Dialectical Behavior (DBT) Therapists in Blaine, 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.
Mariana Nabila Evans
LPC Intern
Verified Verified
1 Endorsed
Blaine, WA 98230 (Online Only)
What do you want most out of life, your relationships, and the experience of being you? The key to healing is within you and in therapy I can support you in overcoming the obstacles that have gotten in the way.
What do you want most out of life, your relationships, and the experience of being you? The key to healing is within you and in therapy I can support you in overcoming the obstacles that have gotten in the way.
Vanessa Herzog
Counselor, LMHC, CAAP, BP
Verified Verified
Blaine, WA 98230
Through somatic therapy one can learn how the mind-body forms and interacts with experiences. It is from this place that a vast amount of untapped resources can be found and the innate wisdom of the body resides. Allow me to support you in connecting to this place within yourself and disentangling from your habits and barriers to live a fuller life. We will work together to analyze and change old patterns to form new habits. I am certified in animal-assisted therapy and trained in working with kink and non-monogamy. I am an approved supervisor for WA state LMHCAs and offer supervision around somatic therapy and ENM/Kink populations.
Through somatic therapy one can learn how the mind-body forms and interacts with experiences. It is from this place that a vast amount of untapped resources can be found and the innate wisdom of the body resides. Allow me to support you in connecting to this place within yourself and disentangling from your habits and barriers to live a fuller life. We will work together to analyze and change old patterns to form new habits. I am certified in animal-assisted therapy and trained in working with kink and non-monogamy. I am an approved supervisor for WA state LMHCAs and offer supervision around somatic therapy and ENM/Kink populations.
Kim Hoffman- The Center For Neurodiversity
Clinical Social Work/Therapist, MSW, MHP, DMHS, LICSW, RSW
Verified Verified
1 Endorsed
Blaine, WA 98230 (Online Only)
Not accepting new clients
Welcome! My style is warm and affirming. You will be seen, heard and not judged. I use Insight, Solution Focused Therapy and Cognitive Behavioral Therapy amongst others because they put the power back into your hands where it belongs. I work with people across the lifespan to find acceptance and thrive. I support people in finding their voices both literally, via Assisted Technology and figuratively. The traits of Autism, ADHD and neurodivergence can be overwhelming and lead to depression and anxiety. Feeling misunderstood is sad and isolating. Learn to understand your unique neuro-biology and find strategies to achieve your goals.
Welcome! My style is warm and affirming. You will be seen, heard and not judged. I use Insight, Solution Focused Therapy and Cognitive Behavioral Therapy amongst others because they put the power back into your hands where it belongs. I work with people across the lifespan to find acceptance and thrive. I support people in finding their voices both literally, via Assisted Technology and figuratively. The traits of Autism, ADHD and neurodivergence can be overwhelming and lead to depression and anxiety. Feeling misunderstood is sad and isolating. Learn to understand your unique neuro-biology and find strategies to achieve your goals.
Jessica Graf
Counselor, LSWAIC, LMHCA
Verified Verified
1 Endorsed
Blaine, WA 98231
Not accepting new clients
People who are deemed as "unique" or "different" often see themselves as misunderstood. This can lead to many different issues such as isolation/loneliness, anxiety, depression, stress, self-esteem issues, and many others. The teenage and young adult life stages can be especially tough.
People who are deemed as "unique" or "different" often see themselves as misunderstood. This can lead to many different issues such as isolation/loneliness, anxiety, depression, stress, self-esteem issues, and many others. The teenage and young adult life stages can be especially tough.
More Therapists Nearby
Carla Mullins
Counselor, LMHC, NCC
Verified Verified
Ferndale, WA 98248 (Online Only)
Waitlist for new clients
I draw on a variety of modalities, including emotionally focused therapy, motivational interviewing, DBT, mindfulness, person-centered therapy, trauma-focused therapy, creative, and more.
I believe therapy can serve as a potent and powerful conduit for healing, a place where you can say the things that you often don't, a cozy nest for sharing your most vulnerable self in search of hope and meaning, a platform for decision-making and action as you forge your way through change and growth. I believe it is our right and journey as humans to find and create a life of meaning. Our suffering is often the result of old behaviors, old traumas, old ways of thinking that we cling to in fear. And I believe that each individual is unique, with strengths, hopes, and challenges.
I draw on a variety of modalities, including emotionally focused therapy, motivational interviewing, DBT, mindfulness, person-centered therapy, trauma-focused therapy, creative, and more.
