Dialectical Behavior (DBT) Therapists in Holyoke, MA
![Photo of Johanna Hammer, LICSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/9025ff90-a039-4468-a389-b335b0d83cee/1/320x400.jpeg)
Johanna Hammer
Clinical Social Work/Therapist, LICSW
Verified Verified
Holyoke, MA 01040 (Online Only)
I have been a therapist for over twenty years and have loved almost every minute of it. Everyone needs more support, new strategies and new perspectives because our lives are always changing. My primary orientation is Dialectical Behavior Therapy, a combination of Mindfulness Practice and skills for the moment and the long term. Whether it's for a short-term problem or a long-term pattern, lets hang out and build the life you want to lead. Many times connecting with ourselves and figuring out our best path can be confusing- I am here to help you figure out how to quiet some of the noise and tune in to your true self.
I have been a therapist for over twenty years and have loved almost every minute of it. Everyone needs more support, new strategies and new perspectives because our lives are always changing. My primary orientation is Dialectical Behavior Therapy, a combination of Mindfulness Practice and skills for the moment and the long term. Whether it's for a short-term problem or a long-term pattern, lets hang out and build the life you want to lead. Many times connecting with ourselves and figuring out our best path can be confusing- I am here to help you figure out how to quiet some of the noise and tune in to your true self.
![Photo of Nancy Lynne Lautenbach, MA, LMHC, ATR, Counselor](https://photos.psychologytoday.com/6d921912-4730-4d89-9fe5-4b532cd2ab06/1/320x400.jpeg)
Nancy Lynne Lautenbach
Counselor, MA, LMHC, ATR
Verified Verified
1 Endorsed
Holyoke, MA 01040 (Online Only)
I work primarily as an art/expressive therapist using a variety of mediums and techniques to include body-based work, somatics, Body Poetry, art therapy, sandtray therapy, CBT, DBT, EFT, and mindfulness skills.
Immediate Availability For New Clients. My goal as a therapist is to empower clients to seek and find their own personal truth. I believe the client is the expert of their experience and needs merely guidance and support to address their own issues. Do you feel you could benefit from a heart-felt presence and warmth, with an emphasis on the skill of listening? Are you desiring change and transformation? The body can sometimes tell the story that words cannot. If you desire healing through art, I incorporate art therapy, writing and movement-based experiences to support clients with accessing their own internal wisdom.
I work primarily as an art/expressive therapist using a variety of mediums and techniques to include body-based work, somatics, Body Poetry, art therapy, sandtray therapy, CBT, DBT, EFT, and mindfulness skills.
Immediate Availability For New Clients. My goal as a therapist is to empower clients to seek and find their own personal truth. I believe the client is the expert of their experience and needs merely guidance and support to address their own issues. Do you feel you could benefit from a heart-felt presence and warmth, with an emphasis on the skill of listening? Are you desiring change and transformation? The body can sometimes tell the story that words cannot. If you desire healing through art, I incorporate art therapy, writing and movement-based experiences to support clients with accessing their own internal wisdom.
![Photo of Kristen Joyce, LMHC, Counselor](https://photos.psychologytoday.com/3d127f96-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
I have worked extensively with individuals in DBT and trauma recovery programs, but my approach remains client-centered and flexible.
I am a therapist working in downtown Northampton providing strength-based, goal oriented psychotherapy. My office is handicapped accessible and convenient to public transportation. I offer evening and weekend times and work with people of all ages individually, in couples and with family members. I am also a founder of Northampton Center for DBT, which offers DBT skills training classes in downtown Northampton (kristenjoyce.com/dbt-skills-classes/).
I have worked extensively with individuals in DBT and trauma recovery programs, but my approach remains client-centered and flexible.
I am a therapist working in downtown Northampton providing strength-based, goal oriented psychotherapy. My office is handicapped accessible and convenient to public transportation. I offer evening and weekend times and work with people of all ages individually, in couples and with family members. I am also a founder of Northampton Center for DBT, which offers DBT skills training classes in downtown Northampton (kristenjoyce.com/dbt-skills-classes/).
