient (OP) levels of care). I have knowledge working with dually diagnosed individuals and persons with Severe Mental Illness (SMI) and complex conditions such as: Substance Use and Eating Disorders.
I utilize evidence-based modalities, which include: CBT (Cognitive Behavioral Therapy), ACT (Acceptance Commitment Therapy) and DBT (Dialectical Behavioral Therapy).
Welcome and Congratulations! I am glad you made it here! Just the act of looking for a therapist shows that you are making strides toward recovery! I have experience providing treatment to a variety of clients (youth, Transitional Aged Youths to adults) and settings (School-based, Residential, Partial Hospitalization (PHP), Intensive Outpatient (IOP) and Outpatient (OP) levels of care). I have knowledge working with dually diagnosed individuals and persons with Severe Mental Illness (SMI) and complex conditions such as: Substance Use and Eating Disorders.
(858) 304-1283 View (858) 304-1283
Photo of Deanna Lazaro, Clinical Social Work/Therapist in Clairemont Mesa, San Diego, CA
Deanna Lazaro
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Clairemont Mesa, San Diego, CA 92117
My integrative clinical work includes EMDR, Dialectical Behavioral Therapy, Acceptance and Commitment Therapy, Addiction Treatment, and Emotion-Focused Therapy in helping you move past life obstacles and toward life fulfillment.
Are you feeling stressed and overwhelmed? Maybe you are feeling trapped by patterns of substance use, gambling, shopping, social media, or other addictive patterns. There is hope and I can help you. Perhaps life-stage challenges are causing a level of emotional constraint that you feel trapped, confused, and unclear about how to move forward. Perhaps you are a new mom or an older adult who is grappling with the changes in your body and relationships, as well as stressors that lead you to feel frustrated and confused about what to prioritize and how to take care of yourself effectively.
My integrative clinical work includes EMDR, Dialectical Behavioral Therapy, Acceptance and Commitment Therapy, Addiction Treatment, and Emotion-Focused Therapy in helping you move past life obstacles and toward life fulfillment.
Are you feeling stressed and overwhelmed? Maybe you are feeling trapped by patterns of substance use, gambling, shopping, social media, or other addictive patterns. There is hope and I can help you. Perhaps life-stage challenges are causing a level of emotional constraint that you feel trapped, confused, and unclear about how to move forward. Perhaps you are a new mom or an older adult who is grappling with the changes in your body and relationships, as well as stressors that lead you to feel frustrated and confused about what to prioritize and how to take care of yourself effectively.
(619) 492-3341 View (619) 492-3341
Photo of Neshmil Ariy, Marriage & Family Therapist in Clairemont Mesa, San Diego, CA
Neshmil Ariy
Marriage & Family Therapist, LMFT
Verified Verified
Clairemont Mesa, San Diego, CA 92108
I use evidenced based practices including Cognitive Behavioral Therapy, Dialectical Behavior Therapy, Solution Focused, and Trauma Therapy.
Currently Accepting New Clients* We can get you scheduled quickly- in less than week! Hello there and welcome, thank you for stopping by. My first goal as a therapist is to provide an environment where you will feel safe and comfortable in order to make the most progress. I'm a bilingual (English and Spanish) therapist in San Diego and have over 10 years of experience providing therapy to children, teens, adults, and families overcome current obstacles to live a happier balanced life. I have experience working with Active Duty Services Members as well as their family members. FREE 10 minute phone consult available.
I use evidenced based practices including Cognitive Behavioral Therapy, Dialectical Behavior Therapy, Solution Focused, and Trauma Therapy.
Currently Accepting New Clients* We can get you scheduled quickly- in less than week! Hello there and welcome, thank you for stopping by. My first goal as a therapist is to provide an environment where you will feel safe and comfortable in order to make the most progress. I'm a bilingual (English and Spanish) therapist in San Diego and have over 10 years of experience providing therapy to children, teens, adults, and families overcome current obstacles to live a happier balanced life. I have experience working with Active Duty Services Members as well as their family members. FREE 10 minute phone consult available.
(619) 332-5010 View (619) 332-5010
Photo of Siri Hadland, Psychologist in Clairemont Mesa, San Diego, CA
Siri Hadland
Psychologist
Verified Verified
1 Endorsed
Clairemont Mesa, San Diego, CA 92117
I have strong training in dialectical behavior therapy for emotion dysregulation, eating disorders, and addiction.
