Dialectical Behavior (DBT) Therapists in Lake Butler, FL

Photo of Elizabeth Yoak, LMHC
Elizabeth Yoak
Licensed Mental Health Counselor, LMHC
Verified Verified
Lake Butler, FL 32054
Welcome! My name is Elizabeth Yoak, I am a Licensed Mental Health Counselor in Florida. Reaching out for help can be an intimidating obstacle at first, and I am so glad you've taken this step! I specialize in helping people overcome trauma, anxiety, and mood disorders. In my approach, I use a variety of techniques tailored to my client's specific needs. Some of the approaches I use include EMDR, mindfulness, DBT, CBT, and more. Each person is unique in their story and therefore the approach I use with each client varies based on what works best for them.
Welcome! My name is Elizabeth Yoak, I am a Licensed Mental Health Counselor in Florida. Reaching out for help can be an intimidating obstacle at first, and I am so glad you've taken this step! I specialize in helping people overcome trauma, anxiety, and mood disorders. In my approach, I use a variety of techniques tailored to my client's specific needs. Some of the approaches I use include EMDR, mindfulness, DBT, CBT, and more. Each person is unique in their story and therefore the approach I use with each client varies based on what works best for them.
(321) 832-9774 View (321) 832-9774
Photo of Christina Tatum, MA, LMHC, Counselor
Christina Tatum
Counselor, MA, LMHC
Verified Verified
Lake Butler, FL 32054
Do you feel like depression, anxiety, stress, life changes, or other mental health issues are blocking you from living the life you hoped for? I can help you reduce the impact on your mind, body, and emotions. These problems can be difficult to navigate alone, but there are ways to reduce your symptom severity and frequency, and improve the quality of your life. Together, we can discover, or rediscover, strengths and abilities you possess to bring about positive change in your life.
Do you feel like depression, anxiety, stress, life changes, or other mental health issues are blocking you from living the life you hoped for? I can help you reduce the impact on your mind, body, and emotions. These problems can be difficult to navigate alone, but there are ways to reduce your symptom severity and frequency, and improve the quality of your life. Together, we can discover, or rediscover, strengths and abilities you possess to bring about positive change in your life.
(904) 395-4373 View (904) 395-4373
Photo of Stace A Mendez, LMHC, Counselor
Stace A Mendez
Counselor, LMHC
Verified Verified
Lake Butler, FL 32054
I conduct therapy with children, adolescents, and adults of all ages. I work with those who might be struggling with relationship patterns they want to understand, identity development, self-harm, histories of trauma, difficulties in work or at school, anxiety, depression, and all that comes with the stresses of today's complicated world.
I conduct therapy with children, adolescents, and adults of all ages. I work with those who might be struggling with relationship patterns they want to understand, identity development, self-harm, histories of trauma, difficulties in work or at school, anxiety, depression, and all that comes with the stresses of today's complicated world.
(786) 828-5743 View (786) 828-5743

Online Therapists

Photo of Brandon Harris, LMHC, Counselor
Brandon Harris
Counselor, LMHC
Verified Verified
Daytona Beach, FL 32114  (Online Only)
I specialize in Cognitive Behavioral Therapy (CBT)and Dialectical Behavior Therapy( DBT) techniques.
I have been in the field of mental health for over 20 years. I have a Master's in Mental Health Counseling from Nova Southeastern University. I am Licensed to provide counseling for people dealing with depression, anxiety, personality disorders and substance abuse. My style is unique in that developing a trusting relationship and a better understanding of their mental health and emotional issues are top priority. The ultimate goal is for the people I treat to live a happier and healthier lives.
I specialize in Cognitive Behavioral Therapy (CBT)and Dialectical Behavior Therapy( DBT) techniques.
I have been in the field of mental health for over 20 years. I have a Master's in Mental Health Counseling from Nova Southeastern University. I am Licensed to provide counseling for people dealing with depression, anxiety, personality disorders and substance abuse. My style is unique in that developing a trusting relationship and a better understanding of their mental health and emotional issues are top priority. The ultimate goal is for the people I treat to live a happier and healthier lives.