![Photo of Fanny Chalfin, MSW, LICSW, SEP, Clinical Social Work/Therapist](https://photos.psychologytoday.com/4f76831b-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
Fanny Chalfin
Clinical Social Work/Therapist, MSW, LICSW, SEP
Verified Verified
Holyoke, MA 01040 (Online Only)
My training is in psychodynamic, CBT, DBT, Somatic Experiencing and EMDR.
Social and political distress are causing fear and alienation, along with feelings of disempowerment and personal inadequacy with less community for us to count on. My way of working with this is to help clients become more aware of their own internal wisdom and connection to all things. I work with adults experiencing anxiety, depression, relational difficulties or just feeling overwhelmed. Listening to your story and using Somatic Experiencing, a mind/body approach, I work to help you find your sense of balance, curiosity, resilience, engagement, and vitality.
My training is in psychodynamic, CBT, DBT, Somatic Experiencing and EMDR.
Social and political distress are causing fear and alienation, along with feelings of disempowerment and personal inadequacy with less community for us to count on. My way of working with this is to help clients become more aware of their own internal wisdom and connection to all things. I work with adults experiencing anxiety, depression, relational difficulties or just feeling overwhelmed. Listening to your story and using Somatic Experiencing, a mind/body approach, I work to help you find your sense of balance, curiosity, resilience, engagement, and vitality.
![Photo of Zaida Govan, LICSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/30480c8b-fad3-4d65-bfe4-9649263be56b/2/320x400.jpeg)
I have been trained in DBT, CBT, and other therapy’s that afford me the ability to work with just about everybody.
I am a social worker that does community activism. Many times people have problems because of the injustices built into our system. In my work in therapy I can help people to identify issues in their lives and give them skills to deal with situations they find themselves in. I want to remove stigma from mental health treatment by offering it to everyone. I am committed to treating people with every day issues that may negatively impact their lives so that they can move forward to have happy and successful lives. I want to listen to people and help them develop the skills they need.
I have been trained in DBT, CBT, and other therapy’s that afford me the ability to work with just about everybody.
I am a social worker that does community activism. Many times people have problems because of the injustices built into our system. In my work in therapy I can help people to identify issues in their lives and give them skills to deal with situations they find themselves in. I want to remove stigma from mental health treatment by offering it to everyone. I am committed to treating people with every day issues that may negatively impact their lives so that they can move forward to have happy and successful lives. I want to listen to people and help them develop the skills they need.
![Photo of Christopher Gordon Langelier, LMHC, Counselor](https://photos.psychologytoday.com/81990df9-9bcb-48dc-9d5e-c8b9033f69ac/3/320x400.jpeg)
My practice focuses on supporting young people ages 10 through 30 as they make the difficult transitions between chilldhood/adolescence and adolescence/young adulthood. Many mental health concerns are either created by or made worse by those transtions. I believe that effective counseling addresses mental health challenges within the context of development and growing up. I utilize a brain/nervous system based approach that incorporates principles of Cognitive Behavioral Therapy (CBT), Dialectical Behavioral Therapy (DBT), Zones of Regulation, and Internal Family Systems (IFS).
My practice focuses on supporting young people ages 10 through 30 as they make the difficult transitions between chilldhood/adolescence and adolescence/young adulthood. Many mental health concerns are either created by or made worse by those transtions. I believe that effective counseling addresses mental health challenges within the context of development and growing up. I utilize a brain/nervous system based approach that incorporates principles of Cognitive Behavioral Therapy (CBT), Dialectical Behavioral Therapy (DBT), Zones of Regulation, and Internal Family Systems (IFS).
