Therapists in Littleton, CO
I have gone through trainings in EMDR, CBT, IFS and DBT.
Welcome! I am a Licensed Clinical Social Worker and therapist in the greater Denver area. I specialize in working with adults, adolescents, and emerging adulthood individuals dealing with trauma anxiety, depression, and various life stressors. I am passionate about a collaborative and behavior-centered approach to therapy. I believe that our minds are our most powerful tool, and that a shift in perspective can lead to great changes in life. I have experience working with those desiring help with issues related to: Trauma, Stress, Anxiety, Depression, Relationships, Parenting, Mood management, and Pre- and Postpartum issues.
I have gone through trainings in EMDR, CBT, IFS and DBT.
Welcome! I am a Licensed Clinical Social Worker and therapist in the greater Denver area. I specialize in working with adults, adolescents, and emerging adulthood individuals dealing with trauma anxiety, depression, and various life stressors. I am passionate about a collaborative and behavior-centered approach to therapy. I believe that our minds are our most powerful tool, and that a shift in perspective can lead to great changes in life. I have experience working with those desiring help with issues related to: Trauma, Stress, Anxiety, Depression, Relationships, Parenting, Mood management, and Pre- and Postpartum issues.
Thriveworks Counseling & Therapy Littleton
Clinical Social Work/Therapist
Verified Verified
Littleton, CO 80123
Popular approaches include CBT, DBT, EMDR, Christian Counseling, PCT, Motivational Interviewing, EFT, Positive Psychology, Psychodynamic therapy, Relational therapy, Narrative therapy, and more.
At Thriveworks, we're dedicated to providing top-tier mental health services that are easily accessible to everyone. With over 340 locations nationwide and flexible online therapy options, our professional therapists are equipped to assist you through any stress, life transitions, or ongoing mental health concerns. We prioritize your convenience and needs by offering flexible scheduling, including evening and weekend appointments, ensuring that you can start your therapy journey as early as this week. Plus, we accept most major insurance plans, making your path to mental health support smoother and more affordable.
Popular approaches include CBT, DBT, EMDR, Christian Counseling, PCT, Motivational Interviewing, EFT, Positive Psychology, Psychodynamic therapy, Relational therapy, Narrative therapy, and more.
At Thriveworks, we're dedicated to providing top-tier mental health services that are easily accessible to everyone. With over 340 locations nationwide and flexible online therapy options, our professional therapists are equipped to assist you through any stress, life transitions, or ongoing mental health concerns. We prioritize your convenience and needs by offering flexible scheduling, including evening and weekend appointments, ensuring that you can start your therapy journey as early as this week. Plus, we accept most major insurance plans, making your path to mental health support smoother and more affordable.
Michaela Vogt
Licensed Professional Counselor, LPC, LAC
Verified Verified
4 Endorsed
Littleton, CO 80123
Interventions are rooted in Cognitive and Dialectical Behavioral Therapies, Acceptance and Commitment Therapy, and Mindfulness and Meditation to support whole-person wellness.
Struggling to find meaning? Feeling lost, stuck, or discontent? Let's work together to overcome emotional struggles and feel masterful in your ability to reach your goals and find inner peace and happiness. Therapy doesn't have to be a chore or something to dread! I work collaboratively with my clients to find what works best for you to enhance quality of life, emotional fulfillment, and personal satisfaction. I enjoy working with adults and couples and look forward to partnering with you to reach your personal goals.
Interventions are rooted in Cognitive and Dialectical Behavioral Therapies, Acceptance and Commitment Therapy, and Mindfulness and Meditation to support whole-person wellness.
Struggling to find meaning? Feeling lost, stuck, or discontent? Let's work together to overcome emotional struggles and feel masterful in your ability to reach your goals and find inner peace and happiness. Therapy doesn't have to be a chore or something to dread! I work collaboratively with my clients to find what works best for you to enhance quality of life, emotional fulfillment, and personal satisfaction. I enjoy working with adults and couples and look forward to partnering with you to reach your personal goals.
I am trained in DBT, CBT and TA Therapy.
