Dialectical Behavior (DBT) Therapists in Grass Valley, CA

Photo of Danelle Riles, MSW, LCSW, IHP, Clinical Social Work/Therapist
Danelle Riles
Clinical Social Work/Therapist, MSW, LCSW, IHP
Verified Verified
7 Endorsed
Grass Valley, CA 95945  (Online Only)
These include: Internal Family Systems; Brainspotting; Somatic Experiencing; Attachment Focused Family Therapy; Dialectical Behavior Therapy; Emotionally Focused Therapy; Yoga Informed Therapy; Polyvagal Theory; and Art Therapy.
As a neurodiversity affirming psychotherapist and Integrative Health Practitioner, my approach to therapy is holistic in nature. Together we can learn ways to develop a deeper sense of understanding, compassion, and acceptance of yourself. I offer an eclectic approach to this work which is Jungian informed, soulful, heart-centered, and intuitive. My work with clients often includes making room for our grief and acknowledging the ways in which grief is not honored in our culture. This work is sacred to me and I am deeply honored to join my clients on their healing journey.
These include: Internal Family Systems; Brainspotting; Somatic Experiencing; Attachment Focused Family Therapy; Dialectical Behavior Therapy; Emotionally Focused Therapy; Yoga Informed Therapy; Polyvagal Theory; and Art Therapy.
As a neurodiversity affirming psychotherapist and Integrative Health Practitioner, my approach to therapy is holistic in nature. Together we can learn ways to develop a deeper sense of understanding, compassion, and acceptance of yourself. I offer an eclectic approach to this work which is Jungian informed, soulful, heart-centered, and intuitive. My work with clients often includes making room for our grief and acknowledging the ways in which grief is not honored in our culture. This work is sacred to me and I am deeply honored to join my clients on their healing journey.
(530) 441-0757 View (530) 441-0757
Photo of Lyndsy Mirasola, LCSW, Clinical Social Work/Therapist
Lyndsy Mirasola
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Grass Valley, CA 95945  (Online Only)
I also provide DBT, Solution focused and others.
EMDR trained Clinician. All of us face difficulties from time to time. You are not alone. Are you struggling with anxiety, depression, grief, relationships or trauma? Do you struggle with unwanted thoughts or feelings? Does your mind never seem to stop? Do you have trouble finding motivation? Imagine what it would feel like to have greater peace, confidence, happiness and live a meaningful life. Together, we can develop a plan to help you feel better and reach your goals. Sometimes these struggles lead to a great awakening.
I also provide DBT, Solution focused and others.
EMDR trained Clinician. All of us face difficulties from time to time. You are not alone. Are you struggling with anxiety, depression, grief, relationships or trauma? Do you struggle with unwanted thoughts or feelings? Does your mind never seem to stop? Do you have trouble finding motivation? Imagine what it would feel like to have greater peace, confidence, happiness and live a meaningful life. Together, we can develop a plan to help you feel better and reach your goals. Sometimes these struggles lead to a great awakening.
(530) 456-7473 View (530) 456-7473
Photo of Jessica Stahl, PsyD, Psychologist
Jessica Stahl
Psychologist, PsyD
Verified Verified
Grass Valley, CA 95945  (Online Only)
My approach is very eclectic and draws from a multitud of approaches including, Eye-Movement Desensitization Reprocessing (EMDR), Dialectical Behavioral Therapy ( DBT), Cognitive Behavioral Therapy (CBT), and Depth psychology.
I am a Licensed Clinical Psychologist. I am currently only offering services through Telehealth at this time. I have been in practice for 14 years. I have experience working with a wide range of psychological issues ranging from severe to mild to moderate. I work mainly with adults. My areas of interest are working with anxiety, mood disorders, grief/loss, and trauma. I have a strong foundation in ethical and legal issues and strength-based helping practices. I believe in working from a client-centered approach to promote the client's wellbeing that reflects their values, needs, and goals.
My approach is very eclectic and draws from a multitud of approaches including, Eye-Movement Desensitization Reprocessing (EMDR), Dialectical Behavioral Therapy ( DBT), Cognitive Behavioral Therapy (CBT), and Depth psychology.
