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Photo of Jayme E Bradshaw, LCSW, Clinical Social Work/Therapist
Jayme E Bradshaw
Clinical Social Work/Therapist, LCSW
Verified Verified
Lexington, IL 61753
Our lives are very busy; therefore, my hours are flexible to work with your schedule. We will work together to create a treatment that is unique to your own needs. I have over 15 years of fieldwork and have been able to help people with many backgrounds and needs. I will listen to you and help guide you to where you want to be.
Our lives are very busy; therefore, my hours are flexible to work with your schedule. We will work together to create a treatment that is unique to your own needs. I have over 15 years of fieldwork and have been able to help people with many backgrounds and needs. I will listen to you and help guide you to where you want to be.
(815) 205-1566 View (815) 205-1566

Online Therapists

Photo of Leah Lubniewski, LCPC, CGP, MHC, Counselor
Leah Lubniewski
Counselor, LCPC, CGP, MHC
Verified Verified
1 Endorsed
Naperville, IL 60540
Leah has been trained in Cognitive Behavioral Therapy (CBT), Dialectical Behavioral Therapy (DBT), Client Centered Therapy, Motivational Interviewing Techniques.
In working in a number of different settings, Leah has worked with a wide range of ages and diagnoses. The primary focus is adolescents through adults. Concerns that clients may work on, but not limited to, are depression, anxiety, trauma, grief, life transitions/adjustments, adoption, mood management, and relationship/communication issues.
Leah has been trained in Cognitive Behavioral Therapy (CBT), Dialectical Behavioral Therapy (DBT), Client Centered Therapy, Motivational Interviewing Techniques.
In working in a number of different settings, Leah has worked with a wide range of ages and diagnoses. The primary focus is adolescents through adults. Concerns that clients may work on, but not limited to, are depression, anxiety, trauma, grief, life transitions/adjustments, adoption, mood management, and relationship/communication issues.
(630) 634-7581 x106 View (630) 634-7581 x106
Photo of Heidi M Ramirez, Pre-Licensed Professional
Heidi M Ramirez
Pre-Licensed Professional
Verified Verified
Chicago, IL 60611
In addition, she provided individual psychotherapy, and dialectical behavioral group therapy.
Dr. Heidi Ramirez is currently a post-doctoral psychologist. She graduated with a doctorate of psychology (Psy.D.) in clinical forensic psychology from The Chicago School of Professional Psychology, Los Angeles Campus. Her clinical experience consists of working with underserved populations, specifically with incarcerated adolescents and adult males. She began her training with children and adolescents who were assigned to a trauma-informed charter school in Los Angeles, CA and completed her pre-doctoral internship at a forensic psychological private practice in Tempe, AZ.
In addition, she provided individual psychotherapy, and dialectical behavioral group therapy.
Dr. Heidi Ramirez is currently a post-doctoral psychologist. She graduated with a doctorate of psychology (Psy.D.) in clinical forensic psychology from The Chicago School of Professional Psychology, Los Angeles Campus. Her clinical experience consists of working with underserved populations, specifically with incarcerated adolescents and adult males. She began her training with children and adolescents who were assigned to a trauma-informed charter school in Los Angeles, CA and completed her pre-doctoral internship at a forensic psychological private practice in Tempe, AZ.
(872) 266-3819 View (872) 266-3819
Joan Ferdinand-Keleher
Counselor, MS, LCPC
Verified Verified
Chicago, IL 60601
My general private practice includes several specialties: EMDR ; Dialectical Behavior Therapy; Internal Family Systems; Imago relationship perspective.
I am an Illinois Licensed Clinical Professional Counselor in private practice with offices in Evanston and Chicago offering psychotherapy services to adult individuals, couples, and families.
My general private practice includes several specialties: EMDR ; Dialectical Behavior Therapy; Internal Family Systems; Imago relationship perspective.
I am an Illinois Licensed Clinical Professional Counselor in private practice with offices in Evanston and Chicago offering psychotherapy services to adult individuals, couples, and families.