Welcome to the next phase of your life! My name is Phil and I am honored to be your guide in healing and transformation. I will help you heal from past traumas, overcome obstacles, manage mental health & substance abuse issues and grow to become the person you have always wanted to be. I have had the privilege of serving as a Therapist in a variety of settings for the past 20 years. I enjoy working with adolescents (12+), adults and couples. I offer individual therapy, group therapy, life coaching and video therapy.
I am trained in DBT, CBT and TA Therapy.
Welcome to the next phase of your life! My name is Phil and I am honored to be your guide in healing and transformation. I will help you heal from past traumas, overcome obstacles, manage mental health & substance abuse issues and grow to become the person you have always wanted to be. I have had the privilege of serving as a Therapist in a variety of settings for the past 20 years. I enjoy working with adolescents (12+), adults and couples. I offer individual therapy, group therapy, life coaching and video therapy.
Erika Alhashmi
Licensed Professional Counselor, LPC, LAC
Verified Verified
1 Endorsed
Littleton, CO 80127 (Online Only)
I use a blend of emotionally focused, existential, attachment, cognitive behavioral, and dialectical behavioral therapy.
First of all, congratulations for having the courage to seek help. The willingness to be vulnerable is perhaps one of the most courageous acts that we can do. Whether it's struggling with life satisfaction, health and wellness, relationships, life transitions, or managing societal pressures and expectations, I have nearly two decades of experience in helping individuals improve their quality of life. I also have years of treating various mood, depression and anxiety disorders, substance use related disorders, trauma, stress-related disorders, and grief.
I use a blend of emotionally focused, existential, attachment, cognitive behavioral, and dialectical behavioral therapy.
First of all, congratulations for having the courage to seek help. The willingness to be vulnerable is perhaps one of the most courageous acts that we can do. Whether it's struggling with life satisfaction, health and wellness, relationships, life transitions, or managing societal pressures and expectations, I have nearly two decades of experience in helping individuals improve their quality of life. I also have years of treating various mood, depression and anxiety disorders, substance use related disorders, trauma, stress-related disorders, and grief.
David Adames, MA, LPC, NCC
Licensed Professional Counselor, MA, LPC, NCC, EMDR
Verified Verified
3 Endorsed
Littleton, CO 80120
To incorporate change, I utilize unconditional positive regard along with cognitive and dialectical behavior strategies; these assist in the regulation of emotions, stress tolerance, & effective management of interpersonal conflicts.
Change is not easy; it is difficult; it takes courage. Although challenging, change is possible. In order to change, the individual must have the motivation & be given the opportunity to do so. I will work with you in a collaborative effort to improve your emotional state. My goal is to provide you with an appropriate, caring, & supportive environment where the steps towards change can become a possibility. Empathy is paramount to my practice. My theoretical orientations are primarily Cognitive-behavioral & Person-centered; although, I also use various eclectic & insight/awareness-oriented approaches.
To incorporate change, I utilize unconditional positive regard along with cognitive and dialectical behavior strategies; these assist in the regulation of emotions, stress tolerance, & effective management of interpersonal conflicts.
Change is not easy; it is difficult; it takes courage. Although challenging, change is possible. In order to change, the individual must have the motivation & be given the opportunity to do so. I will work with you in a collaborative effort to improve your emotional state. My goal is to provide you with an appropriate, caring, & supportive environment where the steps towards change can become a possibility. Empathy is paramount to my practice. My theoretical orientations are primarily Cognitive-behavioral & Person-centered; although, I also use various eclectic & insight/awareness-oriented approaches.
Sharon DeGuevara Counseling, LLC
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
1 Endorsed
Littleton, CO 80120
In addition, I incorporate DBT and mindfulness techniques and strategies to help clients learn how to live in and have a happier life.
At Sharon DeGuevara Counseling I work with adolescents, and adults providing individual, and family therapy. Areas of focus in treatment include abuse, ADHD, anxiety, depression, grief/loss, family communication, family issues, mood disorders, eating disorders, parenting, PTSD, school issues and trauma.
