Dialectical Behavior (DBT) Therapists in Ellicott City, MD
Elizabeth Lynn Meritt
Clinical Social Work/Therapist, LCSW-C
Verified Verified
1 Endorsed
Ellicott City, MD 21043
I am trained in techniques such as Cognitive Behavioral Therapy, Dialectical Behavioral Therapy and Acceptance and Commitment Therapy, but am also comfortable with a more relaxed, relational based talk therapy.
I work with adults struggling with depression and anxiety, substance abuse disorders, relationship difficulties, and life stressors. I utilize a collaborative process to help you learn important coping skills and tools to create a more enjoyable life. It is my goal to work with each client and provide them with a safe and positive environment to explore the issues and destructive patterns that cause distress and discover healthy and adaptive ways to live and thrive. **NOW ACCEPTING NEW PATIENTS**
I am trained in techniques such as Cognitive Behavioral Therapy, Dialectical Behavioral Therapy and Acceptance and Commitment Therapy, but am also comfortable with a more relaxed, relational based talk therapy.
I work with adults struggling with depression and anxiety, substance abuse disorders, relationship difficulties, and life stressors. I utilize a collaborative process to help you learn important coping skills and tools to create a more enjoyable life. It is my goal to work with each client and provide them with a safe and positive environment to explore the issues and destructive patterns that cause distress and discover healthy and adaptive ways to live and thrive. **NOW ACCEPTING NEW PATIENTS**
Joanna Hurwitz
Clinical Social Work/Therapist, LCSW-C
Verified Verified
4 Endorsed
Ellicott City, MD 21042 (Online Only)
I work mostly from an ACT (acceptance and commitment therapy) framework, but also incorporate elements of CBT, DBT, and interpersonal therapy.
Welcome! I'm Joanna. I work with adolescents (16+) & adults, most frequently young adults. I particularly enjoy working with transitional issues - changes in school, jobs, family, relationships, identity, etc. Often, my clients are dealing with depression, anxiety, substance use, trauma, and/or interpersonal conflict. I value working with folks with a range of backgrounds, races, faiths, genders, sexualities, and lifestyles. My work sees people through a systems lens, recognizes the oppressive barriers to mental wellness, and encourages reflection on cultural impact. My ideal client is open minded, patient, and motivated for change.
I work mostly from an ACT (acceptance and commitment therapy) framework, but also incorporate elements of CBT, DBT, and interpersonal therapy.
Welcome! I'm Joanna. I work with adolescents (16+) & adults, most frequently young adults. I particularly enjoy working with transitional issues - changes in school, jobs, family, relationships, identity, etc. Often, my clients are dealing with depression, anxiety, substance use, trauma, and/or interpersonal conflict. I value working with folks with a range of backgrounds, races, faiths, genders, sexualities, and lifestyles. My work sees people through a systems lens, recognizes the oppressive barriers to mental wellness, and encourages reflection on cultural impact. My ideal client is open minded, patient, and motivated for change.
I will bring in components of polyvagal theory and DBT to help you learn skills to regulate your nervous system and bring awareness to your triggers.
My ideal client would be someone who recognizes unhealthy patterns and is ready to make a change, whether this is a disruption in day-to-day functioning, relationships, self-esteem, or addiction. Even if your goal isn't clear at the moment, I will help guide you along the way until you're able to see the finish line you envision. Clients should be ready to be challenged and encouraged to get outside of their comfort zone.
I will bring in components of polyvagal theory and DBT to help you learn skills to regulate your nervous system and bring awareness to your triggers.
My ideal client would be someone who recognizes unhealthy patterns and is ready to make a change, whether this is a disruption in day-to-day functioning, relationships, self-esteem, or addiction. Even if your goal isn't clear at the moment, I will help guide you along the way until you're able to see the finish line you envision. Clients should be ready to be challenged and encouraged to get outside of their comfort zone.
I believe that anyone who wants to make a change in their life can do it. My style is laid back, with an emphasis on listening and getting to know the client on their own terms, and assisting them with self expression when needed. My orientation is self psychological and relational. For some issues, I find that a more structured, directed approach is helpful. I have recently incorporated DBT skills groups into my practice.