![Photo of Anna Kelly, LICSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/ea45f52a-7f6a-45a5-99de-f0a1e51737aa/1/320x400.jpeg)
Anna Kelly
Clinical Social Work/Therapist, LICSW
Verified Verified
1 Endorsed
Holyoke, MA 01040 (Online Only)
Imagine feeling better. There are many routes to this. Together, we can figure out what path works for you. I am warm and can be funny if you like, but I take you very seriously and want you to feel better. Parents, children of aging parents, folks dealing with present day stress or trying to challenge old patterns, many will find that more is possible when you let a caring and skillful person hold some of your stuff with you. Together we can create a space of safety and trust where you can get in touch with vulnerable pieces of yourself that need some attention. I would be honored to share that space with you.
Imagine feeling better. There are many routes to this. Together, we can figure out what path works for you. I am warm and can be funny if you like, but I take you very seriously and want you to feel better. Parents, children of aging parents, folks dealing with present day stress or trying to challenge old patterns, many will find that more is possible when you let a caring and skillful person hold some of your stuff with you. Together we can create a space of safety and trust where you can get in touch with vulnerable pieces of yourself that need some attention. I would be honored to share that space with you.
![Photo of Morgan Supiro-Berg, LMHC, MEd, MA, Counselor](https://photos.psychologytoday.com/32b0f6d2-6765-4fd6-90e7-7fb15e4fba39/1/320x400.jpeg)
Morgan Supiro-Berg
Counselor, LMHC, MEd, MA
Verified Verified
2 Endorsed
Holyoke, MA 01040 (Online Only)
Mental health issues are as unique as the person going through them. It can be frustrating or frightening when no cookie cutter treatment works for everyone. I believe that we often receive oppressive and harmful messages that can lead to mistaken beliefs about ourselves and get in the way of achieving a meaningful and fulfilling existence. If you feel lost or overwhelmed by the weight of the world, I can support you with deconstructing damaging thoughts, emotions and experiences to find empowerment in yourself and move forward as the expert in your life. I strive to make therapy an insightful and uplifting experience for all.
Mental health issues are as unique as the person going through them. It can be frustrating or frightening when no cookie cutter treatment works for everyone. I believe that we often receive oppressive and harmful messages that can lead to mistaken beliefs about ourselves and get in the way of achieving a meaningful and fulfilling existence. If you feel lost or overwhelmed by the weight of the world, I can support you with deconstructing damaging thoughts, emotions and experiences to find empowerment in yourself and move forward as the expert in your life. I strive to make therapy an insightful and uplifting experience for all.
![Photo of Hayley Greland - Hayley Greland LMHC, LMHC, Counselor](https://photos.psychologytoday.com/ab56e2f5-4cd4-4628-94ef-b0d239ad5074/1/320x400.jpeg)
As a member of the LGBTQ+ community myself, I am passionate about providing care in a space where the client’s full range of identity can be expressed and embraced. I am sex positive and kink friendly. I am work with people of all relationship structures (monogamy, polyamorous, non-monogamous, ace). I am a compassionate and dedicated therapist who works from a trauma-informed lens to provide affirming care for my clients. Together we look back to see how to move forward.
As a member of the LGBTQ+ community myself, I am passionate about providing care in a space where the client’s full range of identity can be expressed and embraced. I am sex positive and kink friendly. I am work with people of all relationship structures (monogamy, polyamorous, non-monogamous, ace). I am a compassionate and dedicated therapist who works from a trauma-informed lens to provide affirming care for my clients. Together we look back to see how to move forward.
![Photo of Ronald Williams - Renewed Mind Body & Spirit Counseling, LICSW, LADC1, Clinical Social Work/Therapist](https://photos.psychologytoday.com/942e4250-e53b-44fe-99d9-11b685d2376f/1/320x400.jpeg)
Renewed Mind Body & Spirit Counseling
Clinical Social Work/Therapist, LICSW, LADC1
Verified Verified
Holyoke, MA 01040
Adversity and struggle are situations that are common. The goal to avoid both would be ideal but that is not reality. Peace and calmness in the mist of adversity and struggle is a possible reality and what we will strive to help you achieve. My approach is client centered and you are the expert of your life. Together we will take a nonjudgemental look at what is going on in your life, what is working for you and what is not. In a safe environment we will help you put together a game plan allowing you to see what you need to change in order to get to where you see yourself and where you want to be.