I am a Licensed Clinical Psychologist. I am currently only offering services through Telehealth at this time. I have been in practice for 14 years. I have experience working with a wide range of psychological issues ranging from severe to mild to moderate. I work mainly with adults. My areas of interest are working with anxiety, mood disorders, grief/loss, and trauma. I have a strong foundation in ethical and legal issues and strength-based helping practices. I believe in working from a client-centered approach to promote the client's wellbeing that reflects their values, needs, and goals.
(530) 793-5265 View (530) 793-5265
Photo of Kayla Burge Everbloom Counseling, LCSW, Clinical Social Work/Therapist
Kayla Burge Everbloom Counseling
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Grass Valley, CA 95945
I use evidence-based practices including CBT, DBT, Play Therapy & EMDR.
Does stress and burnout keep you up at night? Are you feeling irritable, not quite yourself or constantly scrolling on your phone to numb out? Does the weight of depression or anxiety feel too overwhelming for you or your child? Know that you and your family are not alone. Let's have genuine conversations, explore practical solutions, and work together to bring peace and relief to you and your family.
I use evidence-based practices including CBT, DBT, Play Therapy & EMDR.
Does stress and burnout keep you up at night? Are you feeling irritable, not quite yourself or constantly scrolling on your phone to numb out? Does the weight of depression or anxiety feel too overwhelming for you or your child? Know that you and your family are not alone. Let's have genuine conversations, explore practical solutions, and work together to bring peace and relief to you and your family.
(530) 287-6215 View (530) 287-6215
Photo of Aurora Packard, LCSW, Clinical Social Work/Therapist
Aurora Packard
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Grass Valley, CA 95945
Specializing in ADHD, autism, depression, and anxiety, I offer a collaborative approach with CBT, DBT, and Mindfulness-Based Therapy.
Are you facing challenges related to ADHD, autism, depression, and/or anxiety? Curious about neurodiversity diagnosis? Whether it's improved coping strategies, emotional regulation, or greater self-awareness you seek, let's explore together. I invite you to embark on a collaborative journey, leveraging evidence-based approaches to navigate challenges, uncover strengths, and cultivate resilience for lasting positive change. Your path to well-being begins with understanding and empowerment; reach out to start this transformative process today.
Specializing in ADHD, autism, depression, and anxiety, I offer a collaborative approach with CBT, DBT, and Mindfulness-Based Therapy.
Are you facing challenges related to ADHD, autism, depression, and/or anxiety? Curious about neurodiversity diagnosis? Whether it's improved coping strategies, emotional regulation, or greater self-awareness you seek, let's explore together. I invite you to embark on a collaborative journey, leveraging evidence-based approaches to navigate challenges, uncover strengths, and cultivate resilience for lasting positive change. Your path to well-being begins with understanding and empowerment; reach out to start this transformative process today.
(530) 922-2467 View (530) 922-2467
Photo of James Thomas, LCSW, Clinical Social Work/Therapist
James Thomas
Clinical Social Work/Therapist, LCSW
Verified Verified
Grass Valley, CA 95945
I specialize in EMDR, CBT/ DBT and MI.
I strive to meet people where they are, to listen and understand their values, to explore and encourage them to connect to what matters most to them. My goal is to help people cultivate loving acceptance of themselves, and gain insight of how the past impacts the present, while forging an awareness that the past does not have to dictate one’s current reality. Developing a clear, nonjudgmental view of their journey allows people to work towards creating a life congruent with their values. I believe all humans have inherent worth and dignity, I believe each person can overcome the trauma and struggles they have endured or face now.
I specialize in EMDR, CBT/ DBT and MI.
I strive to meet people where they are, to listen and understand their values, to explore and encourage them to connect to what matters most to them. My goal is to help people cultivate loving acceptance of themselves, and gain insight of how the past impacts the present, while forging an awareness that the past does not have to dictate one’s current reality. Developing a clear, nonjudgmental view of their journey allows people to work towards creating a life congruent with their values. I believe all humans have inherent worth and dignity, I believe each person can overcome the trauma and struggles they have endured or face now.
(530) 444-5698 View (530) 444-5698
Photo of Darlene Marie Rizo, LPCC, CRC
Darlene Marie Rizo
Licensed Professional Clinical Counselor, LPCC, CRC
Verified Verified
Grass Valley, CA 95945
My person-centered wellness approach to therapy, incorporates Motivational Interviewing, Cognitive Behavioral Therapy (CBT), and Dialectical Behavioral Therapy ( DBT), or Eye Movement Desensitization and Reprocessing Therapy (EMDR).
