Dialectical Behavior (DBT) Therapists in Abbotsford, BC
When appropriate, I pull from the following approaches: cognitive-behavioral therapy, dialectical-behavioural therapy, solution-focused therapy, emotion-focused family therapy, narrative therapy, and EMDR.
Welcome! I am so happy that you dropped by to view my profile. I hope that you will see through the various information that my strong desire is to connect with each individual to create a safe space for you to talk about your struggles, needs, and goals for counselling. My approach is client-centered and driven by you, the client. My hope is to come alongside to support and empower you to become the best version of yourself - owning your story (past, present, and future).
When appropriate, I pull from the following approaches: cognitive-behavioral therapy, dialectical-behavioural therapy, solution-focused therapy, emotion-focused family therapy, narrative therapy, and EMDR.
Welcome! I am so happy that you dropped by to view my profile. I hope that you will see through the various information that my strong desire is to connect with each individual to create a safe space for you to talk about your struggles, needs, and goals for counselling. My approach is client-centered and driven by you, the client. My hope is to come alongside to support and empower you to become the best version of yourself - owning your story (past, present, and future).
Jennifer has experience with trauma informed therapy, humanistic therapy, dialectical behaviour therapy, cognitive behavioural therapy, acceptance and commitment therapy, and more.
Jennifer has supported and walked a long side many clients with a variety of challenges and/or goals. It is Jennifer's passion to help others work towards their ideal self while being compassionate and accepting of where they currently are. The client chooses what they would like to focus on while Jennifer supports them on this journey.
Jennifer has experience with trauma informed therapy, humanistic therapy, dialectical behaviour therapy, cognitive behavioural therapy, acceptance and commitment therapy, and more.
Jennifer has supported and walked a long side many clients with a variety of challenges and/or goals. It is Jennifer's passion to help others work towards their ideal self while being compassionate and accepting of where they currently are. The client chooses what they would like to focus on while Jennifer supports them on this journey.
I take a client-centred approach that enables us to collaborate on your goals for your journey while using my skills in EMDR, ACT, DBT and other therapeutic modalities.
We all have a story unique to our lived experiences, and I strive to provide a space for each person to feel safe and empowered. Our stories deserve to be heard with compassion and respect and without judgment or assumptions. When we feel safe, we can open up and allow ourselves to be seen, which takes courage. Working in the field of substance use for the past twelve years has allowed me to witness the strength, resiliency, and ability to heal that is in each of us.
I take a client-centred approach that enables us to collaborate on your goals for your journey while using my skills in EMDR, ACT, DBT and other therapeutic modalities.
We all have a story unique to our lived experiences, and I strive to provide a space for each person to feel safe and empowered. Our stories deserve to be heard with compassion and respect and without judgment or assumptions. When we feel safe, we can open up and allow ourselves to be seen, which takes courage. Working in the field of substance use for the past twelve years has allowed me to witness the strength, resiliency, and ability to heal that is in each of us.
With over 20 years of counseling experience, I specialize in trauma-informed interventions such as DBT, Psycho-correction, Art Therapy, and Drama therapy.
Життя — це подорож, і на цій дорозі ми стикаємося з різними викликами, невизначеністю та моментами глибоких змін. Саме в такі часи наявність підтримуючої професійної допомоги - може змінити все. Я тут, щоб бути вашим провідником, партнером та психологом. Я щаслива поділитися з вами своїм двадцятирічним досвідом психотерапії , коучингу та менторства. Безліч разів я була свідком неймовірної внутрішньої сили , стійкості та глибинного самопізнання. Уявіть собі простір, де ви можете досліджувати свої найпотаємніші думки, долати перешкоди та уявляти майбутнє, наповнене зростанням і самореалізацією.
With over 20 years of counseling experience, I specialize in trauma-informed interventions such as DBT, Psycho-correction, Art Therapy, and Drama therapy.
