Photo of Gino Wolfe—Anxiety•depression•grief—Kids Adults, Marriage & Family Therapist Associate in Anacortes, WA
Gino Wolfe—Anxiety•depression•grief—Kids Adults
Marriage & Family Therapist Associate, LMFTA, SUDP, MHP, CMHS
Verified Verified
Anacortes, WA 98221
Mindfulness, CBT, DBT, The Gottman Method, and other techniques, you can learn coping tools that will sustain long-term emotional balance and healthier relationships.
Do you ever feel like you’re alone in life as if the world is resting on your shoulders? Do you feel the burden of caring for loved ones while feeling like no one is there to take care of you? Do you feel disconnected from relationships in your life? Are you in the military and struggling with feelings of anxiety or stress about your deployment? Are you having trouble leaving your experiences from the military behind or experiencing PTSD? Is grief from losing a loved one impacting your relationships and your ability to manage the day-to-day? Through expert therapy, you can learn to move beyond your pain and be happier. Reach out now
Mindfulness, CBT, DBT, The Gottman Method, and other techniques, you can learn coping tools that will sustain long-term emotional balance and healthier relationships.
Do you ever feel like you’re alone in life as if the world is resting on your shoulders? Do you feel the burden of caring for loved ones while feeling like no one is there to take care of you? Do you feel disconnected from relationships in your life? Are you in the military and struggling with feelings of anxiety or stress about your deployment? Are you having trouble leaving your experiences from the military behind or experiencing PTSD? Is grief from losing a loved one impacting your relationships and your ability to manage the day-to-day? Through expert therapy, you can learn to move beyond your pain and be happier. Reach out now
(360) 219-9635 View (360) 219-9635
Photo of Liz Williams, Clinical Social Work/Therapist in Anacortes, WA
Liz Williams
Clinical Social Work/Therapist, LSWAIC, MSW
Verified Verified
Anacortes, WA 98221
Waitlist for new clients
My approach to therapy is warm and highly relational, drawing from multiple evidenced based approaches, such as ACT, DBT, SFT, etc.
Therapy should be highly adaptable to each individual and not one size fits all. I am focused on supporting adult clients experiencing various mental and behavioral health needs, with a particular fondness for folks hoping to improve their self image, explore coping for anxiety and stress, process developmental trauma, address relationship concerns and enact desired behavior changes. My overall hope is to empower you through whatever shifts life brings your way and encourage you on the path that is uniquely your own.
My approach to therapy is warm and highly relational, drawing from multiple evidenced based approaches, such as ACT, DBT, SFT, etc.
Therapy should be highly adaptable to each individual and not one size fits all. I am focused on supporting adult clients experiencing various mental and behavioral health needs, with a particular fondness for folks hoping to improve their self image, explore coping for anxiety and stress, process developmental trauma, address relationship concerns and enact desired behavior changes. My overall hope is to empower you through whatever shifts life brings your way and encourage you on the path that is uniquely your own.
(360) 248-4720 View (360) 248-4720
Photo of Abcde L. K. Matias, Counselor in Anacortes, WA
Abcde L. K. Matias
Counselor, MS
Verified Verified
1 Endorsed
Anacortes, WA 98221  (Online Only)
Each person is unique, so I use a variety of techniques to find which one best suits your thinking and lifestyle - CBT, T-CBT, DBT, Gottman, and a Person-centered approach.
Hi all, I'm accepting new clients as of March 1st, 2024. I believe everyone has a voice that matters, and I want to hear your story. Therapy can be challenging and enjoyable however the process unfolds, I will be there for the journey. I’m here to help guide you on what you think is important and provide useful tools along the way. Specializing in adolescents, adult counseling, and couples counseling through telehealth, other counseling specializations are available as well. Also, I'm currently facilitating an ongoing open Women's Support Group via telehealth.
Each person is unique, so I use a variety of techniques to find which one best suits your thinking and lifestyle - CBT, T-CBT, DBT, Gottman, and a Person-centered approach.
