Dialectical Behavior (DBT) Therapists in Seattle, WA

I use an integrative approach to therapy, using evidence-based modalities such as EMDR, Brainspotting, Internal Family Systems and DBT.
Accepting new clients 6/25. You know your job is taking its toll. Perhaps you wake up dreading another workday. Or you find yourself sad and anxious every Sunday evening. You may no longer find joy or meaning in your work. You may be doing everything you can just to keep up. It may be creeping into your home life, too. You have nothing left at the end of the day for your loved ones, or yourself. You wonder if there is an easier way. You want the fulfillment you experienced at the start of your career. You want enjoyment, rest, and relaxation in your life outside of work. I can help.
I use an integrative approach to therapy, using evidence-based modalities such as EMDR, Brainspotting, Internal Family Systems and DBT.
Accepting new clients 6/25. You know your job is taking its toll. Perhaps you wake up dreading another workday. Or you find yourself sad and anxious every Sunday evening. You may no longer find joy or meaning in your work. You may be doing everything you can just to keep up. It may be creeping into your home life, too. You have nothing left at the end of the day for your loved ones, or yourself. You wonder if there is an easier way. You want the fulfillment you experienced at the start of your career. You want enjoyment, rest, and relaxation in your life outside of work. I can help.

I draw from Cognitive Behavioral Therapy (CBT) to help identify & reshape unhelpful thought patterns, Dialectical Behavior Therapy ( DBT) to build emotional regulation & coping skills, and Trauma-Focused CBT (TF-CBT) to process and heal from past experiences.
If you're navigating the weight of trauma, PTSD, anxiety, or depression, you might feel exhausted, stuck, or simply ready for something to change. You're not alone, healing is possible. I offer a compassionate, down-to-earth approach rooted in trust, collaboration, & empathy. This isn’t about quick fixes or surface-level advice. It’s about creating a space where you feel genuinely seen & supported as you work through the hard stuff. Together, we’ll explore the layers of your story, uncover what’s been holding you back, & gently move toward relief & healing. My goal is to help you feel more like yourself again whole, & empowered.
I draw from Cognitive Behavioral Therapy (CBT) to help identify & reshape unhelpful thought patterns, Dialectical Behavior Therapy ( DBT) to build emotional regulation & coping skills, and Trauma-Focused CBT (TF-CBT) to process and heal from past experiences.
If you're navigating the weight of trauma, PTSD, anxiety, or depression, you might feel exhausted, stuck, or simply ready for something to change. You're not alone, healing is possible. I offer a compassionate, down-to-earth approach rooted in trust, collaboration, & empathy. This isn’t about quick fixes or surface-level advice. It’s about creating a space where you feel genuinely seen & supported as you work through the hard stuff. Together, we’ll explore the layers of your story, uncover what’s been holding you back, & gently move toward relief & healing. My goal is to help you feel more like yourself again whole, & empowered.

Our practice utilizes both research backed methodologies such as ACT, CBT, and DBT and takes a more client centered humanistic approach that is identity affirming, trauma informed, and honoring of one's individuality.
We have current openings for new clients in March 2025!
At Four Winds Therapy we believe that humans have the ability to awaken their highest potential and that authentic individualized therapy and collaborative support can help one to recognize their true inner goodness. Therapy with Four Winds is client centered and we believe that therapy's focus can be whatever you'd like it to be. We are here to address your mental health needs with compassion and respect. We are trauma informed and culturally aware as well as respectful to people of all backgrounds and beliefs and we operate within counseling's strict ethical guidelines.
Our practice utilizes both research backed methodologies such as ACT, CBT, and DBT and takes a more client centered humanistic approach that is identity affirming, trauma informed, and honoring of one's individuality.
We have current openings for new clients in March 2025!
At Four Winds Therapy we believe that humans have the ability to awaken their highest potential and that authentic individualized therapy and collaborative support can help one to recognize their true inner goodness. Therapy with Four Winds is client centered and we believe that therapy's focus can be whatever you'd like it to be. We are here to address your mental health needs with compassion and respect. We are trauma informed and culturally aware as well as respectful to people of all backgrounds and beliefs and we operate within counseling's strict ethical guidelines.

