Dialectical Behavior (DBT) Therapists in Ho Ho Kus, NJ

Melanie Rista
Clinical Social Work/Therapist, LCSW
1 Endorsed
Ho Ho Kus, NJ 07423
My approach is rooted in evidence-based practices including DBT and CBT.
I specialize in full and comprehensive DBT working with children, adolescents, adults, and families. I am independently licensed in New York, New Jersey, Ohio, North Carolina and Telehealth licensed in South Carolina. My approach is gentle, lighthearted, and authentic.
My approach is rooted in evidence-based practices including DBT and CBT.
I specialize in full and comprehensive DBT working with children, adolescents, adults, and families. I am independently licensed in New York, New Jersey, Ohio, North Carolina and Telehealth licensed in South Carolina. My approach is gentle, lighthearted, and authentic.
(551) 310-2536 View (551) 310-2536
Vana Ekmekjian-Thomson
Clinical Social Work/Therapist, LCSW, MSW
1 Endorsed
Ho Ho Kus, NJ 07423
I combine Psychodynamic + Humanistic methods to address deeper emotional wounds and unresolved trauma, while utilizing Cognitive Behavioral Therapy (CBT) and Dialectical Behavior Therapy ( DBT) to help you cope with anxiety, stress, strengthen emotional regulation skills, manage OCD symptoms, and/or address challenges with executive functioning.
As a therapist, I’m committed to walking alongside you as a partner in your healing. My goal is to support you through life’s challenges and help you tap into your inner strength and resilience to achieve your goals. Through a strong therapeutic partnership, we can work toward creating balance in your mind, body, and spirit. My aim is to help you reclaim a sense of wholeness, find peace within yourself, and thrive in all areas of life.
I combine Psychodynamic + Humanistic methods to address deeper emotional wounds and unresolved trauma, while utilizing Cognitive Behavioral Therapy (CBT) and Dialectical Behavior Therapy ( DBT) to help you cope with anxiety, stress, strengthen emotional regulation skills, manage OCD symptoms, and/or address challenges with executive functioning.
As a therapist, I’m committed to walking alongside you as a partner in your healing. My goal is to support you through life’s challenges and help you tap into your inner strength and resilience to achieve your goals. Through a strong therapeutic partnership, we can work toward creating balance in your mind, body, and spirit. My aim is to help you reclaim a sense of wholeness, find peace within yourself, and thrive in all areas of life.
(551) 365-6096 View (551) 365-6096
Carolyn Goldman
Clinical Social Work/Therapist, LCSW
3 Endorsed
Online Only
As an expert in DBT and CBT, I am here to help you manage complex emotions and find balance.
Do you ever feel like your emotions rule your life, or that change feels out of reach no matter how hard you try? You are not alone! I provide a supportive, nonjudgmental space where you can learn new ways of coping and create meaningful change. My work focuses on helping people who struggle with intense emotions, anxiety, depression, suicidal thoughts, self-harm, or Borderline Personality Disorder. I specialize in treating complex emotions and often work with people who have felt therapy hasn’t helped them in the way they hoped.
As an expert in DBT and CBT, I am here to help you manage complex emotions and find balance.
Do you ever feel like your emotions rule your life, or that change feels out of reach no matter how hard you try? You are not alone! I provide a supportive, nonjudgmental space where you can learn new ways of coping and create meaningful change. My work focuses on helping people who struggle with intense emotions, anxiety, depression, suicidal thoughts, self-harm, or Borderline Personality Disorder. I specialize in treating complex emotions and often work with people who have felt therapy hasn’t helped them in the way they hoped.
(551) 264-1014 x2 View (551) 264-1014 x2
Johanna Fuentes
Counselor, MS, LAC, CT
1 Endorsed
Online Only
I am informed in Cognitive Behavioral Therapy (CBT) and Dialectical Behavior Therapy ( DBT).
