Dialectical Behavior (DBT) Therapists in Vista, CA

Photo of Jessica Cooper, Marriage & Family Therapist, LMFT
Jessica Cooper
Marriage & Family Therapist, LMFT
Vista, CA 92084
I’m an attachment-based, trauma focused, therapist who helps adults and couples heal at the root. If you’ve spent years holding everything together on the outside while feeling overwhelmed, anxious, disconnected, or “not enough” on the inside, you’re not alone. You may be navigating Trauma and PTSD, Anxiety, relationship conflict, burnout, or life transitions. Many struggle with insecure attachment or emotional overwhelm rooted in earlier experiences. I help clients slow down, understand the deeper patterns driving their distress, and build the insight, tools, and emotional safety needed to create lasting, meaningful change.
I’m an attachment-based, trauma focused, therapist who helps adults and couples heal at the root. If you’ve spent years holding everything together on the outside while feeling overwhelmed, anxious, disconnected, or “not enough” on the inside, you’re not alone. You may be navigating Trauma and PTSD, Anxiety, relationship conflict, burnout, or life transitions. Many struggle with insecure attachment or emotional overwhelm rooted in earlier experiences. I help clients slow down, understand the deeper patterns driving their distress, and build the insight, tools, and emotional safety needed to create lasting, meaningful change.
(442) 239-6702 View (442) 239-6702
Photo of Leah Ariel Yeshnik, Marriage & Family Therapist, LMFT
Leah Ariel Yeshnik
Marriage & Family Therapist, LMFT
Online Only
Hi, I’m Leah Yeshnik, LMFT. I specialize in supporting adults navigating anxiety, depression, trauma, relationship challenges, and major life transitions. My approach is honest, direct, and grounded in presence. I listen deeply, reflect thoughtfully, and bring compassion, respect, consistency, humor, and accountability into the therapeutic space. My work is especially attuned to the emotional and relational experiences of women. I incorporate a range of modalities to meet different learning styles and needs, including expressive arts, journaling, self-reflection, skill building, and somatic practices
Hi, I’m Leah Yeshnik, LMFT. I specialize in supporting adults navigating anxiety, depression, trauma, relationship challenges, and major life transitions. My approach is honest, direct, and grounded in presence. I listen deeply, reflect thoughtfully, and bring compassion, respect, consistency, humor, and accountability into the therapeutic space. My work is especially attuned to the emotional and relational experiences of women. I incorporate a range of modalities to meet different learning styles and needs, including expressive arts, journaling, self-reflection, skill building, and somatic practices
(760) 253-9253 View (760) 253-9253
Photo of Nicole Wilson, Clinical Social Work/Therapist, LCSW
Nicole Wilson
Clinical Social Work/Therapist, LCSW
1 Endorsed
Online Only
Exposure Therapy helps clients address fears, while DBT and CBT aid in building skills and confronting negative patterns.
As a Licensed Clinical Social Worker with over a decade in mental health, I bring a compassionate, culturally sensitive, and holistic approach to therapy. I understand the barriers and stigma associated with treatment, and I use a blend of praise and Harm Reduction to meet each person at their current stage of personal growth. I build rapport using a Person Centered Approach, respecting each individual's unique journey. I believe in the power of personal strengths and use Motivational Interviewing to help individuals identify desired changes.
Exposure Therapy helps clients address fears, while DBT and CBT aid in building skills and confronting negative patterns.
As a Licensed Clinical Social Worker with over a decade in mental health, I bring a compassionate, culturally sensitive, and holistic approach to therapy. I understand the barriers and stigma associated with treatment, and I use a blend of praise and Harm Reduction to meet each person at their current stage of personal growth. I build rapport using a Person Centered Approach, respecting each individual's unique journey. I believe in the power of personal strengths and use Motivational Interviewing to help individuals identify desired changes.