Життя — це подорож, і на цій дорозі ми стикаємося з різними викликами, невизначеністю та моментами глибоких змін. Саме в такі часи наявність підтримуючої професійної допомоги - може змінити все. Я тут, щоб бути вашим провідником, партнером та психологом. Я щаслива поділитися з вами своїм двадцятирічним досвідом психотерапії , коучингу та менторства. Безліч разів я була свідком неймовірної внутрішньої сили , стійкості та глибинного самопізнання. Уявіть собі простір, де ви можете досліджувати свої найпотаємніші думки, долати перешкоди та уявляти майбутнє, наповнене зростанням і самореалізацією.
Neil Mercer Counselling Services
Counsellor, MA, RCC
Verified Verified
1 Endorsed
Abbotsford, BC V2S
I work primarily with adults, adolescents and families; specifically in the areas of mental health, addictions and relationship issues. I also see a lot of couples dealing with various conflicts and attachment injuries. I have experience working with anxiety, depression, bipolar disorder, psychosis and personality disorders. I also have experience working with addictions (both chemical and process addictions). I have specialization in EMDR for trauma, EFT and Gottman couples therapy, Dialectical Behaviour Therapy, and Emotionally Focussed Family Therapy among others.
I work primarily with adults, adolescents and families; specifically in the areas of mental health, addictions and relationship issues. I also see a lot of couples dealing with various conflicts and attachment injuries. I have experience working with anxiety, depression, bipolar disorder, psychosis and personality disorders. I also have experience working with addictions (both chemical and process addictions). I have specialization in EMDR for trauma, EFT and Gottman couples therapy, Dialectical Behaviour Therapy, and Emotionally Focussed Family Therapy among others.
Devinder Dhaliwal
Clinical Social Work/Therapist, BSW, MSW, RSW
Verified Verified
Abbotsford, BC V2T
I offer CBT, DBT, EFT and I am currently training in EMDR.
Are you struggling with addictions, anger, anxiety or relationship concerns that affects ability to function? Do you feel depressed or overwhelmed by the challenges happening in your life at the moment? Now more than ever people are feeling uncertain and overwhelmed about finding their place in life. I believe that everyone has the opportunity to improve their mental and emotional state with the right guidance. My aim is to provide you with the tools and strategies required to meet and then to exceed your personal and wellness goals.
I offer CBT, DBT, EFT and I am currently training in EMDR.
Are you struggling with addictions, anger, anxiety or relationship concerns that affects ability to function? Do you feel depressed or overwhelmed by the challenges happening in your life at the moment? Now more than ever people are feeling uncertain and overwhelmed about finding their place in life. I believe that everyone has the opportunity to improve their mental and emotional state with the right guidance. My aim is to provide you with the tools and strategies required to meet and then to exceed your personal and wellness goals.
Yanez Koenig Counselling
Registered Psychotherapist, MA, RCC
Verified Verified
4 Endorsed
Abbotsford, BC V3G
I use a variety empirically-based interventions such as CBT, EMDR, Dialectical Behavioural Therapy, and Emotion Focused Family Therapy.
I have a strong passion for helping people and I believe that people have the potential for growth and change. I am committed to helping you discover and develop your inner strengths in order to help overcome any challenges that you may be facing. I understand that one of the most important parts of therapy is trust and therefore I work hard to build a strong alliance with my clients.
I use a variety empirically-based interventions such as CBT, EMDR, Dialectical Behavioural Therapy, and Emotion Focused Family Therapy.
I have a strong passion for helping people and I believe that people have the potential for growth and change. I am committed to helping you discover and develop your inner strengths in order to help overcome any challenges that you may be facing. I understand that one of the most important parts of therapy is trust and therefore I work hard to build a strong alliance with my clients.
Through a client-centered approach, I integrate evidence-based therapies such as Emotion-Focused Family Therapy, Cognitive Behaviour Therapy, Exposure and Response Prevention, Acceptance and Commitment Therapy, and Dialectical Behaviour Therapy.
Hello, I'm Emily, a Registered Clinical Counsellor working with teens (13+) and adults. I’m dedicated to empowering individuals as they navigate the complexities of anxiety and related disorders like OCD and OCPD, or those feeling like their perfectionism is interfering with their quality of life. My passion is helping guide my clients towards living authentically, embracing their true selves, and aligning their actions with their core values, rather than seeking external validation, and succumbing to people-pleasing, or compulsive behaviors.