Are you struggling to live the life you want? Are you finding it hard to cope with obsessive thoughts, trauma, depression, or anxiety? Is this affecting your relationships? If so, there is hope. As a clinical counselor, I am passionate about helping people work toward the life they hope for. I enjoy assisting clients in finding inner healing, developing life-enhancing skills, and cultivating their strengths to improve their lives and relationships. With a desire to help people in mind, I earned my Master’s Degree in Clinical Counseling and received training across numerous evidence-based models.
I am informed in Cognitive Behavioral Therapy (CBT) and Dialectical Behavior Therapy ( DBT).
Are you struggling to live the life you want? Are you finding it hard to cope with obsessive thoughts, trauma, depression, or anxiety? Is this affecting your relationships? If so, there is hope. As a clinical counselor, I am passionate about helping people work toward the life they hope for. I enjoy assisting clients in finding inner healing, developing life-enhancing skills, and cultivating their strengths to improve their lives and relationships. With a desire to help people in mind, I earned my Master’s Degree in Clinical Counseling and received training across numerous evidence-based models.
(908) 257-8795 View (908) 257-8795
Maureen Monahan
Psychologist, PhD, PSYPACT
1 Endorsed
Online Only
As a clinical psychologist, my approach to therapy is based in evidence-based practices like Dialectical Behavior Therapy and Cognitive Behavioral Therapy as well as mindfulness and acceptance-based strategies.
I am licensed in New York and New Jersey and hold a PSYPACT license allowing me to practice telehealth in 40 states. Do you suffer from anxiety or depression? Feeling overwhelmed by constant worry and intrusive thoughts? Are you struggling with the aftermath of trauma? I am dedicated to creating an empathic and nonjudgmental space where clients can feel safe to express their innermost thoughts and feelings. My goal is to guide clients in developing coping strategies, emotional regulation skills, and gain insight into patterns of behavior and thought to help alleviate distress and foster personal growth.
As a clinical psychologist, my approach to therapy is based in evidence-based practices like Dialectical Behavior Therapy and Cognitive Behavioral Therapy as well as mindfulness and acceptance-based strategies.
I am licensed in New York and New Jersey and hold a PSYPACT license allowing me to practice telehealth in 40 states. Do you suffer from anxiety or depression? Feeling overwhelmed by constant worry and intrusive thoughts? Are you struggling with the aftermath of trauma? I am dedicated to creating an empathic and nonjudgmental space where clients can feel safe to express their innermost thoughts and feelings. My goal is to guide clients in developing coping strategies, emotional regulation skills, and gain insight into patterns of behavior and thought to help alleviate distress and foster personal growth.
(914) 350-2460 View (914) 350-2460
Raelyn Sprenkle
Clinical Social Work/Therapist, LCSW, MEd, CST
Online Only
My therapeutic approach is deeply rooted in evidence-based practices, incorporating Cognitive Behavioral Therapy (CBT), Dialectical Behavior Therapy ( DBT), and mindfulness-based interventions.
I help teens, women, parents and LGBTQIA+ folks to navigate anxiety, depression, parenting, and relationship intricacies. Are you feeling burnt out? Over worked at home, school and work? Does it feel like the pressures are mounting and you have no idea how to relax? Are you finding that your values are not aligning with those around you or that you aren't able to live your life in a way that is true to you? You are not alone! I'm here to help you find tangible skills to build peace and fulfillment in your life.
My therapeutic approach is deeply rooted in evidence-based practices, incorporating Cognitive Behavioral Therapy (CBT), Dialectical Behavior Therapy ( DBT), and mindfulness-based interventions.
I help teens, women, parents and LGBTQIA+ folks to navigate anxiety, depression, parenting, and relationship intricacies. Are you feeling burnt out? Over worked at home, school and work? Does it feel like the pressures are mounting and you have no idea how to relax? Are you finding that your values are not aligning with those around you or that you aren't able to live your life in a way that is true to you? You are not alone! I'm here to help you find tangible skills to build peace and fulfillment in your life.
(732) 385-0696 View (732) 385-0696
Taylor Cobb
Licensed Professional Counselor, MA, LPC
5 Endorsed
Serves Area
I draw from evidence-based methods like CBT, mindfulness, DBT-influenced emotion regulation, and strength-based therapeutic work.
