Dialectical Behavior (DBT) Therapists in Hiawatha, IA

Peaceful Mindset Counseling
Clinical Social Work/Therapist, MSW, LISW
Verified Verified
Hiawatha, IA 52233
Not accepting new clients
I am trained in various therapeutic modalities, including Dialectical Behavior Therapy (DBT), Cognitive Behavioral Therapy (CBT), and Solution Focus.
I strongly believe in the inherent resilience and potential for growth within every individual. My role as a therapist is to provide guidance, support, and practical tools to help you tap into your strengths and navigate life.
I am trained in various therapeutic modalities, including Dialectical Behavior Therapy (DBT), Cognitive Behavioral Therapy (CBT), and Solution Focus.
I strongly believe in the inherent resilience and potential for growth within every individual. My role as a therapist is to provide guidance, support, and practical tools to help you tap into your strengths and navigate life.
(319) 657-5194 View (319) 657-5194
Photo of Erin Forbes, MSW, LISW, Clinical Social Work/Therapist
Erin Forbes
Clinical Social Work/Therapist, MSW, LISW
Verified Verified
9 Endorsed
Hiawatha, IA 52233
I also have training in EMDR, play therapy and DBT.
As a therapist, I believe that a person is more than just the sum of their experiences. Each one of us is made up of our unique thoughts, emotions and ideas. I have devoted my career to finding ways of honoring who you are, as well as who you want to become. My clients range from children to adults, and my special interests are with teens, parents and families. I am clinically trained to help individuals and families experiencing trauma, anxiety, depression, impulsivity, conflicts and grief. My style is direct, non-judgmental and supportive, as we work together to create a treatment plan that uniquely fits your needs.
I also have training in EMDR, play therapy and DBT.
As a therapist, I believe that a person is more than just the sum of their experiences. Each one of us is made up of our unique thoughts, emotions and ideas. I have devoted my career to finding ways of honoring who you are, as well as who you want to become. My clients range from children to adults, and my special interests are with teens, parents and families. I am clinically trained to help individuals and families experiencing trauma, anxiety, depression, impulsivity, conflicts and grief. My style is direct, non-judgmental and supportive, as we work together to create a treatment plan that uniquely fits your needs.
(319) 670-3545 View (319) 670-3545
Photo of Lindsay Miles, LISW, Clinical Social Work/Therapist
Lindsay Miles
Clinical Social Work/Therapist, LISW
Verified Verified
Hiawatha, IA 52233
Waitlist for new clients
Through a combination of EMDR, Acceptance and Commitment, Dialectical-Behavioral, and Solution-Focused Therapies, I incorporate mindfulness strategies into my approach in order to support clients in recognizing that their emotional health needs do not have to keep them from experiencing a lifestyle that is true to their desired values and goals.
No one should move through life, silently experiencing emotional distress with little to no sense of hope, yet so many individuals do. Whether it be a result of biology and/or experience, a person’s thoughts and emotions can greatly shape their reality- leaving them to struggle to see the light at the end of the tunnel. By reconnecting with their values and seeing one's purpose in life, a person can begin to break free from the hold that uncomfortable thoughts and emotions can have on them. While involvement in therapy entails a great deal of vulnerability, it can also be an important step toward desired growth.
Through a combination of EMDR, Acceptance and Commitment, Dialectical-Behavioral, and Solution-Focused Therapies, I incorporate mindfulness strategies into my approach in order to support clients in recognizing that their emotional health needs do not have to keep them from experiencing a lifestyle that is true to their desired values and goals.
No one should move through life, silently experiencing emotional distress with little to no sense of hope, yet so many individuals do. Whether it be a result of biology and/or experience, a person’s thoughts and emotions can greatly shape their reality- leaving them to struggle to see the light at the end of the tunnel. By reconnecting with their values and seeing one's purpose in life, a person can begin to break free from the hold that uncomfortable thoughts and emotions can have on them. While involvement in therapy entails a great deal of vulnerability, it can also be an important step toward desired growth.
