Dialectical Behavior (DBT) Therapists in Merrimack, NH

Photo of Lila Ivanoff Valdez, Counselor, MA, LCMHC, LLC
Lila Ivanoff Valdez
Counselor, MA, LCMHC, LLC
Merrimack, NH 03054
Some tools: stress reduction, communication skills, mindfulness, CBT, and DBT skills.
Hello! I would like to support you to discover your strengths, resiliency, and to feel empowered in your life. In a warm, safe, collaborative environment, we create a positive path together towards your well-being. Utilizing your inherent strengths and coping strategies with skills and approaches, we will uncover negative thought patterns or behaviors, stuck places, and create new paths forward. Reconnecting with your healthy self, we will navigate through present transitions, pain, or loss in order to transform your connection with yourself and others.
Some tools: stress reduction, communication skills, mindfulness, CBT, and DBT skills.
Hello! I would like to support you to discover your strengths, resiliency, and to feel empowered in your life. In a warm, safe, collaborative environment, we create a positive path together towards your well-being. Utilizing your inherent strengths and coping strategies with skills and approaches, we will uncover negative thought patterns or behaviors, stuck places, and create new paths forward. Reconnecting with your healthy self, we will navigate through present transitions, pain, or loss in order to transform your connection with yourself and others.
(603) 435-2387 View (603) 435-2387
Photo of Kristin Marie Lyle, Clinical Social Work/Therapist, MLADC, LICSW
Kristin Marie Lyle
Clinical Social Work/Therapist, MLADC, LICSW
Online Only
I draw from techniques like CBT, DBT, mindfulness, motivational interviewing, and trauma-informed care to help clients feel supported, understood, and empowered as they grow and heal.
I offer individual counseling for teens and adults ages 18 and older in a space that feels supportive, relaxed, and judgment-free. My approach is warm, flexible, and collaborative. I believe healing happens best when you feel safe, seen, and genuinely supported. Together, we’ll work at your pace to build confidence, strengthen relationships, & navigate life.
I draw from techniques like CBT, DBT, mindfulness, motivational interviewing, and trauma-informed care to help clients feel supported, understood, and empowered as they grow and heal.
I offer individual counseling for teens and adults ages 18 and older in a space that feels supportive, relaxed, and judgment-free. My approach is warm, flexible, and collaborative. I believe healing happens best when you feel safe, seen, and genuinely supported. Together, we’ll work at your pace to build confidence, strengthen relationships, & navigate life.
(866) 240-0881 View (866) 240-0881
Photo of Erin O'Toole, Counselor, MS, LMHC
Erin O'Toole
Counselor, MS, LMHC
2 Endorsed
Online Only
Hi, I’m Erin! While life can be absolutely beautiful, it can also be difficult to feel contentment and notice the joy when you are overwhelmed with anxiety, doubt, and negative beliefs about yourself. It can feel comfortable to stay stuck in a pattern that is not serving you, but I’m betting that you’re becoming more uncomfortable with staying the same than you have in the past. While working together, you will learn how to navigate difficult thoughts that promote hard feelings. You will obtain skills to self regulate and accept things outside of your control, while becoming familiar with healthy boundaries that promote balance.
Hi, I’m Erin! While life can be absolutely beautiful, it can also be difficult to feel contentment and notice the joy when you are overwhelmed with anxiety, doubt, and negative beliefs about yourself. It can feel comfortable to stay stuck in a pattern that is not serving you, but I’m betting that you’re becoming more uncomfortable with staying the same than you have in the past. While working together, you will learn how to navigate difficult thoughts that promote hard feelings. You will obtain skills to self regulate and accept things outside of your control, while becoming familiar with healthy boundaries that promote balance.
(585) 558-3056 View (585) 558-3056
Photo of Denise Gaertner, Counselor, MA, LCMHC
Denise Gaertner
Counselor, MA, LCMHC
1 Endorsed
Serves Area
My primary therapeutic approach combines insight-oriented therapy for long-lasting change with coping skill development, including through the use of Dialectical Behavior Therapy.