If you're a mom, a mom-to-be, or a woman who looks like she has it together while quietly falling apart you're exactly who I work with. I specialize in anxiety, perfectionism, pregnancy and postpartum depression, and eating disorders, with a particular focus on the pressure women carry at every stage of motherhood. Whether it's the emotional weight of a new baby, a complicated relationship with food and your body, or exhaustion from the constant "shoulds" that never let up, you don't have to white-knuckle through it alone.
I draw from evidence-based methods like CBT, mindfulness, DBT-influenced emotion regulation, and strength-based therapeutic work.
If you're a mom, a mom-to-be, or a woman who looks like she has it together while quietly falling apart you're exactly who I work with. I specialize in anxiety, perfectionism, pregnancy and postpartum depression, and eating disorders, with a particular focus on the pressure women carry at every stage of motherhood. Whether it's the emotional weight of a new baby, a complicated relationship with food and your body, or exhaustion from the constant "shoulds" that never let up, you don't have to white-knuckle through it alone.
(201) 357-6889 View (201) 357-6889
Stephanie Radin
Clinical Social Work/Therapist, LSW
Serves Area
Life can feel overwhelming when you're struggling with anxiety, depression, relationship challenges, life transitions, low self-esteem, or feeling stuck. You may know something needs to change but aren't sure where to begin. My goal is to create a supportive, nonjudgmental space where we can better understand your experiences, identify your strengths, and develop meaningful goals that align with the life you want. I believe therapy is a team effort. I take time to get to know who you are beyond your challenges, approaching each person with curiosity, compassion, and a focus on helping you move toward meaningful, lasting change.
Life can feel overwhelming when you're struggling with anxiety, depression, relationship challenges, life transitions, low self-esteem, or feeling stuck. You may know something needs to change but aren't sure where to begin. My goal is to create a supportive, nonjudgmental space where we can better understand your experiences, identify your strengths, and develop meaningful goals that align with the life you want. I believe therapy is a team effort. I take time to get to know who you are beyond your challenges, approaching each person with curiosity, compassion, and a focus on helping you move toward meaningful, lasting change.
(201) 474-2853 View (201) 474-2853
Jon Leano
Clinical Social Work/Therapist, MSW, LCSW
1 Endorsed
Serves Area
My work is thoughtful, engaged, and tailored to the person in front of me, drawing from CBT, DBT, ERP, and systems-oriented therapy to help clients understand what is keeping them stuck and make meaningful, lasting change.
I work with adults and young adults who feel caught in anxiety, overthinking, grief, family stress, or major life transitions. Many are thoughtful, high-functioning people who appear capable on the outside but feel overwhelmed, self-critical, or unsure of how to move forward. Therapy can be a place to better understand these patterns and begin building a more grounded, intentional way of living.
My work is thoughtful, engaged, and tailored to the person in front of me, drawing from CBT, DBT, ERP, and systems-oriented therapy to help clients understand what is keeping them stuck and make meaningful, lasting change.
I work with adults and young adults who feel caught in anxiety, overthinking, grief, family stress, or major life transitions. Many are thoughtful, high-functioning people who appear capable on the outside but feel overwhelmed, self-critical, or unsure of how to move forward. Therapy can be a place to better understand these patterns and begin building a more grounded, intentional way of living.
(609) 354-7652 View (609) 354-7652
Elisa Bruckner
Clinical Social Work/Therapist, LCSW, EMDR
Serves Area
Do you often feel dissatisfied or stuck in your life? Do you have difficulty communicating your feelings and needs to others? Perhaps anger, resentment or shutting down have become the predominant styles of how you show up in your life. Through an interactive, non-judgmental style, mixed with humor when appropriate, we will strengthen your resources, so that you will feel empowered on a daily basis to make positive changes. A happier, more liberating and fulfilling life is possible, and it starts in a safe, therapeutic environment. I am highly invested in the healing of each of my clients.
