Therapists in Bethesda, MD
Micah Saviet
Clinical Social Work/Therapist, LCSW-C
Verified Verified
1 Endorsed
Bethesda, MD 20814 (Online Only)
I use a variety of therapeutic approaches that are tailored to your personal needs, including dialectical behavior therapy, client-centered therapy, strength-focused therapy, mindfulness, motivational interviewing, acceptance and commitment therapy (ACT).
Do you often find yourself struggling to keep up with your commitments, feeling overwhelmed by the sheer number of tasks on your plate? Or perhaps you experience frequent anxiety attacks triggered by the stress? I am a trauma-informed, neurodiverse-affirming, LGBTIA+ allied clinical social worker and ADHD/well-being coach. I'm passionate about helping people find lasting relief from trauma, limiting beliefs, and feeling stuck. My therapy specialties include ADHD, first responders (police, fire, EMS), trauma/post-traumatic stress, college students, and men’s issues. I also help individuals struggling with anxiety and depression.
I use a variety of therapeutic approaches that are tailored to your personal needs, including dialectical behavior therapy, client-centered therapy, strength-focused therapy, mindfulness, motivational interviewing, acceptance and commitment therapy (ACT).
Do you often find yourself struggling to keep up with your commitments, feeling overwhelmed by the sheer number of tasks on your plate? Or perhaps you experience frequent anxiety attacks triggered by the stress? I am a trauma-informed, neurodiverse-affirming, LGBTIA+ allied clinical social worker and ADHD/well-being coach. I'm passionate about helping people find lasting relief from trauma, limiting beliefs, and feeling stuck. My therapy specialties include ADHD, first responders (police, fire, EMS), trauma/post-traumatic stress, college students, and men’s issues. I also help individuals struggling with anxiety and depression.
Grant emphasizes a client centered approach and uses evidence-based practices, such as cognitive and dialectical behavioral therapies, in his clinical approach.
Grant received his master’s degree in clinical social work from the University of Chicago, Crown School. While in graduate school, Grant was part of the Trauma Program of Study, which provided him with a strong foundation in trauma informed care, as well as Cognitive and Dialectical Behavioral Therapy. Grant studied Economics in his undergraduate course work at the University of Miami. Grant gained valuable field experience as a primary clinician on the inpatient psychiatry unit at Lurie Children’s Hospital of Chicago.
Grant emphasizes a client centered approach and uses evidence-based practices, such as cognitive and dialectical behavioral therapies, in his clinical approach.
Grant received his master’s degree in clinical social work from the University of Chicago, Crown School. While in graduate school, Grant was part of the Trauma Program of Study, which provided him with a strong foundation in trauma informed care, as well as Cognitive and Dialectical Behavioral Therapy. Grant studied Economics in his undergraduate course work at the University of Miami. Grant gained valuable field experience as a primary clinician on the inpatient psychiatry unit at Lurie Children’s Hospital of Chicago.
I have post-graduate training in a wide array of techniques from evidence-based interventions such as Mindfulness-Based Stress Reduction, Cognitive Behavioral Therapy, Dialectical Behavioral Therapy, Hypnosis, and Eye-Movement-Desensitization and Reprocessing.
I have experience working with adults suffering from severe psychiatric illnesses and substance abuse, as well as kids, adolescents, adults and families with a variety of mental health needs. I am interested and skilled in addressing issues pertaining to relationship struggles, stress, difficulty paying attention and functioning in school, and mood difficulties related to anxiety and depression. I welcome the opportunity to work with clients of various ages and backgrounds, helping them find and utilize their own unique strengths and abilities to meet their treatment goals.
I have post-graduate training in a wide array of techniques from evidence-based interventions such as Mindfulness-Based Stress Reduction, Cognitive Behavioral Therapy, Dialectical Behavioral Therapy, Hypnosis, and Eye-Movement-Desensitization and Reprocessing.