I believe therapy can serve as a potent and powerful conduit for healing, a place where you can say the things that you often don't, a cozy nest for sharing your most vulnerable self in search of hope and meaning, a platform for decision-making and action as you forge your way through change and growth. I believe it is our right and journey as humans to find and create a life of meaning. Our suffering is often the result of old behaviors, old traumas, old ways of thinking that we cling to in fear. And I believe that each individual is unique, with strengths, hopes, and challenges.
Online Therapists
Thomas Armstrong
Psychologist, PhD, LP
Verified Verified
Everett, WA 98201 (Online Only)
My practice is rooted in CBT with skills and themes from other evidence-based therapies, including ACT and DBT.
I'm a Psychologist specializing in anxiety-related disorders, including panic disorder, health anxiety, phobias, obsessive-compulsive disorder, worry, and stress/adjustment disorders. I earned my PhD at Vanderbilt University, with my fellowship and post-doctoral training at McLean Hospital, Harvard Medical School. I'm also an Associate Professor of Psychology at Whitman College, with numerous publications on the assessment and treatment of anxiety. In 2023, I opened a private practice after gaining over 10 years of experience working with teens and adults in university, hospital, and community mental health settings.
My practice is rooted in CBT with skills and themes from other evidence-based therapies, including ACT and DBT.
I'm a Psychologist specializing in anxiety-related disorders, including panic disorder, health anxiety, phobias, obsessive-compulsive disorder, worry, and stress/adjustment disorders. I earned my PhD at Vanderbilt University, with my fellowship and post-doctoral training at McLean Hospital, Harvard Medical School. I'm also an Associate Professor of Psychology at Whitman College, with numerous publications on the assessment and treatment of anxiety. In 2023, I opened a private practice after gaining over 10 years of experience working with teens and adults in university, hospital, and community mental health settings.
Connor McCabe
Psychologist, PhD
Verified Verified
Seattle, WA 98107
Waitlist for new clients
My approach draws from a variety of behavioral treatments supported by science, including cognitive behavioral therapy (CBT), dialectical behavior therapy (DBT), and acceptance and commitment therapy (ACT).
My goal for each of my clients is to help them build and sustain a life they want to live. This can seem like a daunting task, especially for the many of us who have struggled to make long-lasting changes in our mental health. As a clinical psychologist, I strive to help clients foster awareness of the underlying thoughts and behaviors that drive emotional suffering, and to help clients build a diverse repertoire of evidence-based skills for taking back control of these experiences.
My approach draws from a variety of behavioral treatments supported by science, including cognitive behavioral therapy (CBT), dialectical behavior therapy (DBT), and acceptance and commitment therapy (ACT).
My goal for each of my clients is to help them build and sustain a life they want to live. This can seem like a daunting task, especially for the many of us who have struggled to make long-lasting changes in our mental health. As a clinical psychologist, I strive to help clients foster awareness of the underlying thoughts and behaviors that drive emotional suffering, and to help clients build a diverse repertoire of evidence-based skills for taking back control of these experiences.
Alaina McManus
Counselor, LMHC
Verified Verified
Mountlake Terrace, WA 98043 (Online Only)
My philosophy is shaped significantly by Dialectical Behavior Therapy (DBT) specifically.
I work with people who are feeling stuck, overwhelmed, or like their emotions are out of control… they feel like they're on a treadmill, trying so hard but getting nowhere, relationships aren’t what they want them to be, maybe they don’t have enough energy to do things and rest isn’t restful. Or maybe it’s that they're not making progress on meaningful things and instead seem caught up in surviving day-to-day.
My philosophy is shaped significantly by Dialectical Behavior Therapy (DBT) specifically.
I work with people who are feeling stuck, overwhelmed, or like their emotions are out of control… they feel like they're on a treadmill, trying so hard but getting nowhere, relationships aren’t what they want them to be, maybe they don’t have enough energy to do things and rest isn’t restful. Or maybe it’s that they're not making progress on meaningful things and instead seem caught up in surviving day-to-day.
Jon Peters
Clinical Social Work/Therapist, MSW, LCSW, LICSW
Verified Verified
1 Endorsed
Seattle, WA 98104 (Online Only)
I provide Acceptance and Commitment Therapy, DBT, and Mindfulness-Based CBT to individuals and couples.