Adversity and struggle are situations that are common. The goal to avoid both would be ideal but that is not reality. Peace and calmness in the mist of adversity and struggle is a possible reality and what we will strive to help you achieve. My approach is client centered and you are the expert of your life. Together we will take a nonjudgemental look at what is going on in your life, what is working for you and what is not. In a safe environment we will help you put together a game plan allowing you to see what you need to change in order to get to where you see yourself and where you want to be.
![Photo of Elaine Campbell - River Valley Counseling Center, Psy D, LICSW, LMHC, Psychologist](https://photos.psychologytoday.com/465f6ba4-46cd-11ea-a6ad-06142c356176/3/320x400.jpeg)
RVCC is a multi-service community-based mental health agency serving the Pioneer Valley since 1953. RVCC offers counseling and medication management at offices located in offices located in Holyoke, Chicopee, Easthampton, Springfield, and Westfield. RVCC also provides counseling in schools throughout Hampden and Hampshire Counties and on the campuses of Springfield Technical Community College and Bay Path University.
RVCC is a multi-service community-based mental health agency serving the Pioneer Valley since 1953. RVCC offers counseling and medication management at offices located in offices located in Holyoke, Chicopee, Easthampton, Springfield, and Westfield. RVCC also provides counseling in schools throughout Hampden and Hampshire Counties and on the campuses of Springfield Technical Community College and Bay Path University.
![Photo of Mary R Kolodny, MA, LMHC, Counselor](https://photos.psychologytoday.com/3e6bc335-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
Mary R Kolodny
Counselor, MA, LMHC
Verified Verified
Holyoke, MA 01040 (Online Only)
Waitlist for new clients
Whether you are facing a crisis, feeling a vague sense of unease, or suffering from long-standing issues with anxiety, depression, self-esteem, trauma, relationships, or addiction, I can help you find greater awareness and identify tools you can use to achieve healing and greater meaning in your individual journey through life. Using my expertise in applying cognitive, expressive, and mindfulness-based techniques, I can assist you in self-discovery, personal growth, and transformation of self-defeating attitudes and behavioral patterns. I now offer online counseling on a HIPAA-secure website, doxy.me and have availability.
Whether you are facing a crisis, feeling a vague sense of unease, or suffering from long-standing issues with anxiety, depression, self-esteem, trauma, relationships, or addiction, I can help you find greater awareness and identify tools you can use to achieve healing and greater meaning in your individual journey through life. Using my expertise in applying cognitive, expressive, and mindfulness-based techniques, I can assist you in self-discovery, personal growth, and transformation of self-defeating attitudes and behavioral patterns. I now offer online counseling on a HIPAA-secure website, doxy.me and have availability.
![Photo of Clara Wagner, LCSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/bb2f58b7-88ef-421a-9710-5c9384cde87e/1/320x400.jpeg)
Clara Wagner
Clinical Social Work/Therapist, LCSW
Verified Verified
Holyoke, MA 01040
Waitlist for new clients
My goal in therapy is for you to experience more freedom–in your body, in the systems you're embedded in, and in your day-to-day life and relationships. I see my role as supporting you in connecting with your own truths, agency and desires in order to navigate your world with a greater sense of ease and connectedness.
My goal in therapy is for you to experience more freedom–in your body, in the systems you're embedded in, and in your day-to-day life and relationships. I see my role as supporting you in connecting with your own truths, agency and desires in order to navigate your world with a greater sense of ease and connectedness.