In addition, I incorporate DBT and mindfulness techniques and strategies to help clients learn how to live in and have a happier life.
At Sharon DeGuevara Counseling I work with adolescents, and adults providing individual, and family therapy. Areas of focus in treatment include abuse, ADHD, anxiety, depression, grief/loss, family communication, family issues, mood disorders, eating disorders, parenting, PTSD, school issues and trauma.
I am also experienced in Cognitive Behavior Therapy (CBT) and Dialectical Behavior Therapy ( DBT), which are evidence based treatments for anxiety and depression.
Life isn’t simple, in fact it can be very messy at times, but within that chaos there is always growth. I believe that with every difficulty we face, we improve our own resiliency, learn about ourselves and our reactions to stressors and can make more informed decisions moving forward. I specialize in working with trauma, depression, anxiety, mood instability, adolescent support, sexual abuse, blended families and domestic violence.
I am also experienced in Cognitive Behavior Therapy (CBT) and Dialectical Behavior Therapy ( DBT), which are evidence based treatments for anxiety and depression.
Life isn’t simple, in fact it can be very messy at times, but within that chaos there is always growth. I believe that with every difficulty we face, we improve our own resiliency, learn about ourselves and our reactions to stressors and can make more informed decisions moving forward. I specialize in working with trauma, depression, anxiety, mood instability, adolescent support, sexual abuse, blended families and domestic violence.
Dana utilizes multiple treatment approaches including cognitive behavioral therapy (CBT), motivational interviewing, dialectical behavior therapy ( DBT) techniques and skills, play therapy techniques, and solution-focused brief therapy, all from a trauma-informed and strengths-based approach.
Dana Warren is a Licensed Professional Counselor with experience helping clients of all ages with their mental health. She is passionate about addressing her client’s unique challenges and building a therapeutic relationship that allows them to thrive. Dana specializes in anxiety, depression, behavior change, anger management, relationship issues, family conflict, career development, sexualized behavior, and sexual issues. Dana did her Master of Arts in Clinical Mental Health Counseling at Adams State University.
Dana utilizes multiple treatment approaches including cognitive behavioral therapy (CBT), motivational interviewing, dialectical behavior therapy ( DBT) techniques and skills, play therapy techniques, and solution-focused brief therapy, all from a trauma-informed and strengths-based approach.
Dana Warren is a Licensed Professional Counselor with experience helping clients of all ages with their mental health. She is passionate about addressing her client’s unique challenges and building a therapeutic relationship that allows them to thrive. Dana specializes in anxiety, depression, behavior change, anger management, relationship issues, family conflict, career development, sexualized behavior, and sexual issues. Dana did her Master of Arts in Clinical Mental Health Counseling at Adams State University.
I am a CBT, EMDR, & IFS therapist who has a strong interest in Attachment, Somatic, Neuropsychology, Dialectical Behavioral therapies ( DBT), and more.
Hello! I’m AnnaLisa (“Lisa”) Morgione, MA, NCC, LPC. I am a mindfulness-based mental health counselor who uses Cognitive Behavioral Therapy (CBT), Eye Movement Desensitisation Reprocessing (EMDR), and Internal Family Systems (IFS) to compassionately attend to pain, trauma, depression, anxiety, and grieving. I currently work with individuals, ages 16 & up, and couples. My demeanor tends to be warm, gentle, and connecting. My approach is honest, respectful, and without judgment of you and the issues that are bringing you to therapy. I look forward to walking alongside you on your journey of self-care and improvement.
I am a CBT, EMDR, & IFS therapist who has a strong interest in Attachment, Somatic, Neuropsychology, Dialectical Behavioral therapies ( DBT), and more.
Hello! I’m AnnaLisa (“Lisa”) Morgione, MA, NCC, LPC. I am a mindfulness-based mental health counselor who uses Cognitive Behavioral Therapy (CBT), Eye Movement Desensitisation Reprocessing (EMDR), and Internal Family Systems (IFS) to compassionately attend to pain, trauma, depression, anxiety, and grieving. I currently work with individuals, ages 16 & up, and couples. My demeanor tends to be warm, gentle, and connecting. My approach is honest, respectful, and without judgment of you and the issues that are bringing you to therapy. I look forward to walking alongside you on your journey of self-care and improvement.