I offer individual therapy to adults in a private practice setting which allows me to personalize my service to you. I have training and experience working with people who have problems as a result of having suffered trauma at some time in their lives, whether during childhood or more recently. I am able to offer help regulating difficult emotions, such as depression, anxiety and anger. I can also work with you to strengthen your sense of self-worth and relationships with others. I most enjoy helping people gain greater self-knowledge in order to lead a more fulfilling life.
My primary therapeutic approach combines insight-oriented therapy for long-lasting change with coping skill development, including through the use of Dialectical Behavior Therapy.
I offer individual therapy to adults in a private practice setting which allows me to personalize my service to you. I have training and experience working with people who have problems as a result of having suffered trauma at some time in their lives, whether during childhood or more recently. I am able to offer help regulating difficult emotions, such as depression, anxiety and anger. I can also work with you to strengthen your sense of self-worth and relationships with others. I most enjoy helping people gain greater self-knowledge in order to lead a more fulfilling life.
(603) 685-3705 View (603) 685-3705
Photo of Tracey Lynch, Counselor, LMHC
Tracey Lynch
Counselor, LMHC
Serves Area
I am a Licensed Mental Health Counselor (LMHC) with an emphasis on cognitive behavioral therapy (CBT). My approach is to meet my client where they are at and focus on what they have control of. I join my clients in their journey as they begin to heal and grow into the best version of themselves with a focus on gratitude and authenticity.
I am a Licensed Mental Health Counselor (LMHC) with an emphasis on cognitive behavioral therapy (CBT). My approach is to meet my client where they are at and focus on what they have control of. I join my clients in their journey as they begin to heal and grow into the best version of themselves with a focus on gratitude and authenticity.
(781) 776-7220 View (781) 776-7220
Photo of Jennifer E Yebba, Counselor, LCMHC, MLADC
Jennifer E Yebba
Counselor, LCMHC, MLADC
Serves Area
I incorporate a variety of modalities including CBT, DBT, Motivational Interviewing, and Narrative therapy into sessions.
I am currently accepting new clients and insurances at my privately owned practice. I bring 20+ years of experience as an LCMHC and MLADC to you with the comfort of a smaller, relaxed setting. I work with individuals who are experiencing anxiety, depression, or struggling to get through past or current traumas with a goal of developing a variety of coping skills and sense of peace. I specialize in helping individuals who have alcohol or substance addictions work towards achieving and maintaining long-term recovery.
I incorporate a variety of modalities including CBT, DBT, Motivational Interviewing, and Narrative therapy into sessions.
I am currently accepting new clients and insurances at my privately owned practice. I bring 20+ years of experience as an LCMHC and MLADC to you with the comfort of a smaller, relaxed setting. I work with individuals who are experiencing anxiety, depression, or struggling to get through past or current traumas with a goal of developing a variety of coping skills and sense of peace. I specialize in helping individuals who have alcohol or substance addictions work towards achieving and maintaining long-term recovery.
(978) 308-2193 View (978) 308-2193
Photo of Kathleen M. Wood Bacon, Clinical Social Work/Therapist, MSW, LICSW
Kathleen M. Wood Bacon
Clinical Social Work/Therapist, MSW, LICSW
Serves Area
With over 20 years of experience, I utilize evidence-based methods, including cognitive-behavioral therapy (CBT), dialectical behavior therapy ( DBT), and solution-focused strategies, to help individuals manage anxiety, depression, reduce stress, and enhance quality of life.
I prioritize a collaborative therapeutic approach, with the objective of assisting clients in effectively managing symptoms and establishing sustainable strategies to support long-term growth and improve overall quality of life.
With over 20 years of experience, I utilize evidence-based methods, including cognitive-behavioral therapy (CBT), dialectical behavior therapy ( DBT), and solution-focused strategies, to help individuals manage anxiety, depression, reduce stress, and enhance quality of life.
I prioritize a collaborative therapeutic approach, with the objective of assisting clients in effectively managing symptoms and establishing sustainable strategies to support long-term growth and improve overall quality of life.