I have experience working with adults suffering from severe psychiatric illnesses and substance abuse, as well as kids, adolescents, adults and families with a variety of mental health needs. I am interested and skilled in addressing issues pertaining to relationship struggles, stress, difficulty paying attention and functioning in school, and mood difficulties related to anxiety and depression. I welcome the opportunity to work with clients of various ages and backgrounds, helping them find and utilize their own unique strengths and abilities to meet their treatment goals.
I am deeply passionate about guiding clients through life's complexities with compassion and empathy. I understand that opening up can be challenging, so I strive to create a space of acceptance and unwavering support, allowing you to be your true self. I am committed to offering culturally sensitive counseling services and building authentic connections. I am under the supervision of Brooke Shafer, MA, LCPC, LPC. My approach integrates a diverse range of techniques, including Cognitive Behavioral Therapy (CBT), Dialectical Behavior Therapy ( DBT), Person-Centered Therapy, and Mindfulness, all delivered with warmth and understanding.
I am deeply passionate about guiding clients through life's complexities with compassion and empathy. I understand that opening up can be challenging, so I strive to create a space of acceptance and unwavering support, allowing you to be your true self. I am committed to offering culturally sensitive counseling services and building authentic connections. I am under the supervision of Brooke Shafer, MA, LCPC, LPC. My approach integrates a diverse range of techniques, including Cognitive Behavioral Therapy (CBT), Dialectical Behavior Therapy ( DBT), Person-Centered Therapy, and Mindfulness, all delivered with warmth and understanding.
Drawing from my diverse background and experiences, I offer tailored evidence-based interventions, including mindfulness techniques, CBT, DBT, Motivational Interviewing, and a strengths-based perspective.
My ideal client seeks a therapist who understands the complexities of their lived experiences. They may be struggling with issues like trauma, addiction, stress, anxiety, depression, relationship difficulties, identity struggles, life transitions, existential concerns, or oppression. They would come to me because they need a safe, nonjudgmental space to explore their emotions and experiences, seeking personal growth, well-being, and fulfillment. They choose me for support in achieving a fulfilling life, recognizing my capacity to guide them through personal growth and empower them to access their transformative potential.
Drawing from my diverse background and experiences, I offer tailored evidence-based interventions, including mindfulness techniques, CBT, DBT, Motivational Interviewing, and a strengths-based perspective.
My ideal client seeks a therapist who understands the complexities of their lived experiences. They may be struggling with issues like trauma, addiction, stress, anxiety, depression, relationship difficulties, identity struggles, life transitions, existential concerns, or oppression. They would come to me because they need a safe, nonjudgmental space to explore their emotions and experiences, seeking personal growth, well-being, and fulfillment. They choose me for support in achieving a fulfilling life, recognizing my capacity to guide them through personal growth and empower them to access their transformative potential.
I specialize in using Cognitive Behavior Therapy (CBT) and Dialectical Behavior Therapy ( DBT) for adolescents and adults.
Welcome to my practice. I like to work with my clients in a respectful, collaborative way to help them to move forward in their lives. My approach is to help clients to balance mindfulness, acceptance, and change strategies so that they can reach their goals. I have a special interest in the use of mindfulness-informed and evidence-based therapies. I strive to work with you to help you reach your goals as quickly as possible. Please contact me for more information.
I specialize in using Cognitive Behavior Therapy (CBT) and Dialectical Behavior Therapy ( DBT) for adolescents and adults.
Welcome to my practice. I like to work with my clients in a respectful, collaborative way to help them to move forward in their lives. My approach is to help clients to balance mindfulness, acceptance, and change strategies so that they can reach their goals. I have a special interest in the use of mindfulness-informed and evidence-based therapies. I strive to work with you to help you reach your goals as quickly as possible. Please contact me for more information.
My modalities include Cognitive Behavioral Therapy (CBT), Dialectical Behavioral Therapy ( DBT) Skills Training, Systems Theory, Narrative Therapy, Art Therapy, Play Therapy, and Psychoeducation.
