Dialectical Behavior (DBT) Therapists in Vadnais Heights, MN

Photo of Lori Wiggenhorn, MA, LP, Psychologist
Lori Wiggenhorn
Psychologist, MA, LP
Verified Verified
1 Endorsed
Vadnais Heights, MN 55110
Does anxiety, depression or moodiness interfere with your experience of joy? Are your beliefs about the world, people and yourself getting in the way of leading a more satisfying life? These are some of the questions I have helped clients work on in my twenty five plus years as a psychologist. I want to help you learn skills to better manage these issues and other important aspects of your life. Here are some of the techniques I offer in therapy: cognitive-behavioral therapy, dialectical behavioral therapy (DBT) modified for individuals, family systems theory, solution-focused therapy and spirituality.
Does anxiety, depression or moodiness interfere with your experience of joy? Are your beliefs about the world, people and yourself getting in the way of leading a more satisfying life? These are some of the questions I have helped clients work on in my twenty five plus years as a psychologist. I want to help you learn skills to better manage these issues and other important aspects of your life. Here are some of the techniques I offer in therapy: cognitive-behavioral therapy, dialectical behavioral therapy (DBT) modified for individuals, family systems theory, solution-focused therapy and spirituality.
(612) 284-5299 View (612) 284-5299
Photo of Mel Pascoe, LICSW, Clinical Social Work/Therapist
Mel Pascoe
Clinical Social Work/Therapist, LICSW
Verified Verified
2 Endorsed
Vadnais Heights, MN 55127
I use an attachment lens and various modalities like somatic experiencing, DBT, EMDR and parts work to help adults or couples with issues of trauma, anxiety, or relationship conflicts.
I am passionate about working people to help them feel better about themselves, their relationships, and their life! We all struggle sometimes, and choosing therapy is a brave choice. I am always honored to be part of someone’s journey. Together we will work to address the root of any pain or anxiety you are feeling. We will explore where your issues come from, honor your past, while learning new ways to make peace with your present. I will help you learn new ways to cope with your emotions while working to address the deep stuff that is making life feel so hard sometimes.
I use an attachment lens and various modalities like somatic experiencing, DBT, EMDR and parts work to help adults or couples with issues of trauma, anxiety, or relationship conflicts.
I am passionate about working people to help them feel better about themselves, their relationships, and their life! We all struggle sometimes, and choosing therapy is a brave choice. I am always honored to be part of someone’s journey. Together we will work to address the root of any pain or anxiety you are feeling. We will explore where your issues come from, honor your past, while learning new ways to make peace with your present. I will help you learn new ways to cope with your emotions while working to address the deep stuff that is making life feel so hard sometimes.
(651) 318-4825 View (651) 318-4825
Photo of Amanda Vaske, MA, LMFT, PMH-C, CCTP-II, DBT-C, Marriage & Family Therapist
Amanda Vaske
Marriage & Family Therapist, MA, LMFT, PMH-C, CCTP-II, DBT-C
Verified Verified
Vadnais Heights, MN 55127
With my toolbox filled with expertise in DBT, Trauma Therapy, Perinatal Mental Health, and ART Therapy, I've got just what you need.
Life's a rollercoaster, huh? Whether you're battling self-doubt, caught in the chaos, or doing the social media shuffle, I'm here to bring some good vibes to your journey. Let's chat about it all – the ups, the downs, and everything in between. Parenting got you spinning? Overwhelmed by the daily grind? Anxiety knocking? I've got your back. Meet your guide (yep, that's me!). I'm here to bring a bit of sunshine to your days, kick out the blues, and make life's wild ride a bit more enjoyable. Your struggles are real and tackling them together is the way to go. Shoot me a message, I'm here for the support and brighter days.
With my toolbox filled with expertise in DBT, Trauma Therapy, Perinatal Mental Health, and ART Therapy, I've got just what you need.