Hi all, I'm accepting new clients as of March 1st, 2024. I believe everyone has a voice that matters, and I want to hear your story. Therapy can be challenging and enjoyable however the process unfolds, I will be there for the journey. I’m here to help guide you on what you think is important and provide useful tools along the way. Specializing in adolescents, adult counseling, and couples counseling through telehealth, other counseling specializations are available as well. Also, I'm currently facilitating an ongoing open Women's Support Group via telehealth.
(360) 504-4825 View (360) 504-4825
Photo of Denise Miller, Counselor in Anacortes, WA
Denise Miller
Counselor, MA, LMHC
Verified Verified
Anacortes, WA 98221
Waitlist for new clients
I take a holistic approach to counseling, with an emphasis on mind, body and spirit in relationship to self and others. I specialize in trauma informed practices utilizing modalities such as EMDR, CBT, DBT, and family systems therapy.I am a Children's Mental Health Therapist and a Minority Mental Health Therapist with experience working with Native American, Hispanic and African American and LGBTQ populations.
I take a holistic approach to counseling, with an emphasis on mind, body and spirit in relationship to self and others. I specialize in trauma informed practices utilizing modalities such as EMDR, CBT, DBT, and family systems therapy.I am a Children's Mental Health Therapist and a Minority Mental Health Therapist with experience working with Native American, Hispanic and African American and LGBTQ populations.
(360) 233-8085 View (360) 233-8085
Photo of Natosha Scheenstra, Clinical Social Work/Therapist in Anacortes, WA
Natosha Scheenstra
Clinical Social Work/Therapist, MSW, LICSW, CMHS
Verified Verified
2 Endorsed
Anacortes, WA 98221  (Online Only)
I offer evidence-based treatment modalities including CBT, TF-CBT, I-CBT, CPT, ERP, ACT, DBT, ComB, HRT, and more.
I provide Child, Adolescent, Adult, and Family Psychotherapy. I treat OCD, Anxiety, Trauma, and Other Related Disorders, including Co-Occurring Conditions. It takes courage to reach out for help. Are you experiencing spirals of doubt? Do you constantly live with uncertainty? Do you avoid, seek reassurance, or mentally ruminate? Do you get stuck in a worry loop? Are you reliving trauma reminders? Are you burdened by intrusive thoughts? I know that your thoughts do not represent who you are and I want you to know that you are not alone. Your fears, thoughts, and experiences are safe in this space.
I offer evidence-based treatment modalities including CBT, TF-CBT, I-CBT, CPT, ERP, ACT, DBT, ComB, HRT, and more.
I provide Child, Adolescent, Adult, and Family Psychotherapy. I treat OCD, Anxiety, Trauma, and Other Related Disorders, including Co-Occurring Conditions. It takes courage to reach out for help. Are you experiencing spirals of doubt? Do you constantly live with uncertainty? Do you avoid, seek reassurance, or mentally ruminate? Do you get stuck in a worry loop? Are you reliving trauma reminders? Are you burdened by intrusive thoughts? I know that your thoughts do not represent who you are and I want you to know that you are not alone. Your fears, thoughts, and experiences are safe in this space.
(360) 310-4127 View (360) 310-4127
Photo of Heather Hamilton, Counselor in Anacortes, WA
Heather Hamilton
Counselor, PhD, LPC, DCC, NCC
Verified Verified
Anacortes, WA 98221
Opening 1 additional Day of appointments - 9 openings available beginning in October. With grace, and humor, we'll work with you to address challenges impacting your health, happiness, and relationships with others. It's our philosophy that whatever affects our emotional health (isolation, depression, anxiety, trauma) will affect our physical well-being (appetite, sleep, weight gain). Not too many people enjoy change and these past few years have been nothing but a roller coaster! I'd enjoy the opportunity to talk with you and understand how you're doing. How have you been affected by changes? Is BreakThrough! right for you?
Opening 1 additional Day of appointments - 9 openings available beginning in October. With grace, and humor, we'll work with you to address challenges impacting your health, happiness, and relationships with others. It's our philosophy that whatever affects our emotional health (isolation, depression, anxiety, trauma) will affect our physical well-being (appetite, sleep, weight gain). Not too many people enjoy change and these past few years have been nothing but a roller coaster! I'd enjoy the opportunity to talk with you and understand how you're doing. How have you been affected by changes? Is BreakThrough! right for you?
