Dialectical Behavior (DBT) Therapists in Alvarado, TX

Photo of Juston Weidman-Guerrero, Licensed Professional Counselor, MS, NCC, LPC
Juston Weidman-Guerrero
Licensed Professional Counselor, MS, NCC, LPC
5 Endorsed
Online Only
I bring a person-centered approach blended with ACT and DBT to support anxiety, depression, trauma, and LGBTQIA concerns.
Are you carrying pain that others can’t see. You may feel alone, stuck in cycles of anxiety, shame, or relationship struggles that keep repeating. Often these patterns begin in environments where emotional needs weren’t fully seen or supported, leaving you in survival mode, overthinking, shutting down, or doubting yourself. Therapy can be a space to understand these patterns with compassion rather than judgment. I help adults explore the roots of these experiences and reconnect with their sense of self so they can move toward greater clarity, balance, and authenticity. I am here to help you through this in a safe space.
I bring a person-centered approach blended with ACT and DBT to support anxiety, depression, trauma, and LGBTQIA concerns.
Are you carrying pain that others can’t see. You may feel alone, stuck in cycles of anxiety, shame, or relationship struggles that keep repeating. Often these patterns begin in environments where emotional needs weren’t fully seen or supported, leaving you in survival mode, overthinking, shutting down, or doubting yourself. Therapy can be a space to understand these patterns with compassion rather than judgment. I help adults explore the roots of these experiences and reconnect with their sense of self so they can move toward greater clarity, balance, and authenticity. I am here to help you through this in a safe space.
(682) 345-8809 View (682) 345-8809
Photo of Emma Fyffe, Licensed Professional Counselor, MA, LPC
Emma Fyffe
Licensed Professional Counselor, MA, LPC
Serves Area
I work with women who feel overwhelmed by the pressure to balance career, relationships, and motherhood. Many struggle with anxiety, burnout, people-pleasing, or feeling like they’ve lost themselves while caring for everyone else. They want relief from the constant mental load, more confidence, and the ability to set boundaries without guilt. In therapy, we focus on managing anxiety, reducing overwhelm, and helping you reconnect with yourself so you can feel more calm, confident, and balanced in your daily life.
I work with women who feel overwhelmed by the pressure to balance career, relationships, and motherhood. Many struggle with anxiety, burnout, people-pleasing, or feeling like they’ve lost themselves while caring for everyone else. They want relief from the constant mental load, more confidence, and the ability to set boundaries without guilt. In therapy, we focus on managing anxiety, reducing overwhelm, and helping you reconnect with yourself so you can feel more calm, confident, and balanced in your daily life.
(979) 325-4678 View (979) 325-4678
Photo of Cynthia Hileman - The Counseling Centers at PCHAS - Waxahachie, Clinical Social Work/Therapist, LCSW-S, LCCA, LCPAA
The Counseling Centers at PCHAS - Waxahachie
Clinical Social Work/Therapist, LCSW-S, LCCA, LCPAA
Serves Area
We offer In Person and Virtual appointments for Children, Teens, Adults, and Families. Our licensed therapists can help you with issues like: Adoption or Foster Care Experiences · Anxiety or Depression · Infertility, Grief and Loss · Parenting Challenges · Relationship Concerns · Stress · Traumatic Events · and more... Problems rarely just go away on their own, and it feels exhausting to be stuck. You shouldn't have to live like that. To find relief, schedule an appointment, work with your therapist, and move forward with confidence. Offices: Waxahachie, San Antonio, and Cypress, Texas and Farmington, Missouri
We offer In Person and Virtual appointments for Children, Teens, Adults, and Families. Our licensed therapists can help you with issues like: Adoption or Foster Care Experiences · Anxiety or Depression · Infertility, Grief and Loss · Parenting Challenges · Relationship Concerns · Stress · Traumatic Events · and more... Problems rarely just go away on their own, and it feels exhausting to be stuck. You shouldn't have to live like that. To find relief, schedule an appointment, work with your therapist, and move forward with confidence. Offices: Waxahachie, San Antonio, and Cypress, Texas and Farmington, Missouri
(972) 737-7491 View (972) 737-7491
Photo of Kelsey Pecsek - Kelsey Pecsek at New Chapters Counseling, Licensed Professional Counselor Associate, MS
Kelsey Pecsek at New Chapters Counseling
Licensed Professional Counselor Associate, MS
3 Endorsed
Serves Area
Feeling stuck? Struggling with relationships, difficult life transitions, anxiety, depression, or challenges with neurodivergence? Your progress can begin when you feel truly seen, heard, and accepted—just as you are. Together, we’ll explore your story, uncover your strengths, and work toward lasting healing and growth.
