Dialectical Behavior (DBT) Therapists in Luzerne County, PA

Photo of Shannon Otto, Licensed Professional Counselor, NCC, LPC, CCTP-II
Shannon Otto
Licensed Professional Counselor, NCC, LPC, CCTP-II
Online Only
Waitlist for new clients
I also utilize a lot of cognitive behavioral therapy and dialectical behavioral therapy strategies.
Areas of specialty: Trauma (PTSD), Anxiety, Depression, Mood Disorders, Stress Management, Self-Esteem, Peer Relationships/Social Skills, Career Development, Coping with Illness, Caregiver Strain, Transitional Life Periods, Grief and Bereavement, ADHD, Relationship Issues, Couple's Therapy, Family Therapy
I also utilize a lot of cognitive behavioral therapy and dialectical behavioral therapy strategies.
Areas of specialty: Trauma (PTSD), Anxiety, Depression, Mood Disorders, Stress Management, Self-Esteem, Peer Relationships/Social Skills, Career Development, Coping with Illness, Caregiver Strain, Transitional Life Periods, Grief and Bereavement, ADHD, Relationship Issues, Couple's Therapy, Family Therapy
(570) 676-1806 View (570) 676-1806
Photo of Marisol Alcantara, Clinical Social Work/Therapist, LCSW
Marisol Alcantara
Clinical Social Work/Therapist, LCSW
Online Only
I am also Certified in Dialectical Behavioral Therapy, DBT.
Hi there! Are you feeling alone, stressed, confused, overwhelmed, hopeless or helpless? Do you feel you lost control of your life? Just remember that you are not alone. I am here to guide you and support you in the journey to learn identify, process, and overcome your challenges so that you can regain full control of your life. My goal is also to empower you to discover the capable, strong, and sufficient you that can defeat the anxiety, depression, or day-to-day life stress affecting you.
I am also Certified in Dialectical Behavioral Therapy, DBT.
Hi there! Are you feeling alone, stressed, confused, overwhelmed, hopeless or helpless? Do you feel you lost control of your life? Just remember that you are not alone. I am here to guide you and support you in the journey to learn identify, process, and overcome your challenges so that you can regain full control of your life. My goal is also to empower you to discover the capable, strong, and sufficient you that can defeat the anxiety, depression, or day-to-day life stress affecting you.
(570) 678-1756 View (570) 678-1756
Photo of Tom Twardowski, Clinical Social Work/Therapist, LCSW
Tom Twardowski
Clinical Social Work/Therapist, LCSW
5 Endorsed
Online Only
These are the treatment types I use, and this is what your experience will be like: CBT and DBT offer structured support for managing thoughts, emotions, and behaviors; EMDR helps process trauma in a safe, guided way; and PCIT strengthens parent-child relationships through real-time coaching.
I offer a therapeutic space uniquely tailored to meet each client's needs, fostering a non-judgmental, safe, supportive, yet challenging environment. I welcome clients from diverse backgrounds, often those feeling simply 'stuck'. My goal is to empower you to move forward and achieve personal growth. Therapy is a transformative vehicle for change, offering self-acceptance and healing from the wounds that life can inflict upon us at times. Together, we will address symptom management, occupational and educational issues, interpersonal conflicts, self-esteem, trauma, grief, and goal setting.
These are the treatment types I use, and this is what your experience will be like: CBT and DBT offer structured support for managing thoughts, emotions, and behaviors; EMDR helps process trauma in a safe, guided way; and PCIT strengthens parent-child relationships through real-time coaching.
I offer a therapeutic space uniquely tailored to meet each client's needs, fostering a non-judgmental, safe, supportive, yet challenging environment. I welcome clients from diverse backgrounds, often those feeling simply 'stuck'. My goal is to empower you to move forward and achieve personal growth. Therapy is a transformative vehicle for change, offering self-acceptance and healing from the wounds that life can inflict upon us at times. Together, we will address symptom management, occupational and educational issues, interpersonal conflicts, self-esteem, trauma, grief, and goal setting.