(360) 746-2024 View (360) 746-2024
Photo of Kristine Williams, Counselor in Anacortes, WA
Kristine Williams
Counselor, MA, LMHC
Verified Verified
1 Endorsed
Anacortes, WA 98221
What is it that we all have in common? Perhaps it is the desire to be happy, to find meaning in life or to have connections with others. Maybe we are searching for a feeling of calmness; or to be less overwhelmed. We all have our own personal struggles. I believe that my calming presence and acceptance of others helps clients feel comfortable and at ease. Finding the right therapist is key to your personal growth and emotional wellbeing.
What is it that we all have in common? Perhaps it is the desire to be happy, to find meaning in life or to have connections with others. Maybe we are searching for a feeling of calmness; or to be less overwhelmed. We all have our own personal struggles. I believe that my calming presence and acceptance of others helps clients feel comfortable and at ease. Finding the right therapist is key to your personal growth and emotional wellbeing.
(844) 310-9926 View (844) 310-9926
Photo of Jonathan Vander Schuur, Marriage & Family Therapist in Anacortes, WA
Jonathan Vander Schuur
Marriage & Family Therapist, LMFT
Verified Verified
1 Endorsed
Anacortes, WA 98221
I love serving my community in Anacortes and surrounding areas. I have a wide range of expertise. I offer counseling for individuals, couples and minors. I work with all ages, especially children and teens, and take state insurances. I have significant experience working with couples, especially in domestic violence situations and in family reunification. I am also a Guardian Ad Litem for Island county.
I love serving my community in Anacortes and surrounding areas. I have a wide range of expertise. I offer counseling for individuals, couples and minors. I work with all ages, especially children and teens, and take state insurances. I have significant experience working with couples, especially in domestic violence situations and in family reunification. I am also a Guardian Ad Litem for Island county.
(833) 232-4735 View (833) 232-4735
Photo of Amy Begnal, Mental Health Counselor in Anacortes, WA
Amy Begnal
Mental Health Counselor, EdS, LPC, LMHC
Verified Verified
4 Endorsed
Anacortes, WA 98221
Choosing to explore therapy can elicit a number of emotional responses. For some, this is an important step in recognizing an issue and deciding to move toward resolve. Others may experience a lack of clarity in regards to what exactly needs to change and uncertainty about entering therapy. No matter where you are in your healing, I offer a safe and personal therapeutic process to fit your specific needs. My goal is to work toward your desired outcome by offering a collaborative and supportive exploration of your concerns while utilizing an integrative style of therapeutic modalities that are all firmly established through research.
Choosing to explore therapy can elicit a number of emotional responses. For some, this is an important step in recognizing an issue and deciding to move toward resolve. Others may experience a lack of clarity in regards to what exactly needs to change and uncertainty about entering therapy. No matter where you are in your healing, I offer a safe and personal therapeutic process to fit your specific needs. My goal is to work toward your desired outcome by offering a collaborative and supportive exploration of your concerns while utilizing an integrative style of therapeutic modalities that are all firmly established through research.
(360) 472-4490 x505 View (360) 472-4490 x505
Photo of Elizabeth Holland, Psychologist in Anacortes, WA
Elizabeth Holland
Psychologist, PhD
Verified Verified
1 Endorsed
Anacortes, WA 98221
Dr. Holland specializes in comprehensive psychological assessments for children, adolescents, and young adults (ages 4-24). Evaluations are tailored for your child and focus on both areas of strengths and difficulties. Currently, scheduling evaluations in the Seattle/Bellevue area in Fall 2024. Please go to my website for more information (fees, types of services offered, background, prospective client form): www.fidalgopsychology.com
Dr. Holland specializes in comprehensive psychological assessments for children, adolescents, and young adults (ages 4-24). Evaluations are tailored for your child and focus on both areas of strengths and difficulties. Currently, scheduling evaluations in the Seattle/Bellevue area in Fall 2024. Please go to my website for more information (fees, types of services offered, background, prospective client form): www.fidalgopsychology.com
(425) 529-5153 View (425) 529-5153
Photo of Amy Heidecker, Counselor in Anacortes, WA
Amy Heidecker
Counselor, MA, LCPC, LMHC
Verified Verified
3 Endorsed
Anacortes, WA 98221
Now accepting online clients in WA & MT. This journey called life is full of ups & downs, joy & pain, being known and feeling alone. This is most prominent during transition times like adolescence, graduating, getting married or divorced, or losing part of your identity through a change in roles or job. In my practice I honor the whole person and treat mind, body, & spirit, as well as the connections with others in relationships. You are welcome & encouraged to bring your whole story and whole self to the therapy process.