Life's a rollercoaster, huh? Whether you're battling self-doubt, caught in the chaos, or doing the social media shuffle, I'm here to bring some good vibes to your journey. Let's chat about it all – the ups, the downs, and everything in between. Parenting got you spinning? Overwhelmed by the daily grind? Anxiety knocking? I've got your back. Meet your guide (yep, that's me!). I'm here to bring a bit of sunshine to your days, kick out the blues, and make life's wild ride a bit more enjoyable. Your struggles are real and tackling them together is the way to go. Shoot me a message, I'm here for the support and brighter days.
(651) 309-8049 View (651) 309-8049
Photo of Tia Wilcek, MSW, LICSW, Clinical Social Work/Therapist
Tia Wilcek
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
15 Endorsed
Vadnais Heights, MN 55127
Does it seem like everyone around you has it all together while you’re barely keeping your head above water? Does it seem as though your thoughts have been filled with unstoppable worry and maybe they've even begun to tell you lies that you’re beginning to believe. Perhaps it feels that no matter how much you’ve tried to erase ‘it’ from your mind, it keeps coming up and interrupting your life – making it hard to trust, to feel, to focus, to dream, to enjoy life. You wish for a day where you are free from it all and you want a therapist who understands and can help you heal from deep within. I just might be your therapist...
Does it seem like everyone around you has it all together while you’re barely keeping your head above water? Does it seem as though your thoughts have been filled with unstoppable worry and maybe they've even begun to tell you lies that you’re beginning to believe. Perhaps it feels that no matter how much you’ve tried to erase ‘it’ from your mind, it keeps coming up and interrupting your life – making it hard to trust, to feel, to focus, to dream, to enjoy life. You wish for a day where you are free from it all and you want a therapist who understands and can help you heal from deep within. I just might be your therapist...
(612) 260-9771 View (612) 260-9771
Photo of Rebecca Blaede, MA, LMFT, Marriage & Family Therapist
Rebecca Blaede
Marriage & Family Therapist, MA, LMFT
Verified Verified
Vadnais Heights, MN 55127
Waitlist for new clients
I work with teens, adults, couples and families who struggle with a variety of conflicts. I strive to help others feel a sense of healing and understanding after challenging, stressful or traumatic situations.
I work with teens, adults, couples and families who struggle with a variety of conflicts. I strive to help others feel a sense of healing and understanding after challenging, stressful or traumatic situations.
(612) 425-1846 View (612) 425-1846
Photo of Allie B Thimell, MSW, LICSW, Clinical Social Work/Therapist
Allie B Thimell
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
Vadnais Heights, MN 55127
Not accepting new clients
Being a human can be incredibly difficult and overwhelming at times. Having someone you feel safe to process life’s stressors with, and an open space to learn new ways to cope with stress, can help make life more manageable and enjoyable. I have a client-centered, strength-based approach to therapy, and I believe that every person deserves to be seen and understood. I look forward to supporting you in your journey of healing and growth - however that looks for you!
Being a human can be incredibly difficult and overwhelming at times. Having someone you feel safe to process life’s stressors with, and an open space to learn new ways to cope with stress, can help make life more manageable and enjoyable. I have a client-centered, strength-based approach to therapy, and I believe that every person deserves to be seen and understood. I look forward to supporting you in your journey of healing and growth - however that looks for you!
(651) 867-4324 View (651) 867-4324

More Therapists Nearby

Photo of Nicole Rochelle Terlouw, MSW, LICSW, SEP, Clinical Social Work/Therapist
Nicole Rochelle Terlouw
Clinical Social Work/Therapist, MSW, LICSW, SEP
Verified Verified
Saint Paul, MN 55110
Not accepting new clients
I am also trained in Dialectical Behavioral Therapy (DBT).
Counseling is the place to face your deepest hurts, most pressing concerns, and past wounds. It's a place where healing, restoration, transformation, and victory can be found. A place where strategy, planning, and movement set the stage for growth and change. My goal is to provide a safe, compassionate, and nurturing environment where you can tackle your toughest troubles, whatever they might be. My role as your counselor is to partner with you on your journey, helping you realize your full, God-given potential.
I am also trained in Dialectical Behavioral Therapy (DBT).