Important: telehealth appointments only for patients in Washington State and Indiana. I do not currently provide face-to-face, in-office appointment. Telehealth video appointments only. Feeling stressed or overwhelmed and needing support to cope with life challenges? Need some relief, or to see the light at the end of the tunnel? Life is hard. Sometimes you need empathetic support and expert guidance to cope with complicated and stressful situations.
I provide Acceptance and Commitment Therapy, DBT, and Mindfulness-Based CBT to individuals and couples.
Important: telehealth appointments only for patients in Washington State and Indiana. I do not currently provide face-to-face, in-office appointment. Telehealth video appointments only. Feeling stressed or overwhelmed and needing support to cope with life challenges? Need some relief, or to see the light at the end of the tunnel? Life is hard. Sometimes you need empathetic support and expert guidance to cope with complicated and stressful situations.
Sandy Tian
Clinical Social Work/Therapist, MSW, LSWAA, SUDPT
Verified Verified
1 Endorsed
Lynnwood, WA 98036
Using a blend of effective therapies like Cognitive Behavioral Therapy (CBT), Dialectical Behavior Therapy (DBT), Eye Movement Desensitization and Reprocessing (EMDR), mindfulness, and art therapy, I tailor our sessions to your unique needs.
It takes courage to prioritize your emotional well-being, and I'm honored to be part of your journey. As a therapist, my heartfelt mission is to help you feel better and find the peace and happiness you deserve. Together, we'll swiftly address the blocks that hinder your deep self-exploration and understanding. By delving into the root causes of your struggles, we can untangle old patterns and guide you towards a life of renewed purpose and fulfillment. With a focus on trauma processing and a gentle approach rooted in Internal Family Systems (IFS), I'm committed to supporting you in discovering profound healing and lasting change.
Using a blend of effective therapies like Cognitive Behavioral Therapy (CBT), Dialectical Behavior Therapy (DBT), Eye Movement Desensitization and Reprocessing (EMDR), mindfulness, and art therapy, I tailor our sessions to your unique needs.
It takes courage to prioritize your emotional well-being, and I'm honored to be part of your journey. As a therapist, my heartfelt mission is to help you feel better and find the peace and happiness you deserve. Together, we'll swiftly address the blocks that hinder your deep self-exploration and understanding. By delving into the root causes of your struggles, we can untangle old patterns and guide you towards a life of renewed purpose and fulfillment. With a focus on trauma processing and a gentle approach rooted in Internal Family Systems (IFS), I'm committed to supporting you in discovering profound healing and lasting change.
Melissa S Lowry
Counselor, LMHC, MS, BS, AA
Verified Verified
1 Endorsed
Everett, WA 98201 (Online Only)
), dialectical-behavioral therapy (D.
Hi! My name is Melissa Lowry. I am so honored and humbled that you have chosen to work with me. You have taken the first step and you are amazing! But, first, know that confidentiality, collaboration, and safety are essential for working with my clients. You are a priority, not a number. When we are in session, we work together; you are in charge of your care and treatment.
), dialectical-behavioral therapy (D.
Hi! My name is Melissa Lowry. I am so honored and humbled that you have chosen to work with me. You have taken the first step and you are amazing! But, first, know that confidentiality, collaboration, and safety are essential for working with my clients. You are a priority, not a number. When we are in session, we work together; you are in charge of your care and treatment.
Shailyn Warnock
Clinical Social Work/Therapist, LSWAIC, MSW, MHP
Verified Verified
Seattle, WA 98101 (Online Only)
With 5 years of experience in the field, I've honed my skills in evidence-based treatment modalities, including Cognitive Behavioral Therapy (CBT), Dialectical Behavior Therapy (DBT), grief and loss counseling, and self-esteem enhancement.
Are you seeking a compassionate and experienced therapist to guide you through life's challenges? I am a dedicated mental health therapist with a passion for helping individuals overcome depression, anxiety, trauma, relationship conflict, and self-esteem issues. I understand that seeking therapy can be a courageous step, and I provide a safe, non-judgmental space where you can explore your thoughts and feelings. Together, we'll work collaboratively to develop strategies that promote healing, resilience, and personal growth.
With 5 years of experience in the field, I've honed my skills in evidence-based treatment modalities, including Cognitive Behavioral Therapy (CBT), Dialectical Behavior Therapy (DBT), grief and loss counseling, and self-esteem enhancement.