I consider my approach to be integrative, and have training in numerous modalities, including CBT, DBT, and ACT.
Hello! My name is Barbara and I am a licensed clinical social worker (LICSW) in the states of Washington and Oregon, with over 25 years of experience in the mental health and social work fields. I can help you navigate the emotional journey towards well-being and personal growth. You may have felt like a "black sheep"- different from others, neurodivergent, unconventional, outside the norm, quirky, on the edge, or even a bit rebellious. Or you may be someone who has followed a more direct route in the past, and now find yourself dealing with the twists and turns of life transitions. I am here to help guide you on your unique path.
I consider my approach to be integrative, and have training in numerous modalities, including CBT, DBT, and ACT.
Hello! My name is Barbara and I am a licensed clinical social worker (LICSW) in the states of Washington and Oregon, with over 25 years of experience in the mental health and social work fields. I can help you navigate the emotional journey towards well-being and personal growth. You may have felt like a "black sheep"- different from others, neurodivergent, unconventional, outside the norm, quirky, on the edge, or even a bit rebellious. Or you may be someone who has followed a more direct route in the past, and now find yourself dealing with the twists and turns of life transitions. I am here to help guide you on your unique path.

I'm Melody McKibbin, your Washington-based LMHC, with a flair for Personality Disorder treatment, Enneagram insights, and DBT strategies.
I work with individual adults ages 18 and up. As a go-to expert for personality disorders, I offer insightful assessments to unravel your unique tale. Whether it's facing off against anxiety, wading through waves of grief, or steering the ship of parenting, adoption, and fostering, I'm here to support you.
I'm Melody McKibbin, your Washington-based LMHC, with a flair for Personality Disorder treatment, Enneagram insights, and DBT strategies.
I work with individual adults ages 18 and up. As a go-to expert for personality disorders, I offer insightful assessments to unravel your unique tale. Whether it's facing off against anxiety, wading through waves of grief, or steering the ship of parenting, adoption, and fostering, I'm here to support you.

Additionally, I offer DBT and support people struggling with Cluster B Personality Disorder symptoms, typically ranging from Borderline Personality Disorder, NPD and ASPD.
I have 10 years of experience helping individuals recover from their Eating Disorders at Residential, PHP, IOP, OP and Elite Athlete (Victory Program) levels of care. I also have eight years of experience with DBT, supporting my work with individuals struggling with Cluster B Personality Disorder symptoms as well as garden variety emotional dysregulation.
Additionally, I offer DBT and support people struggling with Cluster B Personality Disorder symptoms, typically ranging from Borderline Personality Disorder, NPD and ASPD.
I have 10 years of experience helping individuals recover from their Eating Disorders at Residential, PHP, IOP, OP and Elite Athlete (Victory Program) levels of care. I also have eight years of experience with DBT, supporting my work with individuals struggling with Cluster B Personality Disorder symptoms as well as garden variety emotional dysregulation.
Supporting clients' immediate needs and concerns, often includes helping clients develop an awareness of distress signals through emotional self-regulation, which can include DBT and CBT; as well as validating and introducing a psycho-social education framework for developing coping skills.
Im glad you are here and I hope to meet you soon. I have worked as a mental health therapist for the last five years. Before that, I worked in community health as an intensive case worker working with individuals and families in diverse populations, offering therapeutic interventions for a wide range of issues, including trauma, depression, anxiety, relationship challenges, and life transitions. Throughout my 13 year career in the mental health field, I have had the privilege of supporting individuals through their most challenging moments, helping them navigate complex emotional and psychological traumas.
Supporting clients' immediate needs and concerns, often includes helping clients develop an awareness of distress signals through emotional self-regulation, which can include DBT and CBT; as well as validating and introducing a psycho-social education framework for developing coping skills.
Im glad you are here and I hope to meet you soon. I have worked as a mental health therapist for the last five years. Before that, I worked in community health as an intensive case worker working with individuals and families in diverse populations, offering therapeutic interventions for a wide range of issues, including trauma, depression, anxiety, relationship challenges, and life transitions. Throughout my 13 year career in the mental health field, I have had the privilege of supporting individuals through their most challenging moments, helping them navigate complex emotional and psychological traumas.

These may include EFT, DBT, or Somatic approaches.
People seek therapy for many reasons. Chances are that you are going through an especially difficult time. Perhaps you are seeking clarity about your identity or current place in life. You could be dealing with experiences in your past that have come back up to trouble you. You may be in a couple or multi-partner relationship that is struggling with communication and connection. You might be feeling stuck or not know which way to turn. Whatever your motivation for reaching out, I am here to hold a safe and supportive space for you as you find your way forward in life.
These may include EFT, DBT, or Somatic approaches.
People seek therapy for many reasons. Chances are that you are going through an especially difficult time. Perhaps you are seeking clarity about your identity or current place in life. You could be dealing with experiences in your past that have come back up to trouble you. You may be in a couple or multi-partner relationship that is struggling with communication and connection. You might be feeling stuck or not know which way to turn. Whatever your motivation for reaching out, I am here to hold a safe and supportive space for you as you find your way forward in life.