Counseling is the place to face your deepest hurts, most pressing concerns, and past wounds. It's a place where healing, restoration, transformation, and victory can be found. A place where strategy, planning, and movement set the stage for growth and change. My goal is to provide a safe, compassionate, and nurturing environment where you can tackle your toughest troubles, whatever they might be. My role as your counselor is to partner with you on your journey, helping you realize your full, God-given potential.
(651) 350-0776 View (651) 350-0776
Photo of Deanna L Towns, PhD, LPCS-NC, LPCC-MN, NCC, Licensed Professional Counselor
Deanna L Towns
Licensed Professional Counselor, PhD, LPCS-NC, LPCC-MN, NCC
Verified Verified
White Bear Lake, MN 55127
Not accepting new clients
I use an eclectic approach, including family systems, EMDR, emotionally-focused couples therapy, CBT, DBT, and psycho-dynamic techniques.
As a therapist, it is my goal to compassionately connect with clients and hear their stories. I will help clients identify personal strengths, define desired changes, and create an individualized plan to move toward health and wholeness. My clientele include families, couples, adults, adolescents, and children. I address trauma, sexual and emotional abuse, eating disorders, self-harm, anxiety, depression, grief and loss, communication issues, forgiveness, shame, cross-cultural stress & adjustment, ministry stress, and premarital counseling (using Prepare/Enrich).
I use an eclectic approach, including family systems, EMDR, emotionally-focused couples therapy, CBT, DBT, and psycho-dynamic techniques.
As a therapist, it is my goal to compassionately connect with clients and hear their stories. I will help clients identify personal strengths, define desired changes, and create an individualized plan to move toward health and wholeness. My clientele include families, couples, adults, adolescents, and children. I address trauma, sexual and emotional abuse, eating disorders, self-harm, anxiety, depression, grief and loss, communication issues, forgiveness, shame, cross-cultural stress & adjustment, ministry stress, and premarital counseling (using Prepare/Enrich).
(919) 648-1218 View (919) 648-1218
Photo of Andrea L. Walker, MA, Pre-Licensed Professional
Andrea L. Walker
Pre-Licensed Professional, MA
Verified Verified
4 Endorsed
White Bear Lake, MN 55110  (Online Only)
She combines elements of Adlerian psychology, neurobiology, attachment theory, Dialectical Behavioral Therapy (DBT), and Cognitive Behavioral Therapy (CBT) to facilitate authentic growth and development of self.
Andrea began her career in the mental health field in 2012 and developed experience through supportive and financial roles for clinics specializing in trauma and eating disorders. She attended Adler Graduate School where she studied co-occurring disorders and completed her master’s degree in Adlerian Counseling and Psychotherapy. She is dually trained to provide counseling for both substance use and mental health disorders. She provides personalized care, equipping clients with the courage and skills to meet their goals.
She combines elements of Adlerian psychology, neurobiology, attachment theory, Dialectical Behavioral Therapy (DBT), and Cognitive Behavioral Therapy (CBT) to facilitate authentic growth and development of self.
Andrea began her career in the mental health field in 2012 and developed experience through supportive and financial roles for clinics specializing in trauma and eating disorders. She attended Adler Graduate School where she studied co-occurring disorders and completed her master’s degree in Adlerian Counseling and Psychotherapy. She is dually trained to provide counseling for both substance use and mental health disorders. She provides personalized care, equipping clients with the courage and skills to meet their goals.
(651) 493-8150 View (651) 493-8150
Photo of Laura Wagner, LPCC, Counselor
Laura Wagner
Counselor, LPCC
Verified Verified
1 Endorsed
Maplewood, MN 55109
Laura is a Licensed Professional Clinical Counselor in the state of Minnesota. She received her Bachelor of Arts in Psychology from University of Wisconsin La Crosse, as well as a Master of Arts in Counseling and Psychological Services from Saint Mary's University of Minnesota. Laura enjoys working with adults and adolescents. She has experience working in a state certified DBT program in an intensive outpatient setting as well as residential treatment for eating disorders. Laura brings a humanistic and person-centered approach to her practice. Laura is also trained in Accelerated Resolution Therapy (ART) to treat PTSD and phobias.