Through a client-centered approach, I integrate evidence-based therapies such as Emotion-Focused Family Therapy, Cognitive Behaviour Therapy, Exposure and Response Prevention, Acceptance and Commitment Therapy, and Dialectical Behaviour Therapy.
Hello, I'm Emily, a Registered Clinical Counsellor working with teens (13+) and adults. I’m dedicated to empowering individuals as they navigate the complexities of anxiety and related disorders like OCD and OCPD, or those feeling like their perfectionism is interfering with their quality of life. My passion is helping guide my clients towards living authentically, embracing their true selves, and aligning their actions with their core values, rather than seeking external validation, and succumbing to people-pleasing, or compulsive behaviors.
I integrate Self-Compassion, Internal Family Systems, Eye Movement Desensitization and Reprocessing, Emotion Focused Therapy, Dialectical Behaviour Therapy, and Cognitive Behavioural Therapy into my practice.
I work with individuals in-person in Abbotsford BC, and virtually for those in all of BC. If you are someone who is experiencing anxiety, depression, difficulties with life changes, self-worth, relationships, emotion regulation, personal development, or setting boundaries, counselling may be a helpful resource for you. I work specifically with female and LGBTQIA+ community youth ages 17+ and female adults in individual therapy. You can expect a person-centered approach in counselling sessions with me, which means there is an understanding that you are the expert of your own experience and we can work together to find a path forward.
I integrate Self-Compassion, Internal Family Systems, Eye Movement Desensitization and Reprocessing, Emotion Focused Therapy, Dialectical Behaviour Therapy, and Cognitive Behavioural Therapy into my practice.
I work with individuals in-person in Abbotsford BC, and virtually for those in all of BC. If you are someone who is experiencing anxiety, depression, difficulties with life changes, self-worth, relationships, emotion regulation, personal development, or setting boundaries, counselling may be a helpful resource for you. I work specifically with female and LGBTQIA+ community youth ages 17+ and female adults in individual therapy. You can expect a person-centered approach in counselling sessions with me, which means there is an understanding that you are the expert of your own experience and we can work together to find a path forward.
I focus on Emotion-Focused Family Therapy, Cognitive behavioral therapy, and Dialectical Behavioral Therapy.
Each of us hold the answers and the strength needed to navigate even the most difficult circumstances. Still, we may benefit from support in uncovering this inner strength and the solutions within it. I work with adults, youth and families to address traumas still held in the body/mind, anxiety, depression, self-discovery and relationships. My passion is working with families. I focus on the power of emotion and attachment and their role in the well being of families and the emotional development of children. My goal will be to support you in building healthier relationships that can survive difficult experiences in the future.
I focus on Emotion-Focused Family Therapy, Cognitive behavioral therapy, and Dialectical Behavioral Therapy.
Each of us hold the answers and the strength needed to navigate even the most difficult circumstances. Still, we may benefit from support in uncovering this inner strength and the solutions within it. I work with adults, youth and families to address traumas still held in the body/mind, anxiety, depression, self-discovery and relationships. My passion is working with families. I focus on the power of emotion and attachment and their role in the well being of families and the emotional development of children. My goal will be to support you in building healthier relationships that can survive difficult experiences in the future.
I utilize a DBT, Person Centred, and trauma focused modality.
I enjoy working with all persons; however, I have found that working with men between the ages of 18-65 to be some of my most fulfilling work. From my experience, many men struggle in silence with their mental health and often find it difficult to discuss what is bothering them. I aim to help these men open up the doors to their experiences and help navigate with them the inner workings of what is distressing. When we have built a safe connection vulnerable sharing can begin. It beings me tremendous joy to watch the transformation of my client when they begin to accept themselves for who they are!
I utilize a DBT, Person Centred, and trauma focused modality.