(954) 716-8579 View (954) 716-8579
Photo of Tracy Packiam Alloway, PhD, Psychologist
Tracy Packiam Alloway
Psychologist, PhD
Verified Verified
Jacksonville, FL 32224
I am passionate about supporting those with learning needs, including ADHD, ASD, dyslexia, and anxiety. I recently published a series of children's books that celebrates their positive traits (on Amazon). I have led multiple large-scale government-funded grants and worked with thousands of families along the way. I have expertise in using DBT ( Dialectical behavior therapy ) to support individuals with mood disorders, including depression and anxiety. I also host a weekly TV segment on Mental Wellness (WJXT).
I am passionate about supporting those with learning needs, including ADHD, ASD, dyslexia, and anxiety. I recently published a series of children's books that celebrates their positive traits (on Amazon). I have led multiple large-scale government-funded grants and worked with thousands of families along the way. I have expertise in using DBT ( Dialectical behavior therapy ) to support individuals with mood disorders, including depression and anxiety. I also host a weekly TV segment on Mental Wellness (WJXT).
(904) 747-8558 View (904) 747-8558
Photo of Sabrina Ahmed, MS, RMHCI
Sabrina Ahmed
Registered Mental Health Counselor Intern, MS, RMHCI
Verified Verified
Jacksonville, FL 32256
Welcome! My goal is to offer a compassionate space where you can feel heard and take steps to improve your mental well-being. I have specialized training in Dialectical Behavioral Therapy ( DBT) and Eye Movement Desensitization and Reprocessing (EMDR), evidence-based therapies that help individuals work through past traumas and develop healthier coping mechanisms. As a trauma-informed clinician, my approach aims to help clients address current concerns while guiding them to explore the deeper, root causes. Together, we'll create a space where you can heal at your own pace and gain the tools you need for lasting growth and well-being.
Welcome! My goal is to offer a compassionate space where you can feel heard and take steps to improve your mental well-being. I have specialized training in Dialectical Behavioral Therapy ( DBT) and Eye Movement Desensitization and Reprocessing (EMDR), evidence-based therapies that help individuals work through past traumas and develop healthier coping mechanisms. As a trauma-informed clinician, my approach aims to help clients address current concerns while guiding them to explore the deeper, root causes. Together, we'll create a space where you can heal at your own pace and gain the tools you need for lasting growth and well-being.
(904) 659-0989 View (904) 659-0989
Photo of Daniel Griffin, MA, LCMHCA, LCASA, Counselor
Daniel Griffin
Counselor, MA, LCMHCA, LCASA
Verified Verified
Ocala, FL 34481  (Online Only)
I also offer DBT and CBT to help clients gain control of their thoughts and feelings.
Do you find yourself being weighed down by past events or seemingly uncontrollable emotions? I treat all sorts of issues that people struggle with. I specialize in helping people overcome traumatic experiences, helping people with depression, anxiety, obsessive thinking, anger management, and worry. I firmly believe in therapy as two or more people working towards a common goal. I like to help people accomplish their goals, whatever those goals may be, in the most successful way possible. I do my best to be approachable and I have a laid back style. I want you to be comfortable as we work on overcoming life's challenges.
I also offer DBT and CBT to help clients gain control of their thoughts and feelings.
Do you find yourself being weighed down by past events or seemingly uncontrollable emotions? I treat all sorts of issues that people struggle with. I specialize in helping people overcome traumatic experiences, helping people with depression, anxiety, obsessive thinking, anger management, and worry. I firmly believe in therapy as two or more people working towards a common goal. I like to help people accomplish their goals, whatever those goals may be, in the most successful way possible. I do my best to be approachable and I have a laid back style. I want you to be comfortable as we work on overcoming life's challenges.