I believe that anyone who wants to make a change in their life can do it. My style is laid back, with an emphasis on listening and getting to know the client on their own terms, and assisting them with self expression when needed. My orientation is self psychological and relational. For some issues, I find that a more structured, directed approach is helpful. I have recently incorporated DBT skills groups into my practice.
Ruth Williams
Licensed Clinical Professional Counselor, LCPC
Verified Verified
Ellicott City, MD 21042
As a DBT therapist, I support clients in navigating life transitions by teaching emotional regulation, mindfulness, and interpersonal skills.
My ideal clients are women navigating life transitions amidst uncertainties and pressures, filled with excitement yet also significant anxiety. They face fear of the unknown, pressure to succeed, and societal expectations, feeling anxious and inadequate while balancing family, work, and personal life. They seek a supportive environment to express themselves, gain clarity, manage stress, find emotional stability, and build self-confidence. Their goals are to achieve a healthy work-life balance, feel empowered, and navigate transitions to find fulfillment and happiness.
As a DBT therapist, I support clients in navigating life transitions by teaching emotional regulation, mindfulness, and interpersonal skills.
My ideal clients are women navigating life transitions amidst uncertainties and pressures, filled with excitement yet also significant anxiety. They face fear of the unknown, pressure to succeed, and societal expectations, feeling anxious and inadequate while balancing family, work, and personal life. They seek a supportive environment to express themselves, gain clarity, manage stress, find emotional stability, and build self-confidence. Their goals are to achieve a healthy work-life balance, feel empowered, and navigate transitions to find fulfillment and happiness.
Emily Padin-Neidenberg
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Ellicott City, MD 21042 (Online Only)
Using a combination of CBT, DBT, Motivational Interviewing, IFS, and EFT, I ensure that therapy with me offers a balanced blend of tangible tools along with a supportive environment where you feel comfortable embracing you.
Are you in the midst of a challenging life transition that’s causing anxiety or depression? Maybe you struggle with addiction and need additional support. If you’re in a committed relationship, perhaps you and your partner want to heal past wounds, create healthier habits, or strengthen your emotional connection. As a licensed counselor, I use a person-centered and strengths-based approach that will empower you to make the changes you've always wanted for yourself.
Using a combination of CBT, DBT, Motivational Interviewing, IFS, and EFT, I ensure that therapy with me offers a balanced blend of tangible tools along with a supportive environment where you feel comfortable embracing you.
Are you in the midst of a challenging life transition that’s causing anxiety or depression? Maybe you struggle with addiction and need additional support. If you’re in a committed relationship, perhaps you and your partner want to heal past wounds, create healthier habits, or strengthen your emotional connection. As a licensed counselor, I use a person-centered and strengths-based approach that will empower you to make the changes you've always wanted for yourself.
Rebecca Cooney
Clinical Social Work/Therapist, LCSW-C, RYT-200
Verified Verified
2 Endorsed
Ellicott City, MD 21042 (Online Only)
My approach includes aspects of CBT, DBT, IFS & EMDR, mindfulness and meditation, cultivating self-compassion, and the therapeutic use of humor, empathy and human connection.
Now Accepting New Clients MD & VA! You sense that a painful experience from your past is affecting your present life. You recognize that you're caught in a cycle, but finding a way out seems impossible. Typically, you're the kind of person who can navigate through any challenge, so it's incredibly frustrating that this time feels different. I specialize in working with adult & adolescents in the treatment of depression, anxiety, stress, relationship difficulties, family conflict, self-esteem, trauma, abuse, grief/loss and emotion dysregulation.
My approach includes aspects of CBT, DBT, IFS & EMDR, mindfulness and meditation, cultivating self-compassion, and the therapeutic use of humor, empathy and human connection.
Now Accepting New Clients MD & VA! You sense that a painful experience from your past is affecting your present life. You recognize that you're caught in a cycle, but finding a way out seems impossible. Typically, you're the kind of person who can navigate through any challenge, so it's incredibly frustrating that this time feels different. I specialize in working with adult & adolescents in the treatment of depression, anxiety, stress, relationship difficulties, family conflict, self-esteem, trauma, abuse, grief/loss and emotion dysregulation.
My specialty is cognitive behavioral therapy, dialectical behavioral therapy, trauma-focused cognitive behavioral therapy, and interpersonal psychotherapy.