I enjoy working with all persons; however, I have found that working with men between the ages of 18-65 to be some of my most fulfilling work. From my experience, many men struggle in silence with their mental health and often find it difficult to discuss what is bothering them. I aim to help these men open up the doors to their experiences and help navigate with them the inner workings of what is distressing. When we have built a safe connection vulnerable sharing can begin. It beings me tremendous joy to watch the transformation of my client when they begin to accept themselves for who they are!
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I am also trained in Dialectical Behavior Therapy and Eye Movement Desensitization Reprocessing to treat trauma.
Are you ready to process traumatic experiences and cross the bridge to a healthier you? Some of these experiences may be chronic pain, phobias, flashbacks, nightmares, obsessions, depression and anxiety. Decades ago, when I entered my therapist's office the first time, I was skeptical and nervous wondering how talking with a stranger would help me feel better. Surprisingly, I was able to understand the complexities of my issues and experience life in more meaningful ways. I am dedicated to help you break free from the experiences that are holding you back and develop resilience to live a fulfilling life.
I am also trained in Dialectical Behavior Therapy and Eye Movement Desensitization Reprocessing to treat trauma.
Are you ready to process traumatic experiences and cross the bridge to a healthier you? Some of these experiences may be chronic pain, phobias, flashbacks, nightmares, obsessions, depression and anxiety. Decades ago, when I entered my therapist's office the first time, I was skeptical and nervous wondering how talking with a stranger would help me feel better. Surprisingly, I was able to understand the complexities of my issues and experience life in more meaningful ways. I am dedicated to help you break free from the experiences that are holding you back and develop resilience to live a fulfilling life.
My person-centered approach integrates DBT and mindfulness to empower clients with valuable skills.
Are you feeling anxious or overwhelmed? Stuck in negative thought patterns? Experiencing low self-worth? Suffering from PTSD, anxiety or have a history of trauma? I believe that with strong therapeutic connection, we can explore solutions to your challenges and address historical issues and persistent patterns that you desire to change. I work collaboratively with you to build an individualized treatment plan based on your current needs, motivations and strengths. I am devoted to creating a safe and nurturing space for you to discover your inner strength, gain clarity, and cultivate a positive mindset for lasting personal growth.
My person-centered approach integrates DBT and mindfulness to empower clients with valuable skills.
Are you feeling anxious or overwhelmed? Stuck in negative thought patterns? Experiencing low self-worth? Suffering from PTSD, anxiety or have a history of trauma? I believe that with strong therapeutic connection, we can explore solutions to your challenges and address historical issues and persistent patterns that you desire to change. I work collaboratively with you to build an individualized treatment plan based on your current needs, motivations and strengths. I am devoted to creating a safe and nurturing space for you to discover your inner strength, gain clarity, and cultivate a positive mindset for lasting personal growth.
Ruby Dhaliwal
Registered Social Worker, BSW, MA, RSW
Verified Verified
1 Endorsed
Abbotsford, BC V2T
Some therapeutic interventions I draw from include: Dialectical Behavioural Therapy ( DBT), Mindfulness & CBT (MCBT), Trauma Informed Therapy, Brief Solution-Focused Therapy, Person-Centered Therapy, and Play Therapy.
Are you struggling with overwhelming anxiety, depression, and difficulty coping with unpleasant thoughts and feelings? Are you finding that the things you once used to enjoy, such as sports/exercise, academics, art, or social interactions with others are no longer serving a purpose, like they used to? Sometimes, things may happen that are beyond our control or understanding, which may in turn affect the way we feel or behave. I believe in an integrative approach and meeting you where you are at. An overarching theme of my practice is based on you and your unique needs and strengths and helping you improve your quality of life.
Some therapeutic interventions I draw from include: Dialectical Behavioural Therapy ( DBT), Mindfulness & CBT (MCBT), Trauma Informed Therapy, Brief Solution-Focused Therapy, Person-Centered Therapy, and Play Therapy.
Are you struggling with overwhelming anxiety, depression, and difficulty coping with unpleasant thoughts and feelings? Are you finding that the things you once used to enjoy, such as sports/exercise, academics, art, or social interactions with others are no longer serving a purpose, like they used to? Sometimes, things may happen that are beyond our control or understanding, which may in turn affect the way we feel or behave. I believe in an integrative approach and meeting you where you are at. An overarching theme of my practice is based on you and your unique needs and strengths and helping you improve your quality of life.