Are you seeking a compassionate and experienced therapist to guide you through life's challenges? I am a dedicated mental health therapist with a passion for helping individuals overcome depression, anxiety, trauma, relationship conflict, and self-esteem issues. I understand that seeking therapy can be a courageous step, and I provide a safe, non-judgmental space where you can explore your thoughts and feelings. Together, we'll work collaboratively to develop strategies that promote healing, resilience, and personal growth.
Kenneth K. Marshall
Clinical Social Work/Therapist, MSW, LICSW, MHP
Verified Verified
1 Endorsed
Seattle, WA 98133 (Online Only)
Waitlist for new clients
I have been trained in and incorporate the following therapeutic methods in my practice: CBT (Cognitive Behavioral Therapy), DBT (Dialectical Behavioral Therapy), EMDR (Eye Movement Desensitization Reprocessing), and MI (Motivational Interviewing).
My approach to working with clients is based on building upon strengths, to generate solutions that empower the individual. I support my clients using various therapeutic modalities as they fortify their connection to themselves and others. Being multi-racial, gay, and having been raised in a bicultural household, I have learned that there are many ways to make meaning of the life that you were born into, while informing the life you create for yourself.
I have been trained in and incorporate the following therapeutic methods in my practice: CBT (Cognitive Behavioral Therapy), DBT (Dialectical Behavioral Therapy), EMDR (Eye Movement Desensitization Reprocessing), and MI (Motivational Interviewing).
My approach to working with clients is based on building upon strengths, to generate solutions that empower the individual. I support my clients using various therapeutic modalities as they fortify their connection to themselves and others. Being multi-racial, gay, and having been raised in a bicultural household, I have learned that there are many ways to make meaning of the life that you were born into, while informing the life you create for yourself.
Scott Vranicar
Counselor, LMHC, MHP
Verified Verified
Bellevue, WA 98007
My therapeutic approach is informed by Relational Focused Psychodynamic Therapy, DBT, CBT, Solution Focused Therapy, Attachment Therapy, Client-Centered Therapy, Object Relations and Play Therapy.
Healing, growth, change and/or integration are possible for you. Using a non-judgmental and collaborative therapeutic approach we will honor and work with your unique story (past, present and future). My therapeutic lens is framed predominantly by relational and attachment theories therefore providing opportunities to engage your inner world through the context of our therapeutic relationship. Periodically you and I may be gifted real time relational interactions that mirror or reflect core issues that bring you to to therapy. In working with and through these dynamics we will have an opportunity to heal, grow and integrate.
My therapeutic approach is informed by Relational Focused Psychodynamic Therapy, DBT, CBT, Solution Focused Therapy, Attachment Therapy, Client-Centered Therapy, Object Relations and Play Therapy.
Healing, growth, change and/or integration are possible for you. Using a non-judgmental and collaborative therapeutic approach we will honor and work with your unique story (past, present and future). My therapeutic lens is framed predominantly by relational and attachment theories therefore providing opportunities to engage your inner world through the context of our therapeutic relationship. Periodically you and I may be gifted real time relational interactions that mirror or reflect core issues that bring you to to therapy. In working with and through these dynamics we will have an opportunity to heal, grow and integrate.
Molly Reid, Ph,D, ABPP
Psychologist, PhD,
Verified Verified
Seattle, WA 98125
Dr. Molly Reid, Ph.D. is a Board Certified Psychologist who enjoys working with children, adolescents, and adults. In addition to her clinical practice she has served on faculties at the University of Washington, Seattle Childrens, and Antioch. Her research was recogniized and supported by the John D. and Catherine T. MacArthur Foundation. With clients she focuses on developing respectful relationships and integrating evidenced based family systems, cogntive behavioral approaches, as well as components of diactical behavioral therapy (DBT) and acceptance and commitment therapy (ACT).
Dr. Molly Reid, Ph.D. is a Board Certified Psychologist who enjoys working with children, adolescents, and adults. In addition to her clinical practice she has served on faculties at the University of Washington, Seattle Childrens, and Antioch. Her research was recogniized and supported by the John D. and Catherine T. MacArthur Foundation. With clients she focuses on developing respectful relationships and integrating evidenced based family systems, cogntive behavioral approaches, as well as components of diactical behavioral therapy (DBT) and acceptance and commitment therapy (ACT).