(877) 845-4930 View (877) 845-4930
Photo of Lucille Care, Counselor, NCC, LCMHC, MLADC
Lucille Care
Counselor, NCC, LCMHC, MLADC
Serves Area
I am trained in several modalities of treatment including Cognitive Behavior Therapy; Dialectical Behavior Therapy; Mindfulness; Integrated Somatic Trauma; EMDR; Internal family System
I use a holistic approach in session to determine what works best for the individual. I specialize in symptoms of ADHD, anxiety, depression, PTSD, relational trauma, OCD, BFRB, eating disorders, grief, life transitions, substance use and addictive behaviors. My career has brought me to inpatient and outpatient settings, as well as NH treatment court.
I am trained in several modalities of treatment including Cognitive Behavior Therapy; Dialectical Behavior Therapy; Mindfulness; Integrated Somatic Trauma; EMDR; Internal family System
I use a holistic approach in session to determine what works best for the individual. I specialize in symptoms of ADHD, anxiety, depression, PTSD, relational trauma, OCD, BFRB, eating disorders, grief, life transitions, substance use and addictive behaviors. My career has brought me to inpatient and outpatient settings, as well as NH treatment court.
(833) 342-0872 View (833) 342-0872
Photo of Molly Mizula, Counselor, MA, LCMHC
Molly Mizula
Counselor, MA, LCMHC
2 Endorsed
Serves Area
I have education and training in CBT, DBT, CPT, and Gottman Methods.
Finding peace and calm in the anxieties that surround you can be an overwhelming challenge. Do you desire to improve your relationships and ease the impact of daily stress in your life? I can walk with you on a path of empowerment in making needed changes. My hope is that you will feel empowered, validated, and accepted as you work toward change. Developing coping skills using evidence based practices helps guide our progress together.
I have education and training in CBT, DBT, CPT, and Gottman Methods.
Finding peace and calm in the anxieties that surround you can be an overwhelming challenge. Do you desire to improve your relationships and ease the impact of daily stress in your life? I can walk with you on a path of empowerment in making needed changes. My hope is that you will feel empowered, validated, and accepted as you work toward change. Developing coping skills using evidence based practices helps guide our progress together.
(844) 708-3067 View (844) 708-3067
Photo of Christine Lavoie - Between Us Associates PLLC, Counselor, PsyD, LCMHC, NCC
Between Us Associates PLLC
Counselor, PsyD, LCMHC, NCC
Serves Area
Between Us Associates Is a outpatient behavioral health practice that offers collaborative, goal-oriented therapeutic solutions and support services to help our clients overcome a variety of life's challenges. Utilizing an Integrated Approach, our treatment team draws on experience in both individual counseling and couples and family therapy to assist our clients in finding healthy solutions to a wide range of life challenges.
Between Us Associates Is a outpatient behavioral health practice that offers collaborative, goal-oriented therapeutic solutions and support services to help our clients overcome a variety of life's challenges. Utilizing an Integrated Approach, our treatment team draws on experience in both individual counseling and couples and family therapy to assist our clients in finding healthy solutions to a wide range of life challenges.
(603) 317-5116 View (603) 317-5116
Photo of Bailey Trahan, Licensed Clinical Mental Health Counselor, LCMHC, MLADC
Bailey Trahan
Licensed Clinical Mental Health Counselor, LCMHC, MLADC
Serves Area
My therapeutic approach is integrative and evidence-based, incorporating Cognitive Behavioral Therapy (CBT), Dialectical Behavior Therapy ( DBT) skills, ACT, mindfulness-based interventions, Solution-Focused, and strengths-based therapy.
If you’re feeling burnt out, stressed, anxious, or stuck, you’re not alone—and support is available. In today’s fast-paced world, it’s easy to put your own needs last and gradually feel disconnected from yourself and others —until one day you wake up and wonder, “What happened?” I work with adults seeking therapy for anxiety, perfectionism, depression, chronic illness, stress, burnout, substance use, relationship challenges, and major life transitions. I provide a supportive, nonjudgmental, and trauma-informed space where you can process what’s hard, gain clarity, and build tools that actually work in your life.
My therapeutic approach is integrative and evidence-based, incorporating Cognitive Behavioral Therapy (CBT), Dialectical Behavior Therapy ( DBT) skills, ACT, mindfulness-based interventions, Solution-Focused, and strengths-based therapy.