Attachment-Informed techniques, and elements of Dialectical Behavior Therapy ( DBT) and Cognitive-Behavioral Therapy (CBT), my goal is to provide you with a comprehensive and personalized therapeutic experience.
Are you feeling exhausted or worn out from consistently putting others before yourself? Have these experiences led to heightened anxiety or lingering feelings of resentment? If so, I'm here to help. Together, we'll embark on a journey of reflection and exploration into your past experiences, allowing you to gain a deeper understanding of your own needs. I'm committed to empowering you to set healthy boundaries, fostering a sense of safety within your own body.
Attachment-Informed techniques, and elements of Dialectical Behavior Therapy ( DBT) and Cognitive-Behavioral Therapy (CBT), my goal is to provide you with a comprehensive and personalized therapeutic experience.
Are you feeling exhausted or worn out from consistently putting others before yourself? Have these experiences led to heightened anxiety or lingering feelings of resentment? If so, I'm here to help. Together, we'll embark on a journey of reflection and exploration into your past experiences, allowing you to gain a deeper understanding of your own needs. I'm committed to empowering you to set healthy boundaries, fostering a sense of safety within your own body.
My practice draws from many different modalities, such as cognitive behavioural therapy (CBT), dialectical behaviour therapy ( DBT), acceptance and commitment therapy (ACT), solution focused therapy (SFT), and I am EMDR trained.
I am a registered clinical counsellor with experience in helping people find effective mechanisms for managing life's challenges. My goal is to offer a safe therapeutic space where clients feel heard in a non-judgmental, empathetic environment. I have experience in treating many mood and personality disorders as well as helping people manage stress, anxiety, depression and grief.
My practice draws from many different modalities, such as cognitive behavioural therapy (CBT), dialectical behaviour therapy ( DBT), acceptance and commitment therapy (ACT), solution focused therapy (SFT), and I am EMDR trained.
I am a registered clinical counsellor with experience in helping people find effective mechanisms for managing life's challenges. My goal is to offer a safe therapeutic space where clients feel heard in a non-judgmental, empathetic environment. I have experience in treating many mood and personality disorders as well as helping people manage stress, anxiety, depression and grief.
I rely on evidence based approaches such as Cognitive Behavioural Therapy (CBT), Trauma-Informed CBT, Solution Focused Brief Therapy and Dialectical Behaviour Therapy.
As a counsellor I am passionate about supporting children, teens and adults, as well as couples on their life journey: past, present & future. I consider myself an attachment based, trauma-informed and adoption competent counsellor. I also have a heart for helping parents to be the parent their child needs. Providing a safe and non-judgmental space to make sense of your experiences is my primary goal. My strength-based, client-centred approach, aims to support you to: strengthen connections, enhance skills, build resilience, heal from your own experiences, and to enjoy healthy relationships.
I rely on evidence based approaches such as Cognitive Behavioural Therapy (CBT), Trauma-Informed CBT, Solution Focused Brief Therapy and Dialectical Behaviour Therapy.
As a counsellor I am passionate about supporting children, teens and adults, as well as couples on their life journey: past, present & future. I consider myself an attachment based, trauma-informed and adoption competent counsellor. I also have a heart for helping parents to be the parent their child needs. Providing a safe and non-judgmental space to make sense of your experiences is my primary goal. My strength-based, client-centred approach, aims to support you to: strengthen connections, enhance skills, build resilience, heal from your own experiences, and to enjoy healthy relationships.
Methods I use are: Cognitive Behavioural Therapy, Strength/Solution Focused Therapy, Acceptance & Commitment Therapy, EMDR (Eye Movement Desensitization and Reprocessing), DBT ( Dialectical Behavioural Therapy), Emotion Focused Therapy, and mindfulness.