Couples, LGBTQIA+ and BIPOC Affirming Care; ENM, Polyamory and Kink-Aware Therapy, Sex & Intimacy; Eating Disorders; Teen Identity Formation; Communication Issues; Family of Origin Issues; Anxiety; Depression; Life Transitions & Adjustment; Substance Use Disorder
My modalities include Cognitive Behavioral Therapy (CBT), Dialectical Behavioral Therapy ( DBT) Skills Training, Systems Theory, Narrative Therapy, Art Therapy, Play Therapy, and Psychoeducation.
Couples, LGBTQIA+ and BIPOC Affirming Care; ENM, Polyamory and Kink-Aware Therapy, Sex & Intimacy; Eating Disorders; Teen Identity Formation; Communication Issues; Family of Origin Issues; Anxiety; Depression; Life Transitions & Adjustment; Substance Use Disorder
I have trained in Internal Family Systems, Somatic Experiencing, DBT, CBT and Focusing oriented therapy.
I help individuals, couples and families reconnect with and draw strength from the goodness in themselves as they cultivate positive behaviors and new perspectives on life. I specialize in untangling the patterns that cause us harm, including avoidance, addiction, depression, anxiety, post-traumatic suffering, self harm, suicidal ideation, and low self esteem. I help couples and families find more wholesome and supportive ways to connect and care for each other.
I have trained in Internal Family Systems, Somatic Experiencing, DBT, CBT and Focusing oriented therapy.
I help individuals, couples and families reconnect with and draw strength from the goodness in themselves as they cultivate positive behaviors and new perspectives on life. I specialize in untangling the patterns that cause us harm, including avoidance, addiction, depression, anxiety, post-traumatic suffering, self harm, suicidal ideation, and low self esteem. I help couples and families find more wholesome and supportive ways to connect and care for each other.
David V Almeida
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Bethesda, MD 20814
Are you struggling with issues that you feel are holding you back from reaching your goals? Are you looking to gain awareness, insight and understanding of the barriers that are standing in the way? With over 15 years of experience, I am passionate about helping individuals and families overcome struggles including substance use, anger issues, relationship problems and failure to launch. I have vast experience working with families and an intimate understanding of the the treatment landscape. I am trained in CBT, DBT, REBT, and am certified in anger management (CAMS-II).
Are you struggling with issues that you feel are holding you back from reaching your goals? Are you looking to gain awareness, insight and understanding of the barriers that are standing in the way? With over 15 years of experience, I am passionate about helping individuals and families overcome struggles including substance use, anger issues, relationship problems and failure to launch. I have vast experience working with families and an intimate understanding of the the treatment landscape. I am trained in CBT, DBT, REBT, and am certified in anger management (CAMS-II).
Comeback Counseling: Trauma-Informed Therapy
Licensed Clinical Professional Counselor, LCPC, CCTP-II, ASDCS
Verified Verified
Bethesda, MD 20817
I am also specially trained in EMDR, DBT, internal family systems (IFS), and cognitive processing therapy (CPT), all of which are effective in trauma treatment.
Certified trauma-informed therapist with training in EMDR, IFS, DBT, and CPT. I specialize in work with adult/adolescent clients with a history of trauma, whether single incident or complex and/or autism. These clients may present with PTSD, cPTSD, depression, anxiety, substance use disorders, personality disorders, and more. My goal is to assist my clients with not only recovering after trauma, but enabling growth toward the person they want to be. I see survival as a strength, and the adaptations that allowed for that survival should be recognized as such to increase self-compassion and facilitate the next step.
I am also specially trained in EMDR, DBT, internal family systems (IFS), and cognitive processing therapy (CPT), all of which are effective in trauma treatment.
Certified trauma-informed therapist with training in EMDR, IFS, DBT, and CPT. I specialize in work with adult/adolescent clients with a history of trauma, whether single incident or complex and/or autism. These clients may present with PTSD, cPTSD, depression, anxiety, substance use disorders, personality disorders, and more. My goal is to assist my clients with not only recovering after trauma, but enabling growth toward the person they want to be. I see survival as a strength, and the adaptations that allowed for that survival should be recognized as such to increase self-compassion and facilitate the next step.