(224) 408-5126 View (224) 408-5126
Photo of Jennifer F. Smith, MA, NCC, LCPC, Counselor
Jennifer F. Smith
Counselor, MA, NCC, LCPC
Verified Verified
Oak Park, IL 60301
I utilize a variety of clinical modalities such as Trauma-Focused Cognitive Behavioral Therapy, Acceptance and Commitment (ACT), Dialectical Behavioral Therapy (DBT), and Mindfulness.
Chicago native, Licensed Clinical Professional Counselor with experience working with children and adults. I love helping children blossom into their own identities, empowering women through a variety of life changes and personal growth, and supporting men with self-love. As a current PhD Candidate in Organizational Leadership and Certificate in Women's Entrepreneurship, I'm able to explore the anxieties around leadership, workplace and entrepreneurial stress.
I utilize a variety of clinical modalities such as Trauma-Focused Cognitive Behavioral Therapy, Acceptance and Commitment (ACT), Dialectical Behavioral Therapy (DBT), and Mindfulness.
Chicago native, Licensed Clinical Professional Counselor with experience working with children and adults. I love helping children blossom into their own identities, empowering women through a variety of life changes and personal growth, and supporting men with self-love. As a current PhD Candidate in Organizational Leadership and Certificate in Women's Entrepreneurship, I'm able to explore the anxieties around leadership, workplace and entrepreneurial stress.
(312) 629-5925 View (312) 629-5925
Photo of April Fitzharris, LCSW, PMH-C, Clinical Social Work/Therapist
April Fitzharris
Clinical Social Work/Therapist, LCSW, PMH-C
Verified Verified
1 Endorsed
Naperville, IL 60565
April believes in incorporating cognitive behavioral therapy (CBT), dialectical behavioral therapy (DBT) in session to help women make meaningful change.
Little A's Healing, LLC believes in the unique needs of women, especially mothers, and the challenges they face in their individual journey. April Fitzharris, LCSW, PMH-C, is Perinatal Mental Health Certified and works primarily with women struggling with; postpartum/perinatal depression, anxiety, infertility, grief from loss & parenting stress.
April believes in incorporating cognitive behavioral therapy (CBT), dialectical behavioral therapy (DBT) in session to help women make meaningful change.
Little A's Healing, LLC believes in the unique needs of women, especially mothers, and the challenges they face in their individual journey. April Fitzharris, LCSW, PMH-C, is Perinatal Mental Health Certified and works primarily with women struggling with; postpartum/perinatal depression, anxiety, infertility, grief from loss & parenting stress.
(331) 244-2287 View (331) 244-2287
Photo of Emily Breitweiser, MA, NCC, Pre-Licensed Professional
Emily Breitweiser
Pre-Licensed Professional, MA, NCC
Verified Verified
1 Endorsed
Heyworth, IL 61745
I support my clients through an integrative approach using experiential and attachment-based therapies (EFT & AEDP), neurocounseling, DBT, and ACT.
Now accepting new clients! I am passionate about walking with adults and couples on their healing journeys. Additionally, I specialize in working with college students and emerging adults facing anxiety, grief, chronic stress, and life transitions. As an existentially based therapist, I do not view myself as an expert on my clients. Instead, I see myself as a fellow traveler in life, who knows that ultimately, we all need a safe place to talk about our experiences, thoughts, feelings, and fears. I provide this safety for my clients through my warm, compassionate, and culturally sensitive trauma-informed approach.
I support my clients through an integrative approach using experiential and attachment-based therapies (EFT & AEDP), neurocounseling, DBT, and ACT.
Now accepting new clients! I am passionate about walking with adults and couples on their healing journeys. Additionally, I specialize in working with college students and emerging adults facing anxiety, grief, chronic stress, and life transitions. As an existentially based therapist, I do not view myself as an expert on my clients. Instead, I see myself as a fellow traveler in life, who knows that ultimately, we all need a safe place to talk about our experiences, thoughts, feelings, and fears. I provide this safety for my clients through my warm, compassionate, and culturally sensitive trauma-informed approach.