Feeling stuck? Struggling with relationships, difficult life transitions, anxiety, depression, or challenges with neurodivergence? Your progress can begin when you feel truly seen, heard, and accepted—just as you are. Together, we’ll explore your story, uncover your strengths, and work toward lasting healing and growth.
(817) 396-2468 View (817) 396-2468
Photo of Heather Parks, Licensed Professional Counselor, MS, NCC
Heather Parks
Licensed Professional Counselor, MS, NCC
4 Endorsed
Serves Area
Not accepting new clients
Techniques I align with are person-centered therapy, cognitive behavior therapy, play/art-based therapy, and dialectical behavior therapy.
You go to bed at night and wake up the next morning still feeling ashamed, stuck, and afraid of not being able to reach your utmost potential. You’re harder on yourself than with others who have similiar struggles. By changing your thought process and self talk, you are then able to take action. As your therapist, we will collaborate on becoming your own best friend by creating a path in finding balance between holding yourself accountable for your own actions and beating yourself up to the point of being immobilized and isolated. My passion is walking beside you and learning ways to embrace yourself in feeling positive change.
Techniques I align with are person-centered therapy, cognitive behavior therapy, play/art-based therapy, and dialectical behavior therapy.
You go to bed at night and wake up the next morning still feeling ashamed, stuck, and afraid of not being able to reach your utmost potential. You’re harder on yourself than with others who have similiar struggles. By changing your thought process and self talk, you are then able to take action. As your therapist, we will collaborate on becoming your own best friend by creating a path in finding balance between holding yourself accountable for your own actions and beating yourself up to the point of being immobilized and isolated. My passion is walking beside you and learning ways to embrace yourself in feeling positive change.
(682) 339-9479 View (682) 339-9479

More Therapists Nearby

Photo of Meron Deldebo, Licensed Master Social Worker, LMSW
Meron Deldebo
Licensed Master Social Worker, LMSW
1 Endorsed
Arlington, TX 76006
I use a trauma-informed and evidence-based approach through modalities such as Cognitive Behavioral Therapy (CBT), Dialectical Behavioral Therapy ( DBT), Motivational Interviewing (MI), Solution-Focused Therapy (SFT), and others.
Life brings many challenges, whether you're trying to cope with the demands of day-to-day life or facing deeper, more complex concerns. I understand how overwhelming it can feel to manage the pressures of daily life while also trying to process past experiences or navigate personal struggles. Whatever your goals may be, we will work together collaboratively to reach them. I'm devoted and passionate about supporting teens and adults dealing with a variety of issues such as life transitions, multicultural concerns, communication challenges, anxiety, depression, trauma, and more.
I use a trauma-informed and evidence-based approach through modalities such as Cognitive Behavioral Therapy (CBT), Dialectical Behavioral Therapy ( DBT), Motivational Interviewing (MI), Solution-Focused Therapy (SFT), and others.
Life brings many challenges, whether you're trying to cope with the demands of day-to-day life or facing deeper, more complex concerns. I understand how overwhelming it can feel to manage the pressures of daily life while also trying to process past experiences or navigate personal struggles. Whatever your goals may be, we will work together collaboratively to reach them. I'm devoted and passionate about supporting teens and adults dealing with a variety of issues such as life transitions, multicultural concerns, communication challenges, anxiety, depression, trauma, and more.
(817) 813-6373 View (817) 813-6373
Photo of Elise Fuller, Licensed Professional Counselor, MA, LPC-S
Elise Fuller
Licensed Professional Counselor, MA, LPC-S
Online Only
I am accepting new clients via Telehealth. In-network with BCBS, UHC, Cigna, Aetna & Scott & White. Stressed? Stuck? Overwhelmed? So many of us just keep stuffing that stress down deep. We focus on the positive, we bite our lip, and we grin and bear it and it works! We do that again and again, until... it doesn't work anymore! In those moments, when you are stuck, see no solutions, or just feel too drained to do it alone, counseling can provide vital solutions and support! And, the good news is... you won't be alone! Register today and start your first session this week.