(319) 519-4375 View (319) 519-4375
Photo of Pamela Severson, MA, LMHC, Counselor
Pamela Severson
Counselor, MA, LMHC
Verified Verified
Hiawatha, IA 52233
My integrative approach encompasses training in trauma, EMDR, EXRP, DBT, CBT, and parenting to support clients to increase awareness and manage life's challenges more effectively.
Overwhelmed, it's hard to breathe, tears well in your eyes, and you are fatigued with worry. Maybe the flood of emotions started recently or years ago. Perhaps someone hurt you, you saw something terrible happen, or you always felt down, scared and alone. You want nothing more then to feel confident again to move forward; free from hurt. My focus is on helping others resolve what is most troubling for them.
My integrative approach encompasses training in trauma, EMDR, EXRP, DBT, CBT, and parenting to support clients to increase awareness and manage life's challenges more effectively.
Overwhelmed, it's hard to breathe, tears well in your eyes, and you are fatigued with worry. Maybe the flood of emotions started recently or years ago. Perhaps someone hurt you, you saw something terrible happen, or you always felt down, scared and alone. You want nothing more then to feel confident again to move forward; free from hurt. My focus is on helping others resolve what is most troubling for them.
(319) 774-7277 View (319) 774-7277
Photo of Lisa Hawkins - Core Counseling and Wellness, LLC, LMCH, EMDR, Counselor
Core Counseling and Wellness, LLC
Counselor, LMCH, EMDR
Verified Verified
Hiawatha, IA 52233
www.corecounselingwellness.com. Anxiety, Depression, Emotional Eating, Relatinshionship Challenges, Motivation, Career Change, Life Adjustments, and Wellness. Therapeutic modalities: •EMDR: Eye Movement Desensitization Reprocessing •CBT: Cognitive Behavioral Therapy •DBT: Dialectic Behavioral Therapy. Certified Wellness Coach and Yoga RYT 200. Lisa approaches counseling holistically, an inner discovery process, including all areas of wellness – emotional, social, psychological.
www.corecounselingwellness.com. Anxiety, Depression, Emotional Eating, Relatinshionship Challenges, Motivation, Career Change, Life Adjustments, and Wellness. Therapeutic modalities: •EMDR: Eye Movement Desensitization Reprocessing •CBT: Cognitive Behavioral Therapy •DBT: Dialectic Behavioral Therapy. Certified Wellness Coach and Yoga RYT 200. Lisa approaches counseling holistically, an inner discovery process, including all areas of wellness – emotional, social, psychological.
(319) 271-8908 View (319) 271-8908
Photo of Jennifer Becker, LMHC, ACS, Counselor
Jennifer Becker
Counselor, LMHC, ACS
Verified Verified
10 Endorsed
Hiawatha, IA 52233
A straightforward approach is necessary in order to promote lasting change. My goal as your therapist is to create a comfortable environment for you to identify and express your thoughts and feelings. I have worked in the mental health field for 15+ years, and with my knowledge and experience I will help guide you to the solutions you need in a direct and genuine way. I utilize a variety of approaches supplemented by training in EMDR, CBT, and DBT to assist you in developing your strengths and working through your challenges. I am also an Approved Clinical Supervisor and provide licensure supervision to tLMHC and tLMFT providers.
A straightforward approach is necessary in order to promote lasting change. My goal as your therapist is to create a comfortable environment for you to identify and express your thoughts and feelings. I have worked in the mental health field for 15+ years, and with my knowledge and experience I will help guide you to the solutions you need in a direct and genuine way. I utilize a variety of approaches supplemented by training in EMDR, CBT, and DBT to assist you in developing your strengths and working through your challenges. I am also an Approved Clinical Supervisor and provide licensure supervision to tLMHC and tLMFT providers.
(319) 409-6740 View (319) 409-6740
Photo of Holly Miller, LMHC, Counselor
Holly Miller
Counselor, LMHC
Verified Verified
2 Endorsed
Hiawatha, IA 52233
Waitlist for new clients
I pull from a variety of therapeutic approaches including CBT, MCBT, DBT, Adlerian, Sand Therapy and more.
