Dialectical Behavior (DBT) Therapists in Asheville, NC
Amparo Penny
Licensed Professional Counselor, MA, LCMHC, C-DBT, CCTP
Verified Verified
2 Endorsed
Asheville, NC 28801
Waitlist for new clients
I have studied a number of therapy modalities although my specialty is Dialectical Behavioral Therapy ( DBT), which I have trained in since 2007.
You are allowed to be a masterpiece and a work in progress at the same time - Sophia Bush. Are you at war with your emotions, food, or your body? Well, that's just the tip of the iceberg, and I invite you to take you on a journey below the surface. I am a DBT-certified, trauma-certified, and Intuitive Eating certified therapist and I see therapy as a journey we take together; you’re the driver and I'm the helpful passenger :) I have been a licensed therapist for 17 years, supporting people with eating disorders, issues with emotion regulation, body image issues, and borderline personality disorder. You're never "too much" for me.
I have studied a number of therapy modalities although my specialty is Dialectical Behavioral Therapy ( DBT), which I have trained in since 2007.
You are allowed to be a masterpiece and a work in progress at the same time - Sophia Bush. Are you at war with your emotions, food, or your body? Well, that's just the tip of the iceberg, and I invite you to take you on a journey below the surface. I am a DBT-certified, trauma-certified, and Intuitive Eating certified therapist and I see therapy as a journey we take together; you’re the driver and I'm the helpful passenger :) I have been a licensed therapist for 17 years, supporting people with eating disorders, issues with emotion regulation, body image issues, and borderline personality disorder. You're never "too much" for me.
I am eclectic in my work but my foundations are DBT and Spiritual in nature.
My clients are looking for a way to change their lives. They want to find a way to navigate out of their current situation. Struggle can include feeling like they are on a loop in certain areas of their life, their relationships, addiction, or any other mental health issue.
I am eclectic in my work but my foundations are DBT and Spiritual in nature.
My clients are looking for a way to change their lives. They want to find a way to navigate out of their current situation. Struggle can include feeling like they are on a loop in certain areas of their life, their relationships, addiction, or any other mental health issue.
I'm credentialed by the Academy of Cognitive and Behavioral Therapies to provide CBT, and I also use other evidence-based practices such as Acceptance and Commitment Therapy (ACT), EMDR, Dialectical Behavioral Therapy ( DBT), and Mindfulness-based therapies.
Anxiety, Addiction, or Depression might have you feeling like you've lost touch with the life you really want. You might feel alone in all this, but I promise you're not. I help people just like you learn concrete tools and strategies to achieve the life you want. It's ok if you aren't sure what you want. We can figure it out together and build a roadmap for how to get there. The most important thing that a client needs is a therapist who is nonjudgmental, compassionate, relatable, and down to earth - so I work hard to embody these qualities.
I'm credentialed by the Academy of Cognitive and Behavioral Therapies to provide CBT, and I also use other evidence-based practices such as Acceptance and Commitment Therapy (ACT), EMDR, Dialectical Behavioral Therapy ( DBT), and Mindfulness-based therapies.
Anxiety, Addiction, or Depression might have you feeling like you've lost touch with the life you really want. You might feel alone in all this, but I promise you're not. I help people just like you learn concrete tools and strategies to achieve the life you want. It's ok if you aren't sure what you want. We can figure it out together and build a roadmap for how to get there. The most important thing that a client needs is a therapist who is nonjudgmental, compassionate, relatable, and down to earth - so I work hard to embody these qualities.
I incorporate dialectical-behavioral and mindfulness approaches into psychotherapy.
"We are all just walking each other home." - Ram Dass Hello, I am Bo. I am a licensed psychotherapist, licensed clinical addiction specialist, and psychiatric social worker. Thank you for considering me as your clinician. I understand it is difficult to reach out for help. Right now, you may be navigating feelings of shame, embarrassment, and anger. I want you to know, I have been there too, in the middle of the storm, darkness all around. Sometimes in life and in our relationships we all can become "stuck".
I incorporate dialectical-behavioral and mindfulness approaches into psychotherapy.