I am accepting new clients via Telehealth. In-network with BCBS, UHC, Cigna, Aetna & Scott & White. Stressed? Stuck? Overwhelmed? So many of us just keep stuffing that stress down deep. We focus on the positive, we bite our lip, and we grin and bear it and it works! We do that again and again, until... it doesn't work anymore! In those moments, when you are stuck, see no solutions, or just feel too drained to do it alone, counseling can provide vital solutions and support! And, the good news is... you won't be alone! Register today and start your first session this week.
(469) 844-2747 View (469) 844-2747
Photo of Kaitlyn Russell, Licensed Professional Counselor, LPC
Kaitlyn Russell
Licensed Professional Counselor, LPC
Online Only
I use an integrative, trauma-informed approach that includes Dialectical Behavior Therapy ( DBT), Cognitive Behavioral Therapy (CBT), attachment-focused therapy, and parts-based work.
My ideal client is someone who appears capable on the outside but feels overwhelmed, stuck, or disconnected internally. They may struggle with anxiety, depression, trauma, emotional intensity, or patterns in relationships that feel hard to change. Often, they’ve learned to push through, minimize their needs, or be self-critical, and now feel exhausted by it. They want relief, clarity, and a deeper understanding of themselves—not just coping, but meaningful, lasting change. They are seeking a space that feels safe, grounded, and honest, where they can build skills, self-trust, and a life that feels more stable and worth living.
I use an integrative, trauma-informed approach that includes Dialectical Behavior Therapy ( DBT), Cognitive Behavioral Therapy (CBT), attachment-focused therapy, and parts-based work.
My ideal client is someone who appears capable on the outside but feels overwhelmed, stuck, or disconnected internally. They may struggle with anxiety, depression, trauma, emotional intensity, or patterns in relationships that feel hard to change. Often, they’ve learned to push through, minimize their needs, or be self-critical, and now feel exhausted by it. They want relief, clarity, and a deeper understanding of themselves—not just coping, but meaningful, lasting change. They are seeking a space that feels safe, grounded, and honest, where they can build skills, self-trust, and a life that feels more stable and worth living.
(940) 326-7454 View (940) 326-7454
Photo of Jennifer E Montoya, Licensed Professional Counselor, LPC, NCC
Jennifer E Montoya
Licensed Professional Counselor, LPC, NCC
1 Endorsed
Online Only
I most often use CBT and DBT.
Sometimes life feels heavy, and we are not meant to go through it alone. As a counselor, I hope to provide a safe space for my clients to explore their feelings, discover their purpose, and make lasting improvements to their overall health. I strive to work in collaboration with clients to achieve their goals and encourage growth and congruence.
I most often use CBT and DBT.
Sometimes life feels heavy, and we are not meant to go through it alone. As a counselor, I hope to provide a safe space for my clients to explore their feelings, discover their purpose, and make lasting improvements to their overall health. I strive to work in collaboration with clients to achieve their goals and encourage growth and congruence.
(817) 646-2864 View (817) 646-2864
Photo of Blanche Penaredondo, Licensed Professional Counselor Associate, MA
Blanche Penaredondo
Licensed Professional Counselor Associate, MA
1 Endorsed
Fort Worth, TX 76116
Are you currently finding yourself caught in cycles of burnout, hopelessness, and constant worry? Are you looking for concrete solutions to change, or maybe a safe space to process the heavy emotions that come up after loss or trauma? Life can be complicated, and being human doesn’t come with a manual. My aim is to create a space where you can explore all parts of your experience without judgment, all while building self-compassion and a more supportive relationship with yourself along the way.
Are you currently finding yourself caught in cycles of burnout, hopelessness, and constant worry? Are you looking for concrete solutions to change, or maybe a safe space to process the heavy emotions that come up after loss or trauma? Life can be complicated, and being human doesn’t come with a manual. My aim is to create a space where you can explore all parts of your experience without judgment, all while building self-compassion and a more supportive relationship with yourself along the way.