If you’re feeling burnt out, stressed, anxious, or stuck, you’re not alone—and support is available. In today’s fast-paced world, it’s easy to put your own needs last and gradually feel disconnected from yourself and others —until one day you wake up and wonder, “What happened?” I work with adults seeking therapy for anxiety, perfectionism, depression, chronic illness, stress, burnout, substance use, relationship challenges, and major life transitions. I provide a supportive, nonjudgmental, and trauma-informed space where you can process what’s hard, gain clarity, and build tools that actually work in your life.
(866) 970-6170 View (866) 970-6170
Photo of Jamie Ward, Licensed Clinical Mental Health Counselor, LCMHC
Jamie Ward
Licensed Clinical Mental Health Counselor, LCMHC
Online Only
I've been a Counselor for about a decade now. I specialize in toxic and abusive relationships. That could be with parents, a romantic partner, or friendships. The relationship between the counselor and the individual is key. It’s so important to have a trusting bond, so I will spend time getting to know you, as well as helping. I believe everyone has the power to promote change within themselves, but sometimes we all need a little guidance. What an awesome step you’ve made. I know it took courage! I offer a non-judgmental atmosphere because we're all people, and we all have pasts.
I've been a Counselor for about a decade now. I specialize in toxic and abusive relationships. That could be with parents, a romantic partner, or friendships. The relationship between the counselor and the individual is key. It’s so important to have a trusting bond, so I will spend time getting to know you, as well as helping. I believe everyone has the power to promote change within themselves, but sometimes we all need a little guidance. What an awesome step you’ve made. I know it took courage! I offer a non-judgmental atmosphere because we're all people, and we all have pasts.
(214) 949-4405 View (214) 949-4405
Photo of Gary Newton, Counselor, LCMHC
Gary Newton
Counselor, LCMHC
Serves Area
I am a Licensed clinical mental health counselor trained in DBT by Behavioral Tech/Psychwire.
I work with ages 5 and up. (5-10 in-person please). All others in-person or telehealth. I work with people dealing with life issues that may cause anxiety, depression. They may be caused by past or current trauma. I am open to working with all in a non-judgmental way. I am here to support and walk with you through the mud to make your life better. I am open to using traditional modalities in therapy as well as going down the path of spirituality if that is your choice. This is your journey to a better mental health and you are the only one that knows what that looks like. I am here to help you get there.
I am a Licensed clinical mental health counselor trained in DBT by Behavioral Tech/Psychwire.
I work with ages 5 and up. (5-10 in-person please). All others in-person or telehealth. I work with people dealing with life issues that may cause anxiety, depression. They may be caused by past or current trauma. I am open to working with all in a non-judgmental way. I am here to support and walk with you through the mud to make your life better. I am open to using traditional modalities in therapy as well as going down the path of spirituality if that is your choice. This is your journey to a better mental health and you are the only one that knows what that looks like. I am here to help you get there.
(833) 359-9441 View (833) 359-9441
Photo of Kimberly D Ducharme, Drug & Alcohol Counselor, MS, MLADC, CFRC
Kimberly D Ducharme
Drug & Alcohol Counselor, MS, MLADC, CFRC
2 Endorsed
Serves Area
My therapeutic approach is a combination of Solution focused, Mindfulness, CBT and DBT.
I believe the path to recovery begins with finding your inner strength, empowering yourself and sometimes reaching out for help. If you are struggling with substance abuse or co-occurring issues, I am here to offer guidance and support. I have been working in the addictions field for over 6 years in a multitude of settings. I have worked within the prison system offering substance abuse treatment to both men and women. I have also worked as a clinician within a non-profit organization. Working in these settings have taught me that their is no cookie cutter approach to substance abuse treatment, everyone's path is different.
My therapeutic approach is a combination of Solution focused, Mindfulness, CBT and DBT.