You are not your anxiety, your depression or your past. We all have challenges and seeking help is a sign of mental health, by reading this you have already taken the first step. I would be honored to help you on your journey of growth with an approach that is warm, compassionate and strengths focused. I utilize an empathetic, skills based approach centered on the client. I am mindful that you are and will always remain the expert on your life, as I tailor my approach to best fit your needs. I have experience working with individuals, couples and familes with variety of backgrounds.
I pull from a variety of therapeutic approaches including CBT, MCBT, DBT, Adlerian, Sand Therapy and more.
You are not your anxiety, your depression or your past. We all have challenges and seeking help is a sign of mental health, by reading this you have already taken the first step. I would be honored to help you on your journey of growth with an approach that is warm, compassionate and strengths focused. I utilize an empathetic, skills based approach centered on the client. I am mindful that you are and will always remain the expert on your life, as I tailor my approach to best fit your needs. I have experience working with individuals, couples and familes with variety of backgrounds.
(319) 264-2516 View (319) 264-2516
Photo of Dawn Marie Richard, LMHC, Counselor
Dawn Marie Richard
Counselor, LMHC
Verified Verified
1 Endorsed
Hiawatha, IA 52233
Waitlist for new clients
I am trained in Dialectical Behavioral Therapy (DBT), Cognitive Behavioral Therapy (CBT), and crisis management.
I take trust very seriously. I have always been the person others can confide in and know there is not a risk of judgment. I am proud of that and will understand the gravity of your vulnerability and fear of trust. I'm here to listen to your story, and feel it is important that my clients get an education on the therapeutic process, skill building, training, and accountability.
I am trained in Dialectical Behavioral Therapy (DBT), Cognitive Behavioral Therapy (CBT), and crisis management.
I take trust very seriously. I have always been the person others can confide in and know there is not a risk of judgment. I am proud of that and will understand the gravity of your vulnerability and fear of trust. I'm here to listen to your story, and feel it is important that my clients get an education on the therapeutic process, skill building, training, and accountability.
(319) 220-5286 View (319) 220-5286
Photo of Mwr Counseling - MWR Counseling, Clinical Social Work/Therapist
MWR Counseling
Clinical Social Work/Therapist
Verified Verified
Hiawatha, IA 52233
Your health and well-being are important, and when you make the decision to care for your mental health, MWR is here to partner with you. MWR Counseling provides outpatient mental health counseling to individuals, couples, and families. Our providers specialize in multiple areas, including perinatal mental health, EMDR and somatic trauma treatment, OCD, and chronic pain. When you contact MWR, you will be connected with a therapist who is trained and experienced in providing treatment for your specific needs.
Your health and well-being are important, and when you make the decision to care for your mental health, MWR is here to partner with you. MWR Counseling provides outpatient mental health counseling to individuals, couples, and families. Our providers specialize in multiple areas, including perinatal mental health, EMDR and somatic trauma treatment, OCD, and chronic pain. When you contact MWR, you will be connected with a therapist who is trained and experienced in providing treatment for your specific needs.
(319) 346-3275 View (319) 346-3275
Photo of Heidi Powers, LMHC, Counselor
Heidi Powers
Counselor, LMHC
Verified Verified
7 Endorsed
Hiawatha, IA 52233
Waitlist for new clients
Do you have increasing concerns about your child’s mood and behavior? Perhaps your child has experienced a change, loss, traumatic experience or is struggling with peer relationships. As a parent, when your child is hurting, you hurt with them. While it can be difficult to ask for help, you don’t have to face these struggles alone. Many children experience mental and behavioral health challenges that are treatable. Through therapy, your child can develop healthy coping tools, improve emotional regulation, and learn positive and appropriate ways to get their needs met.
Do you have increasing concerns about your child’s mood and behavior? Perhaps your child has experienced a change, loss, traumatic experience or is struggling with peer relationships. As a parent, when your child is hurting, you hurt with them. While it can be difficult to ask for help, you don’t have to face these struggles alone. Many children experience mental and behavioral health challenges that are treatable. Through therapy, your child can develop healthy coping tools, improve emotional regulation, and learn positive and appropriate ways to get their needs met.