Do you often feel dissatisfied or stuck in your life? Do you have difficulty communicating your feelings and needs to others? Perhaps anger, resentment or shutting down have become the predominant styles of how you show up in your life. Through an interactive, non-judgmental style, mixed with humor when appropriate, we will strengthen your resources, so that you will feel empowered on a daily basis to make positive changes. A happier, more liberating and fulfilling life is possible, and it starts in a safe, therapeutic environment. I am highly invested in the healing of each of my clients.
(201) 231-7224 View (201) 231-7224
Crystal Beckwith
Licensed Professional Counselor, LPC
Online Only
Are you overwhelmed by arguments in your relationship? Whether you are on the brink of divorce or ready to work on communication and intimacy, relationship counseling can help. As a marriage and couples counselor trained in the Gottman Method, the gold standard for relationship counseling, I provide effective tools and interventions backed by decades of research. Let us work together to mend your relationship and get it back on track.
Are you overwhelmed by arguments in your relationship? Whether you are on the brink of divorce or ready to work on communication and intimacy, relationship counseling can help. As a marriage and couples counselor trained in the Gottman Method, the gold standard for relationship counseling, I provide effective tools and interventions backed by decades of research. Let us work together to mend your relationship and get it back on track.
(732) 204-8195 View (732) 204-8195
Melissa Rizzitello
Clinical Social Work/Therapist, LCSW, LCADC, CCTP
Ho Ho Kus, NJ 07423
Not accepting new clients
I enjoy approaching therapeutic work utilizing an eclectic style and ultimately basing my approach on noticing the individual in their environment. I work collaboratively to identify my client's strengths, ideally discovering the skills within and helping the client heal themselves in the process. I frequently utilize family systems, exploring core beliefs and the nature of interpersonal relationships. I love integrating creative modalities such as art, music, and psychodrama. I take on a holistic approach and believe to find healing, we need to nurture our full self, including mind, body, and soul.
I enjoy approaching therapeutic work utilizing an eclectic style and ultimately basing my approach on noticing the individual in their environment. I work collaboratively to identify my client's strengths, ideally discovering the skills within and helping the client heal themselves in the process. I frequently utilize family systems, exploring core beliefs and the nature of interpersonal relationships. I love integrating creative modalities such as art, music, and psychodrama. I take on a holistic approach and believe to find healing, we need to nurture our full self, including mind, body, and soul.
(203) 717-5818 View (203) 717-5818
Dr. Jenna Paparozzi
Clinical Social Work/Therapist, DSW, LCSW, LCADC
2 Endorsed
Serves Area
Not accepting new clients
Hello! My name is Jenna. I approach each individual with a profound commitment to person-centered care. Specializing in supporting those experiencing anxiety or depression, I also work with individuals who want to enhance communication skills, increase distress and frustration tolerance, overcome challenging life experiences, and therapists who are seeking their own therapy.
Hello! My name is Jenna. I approach each individual with a profound commitment to person-centered care. Specializing in supporting those experiencing anxiety or depression, I also work with individuals who want to enhance communication skills, increase distress and frustration tolerance, overcome challenging life experiences, and therapists who are seeking their own therapy.
(551) 333-5888 View (551) 333-5888

More Therapists Nearby

Megan Melchione
Licensed Professional Counselor, LPC
2 Endorsed
Online Only
I use skills from CBT to assess thought patterns, Acceptance + Commitment Therapy (ACT) to ensure choices align with values and build psychological flexibility, Dialectical Behavioral Therapy ( DBT) to build distress tolerance + emotional regulation skills, & Strengths-Based Therapy to facilitate a recognition and appreciation of your personal strengths.
I enjoy helping my clients feel comfortable to take up space in their life. To “take up space” may mean to build self-esteem, improve insight and self-compassion, overcome unhelpful tendencies, learn to navigate different types of relationships effectively, and/or to recognize and value your own strengths. I excel at working with individuals with OCD, utilizing Exposure and Response Prevention (ERP) to build confidence in your ability to tolerate distress. Clients have described me as insightful, attentive and compassionate. Good therapy is meant to be challenging and uncomfy at times, but it will also be meaningful & supportive!