(817) 592-9369 View (817) 592-9369
Photo of Adrina Humphrey, Clinical Social Work/Therapist, LCSW, MSW, SAP
Adrina Humphrey
Clinical Social Work/Therapist, LCSW, MSW, SAP
4 Endorsed
Online Only
I incorporate a range of evidence-based techniques, including Cognitive Behavioral Therapy and Dialectical Behavior Therapy, tailored specifically for you.
Breathe! Life can feel overwhelming at times, and challenges such as parenting struggles, grief, depression, anxiety, loss, relational conflict, addiction, and trauma can intensify that weight. Seeking therapeutic support offers a compassionate space and practical tools to help lift the pressure of trying to “figure it out” alone. I am committed to walking alongside adolescents and adults navigating these concerns, with experience supporting those who have faced trauma, addiction, self-harm, and suicidal thoughts. It would be my privilege to join you in exploring and healing the emotional and psychological effects of your journey.
I incorporate a range of evidence-based techniques, including Cognitive Behavioral Therapy and Dialectical Behavior Therapy, tailored specifically for you.
Breathe! Life can feel overwhelming at times, and challenges such as parenting struggles, grief, depression, anxiety, loss, relational conflict, addiction, and trauma can intensify that weight. Seeking therapeutic support offers a compassionate space and practical tools to help lift the pressure of trying to “figure it out” alone. I am committed to walking alongside adolescents and adults navigating these concerns, with experience supporting those who have faced trauma, addiction, self-harm, and suicidal thoughts. It would be my privilege to join you in exploring and healing the emotional and psychological effects of your journey.
(817) 405-9295 View (817) 405-9295
Photo of Theresa Fawvor, Clinical Social Work/Therapist, LCSW-S, Fawvor
Theresa Fawvor
Clinical Social Work/Therapist, LCSW-S, Fawvor
1 Endorsed
Serves Area
Evidence based practice rooted in research: Family Systems Person-Centered Solution Focused Brief (SFBT) Strength-Based Cognitive Processing Therapy (CPT) Certified Personality Disorder Treatment Provider (C-PD) Certified Dialectical Therapy (C- DBT) Certified Complex Trauma Professional (CCPT I & II) Case Consultation Clinical Board Approved Supervisor
I am Clinical Therapist committed to supporting individuals on their emotional healing journey. Emergency appointments accepted. My approach focuses on targeting behaviors, habits, and beliefs that disrupts one's ability to manage life roles and/or blocks personal growth and goal achievement. Consider three simple truths that I hope will add light and grace to your journey: 1. People who want the best for you want you to be your best. 2. Be a student of service and share your learnings with others. 3. Each day is a gift, practice gratitude. When individuals seek wellbeing, their learnings enrich their families and communities.
Evidence based practice rooted in research: Family Systems Person-Centered Solution Focused Brief (SFBT) Strength-Based Cognitive Processing Therapy (CPT) Certified Personality Disorder Treatment Provider (C-PD) Certified Dialectical Therapy (C- DBT) Certified Complex Trauma Professional (CCPT I & II) Case Consultation Clinical Board Approved Supervisor
I am Clinical Therapist committed to supporting individuals on their emotional healing journey. Emergency appointments accepted. My approach focuses on targeting behaviors, habits, and beliefs that disrupts one's ability to manage life roles and/or blocks personal growth and goal achievement. Consider three simple truths that I hope will add light and grace to your journey: 1. People who want the best for you want you to be your best. 2. Be a student of service and share your learnings with others. 3. Each day is a gift, practice gratitude. When individuals seek wellbeing, their learnings enrich their families and communities.
(979) 406-7159 View (979) 406-7159
Photo of Ann Dennis, Licensed Professional Counselor, LPC
Ann Dennis
Licensed Professional Counselor, LPC
Online Only
I draw from a variety of approaches—CBT, DBT, mindfulness, and solution-focused strategies—while also using person-centered, relational, and trauma-informed care.
Hello! I’m Ann Marie Dennis, a Licensed Professional Counselor with 30 years in public education, including 13 as a School Counselor. I'm passionate about helping children and families thrive. Now in private practice, I offer deeper, more personalized support to prevent crises before they start. Using CBT and Solution-Focused techniques, I’m here to help you grow and heal.
I draw from a variety of approaches—CBT, DBT, mindfulness, and solution-focused strategies—while also using person-centered, relational, and trauma-informed care.