I appreciate evidence-based therapy practices including DBT, ACT, and CBT and seek to integrate these into our work together.
I am interested in helping individuals, couples, and families find a deeper connection and fulfillment with their interpersonal relationships and their understanding of themselves. I am currently completing a master’s degree in Couples and Family Therapy from Seattle University, after working in higher education for over 20 years. I have a previous master’s degree from Purdue University in counseling focused on working with college students.
I appreciate evidence-based therapy practices including DBT, ACT, and CBT and seek to integrate these into our work together.
I am interested in helping individuals, couples, and families find a deeper connection and fulfillment with their interpersonal relationships and their understanding of themselves. I am currently completing a master’s degree in Couples and Family Therapy from Seattle University, after working in higher education for over 20 years. I have a previous master’s degree from Purdue University in counseling focused on working with college students.

Advanced training in CBT, BT, ACT, and DBT via UW residencies.
I am a licensed clinical psychologist based in Seattle, WA. I specialize in evidence-based assessment and therapy for both children and adolescents. While I've spent much of my specialist practice at the intersection of ADHD and anxiety disorders, my generalist training has also prepared me to support those with sleep problems, depression, and adjustment issues across age groups. My evidence-based and culturally informed practice warmly welcomes individuals from underserved communities, including BIPOC, international students, and immigrants.
Advanced training in CBT, BT, ACT, and DBT via UW residencies.
I am a licensed clinical psychologist based in Seattle, WA. I specialize in evidence-based assessment and therapy for both children and adolescents. While I've spent much of my specialist practice at the intersection of ADHD and anxiety disorders, my generalist training has also prepared me to support those with sleep problems, depression, and adjustment issues across age groups. My evidence-based and culturally informed practice warmly welcomes individuals from underserved communities, including BIPOC, international students, and immigrants.

Therapeutic approaches include Person-Centered, Narrative, Dialectical, Humanistic, Existential, CBT, Strength-Based +
Congratulations, you have just found my profile on Psychology Today! I truly appreciate your choice in arriving at my profile. I am a duel credentialed clinician. Originally from Chicago, I am a Licensed Mental Health Counselor and a Certified Substance Use Disorder Professional in the State of Washington. I completed my undergraduate psychology degree at the University Of San Francisco. Master’s Degree in Clinical Psychology from Seattle University. I have been in the behavioral health field since 2007. I provide direct clinical service; intake evaluations; diagnosis; individual, group, and family psychotherapy,Psychoeducation
Therapeutic approaches include Person-Centered, Narrative, Dialectical, Humanistic, Existential, CBT, Strength-Based +
Congratulations, you have just found my profile on Psychology Today! I truly appreciate your choice in arriving at my profile. I am a duel credentialed clinician. Originally from Chicago, I am a Licensed Mental Health Counselor and a Certified Substance Use Disorder Professional in the State of Washington. I completed my undergraduate psychology degree at the University Of San Francisco. Master’s Degree in Clinical Psychology from Seattle University. I have been in the behavioral health field since 2007. I provide direct clinical service; intake evaluations; diagnosis; individual, group, and family psychotherapy,Psychoeducation

I use evidence-based methods like DBT and TF-CBT to empower the client, helping the client trust and honor their own voice.
I'm Justin Talkish, a therapist with 20 years of experience, including the last 4 years in private practice. I'm deeply devoted to helping clients rebuild their lives after trauma, grief, or loss. My therapeutic approach draws extensively from my own lived experiences, fostering a safe, supportive space where vulnerability, resilience, and healing are shared and nurtured together. I’m especially committed to serving those often overlooked in therapy, including Black Americans, LGBTQ individuals, and those impacted by religious trauma. Overcoming personal challenges, I offer unique support to those who might otherwise feel unseen.
I use evidence-based methods like DBT and TF-CBT to empower the client, helping the client trust and honor their own voice.
I'm Justin Talkish, a therapist with 20 years of experience, including the last 4 years in private practice. I'm deeply devoted to helping clients rebuild their lives after trauma, grief, or loss. My therapeutic approach draws extensively from my own lived experiences, fostering a safe, supportive space where vulnerability, resilience, and healing are shared and nurtured together. I’m especially committed to serving those often overlooked in therapy, including Black Americans, LGBTQ individuals, and those impacted by religious trauma. Overcoming personal challenges, I offer unique support to those who might otherwise feel unseen.