I use skills from CBT to assess thought patterns, Acceptance + Commitment Therapy (ACT) to ensure choices align with values and build psychological flexibility, Dialectical Behavioral Therapy ( DBT) to build distress tolerance + emotional regulation skills, & Strengths-Based Therapy to facilitate a recognition and appreciation of your personal strengths.
I enjoy helping my clients feel comfortable to take up space in their life. To “take up space” may mean to build self-esteem, improve insight and self-compassion, overcome unhelpful tendencies, learn to navigate different types of relationships effectively, and/or to recognize and value your own strengths. I excel at working with individuals with OCD, utilizing Exposure and Response Prevention (ERP) to build confidence in your ability to tolerate distress. Clients have described me as insightful, attentive and compassionate. Good therapy is meant to be challenging and uncomfy at times, but it will also be meaningful & supportive!
(862) 396-3842 View (862) 396-3842
Amy Banko Next Appt One Week
Licensed Professional Counselor, LPC
Online Only
Amy Banko is a compassionate and skilled counselor dedicated to creating a safe and supportive environment where individuals can explore their wellness goals and discover their inner resilience. She holds a master’s degree in Rehabilitation Counseling from Rutgers University and is currently pursuing her doctorate in Counseling Education and Supervision at Kean University, with a focus on the treatment of trauma. Amy integrates evidence-based approaches, including Cognitive-Behavioral Therapy, Motivational Interviewing, Narrative Therapy, and Solution-Focused Therapy, tailoring methods to meet the unique needs of each person.
Amy Banko is a compassionate and skilled counselor dedicated to creating a safe and supportive environment where individuals can explore their wellness goals and discover their inner resilience. She holds a master’s degree in Rehabilitation Counseling from Rutgers University and is currently pursuing her doctorate in Counseling Education and Supervision at Kean University, with a focus on the treatment of trauma. Amy integrates evidence-based approaches, including Cognitive-Behavioral Therapy, Motivational Interviewing, Narrative Therapy, and Solution-Focused Therapy, tailoring methods to meet the unique needs of each person.
(732) 365-4810 View (732) 365-4810
Barry Eichenbaum
Psychologist, PsyD
2 Endorsed
River Edge, NJ 07661
We all have potential to be great friends, romantic partners, family members, or workers. But we all encounter roadblocks such as anxiety, depression, relationship difficulties, and other stressors that impact our mental health, which can make it more difficult to engage these roles in the way we'd want. Sometimes we feel lost as to how to maneuver around these roadblocks. I want you to know that you don't have to walk this path alone. In working together, we will focus on developing the skills to help you overcome these roadblocks, so that you can be the person you truly want to be.
We all have potential to be great friends, romantic partners, family members, or workers. But we all encounter roadblocks such as anxiety, depression, relationship difficulties, and other stressors that impact our mental health, which can make it more difficult to engage these roles in the way we'd want. Sometimes we feel lost as to how to maneuver around these roadblocks. I want you to know that you don't have to walk this path alone. In working together, we will focus on developing the skills to help you overcome these roadblocks, so that you can be the person you truly want to be.
(332) 334-7485 View (332) 334-7485
Paige Sklar
Clinical Social Work/Therapist, LCSW
Online Only
I use evidence-based approaches including CBT, DBT, MI, person-centered, and strengths-based therapy.
I specialize in working with adolescents, young adults, and adults navigating eating disorders, disordered eating, body image concerns, anxiety, and low self-esteem. I’m passionate about helping people build a healthier relationship with themselves and their bodies while reconnecting with who they are beyond their struggles. My approach is warm, compassionate, and direct. I want therapy to be a space where you can be honest, understood, and fully yourself without fear of judgment. I believe meaningful change happens when we feel supported while also being gently challenged to step outside of what feels comfortable.
I use evidence-based approaches including CBT, DBT, MI, person-centered, and strengths-based therapy.