"We are all just walking each other home." - Ram Dass Hello, I am Bo. I am a licensed psychotherapist, licensed clinical addiction specialist, and psychiatric social worker. Thank you for considering me as your clinician. I understand it is difficult to reach out for help. Right now, you may be navigating feelings of shame, embarrassment, and anger. I want you to know, I have been there too, in the middle of the storm, darkness all around. Sometimes in life and in our relationships we all can become "stuck".
Ryn Arrants
Licensed Professional Counselor, LCMHC, LCAS, RYT
Verified Verified
4 Endorsed
Asheville, NC 28806
Waitlist for new clients
EMDR, CBT, DBT and Art Therapy are ways that I can cater to your needs.
We all go through times in our lives when therapy can help us to cope with the difficulties that arise. You are not alone. Maybe your are feeling overwhelmed or stuck. You feel like you have tried everything and you are looking for a new way to improve your situation. Perhaps your child has experienced an upsetting event and you don't want this to define them. It hurts to see the people we love upset or struggling. I can offer the tools, skills, and support for your journey.
EMDR, CBT, DBT and Art Therapy are ways that I can cater to your needs.
We all go through times in our lives when therapy can help us to cope with the difficulties that arise. You are not alone. Maybe your are feeling overwhelmed or stuck. You feel like you have tried everything and you are looking for a new way to improve your situation. Perhaps your child has experienced an upsetting event and you don't want this to define them. It hurts to see the people we love upset or struggling. I can offer the tools, skills, and support for your journey.
Florencia Seoane
Clinical Social Work/Therapist, LCSW-A
Verified Verified
1 Endorsed
Asheville, NC 28803
Some of my theoretical training includes: CBT, DBT,SFT, Systemic Therapy and Psychoanalysis.
We are bio-psycho-social beings, and an imbalance in one area affects the others. Therapy is a process that can enable you to identify what is making you struggle in your relationships, in your physical body and with your mental health. It can help you find unique ways to make the changes that will empower you to become more resilient and capable of coping with difficult situations, as part of an ongoing learning experience. I believe that each person is a singular and unique human being. With that mindset, I understand my clients own idiosyncratic style, and unique ways of perceiving and managing conflicts.
Some of my theoretical training includes: CBT, DBT,SFT, Systemic Therapy and Psychoanalysis.
We are bio-psycho-social beings, and an imbalance in one area affects the others. Therapy is a process that can enable you to identify what is making you struggle in your relationships, in your physical body and with your mental health. It can help you find unique ways to make the changes that will empower you to become more resilient and capable of coping with difficult situations, as part of an ongoing learning experience. I believe that each person is a singular and unique human being. With that mindset, I understand my clients own idiosyncratic style, and unique ways of perceiving and managing conflicts.
I draw from cognitive behavioral therapy (CBT), dialectal behavioral therapy ( DBT), as well as solution-focused therapy, and am trained in Eye Movement Desensitization and Reprocessing (EMDR).
I feel passionate about serving those who have experienced trauma, particularly attachment-based trauma. Above all, stable and consistent connection for someone with an attachment-based trauma can make all the difference in the world. I believe there is great power in holding a space for someone to feel heard and understood, as many folks do not have that safe space with anyone in their life. I also have experience working with folks with substance use challenges. I find that substances can often be what someone turns to when they don’t have the tools and support they need to manage the challenges they are facing.
I draw from cognitive behavioral therapy (CBT), dialectal behavioral therapy ( DBT), as well as solution-focused therapy, and am trained in Eye Movement Desensitization and Reprocessing (EMDR).
I feel passionate about serving those who have experienced trauma, particularly attachment-based trauma. Above all, stable and consistent connection for someone with an attachment-based trauma can make all the difference in the world. I believe there is great power in holding a space for someone to feel heard and understood, as many folks do not have that safe space with anyone in their life. I also have experience working with folks with substance use challenges. I find that substances can often be what someone turns to when they don’t have the tools and support they need to manage the challenges they are facing.