(319) 900-1662 View (319) 900-1662
Photo of Jennifer VansCoy, LMHC, Counselor
Jennifer VansCoy
Counselor, LMHC
Verified Verified
4 Endorsed
Hiawatha, IA 52233
Not accepting new clients
You’re here, looking for a space where you can be heard without judgement. You say everything is “fine”, but you know it’s not. Maybe things have just been overwhelming. You’re looking for a space where you’ll feel comfortable and safe so that you can be free to express yourself. Maybe you’re not even sure how to do that. You just know that you need something different. Therapy can help you figure out how to express yourself and move your life in the direction you want it to go.
You’re here, looking for a space where you can be heard without judgement. You say everything is “fine”, but you know it’s not. Maybe things have just been overwhelming. You’re looking for a space where you’ll feel comfortable and safe so that you can be free to express yourself. Maybe you’re not even sure how to do that. You just know that you need something different. Therapy can help you figure out how to express yourself and move your life in the direction you want it to go.
(319) 313-2668 View (319) 313-2668
Photo of Katie Taylor, LMFT, Marriage & Family Therapist
Katie Taylor
Marriage & Family Therapist, LMFT
Verified Verified
1 Endorsed
Hiawatha, IA 52233
There comes a time in people’s lives when they aren’t comfortable where they are and want a change. I believe people deserve to live happier lives with renewed hope whether they are experiencing uncomfortable adjustments or have been enduring painful moments in life. It is my hope to meet clients where they are and provide a supportive and accepting environment, while collaboratively working towards the client’s goals. By encouraging individuals, couples, and families to be experts in their own lives, we can create lasting positive change to increase quality of life.
There comes a time in people’s lives when they aren’t comfortable where they are and want a change. I believe people deserve to live happier lives with renewed hope whether they are experiencing uncomfortable adjustments or have been enduring painful moments in life. It is my hope to meet clients where they are and provide a supportive and accepting environment, while collaboratively working towards the client’s goals. By encouraging individuals, couples, and families to be experts in their own lives, we can create lasting positive change to increase quality of life.
(319) 220-3665 View (319) 220-3665
Photo of Traci Biddle, MA, LMHC, Counselor
Traci Biddle
Counselor, MA, LMHC
Verified Verified
1 Endorsed
Hiawatha, IA 52233
I enjoy seeing a range of clients from older adults to elementary age kiddos. My job is to help you work towards what you want to get out of counseling, no matter what may be going on in your life. There are a lot of ways to accomplish that goal so let's work together to find what works for you!
I enjoy seeing a range of clients from older adults to elementary age kiddos. My job is to help you work towards what you want to get out of counseling, no matter what may be going on in your life. There are a lot of ways to accomplish that goal so let's work together to find what works for you!
(319) 878-6239 View (319) 878-6239
Photo of Emily Nicole Lopez, LISW, LCSW, Clinical Social Work/Therapist
Emily Nicole Lopez
Clinical Social Work/Therapist, LISW, LCSW
Verified Verified
Hiawatha, IA 52233
I am a Licensed Independent Social Worker ready to accompany you on your journey to healing. During our time together, I will provide a safe, comfortable, and warm environment where you are able to explore and process the challenges you are facing. I have experience working with clients processing trauma, life adjustments, depression, anxiety, relationship issues, and sexual health.
I am a Licensed Independent Social Worker ready to accompany you on your journey to healing. During our time together, I will provide a safe, comfortable, and warm environment where you are able to explore and process the challenges you are facing. I have experience working with clients processing trauma, life adjustments, depression, anxiety, relationship issues, and sexual health.
(319) 408-8655 View (319) 408-8655
Photo of Dillon Fawcett, MA, TLMHC, Counselor
Dillon Fawcett
Counselor, MA, TLMHC
Verified Verified
Hiawatha, IA 52233
Life is hard, especially when we do it alone. Let's do it together. My goal is to help you reach your goals, by facing your issues head on and with courage. While I am bold, I am equally gentle and strive to empower you to achieve hard things. My philosophy is if we don't take control of our issues, they may take control of us. I find great importance in walking alongside you in compassion and support while giving you a safe space to work toward the change you desire, so you can be the best version of yourself. You can do hard things and you don't have to do it alone!