(714) 613-0164 View (714) 613-0164
Photo of Tyrone Totten, Associate Professional Clinical Counselor, APCC
Tyrone Totten
Associate Professional Clinical Counselor, APCC
1 Endorsed
Vista, CA 92081
I utilize evidence-based approaches Cognitive Behavioral Therapy (CBT), Dialectical Behavior Therapy ( DBT), Internal Family Systems (IFS), and mindfulness-based techniques
Finding a safe and supportive space to explore your emotions, experiences, and goals is a powerful step toward healing and growth. In my practice I work with individuals, couples, and families from all cultural backgrounds and sexual orientations seeking connection, balance, and fulfillment. You may be navigating anxiety, depression, trauma, grief, or challenges in relationships and self-identity. You want clarity, emotional healing, and practical tools to manage life’s difficulties. Together, we work toward greater self-awareness, stronger relationships, and empowerment rooted in your unique strengths and values.
I utilize evidence-based approaches Cognitive Behavioral Therapy (CBT), Dialectical Behavior Therapy ( DBT), Internal Family Systems (IFS), and mindfulness-based techniques
Finding a safe and supportive space to explore your emotions, experiences, and goals is a powerful step toward healing and growth. In my practice I work with individuals, couples, and families from all cultural backgrounds and sexual orientations seeking connection, balance, and fulfillment. You may be navigating anxiety, depression, trauma, grief, or challenges in relationships and self-identity. You want clarity, emotional healing, and practical tools to manage life’s difficulties. Together, we work toward greater self-awareness, stronger relationships, and empowerment rooted in your unique strengths and values.
(760) 456-8485 View (760) 456-8485
Photo of Christina Payton, Marriage & Family Therapist, MA
Christina Payton
Marriage & Family Therapist, MA
Vista, CA 92081
My therapeutic focus is driven by utilization of various techniques and coping skills stemming from evidence-based practices such as Cognitive Behavioral Therapy (CBT) and Dialectical Behavioral Therapy ( DBT) with an emphasis on mindfulness.
I am now accepting NEW clients! I offer counseling to individuals and couples, providing assistance in navigating difficult life events, relationship challenges, mood-related disorders, and postpartum depression or anxiety. My background includes working with a diverse client population who present with wide-ranging diagnosis and clinical complexities. In addition to providing therapy to both adults and children, I have extensive experience working with co-occurring disorders in both outpatient and inpatient settings. I am dedicated to working with my clients on identifying and achieving their goals, whatever those may be!
My therapeutic focus is driven by utilization of various techniques and coping skills stemming from evidence-based practices such as Cognitive Behavioral Therapy (CBT) and Dialectical Behavioral Therapy ( DBT) with an emphasis on mindfulness.
I am now accepting NEW clients! I offer counseling to individuals and couples, providing assistance in navigating difficult life events, relationship challenges, mood-related disorders, and postpartum depression or anxiety. My background includes working with a diverse client population who present with wide-ranging diagnosis and clinical complexities. In addition to providing therapy to both adults and children, I have extensive experience working with co-occurring disorders in both outpatient and inpatient settings. I am dedicated to working with my clients on identifying and achieving their goals, whatever those may be!
(760) 642-1343 View (760) 642-1343
Photo of Leah Yeshnik, Marriage & Family Therapist, LMFT
Leah Yeshnik
Marriage & Family Therapist, LMFT
Online Only
Hi, I’m Leah Yeshnik, LMFT. I specialize in supporting adults navigating anxiety, depression, trauma, relationship challenges, and major life transitions. My approach is honest, direct, and grounded in presence. I listen deeply, reflect thoughtfully, and bring compassion, respect, consistency, humor, and accountability into the therapeutic space. My work is especially attuned to the emotional and relational experiences of women. I incorporate a range of modalities to meet different learning styles and needs, including expressive arts, journaling, self-reflection, skill building, and somatic practices
Hi, I’m Leah Yeshnik, LMFT. I specialize in supporting adults navigating anxiety, depression, trauma, relationship challenges, and major life transitions. My approach is honest, direct, and grounded in presence. I listen deeply, reflect thoughtfully, and bring compassion, respect, consistency, humor, and accountability into the therapeutic space. My work is especially attuned to the emotional and relational experiences of women. I incorporate a range of modalities to meet different learning styles and needs, including expressive arts, journaling, self-reflection, skill building, and somatic practices
(760) 463-9554 View (760) 463-9554
Photo of Eliott Goretsky, Marriage & Family Therapist, LMFT
Eliott Goretsky
Marriage & Family Therapist, LMFT
Online Only
At heart, I consider myself to be psychodynamic and humanistic in my approach while integrating various treatment modalities, including CBT, DBT, solution-focused therapy, and other interventions related to trauma and recovery.