Are you suffering from symptoms of depression, ADHD, anxiety, bipolar, autism spectrum, OCD, and/or PTSD? I'm here to help facilitate your healing process and provide a safe space to voice your deepest concerns freely. Our goal is to significantly improve your self-concept, increase a positive outlook on life, and, most importantly, feel like your best self.
My specialty is cognitive behavioral therapy, dialectical behavioral therapy, trauma-focused cognitive behavioral therapy, and interpersonal psychotherapy.
Are you suffering from symptoms of depression, ADHD, anxiety, bipolar, autism spectrum, OCD, and/or PTSD? I'm here to help facilitate your healing process and provide a safe space to voice your deepest concerns freely. Our goal is to significantly improve your self-concept, increase a positive outlook on life, and, most importantly, feel like your best self.
Alexander Amico
Clinical Social Work/Therapist, LCSW
Verified Verified
2 Endorsed
Ellicott City, MD 21043 (Online Only)
I utilize a combination of third-generation Cognitive Behavioral Therapy, Acceptance and Commitment Therapy (ACT), Dialectical Behavioral ( DBT), and Solution Focused Brief Therapy (SFBT).
There can be times when it seems our bodies, or minds, or even or world are betraying us. The human experience itself can be difficult. Introduce chronic fear, depression, intrusive thoughts, or anxiety and it can be difficult to see ways to change, making things even more overwhelming. We will work together to see how you can find your footing and create a more beneficial perspective and hopefully impact your future. I am most versed in treatment of depression, anxiety, OCD/related, trauma, substance use (alcohol, marijuana, other behavioral i.e., food, sex, etc.), couples, and men’s issues; LGBTQ+ ally. Regards, Alex Amico LCSW
I utilize a combination of third-generation Cognitive Behavioral Therapy, Acceptance and Commitment Therapy (ACT), Dialectical Behavioral ( DBT), and Solution Focused Brief Therapy (SFBT).
There can be times when it seems our bodies, or minds, or even or world are betraying us. The human experience itself can be difficult. Introduce chronic fear, depression, intrusive thoughts, or anxiety and it can be difficult to see ways to change, making things even more overwhelming. We will work together to see how you can find your footing and create a more beneficial perspective and hopefully impact your future. I am most versed in treatment of depression, anxiety, OCD/related, trauma, substance use (alcohol, marijuana, other behavioral i.e., food, sex, etc.), couples, and men’s issues; LGBTQ+ ally. Regards, Alex Amico LCSW
Rebecca Cooney
Clinical Social Work/Therapist, LCSW-C, RYT-200, EMDR
Verified Verified
Ellicott City, MD 21042 (Online Only)
Women's Trauma Group begins September 29th at 6pm! My approach includes aspects of CBT, DBT, IFS & EMDR, mindfulness and meditation, cultivating self-compassion, and the therapeutic use of humor, empathy and human connection.
Now Accepting New Clients! Therapy takes MOXIE! You sense that a painful experience from your past is affecting your present life. You recognize that you're caught in a cycle, but finding a way out seems impossible. Typically, you're the kind of person who can navigate through any challenge, so it's incredibly frustrating that this time feels different. I specialize in working with adult & adolescents in the treatment of depression, anxiety, stress, relationship difficulties, family conflict, self-esteem, trauma, abuse, grief/loss and emotion dysregulation.
Women's Trauma Group begins September 29th at 6pm! My approach includes aspects of CBT, DBT, IFS & EMDR, mindfulness and meditation, cultivating self-compassion, and the therapeutic use of humor, empathy and human connection.
Now Accepting New Clients! Therapy takes MOXIE! You sense that a painful experience from your past is affecting your present life. You recognize that you're caught in a cycle, but finding a way out seems impossible. Typically, you're the kind of person who can navigate through any challenge, so it's incredibly frustrating that this time feels different. I specialize in working with adult & adolescents in the treatment of depression, anxiety, stress, relationship difficulties, family conflict, self-esteem, trauma, abuse, grief/loss and emotion dysregulation.
Christina Wagoner
Licensed Clinical Professional Counselor, MS, LCPC
Verified Verified
1 Endorsed
Ellicott City, MD 21043
I am certified in EMDR and have training in Trauma Focused Cognitive Behavioral Therapy, and Dialectical Behavior Therapy.