Nichole Wymaster
Counselor, MA, LMHC
Verified Verified
Bellevue, WA 98004
Waitlist for new clients
I specialize in providing caring and compassionate support for anxiety, depression, life transitions and other concerns using an eclectic approach of Cognitive Behavioral therapy, DBT coping skills, mindfulness practices, as well as a client centered approach to achieve growth and peace of mind.
If you are someone suffering from anxiety or facing a difficult life transition or perhaps, feeling stuck, overwhelmed or hopeless, then you are not alone. The road to healing does not need to be a lonely one. Maybe you function well in your life and hold it all together, but sense that without getting help you will eventually reach a crisis point. With the right support and guidance you can release old patterns of behavior, negative thoughts and belief systems and rewrite your story. Ascension Counseling seeks to provide a space for you to feel heard, safe, and accepted , with caring and without judgment to find healing and growth
I specialize in providing caring and compassionate support for anxiety, depression, life transitions and other concerns using an eclectic approach of Cognitive Behavioral therapy, DBT coping skills, mindfulness practices, as well as a client centered approach to achieve growth and peace of mind.
If you are someone suffering from anxiety or facing a difficult life transition or perhaps, feeling stuck, overwhelmed or hopeless, then you are not alone. The road to healing does not need to be a lonely one. Maybe you function well in your life and hold it all together, but sense that without getting help you will eventually reach a crisis point. With the right support and guidance you can release old patterns of behavior, negative thoughts and belief systems and rewrite your story. Ascension Counseling seeks to provide a space for you to feel heard, safe, and accepted , with caring and without judgment to find healing and growth
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.
Emily Sinclair
Counselor, MA, LMHC
Verified Verified
4 Endorsed
Kirkland, WA 98034
Waitlist for new clients
Additionally, I teach DBT skills, which increase distress tolerance, improve emotional regulation, and expand interpersonal effectiveness.
Without judgment or pathologizing, I will help you accept "what is" so you can create "what can be." People naturally move toward healthier lives and choices with the right support: empathy, authentic compassion, sincere curiosity, and validation. Together we will establish a comfort zone in therapy. In the safe haven of my office, you can explore your inner world, discover your voice, put words to your story, and move through and beyond your suffering - to find healing, peace, and joy. My clients report increased self-awareness and personal growth, more meaningful insights, stronger connections, and greater satisfaction in life.
Additionally, I teach DBT skills, which increase distress tolerance, improve emotional regulation, and expand interpersonal effectiveness.
Without judgment or pathologizing, I will help you accept "what is" so you can create "what can be." People naturally move toward healthier lives and choices with the right support: empathy, authentic compassion, sincere curiosity, and validation. Together we will establish a comfort zone in therapy. In the safe haven of my office, you can explore your inner world, discover your voice, put words to your story, and move through and beyond your suffering - to find healing, peace, and joy. My clients report increased self-awareness and personal growth, more meaningful insights, stronger connections, and greater satisfaction in life.
Bonnie Deopp Clinical Supervisor
Counselor, LMHC, CN
Verified Verified
Seattle, WA 98115 (Online Only)
Waitlist for new clients
I have a dual degree in Clinical Psychology and Nutrition with specializations in trauma treatments including Somatics, IFS, EMDR, and DBT.
Hello! And Welcome. We would be a good fit if you are interested in exploring the impact of past experiences on your here and now responses of body sensations, emotions, thoughts, and behaviors through a mind-body approach. My areas of clinical focus are: 1).Complex Trauma and resulting Panic/Anxiety, Mood Disorders, Dysfunctional Coping, and Chronic Illness. 2).Loss of control when eating in adults and adolescents including Binge Eating Disorder, Bulimia, and Emotional Eating. 3). LGBTQ+ including gender affirming transitions 4). Addiction Recovery and Chronic Relapses 5). Fertility Issues and PCOS.
I have a dual degree in Clinical Psychology and Nutrition with specializations in trauma treatments including Somatics, IFS, EMDR, and DBT.
Hello! And Welcome. We would be a good fit if you are interested in exploring the impact of past experiences on your here and now responses of body sensations, emotions, thoughts, and behaviors through a mind-body approach. My areas of clinical focus are: 1).Complex Trauma and resulting Panic/Anxiety, Mood Disorders, Dysfunctional Coping, and Chronic Illness. 2).Loss of control when eating in adults and adolescents including Binge Eating Disorder, Bulimia, and Emotional Eating. 3). LGBTQ+ including gender affirming transitions 4). Addiction Recovery and Chronic Relapses 5). Fertility Issues and PCOS.
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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.