(309) 448-4307 View (309) 448-4307
Photo of Jeanette Lee, JD, LCSW, Clinical Social Work/Therapist
Jeanette Lee
Clinical Social Work/Therapist, JD, LCSW
Verified Verified
2 Endorsed
Oak Park, IL 60301
I apply practices from Dialectical Behavioral Therapy (DBT) and Acceptance and Commitment Therapy (ACT) to help clients see change from the outside in.
I support individuals, couples, and families under stress. Together, we uncover contexts and patterns of thoughts and behaviors that are causing challenges. Often, you as the client may already know the answers but could use support in living those answers out. The end goal is growth; the client should be able to look back at our work together and see a difference.
I apply practices from Dialectical Behavioral Therapy (DBT) and Acceptance and Commitment Therapy (ACT) to help clients see change from the outside in.
I support individuals, couples, and families under stress. Together, we uncover contexts and patterns of thoughts and behaviors that are causing challenges. Often, you as the client may already know the answers but could use support in living those answers out. The end goal is growth; the client should be able to look back at our work together and see a difference.
(708) 498-3785 View (708) 498-3785
Photo of Yanet Vanegas, PsyD, PMH-C, Psychologist
Yanet Vanegas
Psychologist, PsyD, PMH-C
Verified Verified
Chicago, IL 60611  (Online Only)
Hello, I'm Dr. Yanet Vanegas, and I understand that seeking support for mental well-being can be a challenging journey. I'm a child and adolescent psychologist and a perinatal mental health certified provider. My approach goes beyond merely treating symptoms. It’s about sparking lasting change and fostering personal growth. I create personalized treatment plans using the latest therapeutic techniques, including CBT, Exposure Response Prevention (ERP) therapy for OCD, and DBT.
Hello, I'm Dr. Yanet Vanegas, and I understand that seeking support for mental well-being can be a challenging journey. I'm a child and adolescent psychologist and a perinatal mental health certified provider. My approach goes beyond merely treating symptoms. It’s about sparking lasting change and fostering personal growth. I create personalized treatment plans using the latest therapeutic techniques, including CBT, Exposure Response Prevention (ERP) therapy for OCD, and DBT.
(815) 339-8858 View (815) 339-8858
Photo of Brad Novak, MA, LCPC, LMHC, NCC, Counselor
Brad Novak
Counselor, MA, LCPC, LMHC, NCC
Verified Verified
Lansing, IL 60438
I use mindfulness based CBT, DBT, ACT, Adlerian Life Tasks exploration, Written Exposure Therapy (an effective new treatment for trauma), Exposure Response Prevention Therapy and Motivational Interviewing.
Telehealth sessions available; I currently have openings. With our everyday stressors, life will leave you feeling as if you are unreachable & helpless. I'm honored to work with ALL people that are looking for support & desire a change in their life. I support clients who are dealing with anxiety, depression, OCD, eating disorders (including binge eating disorder) to reconnect my clients with their lives & to get unstuck, this I'm committed to. There are many struggles that often contribute greatly to our anxiety & make it challenging for us to focus on the here & now. I offer credit counseling. My You Tube Channel: bit.ly/3MOGd2D
I use mindfulness based CBT, DBT, ACT, Adlerian Life Tasks exploration, Written Exposure Therapy (an effective new treatment for trauma), Exposure Response Prevention Therapy and Motivational Interviewing.
Telehealth sessions available; I currently have openings. With our everyday stressors, life will leave you feeling as if you are unreachable & helpless. I'm honored to work with ALL people that are looking for support & desire a change in their life. I support clients who are dealing with anxiety, depression, OCD, eating disorders (including binge eating disorder) to reconnect my clients with their lives & to get unstuck, this I'm committed to. There are many struggles that often contribute greatly to our anxiety & make it challenging for us to focus on the here & now. I offer credit counseling. My You Tube Channel: bit.ly/3MOGd2D
(224) 501-9708 View (224) 501-9708
Photo of Deanna Marie Dotson, LSW, Clinical Social Work/Therapist
Deanna Marie Dotson
Clinical Social Work/Therapist, LSW
Verified Verified
Chicago, IL 60661  (Online Only)
I am trained professionally in CBT/DBT and specialize in assisting adults, adolescents, and children with depression.