Virginia (Ginger) Inmon
Licensed Professional Counselor, LPC, NCC, MA
Verified Verified
1 Endorsed
Littleton, CO 80130
I provide psychotherapy and counseling to adults, couples and families, and have extensive training in couples work and grief therapy (including traumatic loss and loss after a suicide). I draw primarily from a Psychodynamic approach to therapy but have training in a variety of modalities, including EMDR and Brainspotting, specialized grief therapy, DBT, family systems, IFS, trauma therapy, and Imago couples therapy, so as to be able to meet my clients where they are and with what might best attend to their issues.
I provide psychotherapy and counseling to adults, couples and families, and have extensive training in couples work and grief therapy (including traumatic loss and loss after a suicide). I draw primarily from a Psychodynamic approach to therapy but have training in a variety of modalities, including EMDR and Brainspotting, specialized grief therapy, DBT, family systems, IFS, trauma therapy, and Imago couples therapy, so as to be able to meet my clients where they are and with what might best attend to their issues.
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I integrate Dialectical Behavior Therapy ( DBT) and Internal Family Systems (IFS) Therapy.
I work with individuals who are struggling with emotions (low self-esteem, anxiety, depression, anger, lack of fulfillment, and fear). Individuals may need guidance to heal effects of trauma, or may struggle with a life transition such as divorce, loss or feeling stuck. Through deep exploration, individuals gain insight into their internal world, learn to accept and love all of themselves and create a sense of balance and peace. I work with individuals to heal their deepest wounds and feel encouraged, clear, and empowered. My goal is to help each individual bring our work from session into their life.
I integrate Dialectical Behavior Therapy ( DBT) and Internal Family Systems (IFS) Therapy.
I work with individuals who are struggling with emotions (low self-esteem, anxiety, depression, anger, lack of fulfillment, and fear). Individuals may need guidance to heal effects of trauma, or may struggle with a life transition such as divorce, loss or feeling stuck. Through deep exploration, individuals gain insight into their internal world, learn to accept and love all of themselves and create a sense of balance and peace. I work with individuals to heal their deepest wounds and feel encouraged, clear, and empowered. My goal is to help each individual bring our work from session into their life.
Brittany Edwards Counseling
Licensed Professional Counselor, MA, NCC, LPC
Verified Verified
1 Endorsed
Littleton, CO 80120
EMDR, Trauma, DBT, Bipolar 2, Chronic Illness, Relationship Struggles, Spiritual development, Enneagram.
Brittany Edwards Counseling serves a wide range of cliental; with three Master trained therapists we can offer a variety of therapies and services. Our price range is from $100-$150 for individual sessions and $60 for groups. We off both in-peron and virtual sessions, and have appointment availability Mondays-Saturdays. Each clinician has been Trauma certified and DBT certified and some of our specialties include chronic illness, spiritual growth, & EMDR. Contact us to be paired with the clinician that best meets your mental health needs, your finances and your schedule. We are honored to serve you and look forward to meeting you.
EMDR, Trauma, DBT, Bipolar 2, Chronic Illness, Relationship Struggles, Spiritual development, Enneagram.
Brittany Edwards Counseling serves a wide range of cliental; with three Master trained therapists we can offer a variety of therapies and services. Our price range is from $100-$150 for individual sessions and $60 for groups. We off both in-peron and virtual sessions, and have appointment availability Mondays-Saturdays. Each clinician has been Trauma certified and DBT certified and some of our specialties include chronic illness, spiritual growth, & EMDR. Contact us to be paired with the clinician that best meets your mental health needs, your finances and your schedule. We are honored to serve you and look forward to meeting you.