I specialize in working with adolescents, young adults, and adults navigating eating disorders, disordered eating, body image concerns, anxiety, and low self-esteem. I’m passionate about helping people build a healthier relationship with themselves and their bodies while reconnecting with who they are beyond their struggles. My approach is warm, compassionate, and direct. I want therapy to be a space where you can be honest, understood, and fully yourself without fear of judgment. I believe meaningful change happens when we feel supported while also being gently challenged to step outside of what feels comfortable.
(908) 589-8659 View (908) 589-8659
Jo Zhirong Chen
Counselor, LMHC, LPC
3 Endorsed
Jersey City, NJ 07302
I use Lifespan Integration (LI), a trauma-informed approach that helps your brain and body experience that the past is truly over, so healing happens from the inside out, alongside DBT skills for distress tolerance and regulation.
On the outside, it may look like you have it all together, but inside, something feels stuck. Many grew up where emotions were dismissed, identity had little room to develop, or love felt conditional. Over time, you learned to put everyone else first, wonder if you're the problem, and lose touch with your feelings and needs. In relationships, opening up still feels risky. These patterns make sense. They reflect how you learned to survive. But they don't have to get in the way anymore! I work with young adults in their 20s and 30s, including many from Asian, immigrant, and LGBTQ+ communities, who are ready to move beyond surviving.
I use Lifespan Integration (LI), a trauma-informed approach that helps your brain and body experience that the past is truly over, so healing happens from the inside out, alongside DBT skills for distress tolerance and regulation.
On the outside, it may look like you have it all together, but inside, something feels stuck. Many grew up where emotions were dismissed, identity had little room to develop, or love felt conditional. Over time, you learned to put everyone else first, wonder if you're the problem, and lose touch with your feelings and needs. In relationships, opening up still feels risky. These patterns make sense. They reflect how you learned to survive. But they don't have to get in the way anymore! I work with young adults in their 20s and 30s, including many from Asian, immigrant, and LGBTQ+ communities, who are ready to move beyond surviving.
(347) 491-5607 View (347) 491-5607
Monica Sanagustin
Clinical Social Work/Therapist, LCSW
3 Endorsed
Online Only
I'm DBT-certified and also draw from CBT, Solution-Focused Therapy, and Motivational Interviewing practices.
Life can look put together on the outside while feeling very different on the inside. Behind the scenes, you may find yourself caught in cycles of overthinking, weighed down by guilt, putting everyone else's needs before your own, or feeling like no matter how much you do, it's never enough. I believe therapy is about more than managing symptoms. It's about discovering who you are and who you want to become. I work with adults to deepen their self-understanding, quiet their inner critic, cultivate self-compassion, and navigate life's transitions with greater confidence as they become the version of themselves.
I'm DBT-certified and also draw from CBT, Solution-Focused Therapy, and Motivational Interviewing practices.
Life can look put together on the outside while feeling very different on the inside. Behind the scenes, you may find yourself caught in cycles of overthinking, weighed down by guilt, putting everyone else's needs before your own, or feeling like no matter how much you do, it's never enough. I believe therapy is about more than managing symptoms. It's about discovering who you are and who you want to become. I work with adults to deepen their self-understanding, quiet their inner critic, cultivate self-compassion, and navigate life's transitions with greater confidence as they become the version of themselves.
(908) 503-5389 View (908) 503-5389
Samuel Parton
Clinical Social Work/Therapist, LCSW
Summit, NJ 07901
He utilizes two of the leading therapies, Cognitive Behavior Therapy (CBT) and Dialectical Behavioral Therapy ( DBT).
With a focus on goal-oriented treatment, Sam works with his clients to determine their goals and how to best capitalize both their personal strengths and utilize their established and potential support systems. Clients say they feel welcome and heard in session and that they develop the confidence they can work through whatever difficulties they’re facing.
He utilizes two of the leading therapies, Cognitive Behavior Therapy (CBT) and Dialectical Behavioral Therapy ( DBT).
With a focus on goal-oriented treatment, Sam works with his clients to determine their goals and how to best capitalize both their personal strengths and utilize their established and potential support systems. Clients say they feel welcome and heard in session and that they develop the confidence they can work through whatever difficulties they’re facing.
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See more therapy options for Ho Ho Kus

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.