Learning why we think, feel, and act the way we do is one of the greatest gifts we can give ourselves. From there, we gain the ability to adjust, grow, connect, and show up in the world as our most authentic selves. I work primarily with addiction, trauma, depression, anxiety, and eating disorders. My approach to treating addictive problems is self-empowering and open minded. In addition to the listed disorders I treat, I love working with women's issues, relationship issues, phase of life issues, religious trauma, and the LGBTQ+ population.
I have strong training in dialectical behavior therapy for emotion dysregulation, eating disorders, and addiction.
Learning why we think, feel, and act the way we do is one of the greatest gifts we can give ourselves. From there, we gain the ability to adjust, grow, connect, and show up in the world as our most authentic selves. I work primarily with addiction, trauma, depression, anxiety, and eating disorders. My approach to treating addictive problems is self-empowering and open minded. In addition to the listed disorders I treat, I love working with women's issues, relationship issues, phase of life issues, religious trauma, and the LGBTQ+ population.
(858) 522-0154 View (858) 522-0154
Photo of Kristyne Skippergosh, Clinical Social Work/Therapist in Clairemont Mesa, San Diego, CA
Kristyne Skippergosh
Clinical Social Work/Therapist, LCSW
Verified Verified
Clairemont Mesa, San Diego, CA 92117
Waitlist for new clients
Do you feel overwhelmed by your emotions? Do you find yourself feeling down and like you have lost the joy in life? Does worry interfere with achieving goals, work, relationships, or even your sleep? You are not alone! Life is full of challenges both big and small. Your thoughts and emotions during these times can be very misleading. Therapy is about learning who you are, how your mind operates, and how you can gain more control of it. It is about accepting the struggle and pain of life with the same willingness as your triumphs.
Do you feel overwhelmed by your emotions? Do you find yourself feeling down and like you have lost the joy in life? Does worry interfere with achieving goals, work, relationships, or even your sleep? You are not alone! Life is full of challenges both big and small. Your thoughts and emotions during these times can be very misleading. Therapy is about learning who you are, how your mind operates, and how you can gain more control of it. It is about accepting the struggle and pain of life with the same willingness as your triumphs.
(619) 650-5707 View (619) 650-5707
Photo of Bonnie Deroo, Marriage & Family Therapist in Clairemont Mesa, San Diego, CA
Bonnie Deroo
Marriage & Family Therapist, LMFT, LPCC
Verified Verified
Clairemont Mesa, San Diego, CA 92117
Do you struggle with anxiety? Do you use substances to help manage anxiety? Are you worried that you're drinking or eating or using too much to cope with stress and anxiety? Are you a family member of someone with anxiety and/or substance use and aren't sure what to do?
Do you struggle with anxiety? Do you use substances to help manage anxiety? Are you worried that you're drinking or eating or using too much to cope with stress and anxiety? Are you a family member of someone with anxiety and/or substance use and aren't sure what to do?
(858) 437-5425 View (858) 437-5425
Photo of Ezak Marquez, Counselor in Clairemont Mesa, San Diego, CA
Ezak Marquez
Counselor, LPCC
Verified Verified
1 Endorsed
Clairemont Mesa, San Diego, CA 92117  (Online Only)
My name is Ezak and my pronouns are they, them, theirs. I am a Licensed Professional Clinical Counselor and Gender Specialist at Diaspora Therapy Group. I utilize a person-centered and strengths-based approach and I have been trained through a multicultural and trauma-informed lens. I work with adolescents and adults wanting to make a change in their life and I work collaboratively with my clients to identify their goals.
My name is Ezak and my pronouns are they, them, theirs. I am a Licensed Professional Clinical Counselor and Gender Specialist at Diaspora Therapy Group. I utilize a person-centered and strengths-based approach and I have been trained through a multicultural and trauma-informed lens. I work with adolescents and adults wanting to make a change in their life and I work collaboratively with my clients to identify their goals.
(619) 329-9950 View (619) 329-9950
Photo of Janelle B Pineda Farias, Marriage & Family Therapist in Clairemont Mesa, San Diego, CA
Janelle B Pineda Farias
Marriage & Family Therapist, MA, LMFT
Verified Verified
1 Endorsed
Clairemont Mesa, San Diego, CA 92117  (Online Only)
From time to time we may need support during a challenging time in our life. I look forward to meeting with you and working with you to reach the power of acceptance and be on your journey when reaching your goals. I hope to work with you to enhance your strengths and empower you to live a happier life and to look forward to the future.