Now accepting online clients in WA & MT. This journey called life is full of ups & downs, joy & pain, being known and feeling alone. This is most prominent during transition times like adolescence, graduating, getting married or divorced, or losing part of your identity through a change in roles or job. In my practice I honor the whole person and treat mind, body, & spirit, as well as the connections with others in relationships. You are welcome & encouraged to bring your whole story and whole self to the therapy process.
(406) 612-1414 View (406) 612-1414
Photo of CradleStone, LLC , Counselor in Anacortes, WA
CradleStone, LLC
Counselor, MS, MAC, LMHC, SUDP
Verified Verified
Anacortes, WA 98221
Are you alone and feeling no support? Is your teenager struggling to be part of your family? Whether your teen is acting out through high-risk behaviors or isolating through technology, your family is probably feeling the strain. When you aren't sure how to help your teen or what they truly need, it can feel overwhelming and hopeless. I'm here to support you, your teen, and your family so you can move through your challenges together. Individuals seeking help with depressive or anxious feelings can find solutions through me as well.
Are you alone and feeling no support? Is your teenager struggling to be part of your family? Whether your teen is acting out through high-risk behaviors or isolating through technology, your family is probably feeling the strain. When you aren't sure how to help your teen or what they truly need, it can feel overwhelming and hopeless. I'm here to support you, your teen, and your family so you can move through your challenges together. Individuals seeking help with depressive or anxious feelings can find solutions through me as well.
(360) 614-2842 View (360) 614-2842
Photo of Che Blaine, Clinical Social Work/Therapist in Anacortes, WA
Che Blaine
Clinical Social Work/Therapist, MS, MSW, LICSW
Verified Verified
Anacortes, WA 98221  (Online Only)
The intention I have is to explore with you your desire to have a more healthy balance in the emotional, mental, spiritual, and physical aspects of your life. A central question that I keep in mind is: "how can I be helpful?" I encourage my clients to make overall goals for our counseling relationship as well as for each appointment. Your happiness and freedom is my goal. My hope is to create together an atmosphere of safety, respect and trust. My focus is to encourage my clients' exploration of their own personal power, wisdom and resources for understanding, healing and happiness.
The intention I have is to explore with you your desire to have a more healthy balance in the emotional, mental, spiritual, and physical aspects of your life. A central question that I keep in mind is: "how can I be helpful?" I encourage my clients to make overall goals for our counseling relationship as well as for each appointment. Your happiness and freedom is my goal. My hope is to create together an atmosphere of safety, respect and trust. My focus is to encourage my clients' exploration of their own personal power, wisdom and resources for understanding, healing and happiness.
(360) 842-0714 View (360) 842-0714
Photo of Monica Matthews, Counselor in Anacortes, WA
Monica Matthews
Counselor, LMHC, SUPDT, MHP
Verified Verified
Anacortes, WA 98221
I believe people want to be heard, seen and validated. It can be challenging to find your voice and identity. Depression, Anxiety, Trauma, and Addiction just add to that weight, fueling avoidance and hopelessness. Trying to navigate all of this alone may feel overwhelming and impossible. You don’t have to go it alone. I would be elated to help! I am accepting new clients for in person therapy and tele-health. I work with teens and adults of all ages.
I believe people want to be heard, seen and validated. It can be challenging to find your voice and identity. Depression, Anxiety, Trauma, and Addiction just add to that weight, fueling avoidance and hopelessness. Trying to navigate all of this alone may feel overwhelming and impossible. You don’t have to go it alone. I would be elated to help! I am accepting new clients for in person therapy and tele-health. I work with teens and adults of all ages.