(570) 633-6882 View (570) 633-6882
Photo of Holly Hampton, Licensed Professional Counselor, MS, LPC
Holly Hampton
Licensed Professional Counselor, MS, LPC
1 Endorsed
Online Only
I take an eclectic approach with clients, typically including Cognitive Behavioral Therapy (CBT) approaches, Parent-Child Interaction Therapy (PCIT) strategies, and Dialectical Behavioral Therapy ( DBT) techniques.
Are you having difficulty connecting with your child or wanting to improve your family relationships? Do you often feel anxious or experience negative thoughts throughout your day? Are you feeling depressed or overwhelmed about your current life situation? Would you like to feel better, but aren’t sure where to start or what to do? Come work with me where we will work collaboratively to identify goals that are important to you while addressing the current challenges you are facing, leading to an improvement in your overall quality of life.
I take an eclectic approach with clients, typically including Cognitive Behavioral Therapy (CBT) approaches, Parent-Child Interaction Therapy (PCIT) strategies, and Dialectical Behavioral Therapy ( DBT) techniques.
Are you having difficulty connecting with your child or wanting to improve your family relationships? Do you often feel anxious or experience negative thoughts throughout your day? Are you feeling depressed or overwhelmed about your current life situation? Would you like to feel better, but aren’t sure where to start or what to do? Come work with me where we will work collaboratively to identify goals that are important to you while addressing the current challenges you are facing, leading to an improvement in your overall quality of life.
(717) 897-6563 View (717) 897-6563
Photo of Angel Vaccaro, Licensed Professional Counselor, Angel V, MA, LPC
Angel Vaccaro
Licensed Professional Counselor, Angel V, MA, LPC
1 Endorsed
Serves Area
I use a variety of approaches such as cognitive-behavioral, psychodynamic, narrative, eclectic, internal family systems, faith-based, dialectical behavior therapy, person-centered, and trauma-focused.
I'm Angel and I am excited that you found my page. I am a professional counselor licensed in Pennsylvania with over 9 years of counseling experience working with individuals who struggle with eating disorders, mood disorders, trauma, physical, emotional, or sexual abuse, and addictions. I love working with individuals to find freedom and remove any obstacles that prevent living the life they have always dreamed of. My therapy style is unique, creative, individual, warm, and accepting. I treat individuals with respect, compassion, and empathy. My ability to see different perspectives enables me to meet people where they are.
I use a variety of approaches such as cognitive-behavioral, psychodynamic, narrative, eclectic, internal family systems, faith-based, dialectical behavior therapy, person-centered, and trauma-focused.
I'm Angel and I am excited that you found my page. I am a professional counselor licensed in Pennsylvania with over 9 years of counseling experience working with individuals who struggle with eating disorders, mood disorders, trauma, physical, emotional, or sexual abuse, and addictions. I love working with individuals to find freedom and remove any obstacles that prevent living the life they have always dreamed of. My therapy style is unique, creative, individual, warm, and accepting. I treat individuals with respect, compassion, and empathy. My ability to see different perspectives enables me to meet people where they are.
(272) 206-2060 View (272) 206-2060
Photo of Barbara Macleod, Licensed Professional Counselor, MA, LPC, CAACD, MAC
Barbara Macleod
Licensed Professional Counselor, MA, LPC, CAACD, MAC
Serves Area
Some treatments I have specifically trained in are EMDR ,CBT, DBT,RET, PTSD,Imago,family of origin,inner child, shame work, experiencial, etc..
As a young adult I sought out counseling to help me navigate my life's issues. It felt most beneficial when a therapist, by listening and understanding me, in a nonjudgmental, supportive and educational way, seemed to meet me where I was at both emotionally and mentally- giving me hope, the tools, the time and the motivation I needed to heal.These healing experiences gave me the desire to help others. Thus following their positive examples, I have approached everyone's treatment on an individual basis- knowing everyone is different emotionally and mentally, and are coming from different life experiences.
Some treatments I have specifically trained in are EMDR ,CBT, DBT,RET, PTSD,Imago,family of origin,inner child, shame work, experiencial, etc..