Thriveworks Counseling & Psychiatry Asheville
Clinical Social Work/Therapist
Verified Verified
Asheville, NC 28801
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.
Alice Cennamo
Clinical Social Work/Therapist, MSW, LCSW, LCAS
Verified Verified
1 Endorsed
Asheville, NC 28801
I've been working in this field for 10+ years and am trained in EMDR, ACT, DBT, and MI, but the most important part is that I commit to being on YOUR team even when things get hard.
I help young adult women feel confident, competent, & in control of their lives. My clients are exhausted like you are. Despite being hard working, determined, & creative, they still feel stuck in a loop. They feel like they’re drowning in a storm of stress, high expectations & confusion about the path ahead-- it’s a full time job keeping their head just above the rising water. They vacillate between feeling powerful & powerless, motivated & avoidant, on top of the world & crushed beneath it’s weight. Sometimes they have a formal diagnosis of Anxiety, Depression, or Trauma, and sometimes... well, sometimes life is just hard.
I've been working in this field for 10+ years and am trained in EMDR, ACT, DBT, and MI, but the most important part is that I commit to being on YOUR team even when things get hard.
I help young adult women feel confident, competent, & in control of their lives. My clients are exhausted like you are. Despite being hard working, determined, & creative, they still feel stuck in a loop. They feel like they’re drowning in a storm of stress, high expectations & confusion about the path ahead-- it’s a full time job keeping their head just above the rising water. They vacillate between feeling powerful & powerless, motivated & avoidant, on top of the world & crushed beneath it’s weight. Sometimes they have a formal diagnosis of Anxiety, Depression, or Trauma, and sometimes... well, sometimes life is just hard.
Lauren Britton Counseling
Counselor, MA, LCMHC, LMHC, LPC
Verified Verified
4 Endorsed
Asheville, NC 28805
Waitlist for new clients
I have specialized training in dialectical behavior therapy and acceptance and commitment therapy and weave mindfulness into much of my therapeutic work.
I currently see individuals in SC, FL and NC virtually, or in-person in my Asheville, NC office. Finding the right therapist can feel a bit daunting, so I hope the information here will answer some of your questions. My goal as your therapist will be to walk along side of you as you take steps towards personal growth. I am passionate about empowering individuals with the mindset and skills to manage challenges, move towards an enhanced sense of fulfillment, and KNOW their inherent worth. I approach therapy from the belief that YOU are the expert on yourself, and together we can help you tap into and utilize your internal wisdom.
I have specialized training in dialectical behavior therapy and acceptance and commitment therapy and weave mindfulness into much of my therapeutic work.
I currently see individuals in SC, FL and NC virtually, or in-person in my Asheville, NC office. Finding the right therapist can feel a bit daunting, so I hope the information here will answer some of your questions. My goal as your therapist will be to walk along side of you as you take steps towards personal growth. I am passionate about empowering individuals with the mindset and skills to manage challenges, move towards an enhanced sense of fulfillment, and KNOW their inherent worth. I approach therapy from the belief that YOU are the expert on yourself, and together we can help you tap into and utilize your internal wisdom.
Brianna Cuthrell
Clinical Social Work/Therapist, MSW, LCSW, LCAS, MAC
Verified Verified
2 Endorsed
Asheville, NC 28801
Modalities I include but not limited to DBT, CBT, EMDR, solution focused & family systems.
Life can become overwhelming and exhausting when you are trying to juggle everything in your world. You may want more clarity in life or want to find a new direction. You may feel stuck and having a hard time moving forward. It can be exhausting trying to muster up the energy to get out of bed and take care of your responsibilities and yourself. You may have thoughts you are not worthy or have a fractured sense of self. What would it feel like to have the energy and motivation to finally take on the day again, to feel worthy to live the life you want, or to smash those goals you have put off?
Modalities I include but not limited to DBT, CBT, EMDR, solution focused & family systems.
Life can become overwhelming and exhausting when you are trying to juggle everything in your world. You may want more clarity in life or want to find a new direction. You may feel stuck and having a hard time moving forward. It can be exhausting trying to muster up the energy to get out of bed and take care of your responsibilities and yourself. You may have thoughts you are not worthy or have a fractured sense of self. What would it feel like to have the energy and motivation to finally take on the day again, to feel worthy to live the life you want, or to smash those goals you have put off?