Laura is a Licensed Professional Clinical Counselor in the state of Minnesota. She received her Bachelor of Arts in Psychology from University of Wisconsin La Crosse, as well as a Master of Arts in Counseling and Psychological Services from Saint Mary's University of Minnesota. Laura enjoys working with adults and adolescents. She has experience working in a state certified DBT program in an intensive outpatient setting as well as residential treatment for eating disorders. Laura brings a humanistic and person-centered approach to her practice. Laura is also trained in Accelerated Resolution Therapy (ART) to treat PTSD and phobias.
(651) 376-2981 View (651) 376-2981
Photo of Ben Dieffenbach, MSW, LICSW, Clinical Social Work/Therapist
Ben Dieffenbach
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
Saint Paul, MN 55110  (Online Only)
I've practiced Dialectical Behavioral Therapy (DBT) for 11 years.
When was the last time you had a good laugh? Or felt like your brain was calm? Or felt really confident that you were running your own life; not your anxiety, or obsessive thoughts, or big emotions. If it feels like it's been a while since you could actually enjoy life, then maybe it's a good thing you're here. Therapy can seem like a really serious thing to jump into. It is! It doesn't need to feel that way though. It's possible to do hard things, face the fears and anxieties that keep you stuck, and grow into the person you want to be. You can do all of that, and it can even be fun. Enjoyable. Something you look forward to.
I've practiced Dialectical Behavioral Therapy (DBT) for 11 years.
When was the last time you had a good laugh? Or felt like your brain was calm? Or felt really confident that you were running your own life; not your anxiety, or obsessive thoughts, or big emotions. If it feels like it's been a while since you could actually enjoy life, then maybe it's a good thing you're here. Therapy can seem like a really serious thing to jump into. It is! It doesn't need to feel that way though. It's possible to do hard things, face the fears and anxieties that keep you stuck, and grow into the person you want to be. You can do all of that, and it can even be fun. Enjoyable. Something you look forward to.
(651) 538-2567 View (651) 538-2567
Photo of Kelly R Volkmann, LICSW, LADC, Clinical Social Work/Therapist
Kelly R Volkmann
Clinical Social Work/Therapist, LICSW, LADC
Verified Verified
Saint Paul, MN 55110
CBT, DBT skills, EMDR, solution focused, family systems, and Motivational Interviewing.
Transformation happens within to create the life and freedom desired. For mental health and addictions, evidence based and wholistic practices are used within our clinic to produce desired change. Our mission is to provide a place of wellness and healing partnering with each client to provide individualized care in a safe and supportive environment, free of judgement. Sometimes past and present experiences form unhealthy beliefs, coping mechanisms, and relationship dynamics that get in the way of healing and living out your true potential of leading a life of joy, peace, and balance.
CBT, DBT skills, EMDR, solution focused, family systems, and Motivational Interviewing.
Transformation happens within to create the life and freedom desired. For mental health and addictions, evidence based and wholistic practices are used within our clinic to produce desired change. Our mission is to provide a place of wellness and healing partnering with each client to provide individualized care in a safe and supportive environment, free of judgement. Sometimes past and present experiences form unhealthy beliefs, coping mechanisms, and relationship dynamics that get in the way of healing and living out your true potential of leading a life of joy, peace, and balance.
(651) 252-4930 View (651) 252-4930
Photo of Terri M Ulschmid, MA, LPCC, Licensed Professional Counselor
Terri M Ulschmid
Licensed Professional Counselor, MA, LPCC
Verified Verified
White Bear Lake, MN 55127
Waitlist for new clients
My specialties include: anxiety disorders, depression, bipolar, personality disorders, spirituality, addiction and recovery, dialectical behavioral therapy, LGBTQIA issues, stress management, women’s issues, grief, and transitions.