(786) 250-0855 View (786) 250-0855
Photo of Sara Fulkerson, MSW, RCSWI
Sara Fulkerson
Registered Clinical Social Worker Intern, MSW, RCSWI
Verified Verified
3 Endorsed
Palm Coast, FL 32137  (Online Only)
Waitlist for new clients
Life’s twists, turns, and transitions can at times be overwhelming. You do not have to walk alone. My approach to therapy is to create a safe space to work through your experiences and to support you in the next steps on your journey. I have experience working with individuals diagnosed with bipolar, schizophrenia, depression, and anxiety. My client-centered approach includes utilizing mindfulness, boundary-setting, grief processing, narrative therapy, ACT, and DBT. I am also a Gottman Level 1 trained therapist.
Life’s twists, turns, and transitions can at times be overwhelming. You do not have to walk alone. My approach to therapy is to create a safe space to work through your experiences and to support you in the next steps on your journey. I have experience working with individuals diagnosed with bipolar, schizophrenia, depression, and anxiety. My client-centered approach includes utilizing mindfulness, boundary-setting, grief processing, narrative therapy, ACT, and DBT. I am also a Gottman Level 1 trained therapist.
(904) 650-4090 View (904) 650-4090
Photo of Deanne O'Brien, LMHC
Deanne O'Brien
Mental Health Counselor, LMHC
Verified Verified
Ocala, FL 34481  (Online Only)
I worked as a DBT skills trainer and integrate tools into session- as a therapist I want to do much more than listen- I want to help you learn to manage what is going on in your life and learn to feel good about yourself.
Hi my name is Deanne- I started working in mental health in 2001- I knew I found my mission to heal myself and others- I specialize in validating supportive therapy. At the same time I want to help my clients move toward change and healing. I am comfortable with complex cases- I teach skills from DBT primarily mindfulness and distress tolerance these are very useful tools. I also use EMDR to treat anxiety and PTSD symptoms. I use specialized software to provide EMDR- so you can receive care from the comfort of your home.
I worked as a DBT skills trainer and integrate tools into session- as a therapist I want to do much more than listen- I want to help you learn to manage what is going on in your life and learn to feel good about yourself.
Hi my name is Deanne- I started working in mental health in 2001- I knew I found my mission to heal myself and others- I specialize in validating supportive therapy. At the same time I want to help my clients move toward change and healing. I am comfortable with complex cases- I teach skills from DBT primarily mindfulness and distress tolerance these are very useful tools. I also use EMDR to treat anxiety and PTSD symptoms. I use specialized software to provide EMDR- so you can receive care from the comfort of your home.
(352) 309-2411 View (352) 309-2411
Photo of Tiffany Keller Goolsby, MA, LMHC, Counselor
Tiffany Keller Goolsby
Counselor, MA, LMHC
Verified Verified
Jacksonville, FL 32204
I am a trained trauma therapist with extensive training in Exposure therapy,EMDR and DBT and CBT.
I am a Licensed Mental Health Counselor located in the state of Florida. I am strategic and intentional about helping individuals to reach their full potential in life by processing past trauma and helping to establish the bridge to their future self. If you are ready to commit to putting yourself at the top of your list and doing the work that is required to be the best you possible, I am excited to help you along that journey.
I am a trained trauma therapist with extensive training in Exposure therapy,EMDR and DBT and CBT.
I am a Licensed Mental Health Counselor located in the state of Florida. I am strategic and intentional about helping individuals to reach their full potential in life by processing past trauma and helping to establish the bridge to their future self. If you are ready to commit to putting yourself at the top of your list and doing the work that is required to be the best you possible, I am excited to help you along that journey.
(904) 231-9959 View (904) 231-9959
Photo of Melissa Christine Sorensen, MS, LMHC, Counselor
Melissa Christine Sorensen
Counselor, MS, LMHC
Verified Verified
Deland, FL 32720
I use an eclectic approach to psychotherapy, with emphasis on TF-CBT, DBT, spirituality, and meditative/hypnosis work.
Hi there, and welcome! I’m really looking forward to working with you. I specialize in childhood trauma and unraveling how events from our past shape our current thoughts, feelings and behaviors. Along with trauma, I also deal passionately with overcoming addictions. I fully believe that each individual person genuinely seeking healing, wholeness and recovery WILL achieve it!
I use an eclectic approach to psychotherapy, with emphasis on TF-CBT, DBT, spirituality, and meditative/hypnosis work.