Life can be difficult, but I believe that we were built to do and overcome difficult things, even when the task of healing seems impossible. Your feelings are important, and you have the power to transform and heal within a safe space.
I am trained professionally in CBT/DBT and specialize in assisting adults, adolescents, and children with depression.
Life can be difficult, but I believe that we were built to do and overcome difficult things, even when the task of healing seems impossible. Your feelings are important, and you have the power to transform and heal within a safe space.
(312) 386-5128 View (312) 386-5128
Photo of Shana Mehta, PsyD, Pre-Licensed Professional
Shana Mehta
Pre-Licensed Professional, PsyD
Verified Verified
1 Endorsed
Chicago, IL 60601  (Online Only)
She uses a combination of evidence based therapeutic modalities, including Cognitive-Behavioral, Dialectical Behavioral, and Exposure Therapy.
Dr. Shana Mehta works with teenagers and adults who struggle with various forms of anxiety, depression, and eating disorders. She has expertise with individuals who experience mood difficulties, generalized anxiety or panic, obsessive-compulsive disorder, borderline personality disorder, addiction, trauma, divorce, parenting difficulties, and significant life transitions. Additionally, she specializes in eating disorder treatment, specifically binge eating, compulsive overeating, emotional overeating, and mindless eating.
She uses a combination of evidence based therapeutic modalities, including Cognitive-Behavioral, Dialectical Behavioral, and Exposure Therapy.
Dr. Shana Mehta works with teenagers and adults who struggle with various forms of anxiety, depression, and eating disorders. She has expertise with individuals who experience mood difficulties, generalized anxiety or panic, obsessive-compulsive disorder, borderline personality disorder, addiction, trauma, divorce, parenting difficulties, and significant life transitions. Additionally, she specializes in eating disorder treatment, specifically binge eating, compulsive overeating, emotional overeating, and mindless eating.
(630) 716-9361 View (630) 716-9361
Photo of Adam Lawrence Maldonado, MS, LCPC
Adam Lawrence Maldonado
MS, LCPC
Verified Verified
1 Endorsed
North Aurora, IL 60542
I utilize aspects of Dialectical Behavior Therapy, CBT, psychoanalysis, and some other methods.
My greatest wish in life is to be able to help make a difference in the world; counseling is my way. I have confronted a variety of issues, and work well with complex conditions. Some include depression, anxiety, borderline personality disorder, adoption, self-esteem, bullying, family conflict, ADHD, defiant behaviors, anger management, and attachment concerns. My work also extends to parental support in working with their children / adolescents more effectively in communication, discipline and affection. My main desire is for all clients to know they are not alone and help them on their journey. I will adapt to meet your needs.
I utilize aspects of Dialectical Behavior Therapy, CBT, psychoanalysis, and some other methods.
My greatest wish in life is to be able to help make a difference in the world; counseling is my way. I have confronted a variety of issues, and work well with complex conditions. Some include depression, anxiety, borderline personality disorder, adoption, self-esteem, bullying, family conflict, ADHD, defiant behaviors, anger management, and attachment concerns. My work also extends to parental support in working with their children / adolescents more effectively in communication, discipline and affection. My main desire is for all clients to know they are not alone and help them on their journey. I will adapt to meet your needs.
(815) 513-7010 View (815) 513-7010
Photo of Briena Wyckstandt, LCSW, Clinical Social Work/Therapist
Briena Wyckstandt
Clinical Social Work/Therapist, LCSW
Verified Verified
Springfield, IL 62702
Hi! My name is Briena Wyckstandt and I am a Licensed Clinical Social Worker with over 6 years of experience. I offer many therapy approaches with specific training in EMDR, DBT, and TF-CBT. I have experience working with all age ranges but most specifically teens and adults experiencing anxiety, depression, and trauma.