(360) 495-8905 View (360) 495-8905
Photo of Mary Susan Schwartz, Clinical Social Work/Therapist in Anacortes, WA
Mary Susan Schwartz
Clinical Social Work/Therapist, LICSW
Verified Verified
Anacortes, WA 98221  (Online Only)
Not accepting new clients
My practice is grounded in evidence-based theory, I use an integrative approach, drawing from Acceptance and Commitment Therapy, Internal Family Systems, Cognitive Behavioral Theory, Dialectical Behavior Theory, Gottman Method for Couples, and mindfulness-based interventions.
Perhaps you're hoping to improve your mood, increase your self-compassion, or enhance your romantic relationship. Maybe you're seeking a non-judgmental and supportive relationship with your therapist, within which you can learn strategies you can use right away. If so, I look forward to hearing from you!
My practice is grounded in evidence-based theory, I use an integrative approach, drawing from Acceptance and Commitment Therapy, Internal Family Systems, Cognitive Behavioral Theory, Dialectical Behavior Theory, Gottman Method for Couples, and mindfulness-based interventions.
Perhaps you're hoping to improve your mood, increase your self-compassion, or enhance your romantic relationship. Maybe you're seeking a non-judgmental and supportive relationship with your therapist, within which you can learn strategies you can use right away. If so, I look forward to hearing from you!
(206) 455-8671 View (206) 455-8671
Photo of Diane Marr Longmire, Counselor in Anacortes, WA
Diane Marr Longmire
Counselor, MSW, LMHC, CHMS
Verified Verified
1 Endorsed
Anacortes, WA 98221
Not accepting new clients
I have been trained in Solution Focused Therapy, Cognitive Behavioral Therapy, and am intensively trained in Dialectical Behavioral therapy.
I am not currently accepting new clients and do not keep a waitlist. Please call Skagit Behavioral Health at 360-424-0400 to inquire about my availability. I enjoy working with individuals who recognize a need for change in their life; whether it be personal, professional/vocational, or relational. Whether you feel clear or ambivalent about your goals; I strive to work with you on helping you increase your sense of personal agency and life satisfaction.
I have been trained in Solution Focused Therapy, Cognitive Behavioral Therapy, and am intensively trained in Dialectical Behavioral therapy.
I am not currently accepting new clients and do not keep a waitlist. Please call Skagit Behavioral Health at 360-424-0400 to inquire about my availability. I enjoy working with individuals who recognize a need for change in their life; whether it be personal, professional/vocational, or relational. Whether you feel clear or ambivalent about your goals; I strive to work with you on helping you increase your sense of personal agency and life satisfaction.
(360) 727-0723 View (360) 727-0723

Online Therapists

Photo of Michelle Voetberg, Counselor in Anacortes, WA
Michelle Voetberg
Counselor, MA, LMHCA, MHP
Verified Verified
Seattle, WA 98119  (Online Only)
I often use Cognitive Behavioral Therapy, Dialectical Behavioral Therapy, Narrative Therapy, Acceptance and Commitment Therapy, Rational Emotive Behavioral Therapy, Motivational Interviewing and mindfulness in my approach.
I have worked with clients with intellectual and developmental disabilities within community health care environments in various roles over the past 10 years which has led me to become the therapist that I am today. I received my Masters in Clinical Mental Health Counseling from Seattle University and my Bachelor of Science in Psychology from Washington State University. Based upon my professional and personal experiences, I specialize in learning/developmental disabilities, anxiety, depression, trauma, attachment, grief, and co-occurring diagnoses. Above all else, I want you to feel safe and trusting of me as your therapist.
I often use Cognitive Behavioral Therapy, Dialectical Behavioral Therapy, Narrative Therapy, Acceptance and Commitment Therapy, Rational Emotive Behavioral Therapy, Motivational Interviewing and mindfulness in my approach.
I have worked with clients with intellectual and developmental disabilities within community health care environments in various roles over the past 10 years which has led me to become the therapist that I am today. I received my Masters in Clinical Mental Health Counseling from Seattle University and my Bachelor of Science in Psychology from Washington State University. Based upon my professional and personal experiences, I specialize in learning/developmental disabilities, anxiety, depression, trauma, attachment, grief, and co-occurring diagnoses. Above all else, I want you to feel safe and trusting of me as your therapist.