My approach to therapy comes from a holistic and compassionate perspective, providing support as you move forward toward your goals. I enjoy working with adults from various cultures and backgrounds, including people who are challenged with disabilities, chronic illness, trauma, or adjusting to difficult transitions in life.
My person-centered wellness approach to therapy, incorporates Motivational Interviewing, Cognitive Behavioral Therapy (CBT), and Dialectical Behavioral Therapy ( DBT), or Eye Movement Desensitization and Reprocessing Therapy (EMDR).
My approach to therapy comes from a holistic and compassionate perspective, providing support as you move forward toward your goals. I enjoy working with adults from various cultures and backgrounds, including people who are challenged with disabilities, chronic illness, trauma, or adjusting to difficult transitions in life.
(530) 783-7083 View (530) 783-7083
Photo of Sierra Sparks - Sierra Therapy Center, LMFT
Sierra Therapy Center
LMFT
Verified Verified
1 Endorsed
Grass Valley, CA 95945
Our story: Some of the best physicians are wounded healers, those who have walked through pain and suffering themselves only to emerge on the other side to help others. We believe strongly in the human capacity to heal. Our counseling specialists work with children/teens, adults, couples and families. With sensitivity and compassion, we help you bring resolution to the struggles you are facing. Modalities range from depth therapy, IMAGO couples therapy, Brainspotting, EMDR, play therapy, addiction groups to solution focused. We are trained in a variety of different therapeutic interventions that will fit what you need.
Our story: Some of the best physicians are wounded healers, those who have walked through pain and suffering themselves only to emerge on the other side to help others. We believe strongly in the human capacity to heal. Our counseling specialists work with children/teens, adults, couples and families. With sensitivity and compassion, we help you bring resolution to the struggles you are facing. Modalities range from depth therapy, IMAGO couples therapy, Brainspotting, EMDR, play therapy, addiction groups to solution focused. We are trained in a variety of different therapeutic interventions that will fit what you need.
(530) 419-5189 View (530) 419-5189
Photo of Kara Rane Miller, Pre-Licensed Professional
Kara Rane Miller
Pre-Licensed Professional
Verified Verified
1 Endorsed
Grass Valley, CA 95945
Accepting NEW clients: I offer a light in discovering your authentic self. The innate expert in your own life who may be in the darkness now, but has the courage to find the gem within. I too have walked some difficult paths. These hard knocks have only made me gentler, kinder, wiser. Exploring the foundations of holistic health and the artistic realms of the imagination provides vast potential for humankind. In my work of assisting the rehabilitation of Birds of Prey, I also learned that to truly live takes more than the mechanics of a recovered body, but also requires that one wants to thrive. A spirit empowered to fully live.
Accepting NEW clients: I offer a light in discovering your authentic self. The innate expert in your own life who may be in the darkness now, but has the courage to find the gem within. I too have walked some difficult paths. These hard knocks have only made me gentler, kinder, wiser. Exploring the foundations of holistic health and the artistic realms of the imagination provides vast potential for humankind. In my work of assisting the rehabilitation of Birds of Prey, I also learned that to truly live takes more than the mechanics of a recovered body, but also requires that one wants to thrive. A spirit empowered to fully live.
(530) 287-6504 View (530) 287-6504
Photo of Sierra Therese Sparks, LMFT, Marriage & Family Therapist
Sierra Therese Sparks
Marriage & Family Therapist, LMFT
Verified Verified
Grass Valley, CA 95945
The best project you will ever work on is YOU (or your relationships). There is HOPE and everyone has a story. I am here to hear yours, your families, relationships or child's. I will coach you through the challenges you face with compassion and trust. I am a psychotherapist and the owner/director of Sierra Family Therapy Centers in Nevada County. I work with couples, individuals and troubled teens/children. My approach is strength-based, providing support and feedback to my clients in order to help gain insight towards improving your life.
The best project you will ever work on is YOU (or your relationships). There is HOPE and everyone has a story. I am here to hear yours, your families, relationships or child's. I will coach you through the challenges you face with compassion and trust. I am a psychotherapist and the owner/director of Sierra Family Therapy Centers in Nevada County. I work with couples, individuals and troubled teens/children. My approach is strength-based, providing support and feedback to my clients in order to help gain insight towards improving your life.