Do you feel like you are in a pattern that appears to be repeating? Are you continuing to tell stories, and some can be painful to hold I work with people who experience stress and anxiety, grief and depression. We will do this by naming patterns and I will teach you how to regulate your emotions, learn how to communicate with others by standing up for yourself, and tolerate your emotions through difficult life events and stressful situations without making them worse.
My specialties include: anxiety disorders, depression, bipolar, personality disorders, spirituality, addiction and recovery, dialectical behavioral therapy, LGBTQIA issues, stress management, women’s issues, grief, and transitions.
Do you feel like you are in a pattern that appears to be repeating? Are you continuing to tell stories, and some can be painful to hold I work with people who experience stress and anxiety, grief and depression. We will do this by naming patterns and I will teach you how to regulate your emotions, learn how to communicate with others by standing up for yourself, and tolerate your emotions through difficult life events and stressful situations without making them worse.
(651) 538-1303 View (651) 538-1303
Photo of Katie Engh, MA, LPCC, DBTC, Counselor
Katie Engh
Counselor, MA, LPCC, DBTC
Verified Verified
White Bear Lake, MN 55110
I integrate a variety of therapy approaches and techniques based on each client’s needs including Dialectical Behavior Therapy (DBT), Cognitive Behavioral Therapy (CBT), Eye Movement Desensitization and Reprocessing (EMDR), and Solution-Focused Therapy.
Starting out with a new therapist or beginning therapy for the first time can feel scary, maybe even downright terrifying. I offer a laid-back place to show up as you are without judgement, talk about the hard stuff that we inevitably experience through life, and maybe have a laugh or two in the process. I approach therapy as a collaboration. We are a team. You set the destination you want to get to, and I’m here to help you navigate.
I integrate a variety of therapy approaches and techniques based on each client’s needs including Dialectical Behavior Therapy (DBT), Cognitive Behavioral Therapy (CBT), Eye Movement Desensitization and Reprocessing (EMDR), and Solution-Focused Therapy.
Starting out with a new therapist or beginning therapy for the first time can feel scary, maybe even downright terrifying. I offer a laid-back place to show up as you are without judgement, talk about the hard stuff that we inevitably experience through life, and maybe have a laugh or two in the process. I approach therapy as a collaboration. We are a team. You set the destination you want to get to, and I’m here to help you navigate.
(651) 390-1908 View (651) 390-1908
Photo of Kelly Miklas - Kelly Miklas - Psychotherapy & Intensives. , MA, LPCC
Kelly Miklas - Psychotherapy & Intensives.
Licensed Professional Clinical Counselor, MA, LPCC
Verified Verified
North Oaks, MN 55127  (Online Only)
In need of therapeutic support this summer but cannot commit to recurring appointments? Consider a Therapy Intensive program! In addition to traditional weekly or biweekly psychotherapy, I also offer Therapy Intensives, which is a one-time individual program that lasts for 6-12 hours spread over 3-5 sessions, online or in-person in NE MPLS. Intensives are customizable and can incorporate Accelerated Resolution Therapy (ART), IFS, DBT, or CPT, and more. Please reach out for more information.
In need of therapeutic support this summer but cannot commit to recurring appointments? Consider a Therapy Intensive program! In addition to traditional weekly or biweekly psychotherapy, I also offer Therapy Intensives, which is a one-time individual program that lasts for 6-12 hours spread over 3-5 sessions, online or in-person in NE MPLS. Intensives are customizable and can incorporate Accelerated Resolution Therapy (ART), IFS, DBT, or CPT, and more. Please reach out for more information.
(952) 900-6845 View (952) 900-6845
Photo of Mollie Kohler, LICSW, MPH, PMH-C, Clinical Social Work/Therapist
Mollie Kohler
Clinical Social Work/Therapist, LICSW, MPH, PMH-C
Verified Verified
White Bear Lake, MN 55110
Mollie has worked with families and adults experiencing significant social, medical, and relational stressors over the course of her career. She has advanced training and education in therapeutic support of perinatal mood and anxiety disorders and birth trauma and has a history of working with individuals experiencing challenges in the reproductive period, including infertility, medically complex pregnancies, pregnancy loss, preterm births, and NICU admissions. She is a licensed independent clinical social worker, with certification in perinatal mental health.