I have been licensed as a Marriage and Family Therapist since 2008. Born and raised in the Bay Area, I spent the majority of my adult life in Southern California. I received my Masters's Degree in clinical psychology from Antioch University Los Angeles in 2005. In 2006, I relocated to the Coachella Valley and spent a decade in county mental health services while establishing a small private practice from 2008 to 2016.
At heart, I consider myself to be psychodynamic and humanistic in my approach while integrating various treatment modalities, including CBT, DBT, solution-focused therapy, and other interventions related to trauma and recovery.
I have been licensed as a Marriage and Family Therapist since 2008. Born and raised in the Bay Area, I spent the majority of my adult life in Southern California. I received my Masters's Degree in clinical psychology from Antioch University Los Angeles in 2005. In 2006, I relocated to the Coachella Valley and spent a decade in county mental health services while establishing a small private practice from 2008 to 2016.
(707) 946-7629 View (707) 946-7629
Photo of Natalie J. Campbell, Clinical Social Work/Therapist, LCSW, CATODSW
Natalie J. Campbell
Clinical Social Work/Therapist, LCSW, CATODSW
2 Endorsed
Vista, CA 92084
I am a trauma informed therapist and use a combination of cognitive and dialectical therapies, solution focused, and intensive short term dynamic psychotherapy (ISTDP) techniques.
Do you feel like you’re navigating life on autopilot, with anxiety or depression making it difficult to show up for your work, your relationships, or yourself? You may find yourself caught in cycles of people-pleasing or seeking external validation, only to end up feeling drained and unfulfilled. If you feel stuck in patterns that no longer serve you, know that you don’t have to navigate this alone. In our sessions, we’ll move beyond the 'what' to understand the ' the roots of your struggle while building practical, compassionate strategies to help you reclaim your confidence and advocate for your needs.
I am a trauma informed therapist and use a combination of cognitive and dialectical therapies, solution focused, and intensive short term dynamic psychotherapy (ISTDP) techniques.
Do you feel like you’re navigating life on autopilot, with anxiety or depression making it difficult to show up for your work, your relationships, or yourself? You may find yourself caught in cycles of people-pleasing or seeking external validation, only to end up feeling drained and unfulfilled. If you feel stuck in patterns that no longer serve you, know that you don’t have to navigate this alone. In our sessions, we’ll move beyond the 'what' to understand the ' the roots of your struggle while building practical, compassionate strategies to help you reclaim your confidence and advocate for your needs.
(760) 227-2916 View (760) 227-2916
Photo of Monica Barrameda - Pear Tree Family Therapy Inc., Marriage & Family Therapist, LMFT
Pear Tree Family Therapy Inc.
Marriage & Family Therapist, LMFT
Online Only
You might be someone others see as “having it together”—responsible, capable, dependable. But on the inside maybe you’re overwhelmed, anxious, emotionally drained, or carrying the impact of past trauma, and not quite like yourself. We work with adolescents and adults navigating anxiety, depression, trauma, burnout, and life transitions. Many are used to pushing through alone, so reaching out can feel unfamiliar—but also relieving. In therapy, you don’t have to hold everything in. We’ll make sense of what’s weighing on you and find practical ways to help you feel more grounded, clear, and in control again.
You might be someone others see as “having it together”—responsible, capable, dependable. But on the inside maybe you’re overwhelmed, anxious, emotionally drained, or carrying the impact of past trauma, and not quite like yourself. We work with adolescents and adults navigating anxiety, depression, trauma, burnout, and life transitions. Many are used to pushing through alone, so reaching out can feel unfamiliar—but also relieving. In therapy, you don’t have to hold everything in. We’ll make sense of what’s weighing on you and find practical ways to help you feel more grounded, clear, and in control again.
(760) 825-6783 View (760) 825-6783
Photo of Lara (Jeanne) Jackson, Marriage & Family Therapist, MS, LMFT, RYT-200
Lara (Jeanne) Jackson
Marriage & Family Therapist, MS, LMFT, RYT-200
Online Only
I use DBT, EMDR, attachment and mindfulness-based approaches to therapy as well as draw from a a range a range of techniques to meet the needs and strengths of each individual client.