Hi! My name is Briena Wyckstandt and I am a Licensed Clinical Social Worker with over 6 years of experience. I offer many therapy approaches with specific training in EMDR, DBT, and TF-CBT. I have experience working with all age ranges but most specifically teens and adults experiencing anxiety, depression, and trauma.
(708) 847-9698 View (708) 847-9698
Photo of Ann Sherri - Comprehensive Services of Illinois, LCSW, SAP, CADC, CPLC, CWLC, Clinical Social Work/Therapist
Comprehensive Services of Illinois
Clinical Social Work/Therapist, LCSW, SAP, CADC, CPLC, CWLC
Verified Verified
Flossmoor, IL 60422
We specialize in Eye Movement Desensitization & Reprocessing (EMDR), Mindfulness Based Cognitive Therapy (MBCT), Solution Foscused Brief Therapy (SFBT), Dialectical Behavior Therapy (DBT), Family Systems Therapy and Family Marital Therapy.
Welcome to Comprehensive Services of Illinois! CSI staff members are looking forward to servicing you. They are phenomenal, providing comprehensive, high quality, accessible, affordable and effective services to children, adolescent and adults. Professional services are tailored to individual, couple and family need. Their goals are to assist, empower, and respond to your needs. While demonstrating the Comprehensive Services of Illinois philosophy: commitment, compassion, confidentiality, dignity, empathy, empowerment, excellence, genuineness, purpose, respect, support and understanding. Call today to schedule an appointment.
We specialize in Eye Movement Desensitization & Reprocessing (EMDR), Mindfulness Based Cognitive Therapy (MBCT), Solution Foscused Brief Therapy (SFBT), Dialectical Behavior Therapy (DBT), Family Systems Therapy and Family Marital Therapy.
Welcome to Comprehensive Services of Illinois! CSI staff members are looking forward to servicing you. They are phenomenal, providing comprehensive, high quality, accessible, affordable and effective services to children, adolescent and adults. Professional services are tailored to individual, couple and family need. Their goals are to assist, empower, and respond to your needs. While demonstrating the Comprehensive Services of Illinois philosophy: commitment, compassion, confidentiality, dignity, empathy, empowerment, excellence, genuineness, purpose, respect, support and understanding. Call today to schedule an appointment.
(708) 318-1401 View (708) 318-1401
Photo of Colleen Norwell, LCSW, Clinical Social Work/Therapist
Colleen Norwell
Clinical Social Work/Therapist, LCSW
Verified Verified
Naperville, IL 60563
Waitlist for new clients
With a caring, supportive, strengths-based focus - and a touch of humor, Colleen uses a variety of approaches and interventions such as EMDR, CBT, DBT, Motivational Interviewing, Mindfulness and Harm Reduction.
Colleen is a Licensed Clinical Social Worker who enjoys collaborating with adolescents and adults in order to help them make changes that will allow them to find balance, and an enhanced quality of life. Having worked closely with adoptive families, families experiencing crisis and violence in the home, veterans, and individuals managing severe and persistent mental illness, Colleen is well versed in the treatment of trauma and attachment, mood, anxiety, psychotic, as well as personality disorders.
With a caring, supportive, strengths-based focus - and a touch of humor, Colleen uses a variety of approaches and interventions such as EMDR, CBT, DBT, Motivational Interviewing, Mindfulness and Harm Reduction.
Colleen is a Licensed Clinical Social Worker who enjoys collaborating with adolescents and adults in order to help them make changes that will allow them to find balance, and an enhanced quality of life. Having worked closely with adoptive families, families experiencing crisis and violence in the home, veterans, and individuals managing severe and persistent mental illness, Colleen is well versed in the treatment of trauma and attachment, mood, anxiety, psychotic, as well as personality disorders.
(630) 361-0238 View (630) 361-0238
Photo of Karyn Roggatz Ness, MS MA, LCPC
Karyn Roggatz Ness
Licensed Clinical Professional Counselor, MS MA, LCPC
Verified Verified
Wheaton, IL 60187
Trauma recovery implementing EMDR, IFS, DBT, CBT strategies.