I believe the path to recovery begins with finding your inner strength, empowering yourself and sometimes reaching out for help. If you are struggling with substance abuse or co-occurring issues, I am here to offer guidance and support. I have been working in the addictions field for over 6 years in a multitude of settings. I have worked within the prison system offering substance abuse treatment to both men and women. I have also worked as a clinician within a non-profit organization. Working in these settings have taught me that their is no cookie cutter approach to substance abuse treatment, everyone's path is different.
(603) 945-2189 View (603) 945-2189
Photo of Linda Paterson, Psychologist, PsyD
Linda Paterson
Psychologist, PsyD
1 Endorsed
Serves Area
I enjoy working with individuals and couples to identify treatment goals that foster greater insight, healing and growth. Many of my clients are navigating life transitions, relationship challenges, stress and anxiety, or the effects of traumatic experiences, and want to better understand themselves and their patterns of relating to others. Together we create a supportive, collaborative environment focused on building resilience, strengthening relationships, and creating meaningful, lasting change.
I enjoy working with individuals and couples to identify treatment goals that foster greater insight, healing and growth. Many of my clients are navigating life transitions, relationship challenges, stress and anxiety, or the effects of traumatic experiences, and want to better understand themselves and their patterns of relating to others. Together we create a supportive, collaborative environment focused on building resilience, strengthening relationships, and creating meaningful, lasting change.
(888) 869-8010 View (888) 869-8010
Photo of Gary G McAree, Counselor, LCMHC, MLADAC, IDSP, RPh
Gary G McAree
Counselor, LCMHC, MLADAC, IDSP, RPh
1 Endorsed
Serves Area
I have years of practical experience and use ACT, CBT, DBT, and MI as tools to increase coping skill for emotional pain.
Life brings many Challenges. Are you Feeling Overwhelmed? Fearful? Do you feel broken? Are you struggling with PTSD? Are you suffering from anxiety and depression? Are you having problems with your relationships? Are you using substances to cope? You may be struggling to manage or stop behaviors that create shame, guilt or ongoing regret. Well these things can throw you off balance. Make the first step! And let me help…… My goal is to provide a safe, nonjudgmental space for you to discuss your concerns. We will work together to discover your strengths and learn new coping strategies. I utilize various therapeutic approaches.
I have years of practical experience and use ACT, CBT, DBT, and MI as tools to increase coping skill for emotional pain.
Life brings many Challenges. Are you Feeling Overwhelmed? Fearful? Do you feel broken? Are you struggling with PTSD? Are you suffering from anxiety and depression? Are you having problems with your relationships? Are you using substances to cope? You may be struggling to manage or stop behaviors that create shame, guilt or ongoing regret. Well these things can throw you off balance. Make the first step! And let me help…… My goal is to provide a safe, nonjudgmental space for you to discuss your concerns. We will work together to discover your strengths and learn new coping strategies. I utilize various therapeutic approaches.
(603) 825-4523 View (603) 825-4523
Photo of Jacqueline Pollner - Middle Path Counseling, LLC, Counselor, LCMHC
Middle Path Counseling, LLC
Counselor, LCMHC
Serves Area
Offering EMDR, SPACE - Supportive Parenting for Anxious Childhood Emotions, Cognitive Behavioral Therapy (CBT), Dialectical Behavior Therapy ( DBT), CPT for PTSD, Family-Based Treatment (FBT) for eating disorders, Imago Therapy, and Discernment Counseling.
Welcoming New Clients! Life can feel like too much at times. Maybe you’re caught in the same cycles, struggling in your relationships, or watching your child face emotions that feel bigger than both of you. At Middle Path Counseling, we know how overwhelming these challenges can be, and we’re here to help you through them. We believe healing begins with self-awareness, self-compassion, and practical tools that make daily life more manageable. Whether you’re navigating anxiety, depression, trauma, disordered eating, relationship stress, or parenting concerns, our team will walk alongside you with skill, empathy, and honesty.
Offering EMDR, SPACE - Supportive Parenting for Anxious Childhood Emotions, Cognitive Behavioral Therapy (CBT), Dialectical Behavior Therapy ( DBT), CPT for PTSD, Family-Based Treatment (FBT) for eating disorders, Imago Therapy, and Discernment Counseling.