Britt H Rathbone
Clinical Social Work/Therapist, LCSW-C, BCD, CGP
Verified Verified
1 Endorsed
Bethesda, MD 20816
He provides Cognitive Behavioral Therapy (CBT), Certified Comprehensive Dialectical Behavior Therapy ( DBT), Unified Protocol for Adolescents (UP-A), Exposure and Response Prevention, Parent Management Training (PMT), Compassion Focused Therapy (CFT), Acceptance and Commitment Therapy (ACT), Functional Analytic Psychotherapy (FAP), Prolonged Exposure for PTSD (PE), Behavioral Activation (BA) and other effective treatments.
Britt Rathbone is an expert in the treatment of adolescents. He graduated from Columbia University and has worked exclusively with adolescents and their families since 1985. He has a special interest in challenging, difficult to treat, and treatment-reluctant adolescents as well as those who have multiple and complicated mental health diagnoses. He trains therapists, speaks to professional and lay groups, and has taught advanced level social work graduate students at the Catholic University of America. Washingtonian Magazine has consistently named Mr. Rathbone one of Washington's best therapists for adolescents, and one of Washington's best therapists for group therapy.
He provides Cognitive Behavioral Therapy (CBT), Certified Comprehensive Dialectical Behavior Therapy ( DBT), Unified Protocol for Adolescents (UP-A), Exposure and Response Prevention, Parent Management Training (PMT), Compassion Focused Therapy (CFT), Acceptance and Commitment Therapy (ACT), Functional Analytic Psychotherapy (FAP), Prolonged Exposure for PTSD (PE), Behavioral Activation (BA) and other effective treatments.
Britt Rathbone is an expert in the treatment of adolescents. He graduated from Columbia University and has worked exclusively with adolescents and their families since 1985. He has a special interest in challenging, difficult to treat, and treatment-reluctant adolescents as well as those who have multiple and complicated mental health diagnoses. He trains therapists, speaks to professional and lay groups, and has taught advanced level social work graduate students at the Catholic University of America. Washingtonian Magazine has consistently named Mr. Rathbone one of Washington's best therapists for adolescents, and one of Washington's best therapists for group therapy.
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I specialize in Dialectical Behavioral Therapy, Gottman Method, Eye Movement Desensitization and Reprocessing (EMDR), and Accelerated Resolution Therapy.
I am passionate about helping my clients improve their relationships and alleviate suffering to find meaning, purpose, and build a life worth living. I also recognize how difficult the path of seeking help and making change can be and I will provide my skills, support, and compassion to you as you navigate your journey. Whether you are feeling anxious, overwhelmed, depressed, isolated, burned out, or stuck, I will work with you to get through the challenges and difficulties you face.
I specialize in Dialectical Behavioral Therapy, Gottman Method, Eye Movement Desensitization and Reprocessing (EMDR), and Accelerated Resolution Therapy.
I am passionate about helping my clients improve their relationships and alleviate suffering to find meaning, purpose, and build a life worth living. I also recognize how difficult the path of seeking help and making change can be and I will provide my skills, support, and compassion to you as you navigate your journey. Whether you are feeling anxious, overwhelmed, depressed, isolated, burned out, or stuck, I will work with you to get through the challenges and difficulties you face.
I'm highly trained in something called Dialectical Behavior Therapy ( DBT) which contains all kinds of incredible skills and ways of approaching the world differently.
I'm so glad you landed here on my page! Life is really rough right now and you're looking for someone who can help you straighten things out. I can help you figure out what is troubling you in a safe, supportive environment that also encourages change and growth.
I'm highly trained in something called Dialectical Behavior Therapy ( DBT) which contains all kinds of incredible skills and ways of approaching the world differently.
I'm so glad you landed here on my page! Life is really rough right now and you're looking for someone who can help you straighten things out. I can help you figure out what is troubling you in a safe, supportive environment that also encourages change and growth.