I work with clients of many needs and backgrounds; however my specialties include trauma, grief, infertility, depression, anxiety, post-traumatic stress, low self-esteem and communication problems. My goal is to help my clients learn to cope with the problems and stress they may be experiencing and to help them identify ways to alleviate these issues, learn more about themselves, achieve their goals, create more more fulfilling personal relationships and improve overall health. While my physical office is located in Ellicott City I offer teletherapy allowing me to be available to clients across Maryland.
I am certified in EMDR and have training in Trauma Focused Cognitive Behavioral Therapy, and Dialectical Behavior Therapy.
I work with clients of many needs and backgrounds; however my specialties include trauma, grief, infertility, depression, anxiety, post-traumatic stress, low self-esteem and communication problems. My goal is to help my clients learn to cope with the problems and stress they may be experiencing and to help them identify ways to alleviate these issues, learn more about themselves, achieve their goals, create more more fulfilling personal relationships and improve overall health. While my physical office is located in Ellicott City I offer teletherapy allowing me to be available to clients across Maryland.
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Olivia Medoff
Licensed Clinical Professional Counselor, MS, LCPC, NCC
Verified Verified
1 Endorsed
Ellicott City, MD 21043 (Online Only)
I use integrative and evidence-based interventions in my approach to therapy; such as, Play Therapy, Expressive Arts Therapy, Behavioral Therapy, Dialectical Behavioral Therapy, and Mindfulness Techniques.
Now Accepting New Clients Being human is dynamic and complex, and we all need a safe space to explore, reflect, and return to ourselves. I know that honoring our own wants and needs can be challenging and vulnerable at times, and I strive to establish an open, supportive, and collaborative therapeutic environment, to meet you wherever you are at in your life. I truly believe in the power of self-expression, and am willing to get as creative as possible, within the realms of evidence-based practice, in order to help you achieve your goals.
I use integrative and evidence-based interventions in my approach to therapy; such as, Play Therapy, Expressive Arts Therapy, Behavioral Therapy, Dialectical Behavioral Therapy, and Mindfulness Techniques.
Now Accepting New Clients Being human is dynamic and complex, and we all need a safe space to explore, reflect, and return to ourselves. I know that honoring our own wants and needs can be challenging and vulnerable at times, and I strive to establish an open, supportive, and collaborative therapeutic environment, to meet you wherever you are at in your life. I truly believe in the power of self-expression, and am willing to get as creative as possible, within the realms of evidence-based practice, in order to help you achieve your goals.
Sara Aefsky
Clinical Social Work/Therapist, LCSW-C
Verified Verified
1 Endorsed
Ellicott City, MD 21042
I have been trained in Dialectical Behavior Therapy and always utilize trauma informed care.
Each and every person is incredibly unique, so I work hard to collaborate with adults (18+) to create individualized treatment to learn how to modify thoughts and behaviors, increase skill to improve self awareness, self concept, relationship effectiveness, and to decrease impulsive and non effective decision making. I strongly promote non-judgmental mindfulness to achieve meaningful and effective change. This is emphasized to increase growth, recovery, and balance in accordance with your short and long term goals.
I have been trained in Dialectical Behavior Therapy and always utilize trauma informed care.
Each and every person is incredibly unique, so I work hard to collaborate with adults (18+) to create individualized treatment to learn how to modify thoughts and behaviors, increase skill to improve self awareness, self concept, relationship effectiveness, and to decrease impulsive and non effective decision making. I strongly promote non-judgmental mindfulness to achieve meaningful and effective change. This is emphasized to increase growth, recovery, and balance in accordance with your short and long term goals.
Clarissa B Thomas
Clinical Social Work/Therapist, MSW, LCSW-C
Verified Verified
Ellicott City, MD 21042
Clarissa’s therapeutic approach varies based on the needs and goals of her clients I am master certified for Accelerated Resolution Therapy (ART) for trauma intervention and a Gottman clinically trained couples’ therapist. Other treatment approaches include Acceptance and Commitment Therapy (ACT); Cognitive Behavior Therapy (CBT); Dialectical Behavior Therapy ( DBT); and Solution Focused Brief Therapy (SFBT). Clarissa is dedicated to bringing compassionate, patient-centered care that empowers, supports, and brings hope and healing to her clients.