I have additional training in DBT, Internal Family Systems, Art Therapy, Mindfulness, and mostly work with LGBTQIA+ folks.
Hello, I am the owner and Supervisor at Creative Expressions Therapy and I have current availability (Updated March 2025). I believe the therapeutic relationship is invaluable. The systems we currently exist in, perpetuate dispiriting degrees of privilege and oppression for different bodies, which significantly impact how we relate to our selves and our community. I will support you in navigating these systems, to gain insight into the impact it has had, and identify ways to build up and protect your sense of self and improve your relationships. I value humor, equity, creativity, authenticity, and honesty in my work with clients.
I have additional training in DBT, Internal Family Systems, Art Therapy, Mindfulness, and mostly work with LGBTQIA+ folks.
Hello, I am the owner and Supervisor at Creative Expressions Therapy and I have current availability (Updated March 2025). I believe the therapeutic relationship is invaluable. The systems we currently exist in, perpetuate dispiriting degrees of privilege and oppression for different bodies, which significantly impact how we relate to our selves and our community. I will support you in navigating these systems, to gain insight into the impact it has had, and identify ways to build up and protect your sense of self and improve your relationships. I value humor, equity, creativity, authenticity, and honesty in my work with clients.

I am also trained in DBT, EMDR, and Lifespan Integration.
Sometimes feelings and behaviors become obstacles to accessing your strength. If you don't accept yourself as you are, you can't change--a paradox, but true. Self-acceptance can be difficult, especially with history of abuse, trauma, or opression in which shame/guilt become integral to your sense of self. Destructive behavior, in whatever form, has its own logic, but is understandable given your history. We cope in ways that serve to protect ourselves in childhood--serving a useful purpose back then. But now, they prevent you from having stable, close relationships and feeling an empowered sense of self.
I am also trained in DBT, EMDR, and Lifespan Integration.
Sometimes feelings and behaviors become obstacles to accessing your strength. If you don't accept yourself as you are, you can't change--a paradox, but true. Self-acceptance can be difficult, especially with history of abuse, trauma, or opression in which shame/guilt become integral to your sense of self. Destructive behavior, in whatever form, has its own logic, but is understandable given your history. We cope in ways that serve to protect ourselves in childhood--serving a useful purpose back then. But now, they prevent you from having stable, close relationships and feeling an empowered sense of self.

I have training in cognitive behavioral therapy, rational emotive behavior therapy, dialectical behavior therapy (both the original and radically open subsets), holistic health, humanistic approaches, and existential approaches.
I love getting to know clients and tailoring treatment to what they need as individuals – which usually involves borrowing from a lot of different modalities. I take a laid back approach and I love to use humor in session, but my favorite aspect of therapy is to provide a safe healing space and foster a trusting relationship.
I have training in cognitive behavioral therapy, rational emotive behavior therapy, dialectical behavior therapy (both the original and radically open subsets), holistic health, humanistic approaches, and existential approaches.
I love getting to know clients and tailoring treatment to what they need as individuals – which usually involves borrowing from a lot of different modalities. I take a laid back approach and I love to use humor in session, but my favorite aspect of therapy is to provide a safe healing space and foster a trusting relationship.

Courtney Bennett McDuffee
Counselor, MA, LMHCA, P-RDT
1 Endorsed
Online Only
Waitlist for new clients
I incorporate Radically Open Dialectical Behavioral Therapy, Mindfulness-Based Therapies, Nature Based Practices, among other embodied techniques to meet a client where they are and support their personal growth.
Every journey is unique. My person-centered, culturally conscious, approach to therapy aims to honor every individual’s personal path that leads them to today. My therapeutic method is based in Drama Therapy, emphasizing the collaborative nature of the therapeutic relationship. With Drama Therapy, we utilize story and embodiment to connect to our feelings, ourselves, and the world and relationships around us. I offer a holistic approach to therapy that leans into clients' strengths and creativity to set goals and enhance individual abilities and 'tool kits' to cope with struggles and explore new paths and potential solutions.
I incorporate Radically Open Dialectical Behavioral Therapy, Mindfulness-Based Therapies, Nature Based Practices, among other embodied techniques to meet a client where they are and support their personal growth.
Every journey is unique. My person-centered, culturally conscious, approach to therapy aims to honor every individual’s personal path that leads them to today. My therapeutic method is based in Drama Therapy, emphasizing the collaborative nature of the therapeutic relationship. With Drama Therapy, we utilize story and embodiment to connect to our feelings, ourselves, and the world and relationships around us. I offer a holistic approach to therapy that leans into clients' strengths and creativity to set goals and enhance individual abilities and 'tool kits' to cope with struggles and explore new paths and potential solutions.