Daniel Abzug
Clinical Social Work/Therapist, MSW, LCSW-C
Verified Verified
4 Endorsed
Bethesda, MD 20814
Many of us don't know where to begin at the moment we realize we need help or simply become interested in exploring our lives and relationships. We may hear about many different treatment modalities (CBT, DBT, EMDR, etc.) and feel confused about what "type" of therapist we should meet with. I simplify all of this by being straight-forward, down-to-earth, and adept at helping you use the best and most effective components of every modality available. Within our first meeting you will have a better understanding of yourself and what you want to manifest in your life.
Many of us don't know where to begin at the moment we realize we need help or simply become interested in exploring our lives and relationships. We may hear about many different treatment modalities (CBT, DBT, EMDR, etc.) and feel confused about what "type" of therapist we should meet with. I simplify all of this by being straight-forward, down-to-earth, and adept at helping you use the best and most effective components of every modality available. Within our first meeting you will have a better understanding of yourself and what you want to manifest in your life.
Ken Ovitz
Clinical Social Work/Therapist, LCSW, CSAT
Verified Verified
Bethesda, MD 20816 (Online Only)
I also incorporate Relapse Prevention, DBT, Psychodrama, Gottman Method, and EMDR Therapy when appropriate.
I am honored that my clients share their deepest secrets with me every day. I am grateful for the trust they place in me and I value their need for confidentiality. I make an effort to listen to my clients and hear what they say to learn what they need to grow. Every client is a person who is much greater than their problem behavior or diagnosis. While I have extensive training in treating trauma and sexual behavior problems, I also have experience and training in treating other mental health problems such as: Depression, Anxiety, Post Traumatic Stress Disorder, Panic Disorder, ADHD, and chemical as well as process addictions.
I also incorporate Relapse Prevention, DBT, Psychodrama, Gottman Method, and EMDR Therapy when appropriate.
I am honored that my clients share their deepest secrets with me every day. I am grateful for the trust they place in me and I value their need for confidentiality. I make an effort to listen to my clients and hear what they say to learn what they need to grow. Every client is a person who is much greater than their problem behavior or diagnosis. While I have extensive training in treating trauma and sexual behavior problems, I also have experience and training in treating other mental health problems such as: Depression, Anxiety, Post Traumatic Stress Disorder, Panic Disorder, ADHD, and chemical as well as process addictions.
Patrick DiSalvo
Clinical Social Work/Therapist, MSW, MST, LCSWC
Verified Verified
Bethesda, MD 20814
I incorporate multiple modalities, such as Acceptance & Commitment Therapy, CBT, DBT, Solutions Based Therapy, and more.
Do you feel like you have run into a bit of a wall trying to navigate challenges in your life? Are you wondering how to improve your mood, lessen your anxiety, or manage the many stressors that can overwhelm? I am here to work with you in exploring, accepting and traversing such obstacles. As a therapist, former special education teacher, and parent, I understand the value of empathy, compassion and a listening ear. I bring a multitude of experience and a client-centered, strengths-based approach to sessions. In our time together, you will have a safe space to share openly and vulnerably. You will be heard.
I incorporate multiple modalities, such as Acceptance & Commitment Therapy, CBT, DBT, Solutions Based Therapy, and more.
Do you feel like you have run into a bit of a wall trying to navigate challenges in your life? Are you wondering how to improve your mood, lessen your anxiety, or manage the many stressors that can overwhelm? I am here to work with you in exploring, accepting and traversing such obstacles. As a therapist, former special education teacher, and parent, I understand the value of empathy, compassion and a listening ear. I bring a multitude of experience and a client-centered, strengths-based approach to sessions. In our time together, you will have a safe space to share openly and vulnerably. You will be heard.
Dr. Daniel Damian is a Psychologist in Maryland who has been practicing since 2006. He has a PhD in Clinical Psychology. Dr. Damian’s ultimate goal is to help his clients better understand the root cause(s) of their current difficulties, work through their specific issues or concerns, experience healthier ways of relating to themselves and other people and live a more fulfilling and satisfying life. Dr. Damian’s therapeutic approach is eclectic, being tailored to his clients’ unique needs and goals, and primarily consisting of psychodynamic, CBT and DBT-based interventions.