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Discover Your Wings Counseling and Reiki
Clinical Social Work/Therapist, LCSW
Verified Verified
Asheville, NC 28801 (Online Only)
I incorporate DBT, CBT, somatic healing, meditative practices, breathing, imagery, intuition, astrology and a practice called Mana Gardening.
Hello, my name is Kara Kihm and I specialize in working with Highly Sensitive People. I have a special place in my heart for highly sensitive women, empaths and intuitives because I am all of those. I work with individuals who are anxious, exhausted, burned out from life and are functioning off of adrenaline and cortisol to make it through the day. I offer an 8 week nervous system regulation course to help you find balance in your life, in your body, and with your emotions. During the course you will receive weekly modules, meditations, affirmations and journal exercises in addition to weekly one-on-one therapy sessions.
I incorporate DBT, CBT, somatic healing, meditative practices, breathing, imagery, intuition, astrology and a practice called Mana Gardening.
Hello, my name is Kara Kihm and I specialize in working with Highly Sensitive People. I have a special place in my heart for highly sensitive women, empaths and intuitives because I am all of those. I work with individuals who are anxious, exhausted, burned out from life and are functioning off of adrenaline and cortisol to make it through the day. I offer an 8 week nervous system regulation course to help you find balance in your life, in your body, and with your emotions. During the course you will receive weekly modules, meditations, affirmations and journal exercises in addition to weekly one-on-one therapy sessions.
Our focus would be transformation using a variety of tools like parts work Internal Family Systems (IFS), somatic psychology, nature-based therapy, and Dialectical Behavior Therapy ( DBT).
Warm welcome! Would you like to soothe overwhelming thoughts or feelings? Feel more calm and present in the now? My purpose is to help you find relief from anxiety, depression, or trauma that prevents you from experiencing a life worth living. We would collaborate together to treat whatever is on your list of priorities; examples include helping with anxiety, trauma, ADHD, Autism, school issues, depression, mood, low self-esteem or career goals. I work with children, teenagers, and adults from all walks of life. My style is evidence-based, non-judgmental, and sincere.
Our focus would be transformation using a variety of tools like parts work Internal Family Systems (IFS), somatic psychology, nature-based therapy, and Dialectical Behavior Therapy ( DBT).
Warm welcome! Would you like to soothe overwhelming thoughts or feelings? Feel more calm and present in the now? My purpose is to help you find relief from anxiety, depression, or trauma that prevents you from experiencing a life worth living. We would collaborate together to treat whatever is on your list of priorities; examples include helping with anxiety, trauma, ADHD, Autism, school issues, depression, mood, low self-esteem or career goals. I work with children, teenagers, and adults from all walks of life. My style is evidence-based, non-judgmental, and sincere.
Maureen Motley Zitin
Clinical Social Work/Therapist, MSS, LCSW, LCAS, CCS
Verified Verified
1 Endorsed
Asheville, NC 28803
I have training in Internal Family Systems, Hakomi, DBT, and EMDR.
Are you at a crossroads in your life? Do you suspect that past painful or traumatic experiences are interfering with your life and relationships? Are you ready to roll up your sleeves, dig deep, let go and uncover something shining? I enjoy working with women, men, couples and other therapists who are ready to discover their resilience and do the work they need to do to uncover the gold in themselves and in their relationships. And, yes, there is always gold. Really, always.
I have training in Internal Family Systems, Hakomi, DBT, and EMDR.
Are you at a crossroads in your life? Do you suspect that past painful or traumatic experiences are interfering with your life and relationships? Are you ready to roll up your sleeves, dig deep, let go and uncover something shining? I enjoy working with women, men, couples and other therapists who are ready to discover their resilience and do the work they need to do to uncover the gold in themselves and in their relationships. And, yes, there is always gold. Really, always.