I am a Registered Psychologist (since 1995) with training and experience in clinical (& forensic) psychology. I provide caring & compassionate therapy using the most effective therapies that are matched to your needs. Psychotherapy involves developing a therapeutic relationship in which you feel at ease, set goals, and choose methods to achieve these goals. People tend to overcome or manage issues after they develop understanding of what is amiss, develop motivation (if needed), learn healthy expression of emotion, and learn to examine and confront thoughts and emotions while practicing new behaviours.
Methods I use are: Cognitive Behavioural Therapy, Strength/Solution Focused Therapy, Acceptance & Commitment Therapy, EMDR (Eye Movement Desensitization and Reprocessing), DBT ( Dialectical Behavioural Therapy), Emotion Focused Therapy, and mindfulness.
I am a Registered Psychologist (since 1995) with training and experience in clinical (& forensic) psychology. I provide caring & compassionate therapy using the most effective therapies that are matched to your needs. Psychotherapy involves developing a therapeutic relationship in which you feel at ease, set goals, and choose methods to achieve these goals. People tend to overcome or manage issues after they develop understanding of what is amiss, develop motivation (if needed), learn healthy expression of emotion, and learn to examine and confront thoughts and emotions while practicing new behaviours.
, CBT, DBT and EFFT.
Are you looking for support for yourself, your family, your relationship, or your child/children? You may be certain of what you need or just have a sense of being unwell. We can work through worries and fears, low mood, anger and irritability, fatigue, poor focus, disrupted sleep (including insomnia and nightmares), life stressors and more. If you know (or suspect) that you struggle with anxiety, depression, substance use or mental illness, we can work together to meet your needs. We can tackle grief, loss and trauma, in a way that is structured (contained), at your pace and when you feel safe to do so.
, CBT, DBT and EFFT.
Are you looking for support for yourself, your family, your relationship, or your child/children? You may be certain of what you need or just have a sense of being unwell. We can work through worries and fears, low mood, anger and irritability, fatigue, poor focus, disrupted sleep (including insomnia and nightmares), life stressors and more. If you know (or suspect) that you struggle with anxiety, depression, substance use or mental illness, we can work together to meet your needs. We can tackle grief, loss and trauma, in a way that is structured (contained), at your pace and when you feel safe to do so.
I’ve received my EMDR certificate, Critical Incident Stress Management certificate, and Childhood Sexual Abuse Certificate from the Justice Institute of BC, as well as completed DBT training, Sensory Motor classes, and others.
Hi I’m Dani and I’m a Registered Clinical Counsellor and Clinical Director at Skylark Counselling! I have worked in the counselling field for over a decade and have had the pleasure of gaining hands-on experience across a wide range of topics, such as ADHD, substance use, relationships, eating disorders, anxiety/depression, and various traumas. My clients in the past have described me as an open, genuine counsellor who is honest and to-the-point. I like to approach challenges from a variety of different perspectives to work collaboratively with my clients towards solutions-focused goals.
I’ve received my EMDR certificate, Critical Incident Stress Management certificate, and Childhood Sexual Abuse Certificate from the Justice Institute of BC, as well as completed DBT training, Sensory Motor classes, and others.
Hi I’m Dani and I’m a Registered Clinical Counsellor and Clinical Director at Skylark Counselling! I have worked in the counselling field for over a decade and have had the pleasure of gaining hands-on experience across a wide range of topics, such as ADHD, substance use, relationships, eating disorders, anxiety/depression, and various traumas. My clients in the past have described me as an open, genuine counsellor who is honest and to-the-point. I like to approach challenges from a variety of different perspectives to work collaboratively with my clients towards solutions-focused goals.
See more therapy options for Abbotsford
Nearby Dialectical Behavior (DBT) Counsellors Searches for Abbotsford
- Agassiz
- Aldergrove
- Chilliwack
- Coquitlam
- Langley
- Maple Ridge
- Mission
- New Westminster
- Pitt Meadows
- Port Coquitlam
- Surrey
- White Rock
Dialectical Behavior (DBT) Counsellors
Who is DBT for?
Dialectical Behaviour 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 behaviour 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, behaviour, 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 behavioural 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 behaviour; nevertheless, individuals may require therapy for several years.