Michelle Perry
Licensed Professional Counselor, LPC
Verified Verified
Littleton, CO 80120 (Online Only)
My name is Michelle Perry, and I am an LPC in Colorado. I am also licensed in Nebraska and Iowa. I specialize in trauma, life transitions, grief, depression, anxiety, and co-dependency. My approach to therapy is collaborative and I use several different approaches, depending on the needs of the client. These include, CBT, DBT, EMDR, Person Centered, and others. I often work with clients who are experiencing anxiety, depression, grief, and relationship issues. Many of my clients have experienced stressful and traumatic experiences, are grieving recent or multiple losses, or are currently going through a life transition of some kind.
My name is Michelle Perry, and I am an LPC in Colorado. I am also licensed in Nebraska and Iowa. I specialize in trauma, life transitions, grief, depression, anxiety, and co-dependency. My approach to therapy is collaborative and I use several different approaches, depending on the needs of the client. These include, CBT, DBT, EMDR, Person Centered, and others. I often work with clients who are experiencing anxiety, depression, grief, and relationship issues. Many of my clients have experienced stressful and traumatic experiences, are grieving recent or multiple losses, or are currently going through a life transition of some kind.
I utilize trauma-informed approaches, such as play-based interventions, art, somatic interventions, DBT, and CBT.
I am currently accepting new clients. Imagine a life where you are able to play, explore, and feel empowered to be exactly who you are. We exist in a world with an abundance of talent, ideas, possibilities and strengths; yet many of the current conditions stifle, exclude, and limit us. I am here to partner with you and your family to support growth through life transitions, emotional and behavioral challenges, school or work-related difficulties, childhood trauma- so that you can fully experience life's abundance.
I utilize trauma-informed approaches, such as play-based interventions, art, somatic interventions, DBT, and CBT.
I am currently accepting new clients. Imagine a life where you are able to play, explore, and feel empowered to be exactly who you are. We exist in a world with an abundance of talent, ideas, possibilities and strengths; yet many of the current conditions stifle, exclude, and limit us. I am here to partner with you and your family to support growth through life transitions, emotional and behavioral challenges, school or work-related difficulties, childhood trauma- so that you can fully experience life's abundance.
Zamira Khan
Licensed Professional Counselor Candidate, LPCC
Verified Verified
Littleton, CO 80121 (Online Only)
I primarily use cognitive-behavioral therapy (CBT) to address unhealthy thoughts and behaviors as well as DBT to help regulate and cope with emotions.
Hi, my name is Zamira! I am currently seeing individuals and couples, ages 15 and up. I have experience with anxiety disorders, life transitions, co-dependency, trauma and women’s issues. I want to help clients understand their emotions and unconscious patterns of behavior. By talking through these emotions and behaviors you can come to know yourself better and make better decisions for yourself. I use a person-centered approach to therapy which ensures that your needs are met and gives you control over our sessions.This provides you with a safe space to become more self-aware and find solutions.
I primarily use cognitive-behavioral therapy (CBT) to address unhealthy thoughts and behaviors as well as DBT to help regulate and cope with emotions.
Hi, my name is Zamira! I am currently seeing individuals and couples, ages 15 and up. I have experience with anxiety disorders, life transitions, co-dependency, trauma and women’s issues. I want to help clients understand their emotions and unconscious patterns of behavior. By talking through these emotions and behaviors you can come to know yourself better and make better decisions for yourself. I use a person-centered approach to therapy which ensures that your needs are met and gives you control over our sessions.This provides you with a safe space to become more self-aware and find solutions.
Sandra Workman, MS, LPC, LLC
Licensed Professional Counselor, MS, NCC, CCMHC, LPC, LLC
Verified Verified
Littleton, CO 80120
I am trained in Cognitive Behavioral Therapy (CBT), Dialectical Behavioral Therapy ( DBT), and utilize Solution Focused Brief Therapy and Strength-Based therapy to work with my clients.
Anxiety, depression, trauma/PTSD, mood disorders can feel confusing and painful while interrupting daily functioning. This can create struggle in our relationships, at home, work, financially. Looking for a way to navigate and manage some of the chaos life can bring without judgement is a brave first step, in making positive change! Therapy can help us become the better version of ourselves. Let's work together to identify what you would like to change or add to your life and strengthen the possibilities within. In order to better accommodate additional insurances and client preferences, I work with both Alma, and Headway.