![Photo of Lyric Morgan-O'Connor, LMHC, Licensed Professional Counselor](https://photos.psychologytoday.com/eb472c9c-3fce-4cd8-9887-c2ce285c4b3b/2/320x400.jpeg)
Lyric Morgan-O'Connor
Licensed Professional Counselor, LMHC
Verified Verified
Holyoke, MA 01040 (Online Only)
Here, you will find sanctuary—a space where you will be seen and gently understood. You will be offered a place to rest, and unload your inner burden, as you journey at your own pace, into the parts of yourself yearning to be explored and healed. In a world that often rushes by, it’s easy to feel overwhelmed, lost, or sad, especially for those who view life through a deeply creative and introspective lens. If you’re seeking a space where your thoughts and feelings are not only heard but deeply valued, you've found a welcoming place.
Here, you will find sanctuary—a space where you will be seen and gently understood. You will be offered a place to rest, and unload your inner burden, as you journey at your own pace, into the parts of yourself yearning to be explored and healed. In a world that often rushes by, it’s easy to feel overwhelmed, lost, or sad, especially for those who view life through a deeply creative and introspective lens. If you’re seeking a space where your thoughts and feelings are not only heard but deeply valued, you've found a welcoming place.
![Photo of Heather Crawford, LICSW, MSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/b0f33b76-f3cb-46f5-b144-daae28ac9722/2/320x400.jpeg)
Heather Crawford
Clinical Social Work/Therapist, LICSW, MSW
Verified Verified
3 Endorsed
Holyoke, MA 01040 (Online Only)
Are you a young adult who is feeling exhausted, anxious, or depressed? Are you finding yourself more stressed and in need of support? Perhaps you are simply looking to enhance your overall wellness or strengthen boundaries within your relationships. Many young people today are finding that the pressures of every day life can overwhelm their capacity to cope. Are you hoping to learn new ways to cope with stress, trauma, family conflict, anxiety, or depression which are trauma-informed and culturally sensitive?
Are you a young adult who is feeling exhausted, anxious, or depressed? Are you finding yourself more stressed and in need of support? Perhaps you are simply looking to enhance your overall wellness or strengthen boundaries within your relationships. Many young people today are finding that the pressures of every day life can overwhelm their capacity to cope. Are you hoping to learn new ways to cope with stress, trauma, family conflict, anxiety, or depression which are trauma-informed and culturally sensitive?
![Photo of Stephanie Drost, LMHC, Counselor](https://photos.psychologytoday.com/bebe1e53-04e7-41e4-9bef-00aac93d4085/1/320x400.jpeg)
I am a therapist with 12 years of experience, working with individuals from diverse backgrounds in the Western Massachusetts area. I treat individuals dealing with depression, anxiety, trauma, bipolar disorder symptoms, substance use, and grief and loss, among other concerns. Together, we can explore unhelpful thought patterns and behaviors, and look toward adopting healthier ways of thinking and behaving. This may include improving communication, coping skills, relationships, developing recovery/relapse prevention tools, and addressing trauma.
I am a therapist with 12 years of experience, working with individuals from diverse backgrounds in the Western Massachusetts area. I treat individuals dealing with depression, anxiety, trauma, bipolar disorder symptoms, substance use, and grief and loss, among other concerns. Together, we can explore unhelpful thought patterns and behaviors, and look toward adopting healthier ways of thinking and behaving. This may include improving communication, coping skills, relationships, developing recovery/relapse prevention tools, and addressing trauma.