Life is hard, especially when we do it alone. Let's do it together. My goal is to help you reach your goals, by facing your issues head on and with courage. While I am bold, I am equally gentle and strive to empower you to achieve hard things. My philosophy is if we don't take control of our issues, they may take control of us. I find great importance in walking alongside you in compassion and support while giving you a safe space to work toward the change you desire, so you can be the best version of yourself. You can do hard things and you don't have to do it alone!
(319) 308-4823 View (319) 308-4823

More Therapists Nearby

Photo of Monique Jeanette Maldonado, MACP, IADC, LMHC, Counselor
Monique Jeanette Maldonado
Counselor, MACP, IADC, LMHC
Verified Verified
1 Endorsed
Cedar Rapids, IA 52402
I offer a variety of ways to achieve change: Cognitive Behavioral Therapy; Mindfulness; DBT skills training; Attachment Based Therapy; Motivational Interviewing and Trans-theoretical Model of change.
Searching for help is a courageous first step to change. You may be feeling anxious or depressed. Are you looking for support in changing addictive behaviors from a non-judgmental approach? Perhaps you have experienced traumatic events that have left you feeling "stuck." Or maybe you have relationship issues and aren't sure where to go from here. Many of my clients have experienced grief and loss and simply need support working through the stages of grief. I have also served children and families. Whatever your needs, there IS hope.
I offer a variety of ways to achieve change: Cognitive Behavioral Therapy; Mindfulness; DBT skills training; Attachment Based Therapy; Motivational Interviewing and Trans-theoretical Model of change.
Searching for help is a courageous first step to change. You may be feeling anxious or depressed. Are you looking for support in changing addictive behaviors from a non-judgmental approach? Perhaps you have experienced traumatic events that have left you feeling "stuck." Or maybe you have relationship issues and aren't sure where to go from here. Many of my clients have experienced grief and loss and simply need support working through the stages of grief. I have also served children and families. Whatever your needs, there IS hope.
(515) 500-2103 View (515) 500-2103
Photo of Jenna Swallow, LMHC, Counselor
Jenna Swallow
Counselor, LMHC
Verified Verified
Cedar Rapids, IA 52402
I practice Dialectical Behavioral Therapy (DBT), Internal Family Systems (IFS), Cognitive Behavioral Therapy (CBT), Adlerian Philosophies/Techniques, and Rogerian Philosophies/Techniques. I look forward to working with clients who are seeking help for PTSD, Borderline Personality Disorder, Depression, Anxiety, Eating disorders, Self-image/confidence, Couples Therapy, Family Therapy, social anxiety, grief/loss, adjustment disorders, adolescent issues, stress management/work issues, suicidal ideations/self-harm, and weight loss.
I practice Dialectical Behavioral Therapy (DBT), Internal Family Systems (IFS), Cognitive Behavioral Therapy (CBT), Adlerian Philosophies/Techniques, and Rogerian Philosophies/Techniques. I look forward to working with clients who are seeking help for PTSD, Borderline Personality Disorder, Depression, Anxiety, Eating disorders, Self-image/confidence, Couples Therapy, Family Therapy, social anxiety, grief/loss, adjustment disorders, adolescent issues, stress management/work issues, suicidal ideations/self-harm, and weight loss.
(319) 250-2647 View (319) 250-2647
Photo of Raejean Sue Rosedale, MA, LMHC, Counselor
Raejean Sue Rosedale
Counselor, MA, LMHC
Verified Verified
Cedar Rapids, IA 52404  (Online Only)
Waitlist for new clients
Traditional CBT and DBT interventions are utilized as well as creative virtual activities such as; shared journaling, drawing activities, mindfulness, meditation, therapeutic storytelling, music and art interventions.