Looking to make meaningful changes in your life or make sense of difficult past experiences? Are you struggling with PTSD, trauma, anxiety, depression, narcissistic abuse recovery, low self esteem, and loneliness? I am here to help! I provide a warm, welcoming, safe space for you to feel validated and heard. I work to help my diverse clients acquire the tools and support needed to help reduce their anxiety and depression while increasing their self esteem, self worth, and relationship connectivity so they can live more satisfying lives. I use a trauma informed lens and strength based approach.
I use DBT, EMDR, attachment and mindfulness-based approaches to therapy as well as draw from a a range a range of techniques to meet the needs and strengths of each individual client.
Looking to make meaningful changes in your life or make sense of difficult past experiences? Are you struggling with PTSD, trauma, anxiety, depression, narcissistic abuse recovery, low self esteem, and loneliness? I am here to help! I provide a warm, welcoming, safe space for you to feel validated and heard. I work to help my diverse clients acquire the tools and support needed to help reduce their anxiety and depression while increasing their self esteem, self worth, and relationship connectivity so they can live more satisfying lives. I use a trauma informed lens and strength based approach.
(619) 374-7950 View (619) 374-7950
Photo of Nathen Brown, Clinical Social Work/Therapist, LCSW
Nathen Brown
Clinical Social Work/Therapist, LCSW
Vista, CA 92084
Various treatment modalities that I utilize include CBT, DBT, solution-focused therapy, and crisis management techniques.
In my 20 years of counseling/ therapeutic experience, I have worked with clients in various settings including adult mental health institutions, outpatient clinics, foster youth in residential treatment, and incarcerated juveniles.
Various treatment modalities that I utilize include CBT, DBT, solution-focused therapy, and crisis management techniques.
In my 20 years of counseling/ therapeutic experience, I have worked with clients in various settings including adult mental health institutions, outpatient clinics, foster youth in residential treatment, and incarcerated juveniles.
(747) 349-4044 View (747) 349-4044
Photo of Michele White, Marriage & Family Therapist, LMFT
Michele White
Marriage & Family Therapist, LMFT
Vista, CA 92084
Are you tired of having the same arguments with your significant other, family members, and friends? Would you like to have healthier communication, meaningful connections with others? If so, I can assist you with identifying patterns that impact your ability to do so.
Are you tired of having the same arguments with your significant other, family members, and friends? Would you like to have healthier communication, meaningful connections with others? If so, I can assist you with identifying patterns that impact your ability to do so.
(760) 466-5984 View (760) 466-5984
Photo of Angela Kuzara, Marriage & Family Therapist, LMFT
Angela Kuzara
Marriage & Family Therapist, LMFT
Online Only
Cognitive Behavioral Therapy, Dialectical Behavioral Therapy, Acceptance and Commitment Therapy, Motivational Interviewing and Mindfulness.
I am a person-centered therapist utilizing a personalized collaborative and strengths-based approach. I view each person holistically and as a unique individual, tailoring our sessions to your needs and to meet your specific goals in therapy rather than following one rigid protocol. I have additional training in trauma-informed, evidence-based treatment modalities. My first priority is for you to feel safe and trusting of me as your therapist. I offer a non-judgemental, honest, compassionate, accepting and understanding space that respects your personal values, goals, identity, culture and experiences.
Cognitive Behavioral Therapy, Dialectical Behavioral Therapy, Acceptance and Commitment Therapy, Motivational Interviewing and Mindfulness.
I am a person-centered therapist utilizing a personalized collaborative and strengths-based approach. I view each person holistically and as a unique individual, tailoring our sessions to your needs and to meet your specific goals in therapy rather than following one rigid protocol. I have additional training in trauma-informed, evidence-based treatment modalities. My first priority is for you to feel safe and trusting of me as your therapist. I offer a non-judgemental, honest, compassionate, accepting and understanding space that respects your personal values, goals, identity, culture and experiences.
(760) 874-3062 View (760) 874-3062
Photo of Elihu ' Eliott ' Goretsky, Marriage & Family Therapist, MA, MFT
Elihu ' Eliott ' Goretsky
Marriage & Family Therapist, MA, MFT
2 Endorsed
Online Only
First and foremost, I provide and deliver client-centered treatment, utilizing a variety of modalities including psychodynamic, cognitive-behavioral, dialectical-behavioral, and solution-focused interventions to address issues such as mood disorders, trauma, grief/loss and other life challenges which may arise.