![Photo of Lolita Maria Hanley - L and L Life Enrichment Center, PsyD, LMHC, LADCI, Psychologist](https://photos.psychologytoday.com/53742e91-46cd-11ea-a6ad-06142c356176/3/320x400.jpeg)
I am a Licensed Clinical Psychologist, bilingual in Spanish and English, who believes in a "whole person, whole health”, strength-based, treatment approach. I believe that our Mental/Emotional/Behavioral health Matters. Combined, they are fundamental to our ability as humans to think, emote, interact with each other and optimize our life quality and satisfaction . As such, my team and I work collaboratively with each client to provide culturally sensitive, evidenced based services, using creative and inspiring interventions catering to a diverse groups of all ages; human service professionals, first responders and teachers
I am a Licensed Clinical Psychologist, bilingual in Spanish and English, who believes in a "whole person, whole health”, strength-based, treatment approach. I believe that our Mental/Emotional/Behavioral health Matters. Combined, they are fundamental to our ability as humans to think, emote, interact with each other and optimize our life quality and satisfaction . As such, my team and I work collaboratively with each client to provide culturally sensitive, evidenced based services, using creative and inspiring interventions catering to a diverse groups of all ages; human service professionals, first responders and teachers
![Photo of Stephen D Sacco, LICSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/4bb77628-46cd-11ea-a6ad-06142c356176/3/320x400.jpeg)
What is your preferred future? Have you allowed yourself to consider your best hopes and believe that your life can be different? Therapy is an opportunity for you to create and realize your preferred future. There is no one size fits all approach as all individuals have their own specific wants, needs, strengths and barriers. I strive to ensure focus on YOUR specific wants and needs and instill confidence in your capacity to meet them.
What is your preferred future? Have you allowed yourself to consider your best hopes and believe that your life can be different? Therapy is an opportunity for you to create and realize your preferred future. There is no one size fits all approach as all individuals have their own specific wants, needs, strengths and barriers. I strive to ensure focus on YOUR specific wants and needs and instill confidence in your capacity to meet them.
![Photo of Natasha Dawn Campbell - Multicultural Clinical Services, LLC, MSW, LICSW, MBA, Clinical Social Work/Therapist](https://photos.psychologytoday.com/08083f10-9d15-4e7e-9237-ec2641ee647f/2/320x400.jpeg)
Multicultural Clinical Services, LLC
Clinical Social Work/Therapist, MSW, LICSW, MBA
Verified Verified
1 Endorsed
Holyoke, MA 01040
In life we all need hope, validation, just to know that today, "this too shall pass." I strive to connect with individuals with honesty, warmth, and empathy. When one makes that decision to seek emotional guidance, I understand the vulnerability and the bravery of that moment. While allowing one to take the time they need to reach their desires of the heart and/or identify what one desires through a space of compassion and mindfulness.
In life we all need hope, validation, just to know that today, "this too shall pass." I strive to connect with individuals with honesty, warmth, and empathy. When one makes that decision to seek emotional guidance, I understand the vulnerability and the bravery of that moment. While allowing one to take the time they need to reach their desires of the heart and/or identify what one desires through a space of compassion and mindfulness.
![Photo of Danielle Martineau, MSW, LICSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/58476677-d6ac-4ee0-8c67-f2e065dfadf7/3/320x400.jpeg)
Danielle Martineau
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
1 Endorsed
Holyoke, MA 01040
Do you struggle with managing the challenges of everyday life because of overwhelming stress, anxiety, and/or depression? Are you constantly on edge, struggle to get out of bed due to fatigue, or stay up all night thinking about the past or future? Do you fear that you're not where you want to be in your life, and you're unsure as to how to get there? You're not alone and there is hope. On average, one in five adults and one in six children and adolescents, experience mental health struggles. Left untreated, mental health challenges can lead to financial loss, job instability, and relationship difficulties.
Do you struggle with managing the challenges of everyday life because of overwhelming stress, anxiety, and/or depression? Are you constantly on edge, struggle to get out of bed due to fatigue, or stay up all night thinking about the past or future? Do you fear that you're not where you want to be in your life, and you're unsure as to how to get there? You're not alone and there is hope. On average, one in five adults and one in six children and adolescents, experience mental health struggles. Left untreated, mental health challenges can lead to financial loss, job instability, and relationship difficulties.
See more therapy options for Holyoke
Nearby Dialectical Behavior (DBT) Therapists Searches for Holyoke
- Agawam
- Chicopee
- East Longmeadow
- Easthampton
- Florence
- Ludlow
- Northampton
- South Hadley
- Springfield
- West Springfield
- Westfield
- Wilbraham
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.