Clarissa’s therapeutic approach varies based on the needs and goals of her clients I am master certified for Accelerated Resolution Therapy (ART) for trauma intervention and a Gottman clinically trained couples’ therapist. Other treatment approaches include Acceptance and Commitment Therapy (ACT); Cognitive Behavior Therapy (CBT); Dialectical Behavior Therapy ( DBT); and Solution Focused Brief Therapy (SFBT). Clarissa is dedicated to bringing compassionate, patient-centered care that empowers, supports, and brings hope and healing to her clients.
The Counseling Renaissance
Licensed Clinical Professional Counselor, LCPC
Verified Verified
1 Endorsed
Ellicott City, MD 21043
Immediate Openings! Christlyn McCaskill, ATR-BC, LCPAT, LCPC, Sheena Anthony, LCPC, and Kristen Killebrew, LGPC are available to work with teens and adults struggling with mood, anxiety, relationship issues, self-esteem, and more, both in-person and virtually. We offer a safe space to discover, explore, and process. Christlyn has special skills with trauma work and art therapy. Sheena uses Dialectical-Behavioral Therapy, Cognitive Behavior Therapy, and Solution-Focused Therapy. Kristen works with children, teens and adults using Cognitive and Dialectical Behavioral Techniques, and Polyvagal Theory for a variety of needs.
Immediate Openings! Christlyn McCaskill, ATR-BC, LCPAT, LCPC, Sheena Anthony, LCPC, and Kristen Killebrew, LGPC are available to work with teens and adults struggling with mood, anxiety, relationship issues, self-esteem, and more, both in-person and virtually. We offer a safe space to discover, explore, and process. Christlyn has special skills with trauma work and art therapy. Sheena uses Dialectical-Behavioral Therapy, Cognitive Behavior Therapy, and Solution-Focused Therapy. Kristen works with children, teens and adults using Cognitive and Dialectical Behavioral Techniques, and Polyvagal Theory for a variety of needs.
Shendi Ramli-Hernandez
Licensed Clinical Professional Counselor
Verified Verified
Ellicott City, MD 21043 (Online Only)
Hi, I am a psychotherapist with 20+ years of experience in the mental health field. For the past 10+ years, I have specialized in working with trauma survivors with diverse backgrounds, including gender identity, age, racial/ethnicity, and sexual orientation. I have been trained in various treatment modalities, including CBT, DBT, Sandtray therapy modality, play therapy, EMDR, Crisis Intervention, and recently Somatic Experiencing. As a Somatic Experiencing Practitioner, my works focus on helping clients overcome past trauma by establishing a sense of safety within the body, emotional regulation, and nervous system stabilization.
Hi, I am a psychotherapist with 20+ years of experience in the mental health field. For the past 10+ years, I have specialized in working with trauma survivors with diverse backgrounds, including gender identity, age, racial/ethnicity, and sexual orientation. I have been trained in various treatment modalities, including CBT, DBT, Sandtray therapy modality, play therapy, EMDR, Crisis Intervention, and recently Somatic Experiencing. As a Somatic Experiencing Practitioner, my works focus on helping clients overcome past trauma by establishing a sense of safety within the body, emotional regulation, and nervous system stabilization.
Lawrence Ngashu
Licensed Clinical Professional Counselor, MA, LCPC
Verified Verified
Ellicott City, MD 21042
With a focus on addressing childhood behavior issues, school avoidance, and PTSD/trauma, Lawrence employs evidence-based interventions such as Cognitive Behavioral Therapy (CBT), Dialectical Behavior Therapy ( DBT), and Parent Child Interaction Therapy.
Lawrence Ngashu, LCPC is dedicated to helping clients achieve meaningful and lasting therapeutic change through individualized assessments, clinical interventions, and a client-centered approach. Serving the communities of Maryland, xe is committed to providing support for a wide range of mental health concerns, including ADHD, anxiety, depression, and substance abuse. Lawrence specializes in treating children and adolescents, recognizing the unique challenges faced by these age groups.
With a focus on addressing childhood behavior issues, school avoidance, and PTSD/trauma, Lawrence employs evidence-based interventions such as Cognitive Behavioral Therapy (CBT), Dialectical Behavior Therapy ( DBT), and Parent Child Interaction Therapy.