From time to time we may need support during a challenging time in our life. I look forward to meeting with you and working with you to reach the power of acceptance and be on your journey when reaching your goals. I hope to work with you to enhance your strengths and empower you to live a happier life and to look forward to the future.
(858) 295-3119 View (858) 295-3119
Photo of Jason Unruh, Marriage & Family Therapist in Clairemont Mesa, San Diego, CA
Jason Unruh
Marriage & Family Therapist, LMFT
Verified Verified
Clairemont Mesa, San Diego, CA 92117  (Online Only)
Let’s be honest. Being stuck in anxiety, fear, depression, and despair is very discouraging and frustrating. It feels awful, it limits you, makes you feel hopeless, and just creates suffering and conflict in your life. So, what can we do about it? We can ignore it and hope it goes away, read a bunch of self-help books, or maybe try that 5-step plan to happiness we read about late last night. Some of these things might work but sometimes we just need help from a caring therapist who really understands you and can help guide you to a healthier and happier you. I would be honored to help you live the life you've always imagined.
Let’s be honest. Being stuck in anxiety, fear, depression, and despair is very discouraging and frustrating. It feels awful, it limits you, makes you feel hopeless, and just creates suffering and conflict in your life. So, what can we do about it? We can ignore it and hope it goes away, read a bunch of self-help books, or maybe try that 5-step plan to happiness we read about late last night. Some of these things might work but sometimes we just need help from a caring therapist who really understands you and can help guide you to a healthier and happier you. I would be honored to help you live the life you've always imagined.
(858) 780-4468 View (858) 780-4468
Photo of Andrew Listvinsky: Hope Therapy Group, Clinical Social Work/Therapist in Clairemont Mesa, San Diego, CA
Andrew Listvinsky: Hope Therapy Group
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Clairemont Mesa, San Diego, CA 92117
I enjoy working with people struggling with trauma, major life changes, and those trying to find out who they are. I have experience working with Veterans, those struggling with addiction, and family/friends who find themselves as caregivers for another. Whatever you're struggling with, I have found that every client has something beautiful and exciting to discover within them.
I enjoy working with people struggling with trauma, major life changes, and those trying to find out who they are. I have experience working with Veterans, those struggling with addiction, and family/friends who find themselves as caregivers for another. Whatever you're struggling with, I have found that every client has something beautiful and exciting to discover within them.
(858) 815-9023 View (858) 815-9023
Photo of Dr. Sisi Yu, Psychologist in Clairemont Mesa, San Diego, CA
Dr. Sisi Yu
Psychologist, PsyD
Verified Verified
1 Endorsed
Clairemont Mesa, San Diego, CA 92117
Life is full of unexpected turns and challenges, and you’ve been trying to push through the barriers on your own for a while now. You’ve sought out various ways to make yourself feel better temporarily, but haven’t found something that brings long-term relief. Sometimes, despite your great effort, those overwhelming feelings of loneliness, fear, and helplessness continue to persist. If you're struggling with emotional pain, you don't have to deal with it all alone. What you need may be a safe space where your difficult feelings can be worked through and your authentic self can be seen, understood, and accepted.
Life is full of unexpected turns and challenges, and you’ve been trying to push through the barriers on your own for a while now. You’ve sought out various ways to make yourself feel better temporarily, but haven’t found something that brings long-term relief. Sometimes, despite your great effort, those overwhelming feelings of loneliness, fear, and helplessness continue to persist. If you're struggling with emotional pain, you don't have to deal with it all alone. What you need may be a safe space where your difficult feelings can be worked through and your authentic self can be seen, understood, and accepted.
(619) 558-0736 View (619) 558-0736
Photo of Rachel Mitchell, Clinical Social Work/Therapist in Clairemont Mesa, San Diego, CA
Rachel Mitchell
Clinical Social Work/Therapist, LCSW
Verified Verified
2 Endorsed
Clairemont Mesa, San Diego, CA 92117
Do you feel like you are stuck in a loop of loneliness and resentment? Does a part of you want to make different choices in conflicts, but you don't know what to do instead? Does it feel like your boundaries are getting trampled on and you'll never get what you need from this person? Relationships are hard, but they don't have to be this hard! Whether you are seeking help as an individual or as a couple, know that you can achieve the life and relationships that you want, even if you don't know what that is yet!. Through our work together you can achieve confidence, control of your life, and compassion for yourself and others.