Mollie has worked with families and adults experiencing significant social, medical, and relational stressors over the course of her career. She has advanced training and education in therapeutic support of perinatal mood and anxiety disorders and birth trauma and has a history of working with individuals experiencing challenges in the reproductive period, including infertility, medically complex pregnancies, pregnancy loss, preterm births, and NICU admissions. She is a licensed independent clinical social worker, with certification in perinatal mental health.
(651) 372-3857 View (651) 372-3857
Photo of Taylor West, MS, Pre-Licensed Professional
Taylor West
Pre-Licensed Professional, MS
Verified Verified
3 Endorsed
Saint Paul, MN 55110
“What mental health needs is more sunlight, more candor, and more unashamed conversation.” — Glenn Close
“What mental health needs is more sunlight, more candor, and more unashamed conversation.” — Glenn Close
(651) 927-4405 View (651) 927-4405
Photo of Angie Rackstraw - Serendipity Counseling Services, LLC, MSW, LICSW, PMH-C, Clinical Social Work/Therapist
Serendipity Counseling Services, LLC
Clinical Social Work/Therapist, MSW, LICSW, PMH-C
Verified Verified
Saint Paul, MN 55127
Are you expecting a baby and feeling anxious? Are you a new parent feeling overwhelmed by the huge adjustments? Are you finding it hard to cope with your current situation? Transitioning into parenthood is an enormous adjustment that affects everything around us. Research shows that accessing support early on can help you to explore, process and resolve your concerns, and confidently cope with in your new role so that you can enjoy all the beauty that parenthood has to offer.
Are you expecting a baby and feeling anxious? Are you a new parent feeling overwhelmed by the huge adjustments? Are you finding it hard to cope with your current situation? Transitioning into parenthood is an enormous adjustment that affects everything around us. Research shows that accessing support early on can help you to explore, process and resolve your concerns, and confidently cope with in your new role so that you can enjoy all the beauty that parenthood has to offer.
(651) 504-3700 View (651) 504-3700
Photo of Shannon Himango, MA, LMFT, Marriage & Family Therapist
Shannon Himango
Marriage & Family Therapist, MA, LMFT
Verified Verified
4 Endorsed
White Bear Lake, MN 55110
Taking the step to reach out for therapy, on our own or with a partner/family member, is a brave move. Relationships and life in general can offer great sources of joy as well as frustrations, and when talking with our family and friends, we may edit or limit what we say for fear of judgment, or burdening them. Reflecting and expressing ourselves freely with a neutral, non-judgmental helping professional is an excellent way to increase self awareness and insight about the challenges we encounter, even if we aren’t quite certain what to say.
Taking the step to reach out for therapy, on our own or with a partner/family member, is a brave move. Relationships and life in general can offer great sources of joy as well as frustrations, and when talking with our family and friends, we may edit or limit what we say for fear of judgment, or burdening them. Reflecting and expressing ourselves freely with a neutral, non-judgmental helping professional is an excellent way to increase self awareness and insight about the challenges we encounter, even if we aren’t quite certain what to say.
(651) 571-9588 View (651) 571-9588
Photo of Anna Schulze, MS, Pre-Licensed Professional
Anna Schulze
Pre-Licensed Professional, MS
Verified Verified
Saint Paul, MN 55110
Over the course of my mental health career, I have worked with ages 7-81. I enjoy the diversity of my clients and working with each person on their own unique journey. I have a particular interest in working with people who are neurodivergent and members of LGBTQIA+ community. However, I enjoy working with all ages, identities, and backgrounds.
Over the course of my mental health career, I have worked with ages 7-81. I enjoy the diversity of my clients and working with each person on their own unique journey. I have a particular interest in working with people who are neurodivergent and members of LGBTQIA+ community. However, I enjoy working with all ages, identities, and backgrounds.
(651) 240-6339 View (651) 240-6339

See more therapy options for Vadnais Heights

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.