(206) 207-1491 View (206) 207-1491
Photo of Kris Williams, Counselor in Anacortes, WA
Kris Williams
Counselor, MS, LPC-A, NCC
Verified Verified
Renton, WA 98055  (Online Only)
Trauma informed care is at the forefront of my practice, along with a combination of DBT, EMDR, and Somatic Therapy techniques.
Trauma can completely disrupt our lives, leaving us feeling a multitude of emotions. It gets physically stuck in our bodies, creating anxiety, depression, and dissociation. I am passionate about helping individuals work through their experienced trauma and discover their authentic selves. I am also passionate about working within the LGBTQIA community with challenges related to gender and sexual orientation, and neurodivergent individuals with ADHD, social anxiety, BPD, OCD, sensory processing and bipolar disorder. My goal is to provide a culturally sensitive, non-judgmental space for you to explore all of the various parts of you.
Trauma informed care is at the forefront of my practice, along with a combination of DBT, EMDR, and Somatic Therapy techniques.
Trauma can completely disrupt our lives, leaving us feeling a multitude of emotions. It gets physically stuck in our bodies, creating anxiety, depression, and dissociation. I am passionate about helping individuals work through their experienced trauma and discover their authentic selves. I am also passionate about working within the LGBTQIA community with challenges related to gender and sexual orientation, and neurodivergent individuals with ADHD, social anxiety, BPD, OCD, sensory processing and bipolar disorder. My goal is to provide a culturally sensitive, non-judgmental space for you to explore all of the various parts of you.
(425) 686-9509 x107 View (425) 686-9509 x107
Photo of Ashley Pearl Paña, Pre-Licensed Professional in Anacortes, WA
Ashley Pearl Paña
Pre-Licensed Professional, BA
Verified Verified
Seattle, WA 98104  (Online Only)
My modalities include using a comprehensive, trauma-informed approach that encompasses narrative therapy, cognitive behavioral therapy (CBT), dialectical behavioral therapy (DBT) and mindfulness-based cognitive therapy.
Throughout life there are many things we are in control of, however there are also things we may not have control over. Experiencing this feeling of no control can manifest itself in anxiety, depression, loss of self, or even impact relationships with those around you. Whether it's due to your upbringing, the environment, or traumatic experiences, the constant fight to regain power and control of your life again can be exhausting, overwhelming and isolating. Therapy is that helping hand that can guide you on your healing journey and path to self-discovery. It can also be your safe place to rest and just be.
My modalities include using a comprehensive, trauma-informed approach that encompasses narrative therapy, cognitive behavioral therapy (CBT), dialectical behavioral therapy (DBT) and mindfulness-based cognitive therapy.
Throughout life there are many things we are in control of, however there are also things we may not have control over. Experiencing this feeling of no control can manifest itself in anxiety, depression, loss of self, or even impact relationships with those around you. Whether it's due to your upbringing, the environment, or traumatic experiences, the constant fight to regain power and control of your life again can be exhausting, overwhelming and isolating. Therapy is that helping hand that can guide you on your healing journey and path to self-discovery. It can also be your safe place to rest and just be.
(425) 578-5505 View (425) 578-5505
Photo of Ashley Wood, Clinical Social Work/Therapist in Anacortes, WA
Ashley Wood
Clinical Social Work/Therapist, LICSW
Verified Verified
Fircrest, WA 98466  (Online Only)
I work from a strengths-based framework utilizing a variety of therapeutic approaches tailored to your own assets. My work with adults and teens is trauma-informed and skills-based utilizing EMDR and Dialectical Behavior Therapy. I also specialize in substance abuse and know the difficulty that can arise when struggling with a mental health condition.
I work from a strengths-based framework utilizing a variety of therapeutic approaches tailored to your own assets. My work with adults and teens is trauma-informed and skills-based utilizing EMDR and Dialectical Behavior Therapy. I also specialize in substance abuse and know the difficulty that can arise when struggling with a mental health condition.
(443) 241-8285 View (443) 241-8285
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.