Hi there, and welcome! I’m really looking forward to working with you. I specialize in childhood trauma and unraveling how events from our past shape our current thoughts, feelings and behaviors. Along with trauma, I also deal passionately with overcoming addictions. I fully believe that each individual person genuinely seeking healing, wholeness and recovery WILL achieve it!
(386) 339-3524 View (386) 339-3524
Photo of Polly Bauer, MSW, LCSW, Clinical Social Work/Therapist
Polly Bauer
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
1 Endorsed
Ponte Vedra Beach, FL 32082
I am a Level 3 Radically Open DBT Practitioner providing full RO DBT (addresses over-control: hyper-perfectionism, chronic loneliness, AN, ASD) w/ DBT foundational training.
Do you feel ruled by your thoughts or emotions, lonely, out of touch with who you want to be, or as though your life goals seem to be drifting just beyond your reach? Life can frequently feel overwhelming; family, business, and personal relationships can present endless challenges leading us to feel frustrated, anxious, alone, or grasping to control the world around us. As our life changes, simultaneous feelings of joy and grief may overwhelm us. Adjusting to change can be difficult in all stages of life regardless of our age and sometimes we need help getting back on course.
I am a Level 3 Radically Open DBT Practitioner providing full RO DBT (addresses over-control: hyper-perfectionism, chronic loneliness, AN, ASD) w/ DBT foundational training.
Do you feel ruled by your thoughts or emotions, lonely, out of touch with who you want to be, or as though your life goals seem to be drifting just beyond your reach? Life can frequently feel overwhelming; family, business, and personal relationships can present endless challenges leading us to feel frustrated, anxious, alone, or grasping to control the world around us. As our life changes, simultaneous feelings of joy and grief may overwhelm us. Adjusting to change can be difficult in all stages of life regardless of our age and sometimes we need help getting back on course.
(904) 606-1821 View (904) 606-1821
Photo of Melanie Bartholomew, LMHC, Counselor
Melanie Bartholomew
Counselor, LMHC
Verified Verified
Jacksonville, FL 32210
I am a Licensed Mental Health Counselor (LMHC) with over 17 years of experience in the mental health field. I am energized by helping adolescents, adults, and couples find happiness and satisfaction in their lives by discovering the goodness in their intentions, even when it may be challenging their day-to-day lives. I help clients heal from depression, anxiety, relationship issues, and life transitions. I use eclectic treatment approaches, including cognitive behavioral (CBT), person-centered, dialectical behavior ( DBT), and solution-focused therapy.
I am a Licensed Mental Health Counselor (LMHC) with over 17 years of experience in the mental health field. I am energized by helping adolescents, adults, and couples find happiness and satisfaction in their lives by discovering the goodness in their intentions, even when it may be challenging their day-to-day lives. I help clients heal from depression, anxiety, relationship issues, and life transitions. I use eclectic treatment approaches, including cognitive behavioral (CBT), person-centered, dialectical behavior ( DBT), and solution-focused therapy.
(904) 426-0115 View (904) 426-0115
Photo of Stacie Sebastian, LMHC, MA, BC-TMH, Licensed Professional Counselor
Stacie Sebastian
Licensed Professional Counselor, LMHC, MA, BC-TMH
Verified Verified
Saint Augustine, FL 32095
Sorry, I am not accepting new clients at this time. With over 20 years of counseling experience, specializing in anxiety disorders, trauma, and depression, I understand the unique challenges individuals face when dealing with these conditions. I will offer you an individualized treatment, tailored to your specific needs, ensuring a personalized approach to your well-being. Utilizing techniques such as Cognitive-Behavioral Therapy, Dialectical Behavioral Therapy, and the Polyvagal Approach, I will provide you with comprehensive and effective solutions to help you overcome life's challenges.