Miriah Feehery
Licensed Professional Counselor, MS, LCMHC, LCAS, EMDR
Verified Verified
Asheville, NC 28801
My approaches include but are not limited to: EMDR, somatic approach to psychotherapy, CBT, DBT, Mindfulness, art therapy, narrative therapy, Addictions counseling and relapse prevention, internal family systems, Jungian dream interpretation, attachment-informed counseling, healthy coping skills, family system therapy.
Wholeness leads to healing. I guide my clients to accept all parts of themselves and find balance in their lives. I entered the field of counseling with a passion for treating trauma (big T and little t trauma). Along the way I gathered some exceptional tools for doing so, including EMDR and a somatic approach to psychotherapy. Not so far removed from trauma, I have also developed a specialty in treating addiction of all kinds. I have seen the power of emotional healing to transform people's lives in ways they always wanted but didn't know how. I am here to help whenever the client is ready to do that brave and powerful work.
My approaches include but are not limited to: EMDR, somatic approach to psychotherapy, CBT, DBT, Mindfulness, art therapy, narrative therapy, Addictions counseling and relapse prevention, internal family systems, Jungian dream interpretation, attachment-informed counseling, healthy coping skills, family system therapy.
Wholeness leads to healing. I guide my clients to accept all parts of themselves and find balance in their lives. I entered the field of counseling with a passion for treating trauma (big T and little t trauma). Along the way I gathered some exceptional tools for doing so, including EMDR and a somatic approach to psychotherapy. Not so far removed from trauma, I have also developed a specialty in treating addiction of all kinds. I have seen the power of emotional healing to transform people's lives in ways they always wanted but didn't know how. I am here to help whenever the client is ready to do that brave and powerful work.
Melina Bridges
Licensed Clinical Mental Health Counselor, LCMHC
Verified Verified
Asheville, NC 28801
Additionally I incorporate the use of Eye Movement Desensitization and Reprocessing Therapy (EMDR), Emotionally Focused Therapy (EFT), ECO/Nature therapy, and Dialectical Behavior Therapy ( DBT).
I offer expressive and emotionally based therapies to children (ages 6 and older) a warm and nurturing environment which provides a safe space to do any healing they might need to do to move forward, to feel better about who they are, or share what might have happened in their lives that makes their heart ache. I help teens and young adults navigate the turbulence of hormones, and school work, friendships and home life, college and relationships, and all the other activities and significant events happening, while trying to discover who they are and what makes them feel most alive.
Additionally I incorporate the use of Eye Movement Desensitization and Reprocessing Therapy (EMDR), Emotionally Focused Therapy (EFT), ECO/Nature therapy, and Dialectical Behavior Therapy ( DBT).
I offer expressive and emotionally based therapies to children (ages 6 and older) a warm and nurturing environment which provides a safe space to do any healing they might need to do to move forward, to feel better about who they are, or share what might have happened in their lives that makes their heart ache. I help teens and young adults navigate the turbulence of hormones, and school work, friendships and home life, college and relationships, and all the other activities and significant events happening, while trying to discover who they are and what makes them feel most alive.
I use an array of different modalities including: CBT, DBT, Somatic Based Work, and EMDR.
Life can and will throw many different things at us. These things can present in the form of stress, anxiety, trauma, depression, loss and anger. Everyday events can mentally put us in a place where we feel vulnerable. I want to help my clients not just cope but learn to move forward and grow strength. As individuals we each have our own unique perspective on the world, using colored lenses to define/understand the things unfolding in front of us. I want to work with you on focusing your lenses on the way you view yourself & your world. Together we can identify how your experiences have give you both positive & negative coloring.
I use an array of different modalities including: CBT, DBT, Somatic Based Work, and EMDR.
Life can and will throw many different things at us. These things can present in the form of stress, anxiety, trauma, depression, loss and anger. Everyday events can mentally put us in a place where we feel vulnerable. I want to help my clients not just cope but learn to move forward and grow strength. As individuals we each have our own unique perspective on the world, using colored lenses to define/understand the things unfolding in front of us. I want to work with you on focusing your lenses on the way you view yourself & your world. Together we can identify how your experiences have give you both positive & negative coloring.