Greetings! As a licensed MFT, my career continues to evolve as science and technology transform the behavioral health field. I have provided services to a culturally-diverse population across Southern California since 2004, including ten years with Riverside County in the desert region after graduating from Antioch University in 2005 with an M.A. degree in clinical psychology. I specialize in adults with addiction-recovery issues, LGBT+ patients, phase of life problems, and couples (limited). For insured clients: I work with two provider platforms, Headway and Rula (Path). Please email me directly for additional information!
First and foremost, I provide and deliver client-centered treatment, utilizing a variety of modalities including psychodynamic, cognitive-behavioral, dialectical-behavioral, and solution-focused interventions to address issues such as mood disorders, trauma, grief/loss and other life challenges which may arise.
Greetings! As a licensed MFT, my career continues to evolve as science and technology transform the behavioral health field. I have provided services to a culturally-diverse population across Southern California since 2004, including ten years with Riverside County in the desert region after graduating from Antioch University in 2005 with an M.A. degree in clinical psychology. I specialize in adults with addiction-recovery issues, LGBT+ patients, phase of life problems, and couples (limited). For insured clients: I work with two provider platforms, Headway and Rula (Path). Please email me directly for additional information!
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Photo of Jenna Suway, Psychologist, PhD
Jenna Suway
Psychologist, PhD
2 Endorsed
Vista, CA 92081
I help adolescents and adults navigate difficulties in their lives. Some of the treatment areas in which I work relate to identity (e.g., LGBTQ+ individuals), anxiety, transitions, values, trauma, and mood. My goal is to create an open and safe environment from which to explore, process, and learn. It is an honor to get to know you and to work collaboratively to address whatever brings you to therapy. I look forward to speaking with you.
I help adolescents and adults navigate difficulties in their lives. Some of the treatment areas in which I work relate to identity (e.g., LGBTQ+ individuals), anxiety, transitions, values, trauma, and mood. My goal is to create an open and safe environment from which to explore, process, and learn. It is an honor to get to know you and to work collaboratively to address whatever brings you to therapy. I look forward to speaking with you.
(442) 313-2372 View (442) 313-2372
Photo of Cheryl Gilbert, Marriage & Family Therapist, LMFT
Cheryl Gilbert
Marriage & Family Therapist, LMFT
Online Only
Hi! My name is Cheryl Gilbert, and I am a licensed marriage and family therapist (LMFT, License 119597) based in Vista, California. I see clients as on a journey of self-discovery to reach their own goals for health and healing. I join my clients on this journey and help to facilitate this process, acting as a navigator while they direct the destination. I assist clients in discovering their strengths and support them in walking through their struggles, whether it be anxiety, depression, self-esteem, family, or relationship difficulties.
Hi! My name is Cheryl Gilbert, and I am a licensed marriage and family therapist (LMFT, License 119597) based in Vista, California. I see clients as on a journey of self-discovery to reach their own goals for health and healing. I join my clients on this journey and help to facilitate this process, acting as a navigator while they direct the destination. I assist clients in discovering their strengths and support them in walking through their struggles, whether it be anxiety, depression, self-esteem, family, or relationship difficulties.
(626) 469-5842 View (626) 469-5842
Photo of Liza Castro, Marriage & Family Therapist, LMFT
Liza Castro
Marriage & Family Therapist, LMFT
Online Only
I utilize CBT, SFT, REBT, DBT, EFT, EMDR, and other modalities to create a therapeutic approach that will yield positive results unique to you and your situation.
Hi, my name is Liza Castro, LMFT, and I am the therapist who will be your best coach and teach you how to win. I am not your ordinary therapist, as I am very genuine, empathetic, and also direct. You need honesty, to be challenged, insight, and awareness, and I am here to help you obtain what you need. I love working with diverse clients with a variety of issues. I especially love to work with clients who have experienced trauma, attachment or abandonment issues, childhood issues, and relationship issues.
I utilize CBT, SFT, REBT, DBT, EFT, EMDR, and other modalities to create a therapeutic approach that will yield positive results unique to you and your situation.