Sorry, I am not accepting new clients at this time. With over 20 years of counseling experience, specializing in anxiety disorders, trauma, and depression, I understand the unique challenges individuals face when dealing with these conditions. I will offer you an individualized treatment, tailored to your specific needs, ensuring a personalized approach to your well-being. Utilizing techniques such as Cognitive-Behavioral Therapy, Dialectical Behavioral Therapy, and the Polyvagal Approach, I will provide you with comprehensive and effective solutions to help you overcome life's challenges.
(904) 560-5054 View (904) 560-5054
Photo of Linda Cook Allen, LMHC, Counselor
Linda Cook Allen
Counselor, LMHC
Verified Verified
Gainesville, FL 32609  (Online Only)
Individual Counseling, Group Counseling, Assessments, Cognitive Behavioral Therapy, Dialectical Behavioral Therapy, Grief Counseling, Crisis Counseling and Referral Counseling, to name a few.
Hi! I'm Linda Allen a LMHC who has been in the Counseling Field for 30yrs. I love helping people and supporting their vision or creating a vision for Personal Success, Family Success and Relationship Success in all areas. I have worked with all parts of the family diagnamics: children, teenagers, young adults, parents and all issues that present. I have worked in schools, jails, prisons, DJJ, residential programs, hospice, nursing homes, disabilities, etc. I'm here to listen and support you with whatever the concerns are. Life can be hard, bu we can work together to create your Vision For Success. Blessings To You and Yours! :)
Individual Counseling, Group Counseling, Assessments, Cognitive Behavioral Therapy, Dialectical Behavioral Therapy, Grief Counseling, Crisis Counseling and Referral Counseling, to name a few.
Hi! I'm Linda Allen a LMHC who has been in the Counseling Field for 30yrs. I love helping people and supporting their vision or creating a vision for Personal Success, Family Success and Relationship Success in all areas. I have worked with all parts of the family diagnamics: children, teenagers, young adults, parents and all issues that present. I have worked in schools, jails, prisons, DJJ, residential programs, hospice, nursing homes, disabilities, etc. I'm here to listen and support you with whatever the concerns are. Life can be hard, bu we can work together to create your Vision For Success. Blessings To You and Yours! :)
(352) 290-2411 View (352) 290-2411
Photo of Jack Hazan, LMHC, Counselor
Jack Hazan
Counselor, LMHC
Verified Verified
Ocala, FL 34481  (Online Only)
Jack Hazan uses evidence-based interventions to work collaboratively with you to resolve your concerns. He has studied various approaches and techniques proven to bring forth effective results, including internal family systems, CBT, DBT, mindfulness-based therapy, and solution-focused therapy. My style of therapy is more direct and solution-focused than ordinary and outdated talk therapy; I take an active role during our sessions while utilizing more modern and progressive therapeutic techniques proven to bring forth effective results.
Jack Hazan uses evidence-based interventions to work collaboratively with you to resolve your concerns. He has studied various approaches and techniques proven to bring forth effective results, including internal family systems, CBT, DBT, mindfulness-based therapy, and solution-focused therapy. My style of therapy is more direct and solution-focused than ordinary and outdated talk therapy; I take an active role during our sessions while utilizing more modern and progressive therapeutic techniques proven to bring forth effective results.
(352) 517-7785 View (352) 517-7785
Photo of Katrina 'katie' Morgan, LMHC, Counselor
Katrina 'katie' Morgan
Counselor, LMHC
Verified Verified
Jacksonville, FL 32216
I use evidence-based approaches in therapy: CBT, family systems, psychodynamic techniques, and DBT tools.
Have you ever had the feeling that you have been living your life on autopilot, then you look around and think, “how did I get here?” Perhaps this thought spirals into depression for lost time, poor choices, and/or missed opportunities. Maybe anxiety settles into your chest with this depression, causing crippling indecision. The weirdly good news is that you are not alone in these thoughts and feelings, and there IS something you can do about it. Nearly every person experiences some form of trauma in their lives, and most are ill-equipped to move forward functionally with the aftermath.
I use evidence-based approaches in therapy: CBT, family systems, psychodynamic techniques, and DBT tools.