(530) 419-5818 View (530) 419-5818
Photo of Lovie Bucknell, MA, LMFT, Marriage & Family Therapist
Lovie Bucknell
Marriage & Family Therapist, MA, LMFT
Verified Verified
1 Endorsed
Grass Valley, CA 95945
You don't have to go this alone! I approach my clients with authenticity, non-judgement, and compassion. The issues that I would be honored to support you with include: depression; anxiety; working through trauma; grief/loss; major life transitions; self-discovery; exploring/cultivating creativity; exploring cultural identities; creating satisfying relationships; and understanding and resolving conflicts in family relationships. I integrate various theories and approaches based on your particular goals. Our work together can be exploratory or action oriented: focusing on the past, the present or the future; long or short term.
You don't have to go this alone! I approach my clients with authenticity, non-judgement, and compassion. The issues that I would be honored to support you with include: depression; anxiety; working through trauma; grief/loss; major life transitions; self-discovery; exploring/cultivating creativity; exploring cultural identities; creating satisfying relationships; and understanding and resolving conflicts in family relationships. I integrate various theories and approaches based on your particular goals. Our work together can be exploratory or action oriented: focusing on the past, the present or the future; long or short term.
(530) 797-4077 View (530) 797-4077
Photo of Elizabeth Smith, MS, LMFT, Marriage & Family Therapist
Elizabeth Smith
Marriage & Family Therapist, MS, LMFT
Verified Verified
1 Endorsed
Grass Valley, CA 95945
I offer confidential psychotherapy to adults, adolescents, and children in a compassionate, safe and nonjudgmental environment. My approach to therapy is client-centered, collaborative, and strength-based. It is my belief that we are all unique and one approach does not fit all. I enjoy helping my clients in a broad range of issues, including anxiety, depression, trauma, grief and loss, co-dependency, relationship concerns, parenting, and adoption/foster-care issues. I consider it a privilege to come alongside and support individuals and families as they navigate life's many challenges and joys.
I offer confidential psychotherapy to adults, adolescents, and children in a compassionate, safe and nonjudgmental environment. My approach to therapy is client-centered, collaborative, and strength-based. It is my belief that we are all unique and one approach does not fit all. I enjoy helping my clients in a broad range of issues, including anxiety, depression, trauma, grief and loss, co-dependency, relationship concerns, parenting, and adoption/foster-care issues. I consider it a privilege to come alongside and support individuals and families as they navigate life's many challenges and joys.
(530) 771-6484 View (530) 771-6484
Photo of Darryl Quinn, PhD, Psychologist
Darryl Quinn
Psychologist, PhD
Verified Verified
Grass Valley, CA 95945
Waitlist for new clients
I would be honored to help you in self-discovery and change. It takes a lot of courage to travel down that path. I often can intuit the key issues underlying a person’s suffering, which are often relational-both within ourselves and with others. To be kind and yet direct, and to really see you-both as you are now and how you want to become more whole. Finding clarity, compassion, and new ways to effectively deal with problems are essential in therapy. I will help you find where you are stuck and ways to get unstuck, by changing how you process both your thoughts and feelings. I work with both adults and couples.
I would be honored to help you in self-discovery and change. It takes a lot of courage to travel down that path. I often can intuit the key issues underlying a person’s suffering, which are often relational-both within ourselves and with others. To be kind and yet direct, and to really see you-both as you are now and how you want to become more whole. Finding clarity, compassion, and new ways to effectively deal with problems are essential in therapy. I will help you find where you are stuck and ways to get unstuck, by changing how you process both your thoughts and feelings. I work with both adults and couples.
(530) 296-6757 View (530) 296-6757
Photo of Ngoc Tran, LMFT, Marriage & Family Therapist
Ngoc Tran
Marriage & Family Therapist, LMFT
Verified Verified
Grass Valley, CA 95949
Hi there, I'm Ngoc, a licensed marriage and family therapist. I am experienced in treating anxiety disorders, life transitions, relationship/marital issues, traumatic experiences, and the grief and loss process. I love utilizing my bilingual/ bicultural background and my Christian belief system while relying on my relational-intuitive-integrative approach to work on issues that are unique to individuals' lives. I work to understand individuals through the lens of Cognitive-Behavioral Therapy, Attachment-Based Theory, Psychodynamic, and Family Systems, and help them tell their stories in a God-centered way (Narrative Therapy).