My approach combines psychodynamic and attachment-based theory using practical tools as needed such as CBT and DBT.
Are you feeling adrift in life? Do you find yourself feeling trapped, anxious, or overwhelmed? Many experience loneliness, a lack of direction, and difficulties in navigating everyday challenges. If you're seeking a supportive environment to explore your emotions, break free from unproductive thought patterns and behaviors, and enhance your self-relationship, you've arrived at the right destination. I work best with those who are ready to engage in deep self-reflection and are committed to their personal growth and development. My goal is to assist you in discovering tranquility, clarity, and a sense of control in your life.
My approach combines psychodynamic and attachment-based theory using practical tools as needed such as CBT and DBT.
Are you feeling adrift in life? Do you find yourself feeling trapped, anxious, or overwhelmed? Many experience loneliness, a lack of direction, and difficulties in navigating everyday challenges. If you're seeking a supportive environment to explore your emotions, break free from unproductive thought patterns and behaviors, and enhance your self-relationship, you've arrived at the right destination. I work best with those who are ready to engage in deep self-reflection and are committed to their personal growth and development. My goal is to assist you in discovering tranquility, clarity, and a sense of control in your life.

I have been trained in EMDR, EFT/Tapping Therapy, Trauma-informed cared, and Dialectical Behavioral Therapy.
I began the counseling journey as a substance use disorder professional. I found that many suffering from addiction issues had backgrounds with mental health issues. I wanted to better assist the population with a well-rounded approach to treating the whole person.
I have been trained in EMDR, EFT/Tapping Therapy, Trauma-informed cared, and Dialectical Behavioral Therapy.
I began the counseling journey as a substance use disorder professional. I found that many suffering from addiction issues had backgrounds with mental health issues. I wanted to better assist the population with a well-rounded approach to treating the whole person.

I offer individual telehealth therapy for adults, using CBT, DBT, ACT, EMDR and TF-CBT.
I work with individual adults, particularly those from BIPOC and LGBTQ+ communities, who may be navigating grief, anxiety, depression, or life transitions. My ideal clients often face challenges related to generational trauma, cultural identity, or the stigma of mental health in their communities. They seek a safe, non-judgmental space to explore their emotions, build resilience, and enhance self-awareness. Many want culturally sensitive, trauma-informed care to overcome barriers, heal from trauma, and foster a deeper connection between their mental and physical well-being.
I offer individual telehealth therapy for adults, using CBT, DBT, ACT, EMDR and TF-CBT.
I work with individual adults, particularly those from BIPOC and LGBTQ+ communities, who may be navigating grief, anxiety, depression, or life transitions. My ideal clients often face challenges related to generational trauma, cultural identity, or the stigma of mental health in their communities. They seek a safe, non-judgmental space to explore their emotions, build resilience, and enhance self-awareness. Many want culturally sensitive, trauma-informed care to overcome barriers, heal from trauma, and foster a deeper connection between their mental and physical well-being.

Believing that therapy should be collaborative and tailored to each person's unique experiences and strengths, I draw on Cognitive Behavioral Therapy (CBT), Attachment-based therapy, and Dialectical Behavior Therapy ( DBT) depending on each client's needs and goals.
I work with adults and young adults who are navigating life transitions, managing anxiety or depression, healing from intergenerational trauma, struggling with adoption issues, or exploring identity development. My clients may experience intense emotions or face challenges in building meaningful relationships. I strive to provide a safe, compassionate space where clients can deepen their self-awareness, embrace personal growth, and create meaningful change. My approach is client-centered, relational, and non-judgmental.
Believing that therapy should be collaborative and tailored to each person's unique experiences and strengths, I draw on Cognitive Behavioral Therapy (CBT), Attachment-based therapy, and Dialectical Behavior Therapy ( DBT) depending on each client's needs and goals.
I work with adults and young adults who are navigating life transitions, managing anxiety or depression, healing from intergenerational trauma, struggling with adoption issues, or exploring identity development. My clients may experience intense emotions or face challenges in building meaningful relationships. I strive to provide a safe, compassionate space where clients can deepen their self-awareness, embrace personal growth, and create meaningful change. My approach is client-centered, relational, and non-judgmental.
See more therapy options for Seattle
Nearby Dialectical (DBT) Therapists Searches for Seattle
- Bainbridge Island
- Bellevue
- Burien
- Kenmore
- Kirkland
- Lake Forest Park
- Lynnwood
- Medina
- Mercer Island
- Seatac
- Shoreline
- Tukwila
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.