Hello! I’m Ann Marie Dennis, a Licensed Professional Counselor with 30 years in public education, including 13 as a School Counselor. I'm passionate about helping children and families thrive. Now in private practice, I offer deeper, more personalized support to prevent crises before they start. Using CBT and Solution-Focused techniques, I’m here to help you grow and heal.
(512) 359-3108 View (512) 359-3108
Photo of Yolanda Lowery, Licensed Professional Counselor, LPC
Yolanda Lowery
Licensed Professional Counselor, LPC
Online Only
Welcome! I want to honor your courage in taking the first step toward your journey of healing and understanding yourself. I strive to create a safe, supportive space where you can feel comfortable showing up as your authentic self. I often use cognitive-behavioral therapy (CBT), which focuses on noticing and reshaping unhelpful thought patterns. This approach is practical and collaborative; you’ll learn strategies and gain knowledge that can help you feel more in control of your emotions and choices.
Welcome! I want to honor your courage in taking the first step toward your journey of healing and understanding yourself. I strive to create a safe, supportive space where you can feel comfortable showing up as your authentic self. I often use cognitive-behavioral therapy (CBT), which focuses on noticing and reshaping unhelpful thought patterns. This approach is practical and collaborative; you’ll learn strategies and gain knowledge that can help you feel more in control of your emotions and choices.
(225) 321-3982 View (225) 321-3982
Photo of Yevette B Jacques, Licensed Professional Counselor, LPC
Yevette B Jacques
Licensed Professional Counselor, LPC
Online Only
Struggling with anxiety, depression, or coping with life's challenges? I offer a supportive space to help you navigate these difficulties and work towards healing and growth. As a Licensed Professional Counselor, I specialize in anxiety, depression, and coping skills, providing compassionate care tailored to your unique experiences. Ready to take the next step? Contact me for a free 15-minute consultation to see how we can work together towards your well-being.
Struggling with anxiety, depression, or coping with life's challenges? I offer a supportive space to help you navigate these difficulties and work towards healing and growth. As a Licensed Professional Counselor, I specialize in anxiety, depression, and coping skills, providing compassionate care tailored to your unique experiences. Ready to take the next step? Contact me for a free 15-minute consultation to see how we can work together towards your well-being.
(817) 587-1458 View (817) 587-1458
Photo of Kierra Lloyd - Conscious Freedom, Clinical Social Work/Therapist, LCSW-S, RPT-S
Conscious Freedom
Clinical Social Work/Therapist, LCSW-S, RPT-S
10 Endorsed
Mansfield, TX 76063
Some of our services include parenting support, play therapy, and couples, with evidence-based approaches like CBT and DBT.
Welcome! Thank you for taking time out of your day to focus on your needs. Self-care is the best care and we are here to help you meet your desired goals. Conscious Freedom is a dynamic, diverse, and eclectic group practice. Our team includes clinical therapists, marriage and family therapists, and professional counselors working together to help our community. We focus on individuals, couples, & families with an advantage in evidence-based practices focusing on children, adolescents, trauma, depression and anxiety. We also provide services with pre-licensed therapists to offer affordable services to
Some of our services include parenting support, play therapy, and couples, with evidence-based approaches like CBT and DBT.
Welcome! Thank you for taking time out of your day to focus on your needs. Self-care is the best care and we are here to help you meet your desired goals. Conscious Freedom is a dynamic, diverse, and eclectic group practice. Our team includes clinical therapists, marriage and family therapists, and professional counselors working together to help our community. We focus on individuals, couples, & families with an advantage in evidence-based practices focusing on children, adolescents, trauma, depression and anxiety. We also provide services with pre-licensed therapists to offer affordable services to
(817) 477-6921 View (817) 477-6921
Photo of Cindi Lopez, Licensed Professional Counselor, LPC
Cindi Lopez
Licensed Professional Counselor, LPC
Online Only
In my work, I incorporate a variety of therapeutic approaches, including DBT, play and art therapies
Welcome! Life can feel overwhelming and difficult to navigate at times, especially for children and teens. Working with this population is truly my passion. My goal is to partner not only with your child or teen, but also with parents and caregivers, to help navigate life’s challenges and support the entire family in growth and healing. I bring over 34 years of experience in both social work and counseling. I earned my Master’s degree in Guidance and Counseling from Tarleton State University in 1998 and obtained my LPC license in 2003. My experience includes agency settings, residential treatment, and private practice.