My therapeutic approach is collaborative, compassionate, direct, and unconditionally caring. I utilize a person-centered approach incorporating trauma-informed principles and a harm-reduction lens. I seek to foster brave spaces for deep transformation to take place, where laughter and tears are welcomed to flow freely. Some therapeutic modalities that I incorporate include polyvagal theory, EMDR, attachment theory, DBT, and somatic-based processing. These theories are guideposts of my clinical judgment, but ultimately I recognize you as the expert of your own lived experience.
My therapeutic approach is collaborative, compassionate, direct, and unconditionally caring. I utilize a person-centered approach incorporating trauma-informed principles and a harm-reduction lens. I seek to foster brave spaces for deep transformation to take place, where laughter and tears are welcomed to flow freely. Some therapeutic modalities that I incorporate include polyvagal theory, EMDR, attachment theory, DBT, and somatic-based processing. These theories are guideposts of my clinical judgment, but ultimately I recognize you as the expert of your own lived experience.
Susan Rainsford MA LPC
Licensed Professional Counselor, MA, LPC
Verified Verified
Asheville, NC 28801 (Online Only)
I utilize a variety of evidenced based approaches based on individual needs and preferences including but not limited to: Mindfulness and Body Centered Approaches, DBT, Cognitive Behavioral Therapy, Expressive Therapies, Energy Therapy, Play Therapy, and Compassionate Communication Skills.
I know it can take courage to seek therapy and I am here to help. I would be honored to guide and assist you towards positive change. I have been enjoying providing Psychotherapy in Asheville since 2000. I provide caring and professional therapy for Individuals (Adults, Adolescents & Children), Couples and Families. I am happy to serve our diverse community including the LGBTQ+ community. I have extensive experience working with anxiety disorders, depression, parenting skills, couples conflicts, life transitions, divorce/separation, post traumatic stress, ADHD, bi-polar, and many other issues.
I utilize a variety of evidenced based approaches based on individual needs and preferences including but not limited to: Mindfulness and Body Centered Approaches, DBT, Cognitive Behavioral Therapy, Expressive Therapies, Energy Therapy, Play Therapy, and Compassionate Communication Skills.
I know it can take courage to seek therapy and I am here to help. I would be honored to guide and assist you towards positive change. I have been enjoying providing Psychotherapy in Asheville since 2000. I provide caring and professional therapy for Individuals (Adults, Adolescents & Children), Couples and Families. I am happy to serve our diverse community including the LGBTQ+ community. I have extensive experience working with anxiety disorders, depression, parenting skills, couples conflicts, life transitions, divorce/separation, post traumatic stress, ADHD, bi-polar, and many other issues.
Angie King
Counselor, LCMHC
Verified Verified
3 Endorsed
Asheville, NC 28801
Waitlist for new clients
I will recognize that you are the expert in your life while incorporating evidence-based practices that may include DBT, ACT, & Brainspotting.
Sometimes we feel stuck. We’ve tried on our own to heal, grow, and learn but we still find ourselves in the same patterns that have led to a continuous cycle of confusion, shame, and hopelessness. You are not alone. If you have found yourself questioning your worth, your relationships, or your identity, I am here to help. Most of us know, logically, that hardship, distress, and unwanted emotions are a part of life. But sometimes we were not given the correct tools to manage these difficult experiences. Together, I believe we can connect back to your authentic self so that you can lead the life you want.
I will recognize that you are the expert in your life while incorporating evidence-based practices that may include DBT, ACT, & Brainspotting.
Sometimes we feel stuck. We’ve tried on our own to heal, grow, and learn but we still find ourselves in the same patterns that have led to a continuous cycle of confusion, shame, and hopelessness. You are not alone. If you have found yourself questioning your worth, your relationships, or your identity, I am here to help. Most of us know, logically, that hardship, distress, and unwanted emotions are a part of life. But sometimes we were not given the correct tools to manage these difficult experiences. Together, I believe we can connect back to your authentic self so that you can lead the life you want.
See more therapy options for Asheville
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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.