Who is DBT for?

DBT is recommended for individuals who struggle regulating their emotions and who have tried traditional therapy with little to no success. Often (but not always), these individuals have also struggled with self-harm and/or suicidal behavior.

DBT provides a powerful framework that allows clients to move forward toward building a life worth living. People who benefit from full DBT often spend a lot of time in psych wards, treatment centers, and other institutions where treatment is often adding to problems rather than helping them. Quality DBT treatment can be invaluable to individuals in these situations.

If you feel you could benefit from DBT, click the button to request an appointment with a qualified therapist.

Adult DBT Skills Class

Next module: Distress Tolerance – April 10th/11th, 2024

An 8-week DBT skills group that cycles through 3 skill modules: Distress Tolerance, Emotion Regulation, and Interpersonal Effectiveness. A 4th skill area (Mindfulness) is folded into each module. Held weekly, in-person or zoom, 2 hours.

Teen DBT Skills Class

Next module: March 28, 2024

An ongoing DBT skills class for teens. Designed to help teens work with their emotions, break out of harmful patterns, and connect them to their values. Held weekly, in-person, 1 1/2 hours.

Full DBT

Many therapists offer a “DBT-informed” approach, teaching useful skills to clients as needed. For many clients, a DBT-informed approach is great. However, a “Full DBT” program is different in that it includes more than just individual therapy. This table outlines the components (modes) of full or comprehensive DBT, along with their purpose:

ModePurpose
Weekly individual therapyEnhances client’s willingness to engage
Weekly skills group (2 hrs/wk)Enhances client’s ability and skills
Phone coaching with therapistHelps client generalize skills to real life
Regular consultation meeting for therapistEnhances therapist’s ability to help client and offers therapist support from DBT consultation team.

Four stages of treatment

Reducing life-threatening behaviors and all other behaviors that are interfering significantly with therapy and with the client’s quality of life. These “problem” behaviors are replaced with skills that are practiced and reinforced over time in session, group, and in-between sessions.

Most clients that are in need of DBT also meet the criteria for PTSD and are in need of trauma treatment after they have become sufficiently stabilized. It is expected that a client’s distress and urges for maladaptive behaviors will increase during trauma treatment, and the commitment to DBT and the work done in stage 1 provides the foundation to move through this part of treatment. 

Clients learn to more fully trust themselves and function fully in all areas of their life. 

A life worth living doesn’t have to stop at developing a functional life. Some clients choose to work with their DBT therapist in deepening their connection to purpose and to a transcendent sense of self. The focus of this stage is thriving rather than just functioning.

DBT clients typically commit to one year of treatment and often renew that commitment for a second year. Of course, this is flexible and will be negotiated between the therapist and client. If you want to talk about beginning Full DBT treatment, request a (free) consultation appointment with a qualified therapist.