Welcoming New Clients! Life can feel like too much at times. Maybe you’re caught in the same cycles, struggling in your relationships, or watching your child face emotions that feel bigger than both of you. At Middle Path Counseling, we know how overwhelming these challenges can be, and we’re here to help you through them. We believe healing begins with self-awareness, self-compassion, and practical tools that make daily life more manageable. Whether you’re navigating anxiety, depression, trauma, disordered eating, relationship stress, or parenting concerns, our team will walk alongside you with skill, empathy, and honesty.
(844) 904-3729 View (844) 904-3729
Photo of Alyson Lewis, Clinical Social Work/Therapist, LCSW
Alyson Lewis
Clinical Social Work/Therapist, LCSW
Online Only
Many of the skills I teach are based on Dialectical Behavior Therapy and Acceptance and Commitment Therapy techniques.
I am a Licensed Independent Clinical Social Worker (LICSW). I work with clients throughout New Hampshire using telehealth services. I have been a practicing clinician since 2009, and I have been independently licensed since 2012. I work with clients of all ages, and I specialize in anxiety, depression, substance use disorders, grief and loss, and life transitions and adjustment disorders. I predominantly utilize Cognitive Behavioral Therapy and solution-focused brief Therapy to assist clients in reaching their therapeutic goals.
Many of the skills I teach are based on Dialectical Behavior Therapy and Acceptance and Commitment Therapy techniques.
I am a Licensed Independent Clinical Social Worker (LICSW). I work with clients throughout New Hampshire using telehealth services. I have been a practicing clinician since 2009, and I have been independently licensed since 2012. I work with clients of all ages, and I specialize in anxiety, depression, substance use disorders, grief and loss, and life transitions and adjustment disorders. I predominantly utilize Cognitive Behavioral Therapy and solution-focused brief Therapy to assist clients in reaching their therapeutic goals.
(866) 605-5926 View (866) 605-5926
Photo of Gordon Krantz, Clinical Social Work/Therapist, LICSW
Gordon Krantz
Clinical Social Work/Therapist, LICSW
Online Only
You can bring anything to the table and I will accept you as you are. I will listen and provide a warm, supportive and caring approach to therapy. My goal is to provide therapy that is suited to your needs. My therapeutic approach is client centered, sensitive, kind and direct. I am experienced at providing therapy to individuals, couples, and groups. I also cover anxiety, dual diagnosis, substance abuse and depression. I consider myself creative and can connect with many diverse populations and age groups in psychotherapy.
You can bring anything to the table and I will accept you as you are. I will listen and provide a warm, supportive and caring approach to therapy. My goal is to provide therapy that is suited to your needs. My therapeutic approach is client centered, sensitive, kind and direct. I am experienced at providing therapy to individuals, couples, and groups. I also cover anxiety, dual diagnosis, substance abuse and depression. I consider myself creative and can connect with many diverse populations and age groups in psychotherapy.
(855) 963-5030 View (855) 963-5030
Photo of Kirby Gardner, Licensed Professional Counselor, MA, CAGS, LCMHC, RYT
Kirby Gardner
Licensed Professional Counselor, MA, CAGS, LCMHC, RYT
3 Endorsed
Serves Area
I am a licensed mental health counselor with over 10 years of experience, specializing in Cognitive Behavioral Therapy (CBT) and Dialectical Behavioral skill building.
Starting counseling can feel both daunting and rewarding. I’m here to support you with genuine compassion and curiosity. My solution-focused approach specializes in emotional regulation, anxiety, self-esteem, interpersonal relationships, and stress management. I’m licensed in Massachusetts, New Hampshire, and Vermont, and I look forward to working together on your journey.
I am a licensed mental health counselor with over 10 years of experience, specializing in Cognitive Behavioral Therapy (CBT) and Dialectical Behavioral skill building.
Starting counseling can feel both daunting and rewarding. I’m here to support you with genuine compassion and curiosity. My solution-focused approach specializes in emotional regulation, anxiety, self-esteem, interpersonal relationships, and stress management. I’m licensed in Massachusetts, New Hampshire, and Vermont, and I look forward to working together on your journey.
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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.