Hi there, I'm Ngoc, a licensed marriage and family therapist. I am experienced in treating anxiety disorders, life transitions, relationship/marital issues, traumatic experiences, and the grief and loss process. I love utilizing my bilingual/ bicultural background and my Christian belief system while relying on my relational-intuitive-integrative approach to work on issues that are unique to individuals' lives. I work to understand individuals through the lens of Cognitive-Behavioral Therapy, Attachment-Based Theory, Psychodynamic, and Family Systems, and help them tell their stories in a God-centered way (Narrative Therapy).
(530) 296-8517 View (530) 296-8517
Photo of Alice Folger Stine, LMFT, Marriage & Family Therapist
Alice Folger Stine
Marriage & Family Therapist, LMFT
Verified Verified
Grass Valley, CA 95945
I have a quiet approach to helping clients deal with loss, anxiety, and weathering transitions. I have been a licensed MFT for 35 years. In addition to treating those in locked psychiatric hospitals, I was the clinical director for two different residential treatment programs for over 25 years and have supervised over 100 interns.
I have a quiet approach to helping clients deal with loss, anxiety, and weathering transitions. I have been a licensed MFT for 35 years. In addition to treating those in locked psychiatric hospitals, I was the clinical director for two different residential treatment programs for over 25 years and have supervised over 100 interns.
(530) 665-8582 View (530) 665-8582
Photo of Donita King, MA,  LMFT, Marriage & Family Therapist
Donita King
Marriage & Family Therapist, MA, LMFT
Verified Verified
Grass Valley, CA 95945
Hello and welcome! As a licensed Marriage and Family Psychotherapist I provide an empathetic and trusting space to share your concerns. Working together we will uncover blocks to peace and contentment, identify and build upon strengths, alleviate symptoms, build more satisfying relationships and move towards bringing balance to your life. I have worked in community mental health for adults, schools and mental health clinics for children, adolescents and their families and have treated a wide range of disorders including-grief and loss, depression, anxiety, addiction, trauma, divorce, relational issues, child behavior issues and parenting.
Hello and welcome! As a licensed Marriage and Family Psychotherapist I provide an empathetic and trusting space to share your concerns. Working together we will uncover blocks to peace and contentment, identify and build upon strengths, alleviate symptoms, build more satisfying relationships and move towards bringing balance to your life. I have worked in community mental health for adults, schools and mental health clinics for children, adolescents and their families and have treated a wide range of disorders including-grief and loss, depression, anxiety, addiction, trauma, divorce, relational issues, child behavior issues and parenting.
(530) 771-6410 View (530) 771-6410
Photo of Steve Navisky - Support and Solutions, Steve Navisky, LMFT, MA, LMFT, Marriage & Family Therapist
Support and Solutions, Steve Navisky, LMFT
Marriage & Family Therapist, MA, LMFT
Verified Verified
Grass Valley, CA 95945  (Online Only)
PERSONAL STATEMENT Clear communication, taking risks and responsibility for one's actions and feelings, allow natural, self-healing resources to emerge from within us. Clients are encouraged to face fear and pain, live in the present moment, and not retreat into the past; thus, finding strength, courage and trust, leading to wholeness. A belief in a POWER, greater than our smaller selves, connects us to our healthier and truer SELF. This is a key factor in the healing process. We have experienced this greater SELF, often in times of great trial and/or great joy. It works!
PERSONAL STATEMENT Clear communication, taking risks and responsibility for one's actions and feelings, allow natural, self-healing resources to emerge from within us. Clients are encouraged to face fear and pain, live in the present moment, and not retreat into the past; thus, finding strength, courage and trust, leading to wholeness. A belief in a POWER, greater than our smaller selves, connects us to our healthier and truer SELF. This is a key factor in the healing process. We have experienced this greater SELF, often in times of great trial and/or great joy. It works!
