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 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 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 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 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 C Jennifer Paddock, Drug & Alcohol Counselor in Anacortes, WA
C Jennifer Paddock
Drug & Alcohol Counselor, MA, MAC, SUDP, MHP
Verified Verified
Anacortes, WA 98221
Are you concerned about your own or someone else's substance use or addictive behavior? Worry, confusion, shame, making excuses to others, relationship struggles, accidents and just getting through each day are typical signs of trouble with drugs and alcohol, gambling, technology or other addiction. If you have been or are exposed to another's addiction you are likely effected by this disease. I understand and want to help you by offering my 30 years of professional and personal experience. If you think you may have a problem and are ready to create happiness, peace, confidence with my support and help, contact me. There is hope!
Are you concerned about your own or someone else's substance use or addictive behavior? Worry, confusion, shame, making excuses to others, relationship struggles, accidents and just getting through each day are typical signs of trouble with drugs and alcohol, gambling, technology or other addiction. If you have been or are exposed to another's addiction you are likely effected by this disease. I understand and want to help you by offering my 30 years of professional and personal experience. If you think you may have a problem and are ready to create happiness, peace, confidence with my support and help, contact me. There is hope!
(360) 763-0209 View (360) 763-0209
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 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 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 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 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

Online Therapists

Photo of David Bradshaw, Counselor in Anacortes, WA
David Bradshaw
Counselor, MS, LMHC, NCC
Verified Verified
Blaine, WA 98230  (Online Only)
I'm David Bradshaw, I am from Washington State, and I currently live in Birch Bay WA. I was born in 1990, I'm an avid reader, I also enjoy Chess, Meditation, Backpacking, Hunting, and Boxing. I'm a bit of a nerd as well, and I build my own desktop computers. I would say the Pasayten Wilderness Area is one of my happy places. I practice Adlerian Therapy, Cognitive Behavioral Therapy, and Dialectical Behavior Therapy. I work with clients aged 12 and up, including adults and couples. I am also a Clinical Supervisor and can train new counselors helping them earn hours toward their licensure.
I'm David Bradshaw, I am from Washington State, and I currently live in Birch Bay WA. I was born in 1990, I'm an avid reader, I also enjoy Chess, Meditation, Backpacking, Hunting, and Boxing. I'm a bit of a nerd as well, and I build my own desktop computers. I would say the Pasayten Wilderness Area is one of my happy places. I practice Adlerian Therapy, Cognitive Behavioral Therapy, and Dialectical Behavior Therapy. I work with clients aged 12 and up, including adults and couples. I am also a Clinical Supervisor and can train new counselors helping them earn hours toward their licensure.
(360) 227-5914 View (360) 227-5914
Photo of Carol Sherwood, Clinical Social Work/Therapist in Anacortes, WA
Carol Sherwood
Clinical Social Work/Therapist, MSW, LICSW, GMHS
Verified Verified
Seattle, WA 98115  (Online Only)
I draw from CBT, Motivational Interviewing, DBT, Inner Child Work, and more.
I have an extensive background working with adults of all ages. I provide supervision for Master's level clinicians working towards licensure. In addition, I supervise for Geriatric Mental Health specialization. I am currently focusing on providing supervision for LICSW and LMHC licensure and supervision for GMHS. I have loved working with adults of any age as they've uncovered their strengths and worked towards their goals. I use this same approach for licensure supervision.
I draw from CBT, Motivational Interviewing, DBT, Inner Child Work, and more.
I have an extensive background working with adults of all ages. I provide supervision for Master's level clinicians working towards licensure. In addition, I supervise for Geriatric Mental Health specialization. I am currently focusing on providing supervision for LICSW and LMHC licensure and supervision for GMHS. I have loved working with adults of any age as they've uncovered their strengths and worked towards their goals. I use this same approach for licensure supervision.
(206) 350-4170 View (206) 350-4170
Photo of Nathan Feuerborn, Counselor in Anacortes, WA
Nathan Feuerborn
Counselor, MA, LMHC
Verified Verified
Seattle, WA 98107
My relational therapy employs Mindfulness meditation, Somatic (body based) therapy, ACT, DBT .
Life can be difficult and painful at times but it doesn't have to involve so much suffering. How may we find the calm stillness in the eye of our storm so as to relate to our mind and our present experience compassionately and even learn and grow from it? I invite you to open to your life in a new way: a way that relieves your suffering and promotes your health and expands your awareness. Through mindfully listening to the body and courageously opening and relating to the uncomfortable/painful, somatic therapy provides a practice of gentle self-exploration toward discovering your connection to your truth, purpose and life.
My relational therapy employs Mindfulness meditation, Somatic (body based) therapy, ACT, DBT .
Life can be difficult and painful at times but it doesn't have to involve so much suffering. How may we find the calm stillness in the eye of our storm so as to relate to our mind and our present experience compassionately and even learn and grow from it? I invite you to open to your life in a new way: a way that relieves your suffering and promotes your health and expands your awareness. Through mindfully listening to the body and courageously opening and relating to the uncomfortable/painful, somatic therapy provides a practice of gentle self-exploration toward discovering your connection to your truth, purpose and life.
(206) 866-7522 View (206) 866-7522
Photo of Mandi Woolsey, Counselor in Anacortes, WA
Mandi Woolsey
Counselor, LMHCA, MAEd
Verified Verified
Edmonds, WA 98026  (Online Only)
I pull from Acceptance and Commitment Therapy, Mindfulness based approaches, Dialectical Behavioral Therapy, and Motivational Interviewing.
What a rough ride it's been over the last several years....a real doozy! There are so many people struggling with feelings of overwhelm, stress, anger/rage, grief, disillusion, lack of trust, lack of safety, hopelessness, loneliness, anxiety....you name it! We all feel it at times but sometimes it gets to be too much for us to handle on our own. We need to process our feelings, be heard, be seen, connect, and find our way through this maze of life. Does this sound like you? NO shame in that. We are human.
I pull from Acceptance and Commitment Therapy, Mindfulness based approaches, Dialectical Behavioral Therapy, and Motivational Interviewing.
What a rough ride it's been over the last several years....a real doozy! There are so many people struggling with feelings of overwhelm, stress, anger/rage, grief, disillusion, lack of trust, lack of safety, hopelessness, loneliness, anxiety....you name it! We all feel it at times but sometimes it gets to be too much for us to handle on our own. We need to process our feelings, be heard, be seen, connect, and find our way through this maze of life. Does this sound like you? NO shame in that. We are human.
(425) 222-2147 View (425) 222-2147
Photo of Mark Conley, Clinical Social Work/Therapist in Anacortes, WA
Mark Conley
Clinical Social Work/Therapist, LICSW, LCSW
Verified Verified
Seattle, WA 98104
I am certified/trained in Acceptance Commitment Therapy for both Depression and Anxiety, Interpersonal Psychotherapy for Depression, Dialectical Behavioral Therapy, Trauma therapies (Prolonged Exposure and Cognitive Processing Therapy) and Couples therapy.
My approach to therapy is client centered utilizing evidence based therapies and customizing treatment to the client. I specialize in couples and individual treatment.
I am certified/trained in Acceptance Commitment Therapy for both Depression and Anxiety, Interpersonal Psychotherapy for Depression, Dialectical Behavioral Therapy, Trauma therapies (Prolonged Exposure and Cognitive Processing Therapy) and Couples therapy.
My approach to therapy is client centered utilizing evidence based therapies and customizing treatment to the client. I specialize in couples and individual treatment.
(206) 558-0238 View (206) 558-0238
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.