As a young adult I sought out counseling to help me navigate my life's issues. It felt most beneficial when a therapist, by listening and understanding me, in a nonjudgmental, supportive and educational way, seemed to meet me where I was at both emotionally and mentally- giving me hope, the tools, the time and the motivation I needed to heal.These healing experiences gave me the desire to help others. Thus following their positive examples, I have approached everyone's treatment on an individual basis- knowing everyone is different emotionally and mentally, and are coming from different life experiences.
(570) 216-5575 View (570) 216-5575
Photo of Molly George, Licensed Professional Counselor, MA, LPC
Molly George
Licensed Professional Counselor, MA, LPC
1 Endorsed
Online Only
Person-Centered Motivational Interviewing Cognitive Behavioral therapy (CBT) Dialectical Behavioral therapy ( DBT) Anxiety Depression Everyday stressors Family systems
Counseling can be daunting, especially when it comes to deciding whether to seek help. I understand that admitting our need for assistance can be challenging, which is why I prioritize creating a safe and comfortable space for individuals to explore their feelings and concerns.
Person-Centered Motivational Interviewing Cognitive Behavioral therapy (CBT) Dialectical Behavioral therapy ( DBT) Anxiety Depression Everyday stressors Family systems
Counseling can be daunting, especially when it comes to deciding whether to seek help. I understand that admitting our need for assistance can be challenging, which is why I prioritize creating a safe and comfortable space for individuals to explore their feelings and concerns.
(484) 276-2128 View (484) 276-2128
Photo of Amanda Knickerbocker - Better Patterns Therapy, Licensed Professional Counselor, LPC
Better Patterns Therapy
Licensed Professional Counselor, LPC
Serves Area
I use a combination of therapies, including Cognitive Behavioral Therapy, Dialectical Behavioral Therapy, and Gestalt Therapy.
I am a licensed professional counselor and have been in practice for more than 10 years. I mainly focus on anxiety, depression, and trauma. I believe that therapy should start with forming a connection between counselor and client, as well as providing and practicing coping skills during the initial session. I offer both in person and virtual therapy sessions, depending on what is best for the client. I provide daytime and evening appointments and work with my clients to the best of my ability to meet their immediate needs.
I use a combination of therapies, including Cognitive Behavioral Therapy, Dialectical Behavioral Therapy, and Gestalt Therapy.
I am a licensed professional counselor and have been in practice for more than 10 years. I mainly focus on anxiety, depression, and trauma. I believe that therapy should start with forming a connection between counselor and client, as well as providing and practicing coping skills during the initial session. I offer both in person and virtual therapy sessions, depending on what is best for the client. I provide daytime and evening appointments and work with my clients to the best of my ability to meet their immediate needs.
(570) 554-1157 View (570) 554-1157
Photo of Lauren Alicea, MA, LPC
Lauren Alicea
Verified Verified
1 Endorsed
Serves Area
Though my primary therapeutic approaches are CBT and DBT, I recognize that every person is unique, taking an integrative approach to sessions.
I aim to create a warm, nonjudgmental space where you can express your true self. By embodying authenticity in our sessions, I hope to foster an environment that allows you to safely explore your unique experiences. In session, I combine clinical expertise with a keen awareness of the systemic and societal factors that shape mental health and well-being.
Though my primary therapeutic approaches are CBT and DBT, I recognize that every person is unique, taking an integrative approach to sessions.
I aim to create a warm, nonjudgmental space where you can express your true self. By embodying authenticity in our sessions, I hope to foster an environment that allows you to safely explore your unique experiences. In session, I combine clinical expertise with a keen awareness of the systemic and societal factors that shape mental health and well-being.
(484) 699-0824 View (484) 699-0824
Photo of Stephanie Waters, LSW
Stephanie Waters
Verified Verified
Serves Area
Waitlist for new clients
Therapy approaches include; CBT, REBT, DBT, Art Therapy, Narrative Therapy, Mindfulness, Positive Psychology, Anger Management, Holistic approaches, and Yoga Therapy.