Are you struggling with balancing your life and you feel like something is missing? I can provide you with genuine support, compassion and direction toward more joy in your life. Renew Counseling helps work through life transitions, anxiety, mood disorders, depression, addictions, grief/loss, spirituality and body positivity. As a counselor and a Christian mom, I enjoy working with women and families to improve communication and relationship strategies, along with improving connection with your kids. Reach out today and renew your mind, body and spirit.
Traditional CBT and DBT interventions are utilized as well as creative virtual activities such as; shared journaling, drawing activities, mindfulness, meditation, therapeutic storytelling, music and art interventions.
Are you struggling with balancing your life and you feel like something is missing? I can provide you with genuine support, compassion and direction toward more joy in your life. Renew Counseling helps work through life transitions, anxiety, mood disorders, depression, addictions, grief/loss, spirituality and body positivity. As a counselor and a Christian mom, I enjoy working with women and families to improve communication and relationship strategies, along with improving connection with your kids. Reach out today and renew your mind, body and spirit.
(641) 925-2331 View (641) 925-2331
Photo of Claire LeMay, LISW, IADC, Clinical Social Work/Therapist
Claire LeMay
Clinical Social Work/Therapist, LISW, IADC
Verified Verified
Cedar Rapids, IA 52402
Claire has extensive experience with DBT, ACT, Motivational Interviewing, and CBT modalities.
Claire believes therapy is a collaborative experience and encourages you to discover and make the choices that are right for you. You might have multiple areas in your life (work, home, relationships) you are trying to manage, and are not sure where to start. You might have multiple mental health concerns and struggle to know where to start. We will take time to explore your urgent needs and long term needs and develop a plan together that aligns with your goals, values, and priorities. At North Star Psychological Center, we offer mental health groups as well. If you need more support we have services to fit your needs.
Claire has extensive experience with DBT, ACT, Motivational Interviewing, and CBT modalities.
Claire believes therapy is a collaborative experience and encourages you to discover and make the choices that are right for you. You might have multiple areas in your life (work, home, relationships) you are trying to manage, and are not sure where to start. You might have multiple mental health concerns and struggle to know where to start. We will take time to explore your urgent needs and long term needs and develop a plan together that aligns with your goals, values, and priorities. At North Star Psychological Center, we offer mental health groups as well. If you need more support we have services to fit your needs.
(319) 725-2027 x702 View (319) 725-2027 x702
Photo of Andrew Beer, PhD, LMFT, RPT-S, Marriage & Family Therapist
Andrew Beer
Marriage & Family Therapist, PhD, LMFT, RPT-S
Verified Verified
Cedar Rapids, IA 52402
I offer: Adlerian Play Therapy, Cognitive-Behavioral Therapy (CBT), Dialectical-Behavior Therapy (DBT), EMDR, Family Systems Theory, Mindfulness, Narrative Therapy, Sand Tray Therapy, Solution-Focused Therapy and Theraplay.
Currently accepting EMDR clients only: My passion as a therapist is to help guide you or your loved ones toward desired growth and help manage hardships life throws your way. I have experience working with adoption, ADHD, anxiety, autism, attachment concerns, behavioral problems, college students, Conduct Disorder, depression, families, foster-care, low self-esteem, ODD, self-harm and suicidal ideation, social skills, and complex trauma. I enjoy working with these populations individually, in the family setting, and group therapy.
I offer: Adlerian Play Therapy, Cognitive-Behavioral Therapy (CBT), Dialectical-Behavior Therapy (DBT), EMDR, Family Systems Theory, Mindfulness, Narrative Therapy, Sand Tray Therapy, Solution-Focused Therapy and Theraplay.
Currently accepting EMDR clients only: My passion as a therapist is to help guide you or your loved ones toward desired growth and help manage hardships life throws your way. I have experience working with adoption, ADHD, anxiety, autism, attachment concerns, behavioral problems, college students, Conduct Disorder, depression, families, foster-care, low self-esteem, ODD, self-harm and suicidal ideation, social skills, and complex trauma. I enjoy working with these populations individually, in the family setting, and group therapy.
(319) 408-8851 View (319) 408-8851

See more therapy options for Hiawatha

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.