It is my goal to work with people of all ages, and simply meet them where they are. I hope to motivate my clients to make changes that will enhance the quality of their lives, working from the most appropriate theoretical models that suit each person's needs.
Trauma recovery implementing EMDR, IFS, DBT, CBT strategies.
It is my goal to work with people of all ages, and simply meet them where they are. I hope to motivate my clients to make changes that will enhance the quality of their lives, working from the most appropriate theoretical models that suit each person's needs.
(847) 750-3897 View (847) 750-3897
Photo of Jenn Aardsma, MA, LCPC, CST, NCC, Licensed Professional Counselor
Jenn Aardsma
Licensed Professional Counselor, MA, LCPC, CST, NCC
Verified Verified
Champaign, IL 61822
Interventions include mindfulness, client centered therapy, DBT, psychodynamic, and self-psychology.
I believe deeply in the power of relationships for growth and healing. If we have the privilege of working together, I will listen attentively to understand your experiences. When applicable, I will seek to help you recognize and develop your strengths and skills to respond effectively to life’s many difficulties and opportunities. Areas of support include guidance for concerns with anxiety, depression, OCD, panic attacks, PTSD, anger, grief, mood disorders, personality disorders, impulse control, relationship challenges, sexual pain disorders and concerns regarding gender and sexuality.
Interventions include mindfulness, client centered therapy, DBT, psychodynamic, and self-psychology.
I believe deeply in the power of relationships for growth and healing. If we have the privilege of working together, I will listen attentively to understand your experiences. When applicable, I will seek to help you recognize and develop your strengths and skills to respond effectively to life’s many difficulties and opportunities. Areas of support include guidance for concerns with anxiety, depression, OCD, panic attacks, PTSD, anger, grief, mood disorders, personality disorders, impulse control, relationship challenges, sexual pain disorders and concerns regarding gender and sexuality.
(217) 216-8325 View (217) 216-8325
Photo of Linda A Hochfeld - Ascent Counseling Services, MA, LCPC, LPC, Counselor
Ascent Counseling Services
Counselor, MA, LCPC, LPC
Verified Verified
Chicago, IL 60654  (Online Only)
I utilize cognitive behavioral, Dialectical Behavioral therapies as well as EMDR.
I like people. It's hard to not feel compassion for an individual who is willing to bear their soul to find a better out come. I am clinically astute, however, I deliver a warm and compassionate and objective viewpoint to assist my clients. I have a diverse background which allows me to fully empathize with the clients I serve. I am licensed in both Illinois and Wisconsin . I have extensive experience working with victims of sexual abuse, domestic violence, substance abuse and traumatic history. Prior to working in my own practice, I worked with specialized children in foster care.
I utilize cognitive behavioral, Dialectical Behavioral therapies as well as EMDR.
I like people. It's hard to not feel compassion for an individual who is willing to bear their soul to find a better out come. I am clinically astute, however, I deliver a warm and compassionate and objective viewpoint to assist my clients. I have a diverse background which allows me to fully empathize with the clients I serve. I am licensed in both Illinois and Wisconsin . I have extensive experience working with victims of sexual abuse, domestic violence, substance abuse and traumatic history. Prior to working in my own practice, I worked with specialized children in foster care.
(224) 231-4085 View (224) 231-4085
Photo of Briena Wyckstandt, LCSW, Clinical Social Work/Therapist
Briena Wyckstandt
Clinical Social Work/Therapist, LCSW
Verified Verified
Stone Park, IL 60165
Hi! My name is Briena Wyckstandt and I am a Licensed Clinical Social Worker with over 6 years of experience. I offer many therapy approaches with specific training in EMDR, DBT, and TF-CBT. I have experience working with all age ranges but most specifically teens and adults experiencing anxiety, depression, and trauma.
Hi! My name is Briena Wyckstandt and I am a Licensed Clinical Social Worker with over 6 years of experience. I offer many therapy approaches with specific training in EMDR, DBT, and TF-CBT. I have experience working with all age ranges but most specifically teens and adults experiencing anxiety, depression, and trauma.
(312) 900-8542 View (312) 900-8542
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.