Hello and welcome to my Profile page! I am a Licensed Social Worker in Pennsylvania with a Master's Degree in Social Work from Temple University. I am a fun loving therapist that isn't afraid to give tough love when needed and/or offer a non-biased; honest truth. My ideal client is seeking change or maybe they just need a listening ear, someone that will be there for them in a time of need. Whether you are struggling with something, or just need someone to talk to. I am looking forward to helping you! We will work together, in a safe and inviting environment or via telehealth. We will find healthy coping methods that work for you.
Therapy approaches include; CBT, REBT, DBT, Art Therapy, Narrative Therapy, Mindfulness, Positive Psychology, Anger Management, Holistic approaches, and Yoga Therapy.
Hello and welcome to my Profile page! I am a Licensed Social Worker in Pennsylvania with a Master's Degree in Social Work from Temple University. I am a fun loving therapist that isn't afraid to give tough love when needed and/or offer a non-biased; honest truth. My ideal client is seeking change or maybe they just need a listening ear, someone that will be there for them in a time of need. Whether you are struggling with something, or just need someone to talk to. I am looking forward to helping you! We will work together, in a safe and inviting environment or via telehealth. We will find healthy coping methods that work for you.
(272) 444-3077 View (272) 444-3077
Photo of Elizabeth M Simmons, Clinical Social Work/Therapist, LCSW, C-DBT
Elizabeth M Simmons
Clinical Social Work/Therapist, LCSW, C-DBT
Serves Area
Though I consider myself an eclectic practitioner, I'm certified in Dialectical Behavior Therapy.
My ideal client is ready to do the work. Healing and growth can be messy and painful at times, but it's so worthwhile. I can help if you feel like you're doing mostly ok and just need someone to hold space, and I can help if you feel like you are lost and don't even know where to begin. I will teach you how to live fully in each moment, to be unapologetically and authentically you, to cope with stress and regulate your emotions more effectively, and to improve your relationships with others. It is my honor to help you toward living your best, most fulfilling life.
Though I consider myself an eclectic practitioner, I'm certified in Dialectical Behavior Therapy.
My ideal client is ready to do the work. Healing and growth can be messy and painful at times, but it's so worthwhile. I can help if you feel like you're doing mostly ok and just need someone to hold space, and I can help if you feel like you are lost and don't even know where to begin. I will teach you how to live fully in each moment, to be unapologetically and authentically you, to cope with stress and regulate your emotions more effectively, and to improve your relationships with others. It is my honor to help you toward living your best, most fulfilling life.
(717) 788-5518 View (717) 788-5518
Photo of Dr. Carly Ellman, Clinical Social Work/Therapist, PhD, LCSW, CSTS
Dr. Carly Ellman
Clinical Social Work/Therapist, PhD, LCSW, CSTS
Online Only
My interventions include use of CBT and DBT skills infused in a relational/ psychodynamic model of treatment.
I am a seasoned psychotherapist with over 17 years of experience providing assistance to clients with anxiety, depression, relationship difficulties, life transitions, trauma issues, eating disorders and postpartum depression. I work with children(5 and up), adolescents(ages 11 and up), young adults, couples, families and women. As a licensed clinical social worker I believe in focusing on all aspects of a person's well being; mental, physical, financial and social. I have a Masters degree in Social Work, Certified Shame-Informed Treatment Specialist, and pursuing PhD in Strategic Leadership and Administrative Studies.
My interventions include use of CBT and DBT skills infused in a relational/ psychodynamic model of treatment.
I am a seasoned psychotherapist with over 17 years of experience providing assistance to clients with anxiety, depression, relationship difficulties, life transitions, trauma issues, eating disorders and postpartum depression. I work with children(5 and up), adolescents(ages 11 and up), young adults, couples, families and women. As a licensed clinical social worker I believe in focusing on all aspects of a person's well being; mental, physical, financial and social. I have a Masters degree in Social Work, Certified Shame-Informed Treatment Specialist, and pursuing PhD in Strategic Leadership and Administrative Studies.