Do you feel like you are stuck in a loop of loneliness and resentment? Does a part of you want to make different choices in conflicts, but you don't know what to do instead? Does it feel like your boundaries are getting trampled on and you'll never get what you need from this person? Relationships are hard, but they don't have to be this hard! Whether you are seeking help as an individual or as a couple, know that you can achieve the life and relationships that you want, even if you don't know what that is yet!. Through our work together you can achieve confidence, control of your life, and compassion for yourself and others.
(858) 290-4839 View (858) 290-4839
Photo of Tatiana Bogy, Marriage & Family Therapist in Clairemont Mesa, San Diego, CA
Tatiana Bogy
Marriage & Family Therapist, LMFT
Verified Verified
1 Endorsed
Clairemont Mesa, San Diego, CA 92117
You’ve gone through pregnancy and the moment to meet your first newborn baby has arrived. As a new mom, thoughts run in your head like, “how do I take care of this baby when I can’t take care of myself,” “my body feels broken,” “I haven’t slept,” “this is how it is, so I just have to figure it out.” You feel overwhelmed and question if you’re a good mother when you go back to work. At the end of the day, you just want to feel supported and know that you’re still you as you experience being a mom. You decide what works for you and your family and not to live based on “you should do this or you’re supposed to do this.”
You’ve gone through pregnancy and the moment to meet your first newborn baby has arrived. As a new mom, thoughts run in your head like, “how do I take care of this baby when I can’t take care of myself,” “my body feels broken,” “I haven’t slept,” “this is how it is, so I just have to figure it out.” You feel overwhelmed and question if you’re a good mother when you go back to work. At the end of the day, you just want to feel supported and know that you’re still you as you experience being a mom. You decide what works for you and your family and not to live based on “you should do this or you’re supposed to do this.”
(619) 776-3405 View (619) 776-3405
Photo of Melissa Pinn, Marriage & Family Therapist in Clairemont Mesa, San Diego, CA
Melissa Pinn
Marriage & Family Therapist, MFT
Verified Verified
Clairemont Mesa, San Diego, CA 92117
Maybe you have a child who has many worries or is prone to negative thinking? Maybe your child is feeling overwhelmed with emotion not knowing how to control the rage? Or maybe your teen is having difficulty connecting socially with others and forming meaningful relationships? Having a child with social and emotional challenges can be distressing for family members. Therapy can help build skills of resiliency and improve emotional awareness. I am passionate about working with children, teens, and families with anxiety, depression, ASD, and ADHD.
Maybe you have a child who has many worries or is prone to negative thinking? Maybe your child is feeling overwhelmed with emotion not knowing how to control the rage? Or maybe your teen is having difficulty connecting socially with others and forming meaningful relationships? Having a child with social and emotional challenges can be distressing for family members. Therapy can help build skills of resiliency and improve emotional awareness. I am passionate about working with children, teens, and families with anxiety, depression, ASD, and ADHD.
(858) 633-6190 View (858) 633-6190
Photo of Susan Quillman: Hope Therapy Group, Clinical Social Work/Therapist in Clairemont Mesa, San Diego, CA
Susan Quillman: Hope Therapy Group
Clinical Social Work/Therapist, LCSW
Verified Verified
2 Endorsed
Clairemont Mesa, San Diego, CA 92117  (Online Only)
“The greatest glory in living lies not in never falling, but in rising every time we fall," Nelson Mandela. It is never fun to fall, yet it is something we all experience. If life has you in the midst of difficult challenges and you feel overwhelmed, know that you are not alone. Reaching out for support is an act of strength and courage, and is the first step in getting up again. I work with adults of all ages who are experiencing difficulties including anxiety, depression, grief, life transitions, and stress.
“The greatest glory in living lies not in never falling, but in rising every time we fall," Nelson Mandela. It is never fun to fall, yet it is something we all experience. If life has you in the midst of difficult challenges and you feel overwhelmed, know that you are not alone. Reaching out for support is an act of strength and courage, and is the first step in getting up again. I work with adults of all ages who are experiencing difficulties including anxiety, depression, grief, life transitions, and stress.