In my work, I incorporate a variety of therapeutic approaches, including DBT, play and art therapies
Welcome! Life can feel overwhelming and difficult to navigate at times, especially for children and teens. Working with this population is truly my passion. My goal is to partner not only with your child or teen, but also with parents and caregivers, to help navigate life’s challenges and support the entire family in growth and healing. I bring over 34 years of experience in both social work and counseling. I earned my Master’s degree in Guidance and Counseling from Tarleton State University in 1998 and obtained my LPC license in 2003. My experience includes agency settings, residential treatment, and private practice.
(682) 356-2333 View (682) 356-2333
Photo of Ricky Walter, Licensed Professional Counselor, LPC
Ricky Walter
Licensed Professional Counselor, LPC
Cedar Hill, TX 75104
His therapeutic approach integrates Cognitive Behavioral Therapy (CBT), Dialectical Behavior Therapy ( DBT), and Christian counseling to help patients develop healthier thought patterns, strengthen emotional regulation, and build practical coping skills.
Ricky Walter helps children, adolescents, teens, adults, and seniors find stability, healing, and direction through compassionate, structured mental health counseling for individuals across Texas. At LifeStance Health, he provides individual therapy throughout TX for those navigating emotional distress, behavioral challenges, and major life disruptions, offering care that blends clinical expertise with genuine empathy. Ricky specializes in treating alcohol and drug use issues, anxiety, and PTSD/trauma.
His therapeutic approach integrates Cognitive Behavioral Therapy (CBT), Dialectical Behavior Therapy ( DBT), and Christian counseling to help patients develop healthier thought patterns, strengthen emotional regulation, and build practical coping skills.
Ricky Walter helps children, adolescents, teens, adults, and seniors find stability, healing, and direction through compassionate, structured mental health counseling for individuals across Texas. At LifeStance Health, he provides individual therapy throughout TX for those navigating emotional distress, behavioral challenges, and major life disruptions, offering care that blends clinical expertise with genuine empathy. Ricky specializes in treating alcohol and drug use issues, anxiety, and PTSD/trauma.
(469) 820-3204 View (469) 820-3204
Photo of Lauren Johnston, Licensed Professional Counselor, LPC
Lauren Johnston
Licensed Professional Counselor, LPC
Fort Worth, TX 76107
I draw from evidence-based methods such as Trauma-Focused CBT, traditional CBT, Dialectical Behavior Therapy, play therapy, family systems, and psychodynamic techniques to promote meaningful growth.
I tailor interventions to support emotional regulation, executive functioning, and self-advocacy—often working collaboratively with families to build lasting support systems. It’s an honor to walk alongside my clients as they heal and thrive.
I draw from evidence-based methods such as Trauma-Focused CBT, traditional CBT, Dialectical Behavior Therapy, play therapy, family systems, and psychodynamic techniques to promote meaningful growth.
I tailor interventions to support emotional regulation, executive functioning, and self-advocacy—often working collaboratively with families to build lasting support systems. It’s an honor to walk alongside my clients as they heal and thrive.
(817) 330-6628 View (817) 330-6628
Photo of Tracy Ray, Clinical Social Work/Therapist, LCSW, CGIP, CCTSI
Tracy Ray
Clinical Social Work/Therapist, LCSW, CGIP, CCTSI
Online Only
Do you struggle with depression, anxiety, trauma, or grief? Emotions are complex and everyone has unique needs. You do not have to face it alone, I'm here to help. My goal is to assist clients discover their purpose, self-love, and self-worth while renewing their zeal for life. My sole desire is to see clients emotionally healthy and equipped to overcome life’s obstacles.
Do you struggle with depression, anxiety, trauma, or grief? Emotions are complex and everyone has unique needs. You do not have to face it alone, I'm here to help. My goal is to assist clients discover their purpose, self-love, and self-worth while renewing their zeal for life. My sole desire is to see clients emotionally healthy and equipped to overcome life’s obstacles.
(817) 646-5372 View (817) 646-5372

See more therapy options for Alvarado

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.