(914) 344-6239 View (914) 344-6239
Photo of Sarah Luvender-Newman - Radiance Counseling, Clinical Social Work/Therapist, LCSW
Radiance Counseling
Clinical Social Work/Therapist, LCSW
Online Only
My ideal client is interested in growth and change. I work with individuals who are seeking to better understand themselves, process their experiences, and heal from hurt. Mental health is health. Most of us have not been taught to think critically about our life experiences, emotions, and triggers, we're simply just reacting and not understanding why we're struggling. In my practice, I work with people to make connections, heal from past hurts, and understand their feelings. I specialize in working with women, but provide services to men and folks anywhere across the gender spectrum.
My ideal client is interested in growth and change. I work with individuals who are seeking to better understand themselves, process their experiences, and heal from hurt. Mental health is health. Most of us have not been taught to think critically about our life experiences, emotions, and triggers, we're simply just reacting and not understanding why we're struggling. In my practice, I work with people to make connections, heal from past hurts, and understand their feelings. I specialize in working with women, but provide services to men and folks anywhere across the gender spectrum.
(570) 608-8154 View (570) 608-8154
Photo of Brittany McNulty, Licensed Professional Counselor, MA, LPC, CADC
Brittany McNulty
Licensed Professional Counselor, MA, LPC, CADC
Kingston, PA 18704
Life can take a very unexpected turn, sometimes good and sometimes bad. You may find that life is sunshine and rainbows… then suddenly it begins to rain, and when it rains it pours. Perhaps you have felt as though your life has been full of constant thunderstorms. As your therapist, I won’t give you an umbrella, but I will stand in the rain with you. I have a passion for helping people navigate life's challenges. If you're feeling overwhelmed, stuck, or just looking for someone to talk to who can offer fresh perspectives, I’m here for you.
Life can take a very unexpected turn, sometimes good and sometimes bad. You may find that life is sunshine and rainbows… then suddenly it begins to rain, and when it rains it pours. Perhaps you have felt as though your life has been full of constant thunderstorms. As your therapist, I won’t give you an umbrella, but I will stand in the rain with you. I have a passion for helping people navigate life's challenges. If you're feeling overwhelmed, stuck, or just looking for someone to talk to who can offer fresh perspectives, I’m here for you.
(272) 261-2231 View (272) 261-2231
Photo of Brian Cook - Revive Counseling Associates LLC, Licensed Professional Counselor, LPC, NCC
Revive Counseling Associates LLC
Licensed Professional Counselor, LPC, NCC
Kingston, PA 18704
If you find yourself overwhelmed with life circumstances and struggling to find your way through, we can help! We have therapists with extensive experience in providing mental health services that can work with you to find your way to feeling back to yourself and on your best path!
If you find yourself overwhelmed with life circumstances and struggling to find your way through, we can help! We have therapists with extensive experience in providing mental health services that can work with you to find your way to feeling back to yourself and on your best path!
(272) 200-3740 View (272) 200-3740
Photo of Tiffani Gebhardt, Licensed Professional Counselor, MS, NCC, LPC
Tiffani Gebhardt
Licensed Professional Counselor, MS, NCC, LPC
1 Endorsed
Forty Fort, PA 18704
Hi there! I am a Licensed Professional Counselor in Luzerne County, PA. I completed my master's degree at Villanova University in June 2020 and have bachelor’s degrees in psychology and criminal justice from Cedar Crest College. I truly enjoy sitting down with people and having the opportunity to learn all about their unique experiences and perspectives. It is my hope to create a nurturing, welcoming environment for clients to reach each of their goals as they enter therapy. First time in therapy or looking to start again? I'd be happy to offer support as you move towards a greater sense of well-being.
Hi there! I am a Licensed Professional Counselor in Luzerne County, PA. I completed my master's degree at Villanova University in June 2020 and have bachelor’s degrees in psychology and criminal justice from Cedar Crest College. I truly enjoy sitting down with people and having the opportunity to learn all about their unique experiences and perspectives. It is my hope to create a nurturing, welcoming environment for clients to reach each of their goals as they enter therapy. First time in therapy or looking to start again? I'd be happy to offer support as you move towards a greater sense of well-being.