(619) 558-1288 View (619) 558-1288
Photo of Melisa Alonzo, Marriage & Family Therapist in Clairemont Mesa, San Diego, CA
Melisa Alonzo
Marriage & Family Therapist, MA, LMFT
Verified Verified
Clairemont Mesa, San Diego, CA 92117
You are feeling overwhelmed with all the changes in your life. Maybe it’s adjusting to marriage, parenthood or dealing with postpartum. Maybe the spark has left your marriage and you've started having an affair, or you're feeling upside down having just discovered your partner is having an affair. Maybe you just got divorced and feel like you lost your identity. Or you're worried about the impact the divorce will have on your children. Whatever it is, you feel like you have no one to turn to, no one to confide in, and your mind is filled with racing thoughts.
You are feeling overwhelmed with all the changes in your life. Maybe it’s adjusting to marriage, parenthood or dealing with postpartum. Maybe the spark has left your marriage and you've started having an affair, or you're feeling upside down having just discovered your partner is having an affair. Maybe you just got divorced and feel like you lost your identity. Or you're worried about the impact the divorce will have on your children. Whatever it is, you feel like you have no one to turn to, no one to confide in, and your mind is filled with racing thoughts.
(619) 304-8392 View (619) 304-8392
Photo of Anne Marie Perkins, Marriage & Family Therapist in Clairemont Mesa, San Diego, CA
Anne Marie Perkins
Marriage & Family Therapist, LMFT
Verified Verified
Clairemont Mesa, San Diego, CA 92117
As I walked though many personal difficult experieces in my life, I learned what I wanted from a good therapist. I have dedicated the last 10 years to becoming such a therapist for people who struggle with anxiety, depression, trauma and tragic loss or overwhelming stress.
As I walked though many personal difficult experieces in my life, I learned what I wanted from a good therapist. I have dedicated the last 10 years to becoming such a therapist for people who struggle with anxiety, depression, trauma and tragic loss or overwhelming stress.
(619) 369-1661 View (619) 369-1661
Photo of Andrew David Listvinsky, Clinical Social Work/Therapist in Clairemont Mesa, San Diego, CA
Andrew David Listvinsky
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Clairemont Mesa, San Diego, CA 92117
A client who would find my approach helpful will be looking for a mix of practical skills to deal with symptoms, better understanding of themselves, and to explore what they want from life. My style of therapy is adaptive. For some, a firm guiding hand creates safety and a sense of direction. For others, the opportunity to take the reigns opens up new possibilities. I believe therapy should focus both on symptom relief, and on "what's next?" Starting to feel better creates an opportunity, and I want to help you take hold and run with it!
A client who would find my approach helpful will be looking for a mix of practical skills to deal with symptoms, better understanding of themselves, and to explore what they want from life. My style of therapy is adaptive. For some, a firm guiding hand creates safety and a sense of direction. For others, the opportunity to take the reigns opens up new possibilities. I believe therapy should focus both on symptom relief, and on "what's next?" Starting to feel better creates an opportunity, and I want to help you take hold and run with it!
(858) 346-6642 View (858) 346-6642
Photo of Dr. Kayla Bunderson, Psychologist in Clairemont Mesa, San Diego, CA
Dr. Kayla Bunderson
Psychologist
Verified Verified
4 Endorsed
Clairemont Mesa, San Diego, CA 92111  (Online Only)
Hi! I'm Kayla Bunderson, Psy.D., and I am a licensed Clinical Psychologist. I understand that life can be hard and at times feels like one big coping skill. So let me start off by saying I'm proud of you. You have taken a very positive step by deciding to seek therapy and change your current paradigm. Perhaps you're noticing that you're engaging in the same patterns of behavior and ready to find out why. Maybe you've experienced past trauma or you're struggling with motivation, relationships, or just feeling out of control. I am ready to listen and together we can make change.
Hi! I'm Kayla Bunderson, Psy.D., and I am a licensed Clinical Psychologist. I understand that life can be hard and at times feels like one big coping skill. So let me start off by saying I'm proud of you. You have taken a very positive step by deciding to seek therapy and change your current paradigm. Perhaps you're noticing that you're engaging in the same patterns of behavior and ready to find out why. Maybe you've experienced past trauma or you're struggling with motivation, relationships, or just feeling out of control. I am ready to listen and together we can make change.
(619) 304-7665 View (619) 304-7665

See more therapy options for Clairemont Mesa, San Diego

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.