I am trained in Cognitive Behavioral Therapy (CBT), Dialectical Behavioral Therapy ( DBT), and utilize Solution Focused Brief Therapy and Strength-Based therapy to work with my clients.
Anxiety, depression, trauma/PTSD, mood disorders can feel confusing and painful while interrupting daily functioning. This can create struggle in our relationships, at home, work, financially. Looking for a way to navigate and manage some of the chaos life can bring without judgement is a brave first step, in making positive change! Therapy can help us become the better version of ourselves. Let's work together to identify what you would like to change or add to your life and strengthen the possibilities within. In order to better accommodate additional insurances and client preferences, I work with both Alma, and Headway.
Ashleah Castro
Licensed Professional Counselor Candidate, MA, LPCC
Verified Verified
Littleton, CO 80128
Setting goals collaboratively is important, along with seeking out ways to deal with immediate symptoms, learning DBT skills like mindfulness, working on communication and relationships, and learning soul care (mental and emotional care).
Seeking out healing is a brave step to take and it shows that you want to live a healthier life and deal with the issues that are keeping you from that. We cannot always change the things that happen to us in life, but we can choose to seek help and healing to live a better future. So good job already taking this first step! I would love to partner with you on your journey to a healthier and happier life.
Setting goals collaboratively is important, along with seeking out ways to deal with immediate symptoms, learning DBT skills like mindfulness, working on communication and relationships, and learning soul care (mental and emotional care).
Seeking out healing is a brave step to take and it shows that you want to live a healthier life and deal with the issues that are keeping you from that. We cannot always change the things that happen to us in life, but we can choose to seek help and healing to live a better future. So good job already taking this first step! I would love to partner with you on your journey to a healthier and happier life.
Higher Sights; Therapy, Med Managment,EMDR,Couples
Counselor, LCSW, LPC, MFT, PMHNP
Verified Verified
2 Endorsed
Littleton, CO 80128
Our therapists use EMDR, CBT, DBT, the Gottman Method, Emotionally Focused Therapy, and a combination of many more researched-based approaches specified for your unique needs.
Accepting New Clients! Immediate openings, book instantly through our website in bio! We understand that being stuck and feeling like everything you have tried has left you hopeless is one of the most painful experiences. We help our clients feel empowered by helping them to see their own strengths and by teaching them new research-based tools to help focus and guide them for lasting change. We believe that therapy is a starting point to healing and changing patterns that have not been working. We work to help each unique client develop a new way to feel confident in approaching life matter
Our therapists use EMDR, CBT, DBT, the Gottman Method, Emotionally Focused Therapy, and a combination of many more researched-based approaches specified for your unique needs.
Accepting New Clients! Immediate openings, book instantly through our website in bio! We understand that being stuck and feeling like everything you have tried has left you hopeless is one of the most painful experiences. We help our clients feel empowered by helping them to see their own strengths and by teaching them new research-based tools to help focus and guide them for lasting change. We believe that therapy is a starting point to healing and changing patterns that have not been working. We work to help each unique client develop a new way to feel confident in approaching life matter
I am a Licensed Professional Counselor who works with children, adolescents, adults, and some families. My primary specialty is trauma, attachment, and grief issues and I am trained in EMDR and Dialectical Behavior Therapy. I also have extensive experience and enjoy working with clients encountering depression, anxiety, and mood issues, including doing play therapy with children. I approach treatment from a client- and solution- focused framework, and primarily utilize the cognitive behavioral therapies.
I am a Licensed Professional Counselor who works with children, adolescents, adults, and some families. My primary specialty is trauma, attachment, and grief issues and I am trained in EMDR and Dialectical Behavior Therapy. I also have extensive experience and enjoy working with clients encountering depression, anxiety, and mood issues, including doing play therapy with children. I approach treatment from a client- and solution- focused framework, and primarily utilize the cognitive behavioral therapies.
See more therapy options for Littleton
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.