(272) 203-3273 View (272) 203-3273
Photo of Diana Ruhf, Licensed Professional Counselor, MA, LPC, ATR-BC
Diana Ruhf
Licensed Professional Counselor, MA, LPC, ATR-BC
Kingston, PA 18704
I am a compassionate, experienced therapist committed to providing trauma-informed care to clients navigating complex life experiences and transitions. By helping clients understand how past experiences shape their present lives, I support them in gaining insight and developing practical tools for healing, growth, and self-empowerment. I create a safe, non-judgmental environment where clients can unpack emotional impacts, building self-awareness and resilience to move forward with confidence.
I am a compassionate, experienced therapist committed to providing trauma-informed care to clients navigating complex life experiences and transitions. By helping clients understand how past experiences shape their present lives, I support them in gaining insight and developing practical tools for healing, growth, and self-empowerment. I create a safe, non-judgmental environment where clients can unpack emotional impacts, building self-awareness and resilience to move forward with confidence.
(272) 359-7514 View (272) 359-7514
Photo of Karla Aguirre, Clinical Social Work/Therapist, LSW
Karla Aguirre
Clinical Social Work/Therapist, LSW
1 Endorsed
West Pittston, PA 18643
Welcome! Therapy is much more than just "talking about your feelings". I want to help you achieve your personal goals, while feeling comfortable with the therapeutic process. My goal is to support you and to provide you with the tools and understanding you need to feel empowered and begin healing.
Welcome! Therapy is much more than just "talking about your feelings". I want to help you achieve your personal goals, while feeling comfortable with the therapeutic process. My goal is to support you and to provide you with the tools and understanding you need to feel empowered and begin healing.
(570) 361-9908 View (570) 361-9908
Photo of Kathy Reiser, Licensed Professional Counselor, MA, LPC
Kathy Reiser
Licensed Professional Counselor, MA, LPC
Kingston, PA 18704
I am a dedicated, compassionate therapist with almost twenty years of experience in the mental health field. By using a combination of treatment methods individuals are helped to change the course of their lives by enhancing their ability to manage life challenges and tap into inner potential. I have worked with clients to address depression, anxiety, resolution of past trauma, relationship issues, transition, grief, lifestyle change and weight management. In collaboration with the client, we work to develop an understanding of unhelpful behaviors that sabotage relationships and the ability to achieve life goals
I am a dedicated, compassionate therapist with almost twenty years of experience in the mental health field. By using a combination of treatment methods individuals are helped to change the course of their lives by enhancing their ability to manage life challenges and tap into inner potential. I have worked with clients to address depression, anxiety, resolution of past trauma, relationship issues, transition, grief, lifestyle change and weight management. In collaboration with the client, we work to develop an understanding of unhelpful behaviors that sabotage relationships and the ability to achieve life goals
(570) 689-8944 View (570) 689-8944
Photo of Sara Thaxton - Thaxton Wellness Center & Counseling Solutions, Licensed Professional Counselor, PhD, LPC
Thaxton Wellness Center & Counseling Solutions
Licensed Professional Counselor, PhD, LPC
2 Endorsed
Forty Fort, PA 18704
You can reach us at 570-904-7363 and get to know our therapists via our website. At THWC it's our mission to create a soothing, client-focused, healing focused environment, committed and focused on you as a whole person. With over 75 years of combined experience, our skilled and compassionate therapists offer virtual and in-person individual, couple, family, and group counseling services for all ages and concerns. Supported by years of experience and training, we will work with you to develop specific, tailored strategies, using effective approaches to help you quickly achieve and sustain results.
You can reach us at 570-904-7363 and get to know our therapists via our website. At THWC it's our mission to create a soothing, client-focused, healing focused environment, committed and focused on you as a whole person. With over 75 years of combined experience, our skilled and compassionate therapists offer virtual and in-person individual, couple, family, and group counseling services for all ages and concerns. Supported by years of experience and training, we will work with you to develop specific, tailored strategies, using effective approaches to help you quickly achieve and sustain results.
(272) 200-4675 View (272) 200-4675
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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.