Lawrence Ngashu, LCPC is dedicated to helping clients achieve meaningful and lasting therapeutic change through individualized assessments, clinical interventions, and a client-centered approach. Serving the communities of Maryland, xe is committed to providing support for a wide range of mental health concerns, including ADHD, anxiety, depression, and substance abuse. Lawrence specializes in treating children and adolescents, recognizing the unique challenges faced by these age groups.
Robin Ann Brown
Clinical Social Work/Therapist, LCSW-C
Verified Verified
Ellicott City, MD 21043
Waitlist for new clients
I draw from a Humanistic, Psychodynamic perspective using modalities that work for each client such as, art therapy, mindfulness, guided imagery, yoga and DBT.
Robin Brown, LCSW-C, received her BS in psychology from Towson University and her Master's in Social Work from University of MD, Baltimore in 1995. Robin specializes in using a mindfulness framework to assist clients in finding their strength to flourish while dealing with anxiety, trauma, PTSD, domestic abuse or neurodevelopmental related issues. Drawing from various modalities ranging from cognitive behavioral, to guided imagery and art therapy, Robin works with children and adults to help them find their path to healing in a safe space.
I draw from a Humanistic, Psychodynamic perspective using modalities that work for each client such as, art therapy, mindfulness, guided imagery, yoga and DBT.
Robin Brown, LCSW-C, received her BS in psychology from Towson University and her Master's in Social Work from University of MD, Baltimore in 1995. Robin specializes in using a mindfulness framework to assist clients in finding their strength to flourish while dealing with anxiety, trauma, PTSD, domestic abuse or neurodevelopmental related issues. Drawing from various modalities ranging from cognitive behavioral, to guided imagery and art therapy, Robin works with children and adults to help them find their path to healing in a safe space.
Phuong Tran
Licensed Clinical Professional Counselor, MA, LCPC
Verified Verified
5 Endorsed
Ellicott City, MD 21042
I utilize a variety of modalities including Cognitive Behavioral Therapy (CBT), an integration of Dialectical Behavioral Therapy ( DBT) skills, Narrative therapy, and Motivational Interviewing, while incorporating a holistic view point of our body and mind.
My goal as a therapist is to help you reach a deeper understanding of your struggles and to help create awareness in your life. My belief is once these strengths are recognized and practiced, we can begin working towards our greater potential and begin the healing process or better management of our daily life. I believe people are resilient and have the capacity to heal, if we choose to. I teach practical skills and provide tools that you, you and your partner, child(ren), and family can use every day.
I utilize a variety of modalities including Cognitive Behavioral Therapy (CBT), an integration of Dialectical Behavioral Therapy ( DBT) skills, Narrative therapy, and Motivational Interviewing, while incorporating a holistic view point of our body and mind.
My goal as a therapist is to help you reach a deeper understanding of your struggles and to help create awareness in your life. My belief is once these strengths are recognized and practiced, we can begin working towards our greater potential and begin the healing process or better management of our daily life. I believe people are resilient and have the capacity to heal, if we choose to. I teach practical skills and provide tools that you, you and your partner, child(ren), and family can use every day.
Jeffrey Crouch
Clinical Social Work/Therapist, MSW, LCSW-C
Verified Verified
Ellicott City, MD 21042
I also use DBT therapy for BPD.
I am available for in-person office or telehealth appointments for new and existing clients. I take all insurances and eaps. I help people of all ages (individuals & couples) with anxiety and depression. My clients have told me that I provide a relaxed and caring atmosphere. I understand that it can be a difficult step to come to therapy; I will help you feel comfortable. I provide a free consultation (no co-pay for your first meeting with me). I will work closely with you to set goals so you can start feeling better quickly. I also work with children and teens.
I also use DBT therapy for BPD.
I am available for in-person office or telehealth appointments for new and existing clients. I take all insurances and eaps. I help people of all ages (individuals & couples) with anxiety and depression. My clients have told me that I provide a relaxed and caring atmosphere. I understand that it can be a difficult step to come to therapy; I will help you feel comfortable. I provide a free consultation (no co-pay for your first meeting with me). I will work closely with you to set goals so you can start feeling better quickly. I also work with children and teens.
See more therapy options for Ellicott City
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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.