Dr. Daniel Damian is a Psychologist in Maryland who has been practicing since 2006. He has a PhD in Clinical Psychology. Dr. Damian’s ultimate goal is to help his clients better understand the root cause(s) of their current difficulties, work through their specific issues or concerns, experience healthier ways of relating to themselves and other people and live a more fulfilling and satisfying life. Dr. Damian’s therapeutic approach is eclectic, being tailored to his clients’ unique needs and goals, and primarily consisting of psychodynamic, CBT and DBT-based interventions.
Shawn M. Rill
Clinical Social Work/Therapist, BSW, MSW, LMSW
Verified Verified
Bethesda, MD 20817 (Online Only)
I utilize brief intervention models (SFBT, NLP, hypnosis), mindfulness, behavioral therapy (CBT/ DBT), and Stoic theory.
I am accepting new clients (July 2024): adults, in Maryland, via telehealth only. I specialize in working with adults who have ADHD/ADD. Besides ADHD, I also work with adults who experience excess anxiety, worry, or distress, and Men's Issues. I help people who feel like their lives are overwhelming or out of control and are ready to do something to produce change. Through active collaboration, we can identify the specific things you want to change in your life and create achievable goals based on what you can realistically control. This includes practicing new skills to handle stress in your life. I maintain a secular perspective.
I utilize brief intervention models (SFBT, NLP, hypnosis), mindfulness, behavioral therapy (CBT/ DBT), and Stoic theory.
I am accepting new clients (July 2024): adults, in Maryland, via telehealth only. I specialize in working with adults who have ADHD/ADD. Besides ADHD, I also work with adults who experience excess anxiety, worry, or distress, and Men's Issues. I help people who feel like their lives are overwhelming or out of control and are ready to do something to produce change. Through active collaboration, we can identify the specific things you want to change in your life and create achievable goals based on what you can realistically control. This includes practicing new skills to handle stress in your life. I maintain a secular perspective.
We will work together within a psychodynamically guided relationship and I employ techniques, such as CBT and DBT.
Leon believes that everyone carries the answers within themselves. A therapist’s job is to help you discover those answers and practice living with them. He provides the structure and relationship to support you through the process. Whether you’re dealing with depression, anxiety, trauma, substance use disorders, or relationship challenges, Leon can help you live life to the fullest. Contact Leon today!
We will work together within a psychodynamically guided relationship and I employ techniques, such as CBT and DBT.
Leon believes that everyone carries the answers within themselves. A therapist’s job is to help you discover those answers and practice living with them. He provides the structure and relationship to support you through the process. Whether you’re dealing with depression, anxiety, trauma, substance use disorders, or relationship challenges, Leon can help you live life to the fullest. Contact Leon today!
His modalities include Mindfulness-Based Cognitive Therapy (MBCT / CBT), Eye Movement Desensitization and Reprocessing (EMDR), and Dialectical Behavioral Therapy ( DBT).
Calvin is a Licensed Clinical Social Worker (LCSW) providing holistic psychotherapy. He offers a unique blend of Eastern wisdom and Western training to help you overcome life's challenges, such as feeling stuck, difficulty changing old habits, or maintaining healthy relationships. Calvin provides compassionate support, free of judgment to promote healing and growth. A cornerstone of his approach is helping you address past experiences and heal in order to cultivate empowerment and find the confidence to meet your life goals.
His modalities include Mindfulness-Based Cognitive Therapy (MBCT / CBT), Eye Movement Desensitization and Reprocessing (EMDR), and Dialectical Behavioral Therapy ( DBT).
Calvin is a Licensed Clinical Social Worker (LCSW) providing holistic psychotherapy. He offers a unique blend of Eastern wisdom and Western training to help you overcome life's challenges, such as feeling stuck, difficulty changing old habits, or maintaining healthy relationships. Calvin provides compassionate support, free of judgment to promote healing and growth. A cornerstone of his approach is helping you address past experiences and heal in order to cultivate empowerment and find the confidence to meet your life goals.
See more therapy options for Bethesda
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.