Have you ever had the feeling that you have been living your life on autopilot, then you look around and think, “how did I get here?” Perhaps this thought spirals into depression for lost time, poor choices, and/or missed opportunities. Maybe anxiety settles into your chest with this depression, causing crippling indecision. The weirdly good news is that you are not alone in these thoughts and feelings, and there IS something you can do about it. Nearly every person experiences some form of trauma in their lives, and most are ill-equipped to move forward functionally with the aftermath.
(904) 932-0338 View (904) 932-0338
Photo of Wendy Pugh, LCSW, LISW-S, ACHT, Clinical Social Work/Therapist
Wendy Pugh
Clinical Social Work/Therapist, LCSW, LISW-S, ACHT
Verified Verified
Ocala, FL 34481  (Online Only)
I draw from a variety of treatment modalities, including cognitive behavioral therapy (CBT), dialectical behavior therapy ( DBT), talk therapy, supportive therapy, and heart-centered hypnotherapy.
I specialize in working with adolescents and adults ages 12+ who deal with depression, anxiety, trauma, LGBTQIA issues, insomnia, sexual intimacy and other relationship issues through individual, couples, and hypnotherapy counseling. My practice, FreelyMe Psychotherapy, is a judgment-free zone where everyone can feel comfortable being themself.
I draw from a variety of treatment modalities, including cognitive behavioral therapy (CBT), dialectical behavior therapy ( DBT), talk therapy, supportive therapy, and heart-centered hypnotherapy.
I specialize in working with adolescents and adults ages 12+ who deal with depression, anxiety, trauma, LGBTQIA issues, insomnia, sexual intimacy and other relationship issues through individual, couples, and hypnotherapy counseling. My practice, FreelyMe Psychotherapy, is a judgment-free zone where everyone can feel comfortable being themself.
(407) 512-9375 View (407) 512-9375
Photo of Susel de la Cruz, MA, LMHC, NCC, Counselor
Susel de la Cruz
Counselor, MA, LMHC, NCC
Verified Verified
2 Endorsed
Jacksonville, FL 32256  (Online Only)
I specialize in utilizing DBT to help folx who experience the pain of the extremes of being “too emotional” to grasp the present reality, and “too logical” to emotionally connect with themselves and others.
Dialectical behavior therapist support clients in living what we call “A Life Worth Living”, and this is for me a life that is guided by your values, one that you would want to continuously prioritize while mindfully sharing it with others.
I specialize in utilizing DBT to help folx who experience the pain of the extremes of being “too emotional” to grasp the present reality, and “too logical” to emotionally connect with themselves and others.
Dialectical behavior therapist support clients in living what we call “A Life Worth Living”, and this is for me a life that is guided by your values, one that you would want to continuously prioritize while mindfully sharing it with others.
(321) 460-1733 View (321) 460-1733
Michael Joseph Zalewa
Counselor, LMHC, MAC, SAP
Verified Verified
1 Endorsed
Ponte Vedra Beach, FL 32082
I utilize Cognitive Behavioral Therapy, Dialectical Behavioral Therapy, and Object relations Therapy.
I have been in Private Practice since 1999. My practice focuses on clients struggling with Borderline Personality Disorder,Dissociative Identity Disorder, Narcissism and other personality conflicts. I also treat Depression and PTSD. I work with Substance Use disorders, but from a non-12 step approach called Cognitive Behavioral Therapy. I work with the local courts, including mental health and substance abuse evaluations. I provide psycho-sexual and competency to proceed evaluations for private attorneys as well as for the 4th and 7th judicial circuits
I utilize Cognitive Behavioral Therapy, Dialectical Behavioral Therapy, and Object relations Therapy.
I have been in Private Practice since 1999. My practice focuses on clients struggling with Borderline Personality Disorder,Dissociative Identity Disorder, Narcissism and other personality conflicts. I also treat Depression and PTSD. I work with Substance Use disorders, but from a non-12 step approach called Cognitive Behavioral Therapy. I work with the local courts, including mental health and substance abuse evaluations. I provide psycho-sexual and competency to proceed evaluations for private attorneys as well as for the 4th and 7th judicial circuits
(904) 770-3129 View (904) 770-3129

See more therapy options for Lake Butler

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.