Hi, my name is Liza Castro, LMFT, and I am the therapist who will be your best coach and teach you how to win. I am not your ordinary therapist, as I am very genuine, empathetic, and also direct. You need honesty, to be challenged, insight, and awareness, and I am here to help you obtain what you need. I love working with diverse clients with a variety of issues. I especially love to work with clients who have experienced trauma, attachment or abandonment issues, childhood issues, and relationship issues.
(626) 876-2275 View (626) 876-2275
Photo of Samantha Quintero, Clinical Social Work/Therapist, LCSW
Samantha Quintero
Clinical Social Work/Therapist, LCSW
1 Endorsed
Vista, CA 92084
Life has seasons of transition—new roles, losses, shifting relationships—that can feel heavy to carry alone. I work with adults, young adults, and couples who are juggling a lot: caregivers balancing family obligations, professionals under constant pressure, college or early-career clients, and partners seeking to reconnect. My clients often name ongoing stress or anxiety, burnout, communication struggles, trust concerns, grief, or a quiet sense of self-doubt. In our work, we slow things down, make sense of what’s happening, and practice tools you can use between sessions—clear communication.
Life has seasons of transition—new roles, losses, shifting relationships—that can feel heavy to carry alone. I work with adults, young adults, and couples who are juggling a lot: caregivers balancing family obligations, professionals under constant pressure, college or early-career clients, and partners seeking to reconnect. My clients often name ongoing stress or anxiety, burnout, communication struggles, trust concerns, grief, or a quiet sense of self-doubt. In our work, we slow things down, make sense of what’s happening, and practice tools you can use between sessions—clear communication.
(760) 368-6983 View (760) 368-6983
Photo of Brittany Paulk, Marriage & Family Therapist Associate, MA, AMFT
Brittany Paulk
Marriage & Family Therapist Associate, MA, AMFT
3 Endorsed
Vista, CA 92081
I use an integrative client-centered approach with a holistic lens, including Cognitive Behavioral Therapy, Dialectical Behavior Therapy, Mindfulness and Meditation, Emotion-Focused, Narrative Therapy, Play Therapy, Theraplay, Trauma-Informed, and more.
My primary goal is to create a nonjudgmental, warm, and compassionate environment where you feel safe and comfortable sharing your thoughts, feelings, and experiences. You are the expert in your story, and I am here to listen and support you to help empower you to achieve personal growth, improve your relationships, and enhance your overall well-being.
I use an integrative client-centered approach with a holistic lens, including Cognitive Behavioral Therapy, Dialectical Behavior Therapy, Mindfulness and Meditation, Emotion-Focused, Narrative Therapy, Play Therapy, Theraplay, Trauma-Informed, and more.
My primary goal is to create a nonjudgmental, warm, and compassionate environment where you feel safe and comfortable sharing your thoughts, feelings, and experiences. You are the expert in your story, and I am here to listen and support you to help empower you to achieve personal growth, improve your relationships, and enhance your overall well-being.
(442) 434-1944 View (442) 434-1944
Photo of Cheryl L Gilbert - Cheryl L Gilbert, LMFT, Marriage & Family Therapist, MA
Cheryl L Gilbert, LMFT
Marriage & Family Therapist, MA
1 Endorsed
Vista, CA 92084
I see clients as on a journey of self-discovery to reach their own goals for health and healing. I join my clients on this journey and help to facilitate this process, acting as navigator while they direct the destination. I assist clients in discovering their strengths and support them in walking through their struggles, whether it be anxiety, depression, mood or personality disorders, or relationship difficulties. My joy is to see my clients find within themselves the answers to their questions and struggles, while empathetically supporting the process. I also have extensive experience with trauma and its effects.
I see clients as on a journey of self-discovery to reach their own goals for health and healing. I join my clients on this journey and help to facilitate this process, acting as navigator while they direct the destination. I assist clients in discovering their strengths and support them in walking through their struggles, whether it be anxiety, depression, mood or personality disorders, or relationship difficulties. My joy is to see my clients find within themselves the answers to their questions and struggles, while empathetically supporting the process. I also have extensive experience with trauma and its effects.
(714) 278-3138 View (714) 278-3138

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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.