(530) 588-0988 View (530) 588-0988
Photo of Jenna Lauren Artaz, LMFT, Marriage & Family Therapist
Jenna Lauren Artaz
Marriage & Family Therapist, LMFT
Verified Verified
Grass Valley, CA 95945  (Online Only)
Our work together may include coaching, education, homework, meditative practices or breath work, movement, art therapy, and frank communication. I will meet you with compassion, empathy, warmth, and commitment. At times I will challenge your perceptions and assumptions, and offer different perspectives, as a way to increase the many wonderful benefits of therapy. Therapy is a valuable tool in making positive changes, and I am excited to be on this journey with you!
Our work together may include coaching, education, homework, meditative practices or breath work, movement, art therapy, and frank communication. I will meet you with compassion, empathy, warmth, and commitment. At times I will challenge your perceptions and assumptions, and offer different perspectives, as a way to increase the many wonderful benefits of therapy. Therapy is a valuable tool in making positive changes, and I am excited to be on this journey with you!
(530) 203-6279 View (530) 203-6279
Photo of Karlie Youngblood, LMFT, Marriage & Family Therapist
Karlie Youngblood
Marriage & Family Therapist, LMFT
Verified Verified
1 Endorsed
Grass Valley, CA 95949  (Online Only)
Imagine seeking deeper meaning in your life, grappling with unresolved trauma, inner conflicts, and a longing for personal growth. You yearn for self-empowerment, liberation from past burdens, and a path to your own sovereignty.
Imagine seeking deeper meaning in your life, grappling with unresolved trauma, inner conflicts, and a longing for personal growth. You yearn for self-empowerment, liberation from past burdens, and a path to your own sovereignty.
(530) 207-8569 View (530) 207-8569
Photo of Jessi Blank, LPCC
Jessi Blank
Licensed Professional Clinical Counselor, LPCC
Verified Verified
2 Endorsed
Grass Valley, CA 95945  (Online Only)
I want to applaud you for the courageous act of saying “Yes” to yourself by seeking out professional support. While this can be a necessary step in the journey towards healing, I recognize for many of us, it can be an intimidating ( and even scary) step, to say the least. Whether it's the feeling of anxiety overtaking you, depression debilitating you, or just the stresses of life overwhelming you, you are not alone! My hope is to create a safe space for your emotional pain and help you not only get "unstuck", but to explore together how you got derailed in the first place.
I want to applaud you for the courageous act of saying “Yes” to yourself by seeking out professional support. While this can be a necessary step in the journey towards healing, I recognize for many of us, it can be an intimidating ( and even scary) step, to say the least. Whether it's the feeling of anxiety overtaking you, depression debilitating you, or just the stresses of life overwhelming you, you are not alone! My hope is to create a safe space for your emotional pain and help you not only get "unstuck", but to explore together how you got derailed in the first place.
(323) 522-2302 View (323) 522-2302
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Dialectical Behavior (DBT) Therapists

Who is DBT for?

Dialectical Behavior Therapy (DBT) is designed for people who experience extreme emotional suffering because they lack the skills of emotion regulation and distress tolerance. The basic affliction can underlie a wide range of conditions, from borderline and other personality disorders to PTSD and treatment-resistant anxiety and depression. The therapy is helpful to those whose emotional reactivity is so intense it is disruptive to everyday functioning and leads to frequent crises.

Why do people need DBT?

The ability to regulate emotions is a core psychological skill that enables people to function in life and pay attention to the world outside themselves; it is consistently associated with well-being. DBT is designed to help people learn how to manage and regulate their emotions. Originally developed to treat people with borderline personality disorder whose extreme emotional suffering led to self-harming behavior and suicide attempts, the therapy is now applied to other conditions involving emotion dysregulation, particularly when other treatments have failed.

What happens in DBT?

Individuals meet weekly with their therapist to discuss their experiences relating to moods, behavior, and skills. Using checklists they maintain, they review emotional experiences and positive practices they engage in. The diaries help individuals discern what led up to a specific problem encountered, this is followed by discussion of the consequences of their actions. In addition, individuals may meet in class-like small groups to learn skills such as mindfulness, emotion regulation and distress tolerance.

How long does DBT last?

Because it is intended to establish long-lasting behavioral change among those with persistent problems, DBT is designed to last six months to a year. DBT includes both weekly sessions of individual therapy and weekly skills-training sessions conducted in small groups. Studies of DBT have documented improvement within a year of treatment, particularly in controlling self-harmful behavior; nevertheless, individuals may require therapy for several years.