Dialectical Behavior (DBT) Therapists in Weldon Spring, MO

Photo of Dr. Chris Miller, LPC, PhD, Licensed Professional Counselor
Dr. Chris Miller
Licensed Professional Counselor, LPC, PhD
Verified Verified
Weldon Spring, MO 63304
I specialize in Emotion Free Therapy Tapping, NLP, DBT, and Narrative Therapy.
I accept Aetna, Anthem, Cigna, United Healthcare, Optum, UMR, and Medicare. I am a compassionate, ethical, and enthusiastic counselor. I do not push my ideas on you, but let your ideas develop as we talk. I believe in the power of language to modify our minds (in fact our brains). I will help you find the narrative that best helps you in your life path or journey. I will not judge you, I will offer counseling that considers you as the expert on your own life. With me you will receive radical acceptance
I specialize in Emotion Free Therapy Tapping, NLP, DBT, and Narrative Therapy.
I accept Aetna, Anthem, Cigna, United Healthcare, Optum, UMR, and Medicare. I am a compassionate, ethical, and enthusiastic counselor. I do not push my ideas on you, but let your ideas develop as we talk. I believe in the power of language to modify our minds (in fact our brains). I will help you find the narrative that best helps you in your life path or journey. I will not judge you, I will offer counseling that considers you as the expert on your own life. With me you will receive radical acceptance
(636) 345-1106 View (636) 345-1106
Photo of Jamie Hammond, LCSW, Clinical Social Work/Therapist
Jamie Hammond
Clinical Social Work/Therapist, LCSW
Verified Verified
Weldon Spring, MO 63304
Hi there! I’m so glad you are here. For many people, it takes so much courage to do the thing you hope will get you back to being the best version of yourself. Do something nice for yourself today for taking that first step! I am a Licensed Clinical Social Worker and have worked in mental health for 20 years, six of those years in a therapy setting. My professional experience and training include adults and older adults experiencing: burnout, depression, grief & loss, life transitions, stress, and trauma. I utilize a variety of interventions, including CBT, DBT, EMDR, and CPT. I am also a Certified Grief Informed Professional.
Hi there! I’m so glad you are here. For many people, it takes so much courage to do the thing you hope will get you back to being the best version of yourself. Do something nice for yourself today for taking that first step! I am a Licensed Clinical Social Worker and have worked in mental health for 20 years, six of those years in a therapy setting. My professional experience and training include adults and older adults experiencing: burnout, depression, grief & loss, life transitions, stress, and trauma. I utilize a variety of interventions, including CBT, DBT, EMDR, and CPT. I am also a Certified Grief Informed Professional.
(636) 242-6227 View (636) 242-6227
Photo of Tim Bizelli - Tim Bizelli Counseling LLC, LPC, LCSW, Licensed Professional Counselor
Tim Bizelli Counseling LLC
Licensed Professional Counselor, LPC, LCSW
Verified Verified
Weldon Spring, MO 63304
Tim Counseling LLC is made up of a group of licensed professional counselors and licensed clinical social workers with a combined sixty-five year plus experience in the field of mental health. The goal at Tim Bizelli Counseling LLC is to see clients reach their optimum functioning and reach the mental health goals they set with each individual counselor. Individual, couples, and family counseling are offered in this diverse counseling practice. Our counselors have genuine compassion, empathy, and motivation to be a viable resource to the client and to the community.
Tim Counseling LLC is made up of a group of licensed professional counselors and licensed clinical social workers with a combined sixty-five year plus experience in the field of mental health. The goal at Tim Bizelli Counseling LLC is to see clients reach their optimum functioning and reach the mental health goals they set with each individual counselor. Individual, couples, and family counseling are offered in this diverse counseling practice. Our counselors have genuine compassion, empathy, and motivation to be a viable resource to the client and to the community.
(636) 364-7404 View (636) 364-7404
Photo of Tami Daigle, MEd, PLPC, Pre-Licensed Professional
Tami Daigle
Pre-Licensed Professional, MEd, PLPC
Verified Verified
1 Endorsed
Weldon Spring, MO 63304
Waitlist for new clients
Are you looking for solace in your life? Do you or your child struggle with anxiety, depression, obsessive thoughts, anger management, emotional regulation, poor self image, or communication? Are you looking for a play therapist or an expressive arts therapist that has a creative approach? Would you like to have a safe space to be vulnerable in as you gain insight, practice healthy coping interventions, and continue building your inner strengths? As a former school counselor who has also worked in a variety of therapeutic settings, I enjoy working with individuals from a wide age range.
Are you looking for solace in your life? Do you or your child struggle with anxiety, depression, obsessive thoughts, anger management, emotional regulation, poor self image, or communication? Are you looking for a play therapist or an expressive arts therapist that has a creative approach? Would you like to have a safe space to be vulnerable in as you gain insight, practice healthy coping interventions, and continue building your inner strengths? As a former school counselor who has also worked in a variety of therapeutic settings, I enjoy working with individuals from a wide age range.
(636) 782-3641 View (636) 782-3641
Photo of Joy Bland, MA, LPC, Licensed Professional Counselor
Joy Bland
Licensed Professional Counselor, MA, LPC
Verified Verified
Weldon Spring, MO 63304
It isn’t easy to ask for help when you feel overwhelmed, uncomfortable, and unheard. I commend you for taking this first step. No longer do you need to feel alone or remain silent. We all need additional support from time to time, engaging in counseling is a wonderful way to get that support.
It isn’t easy to ask for help when you feel overwhelmed, uncomfortable, and unheard. I commend you for taking this first step. No longer do you need to feel alone or remain silent. We all need additional support from time to time, engaging in counseling is a wonderful way to get that support.
(636) 206-7342 x1106 View (636) 206-7342 x1106
Photo of Stacey Remley, LPC, Licensed Professional Counselor
Stacey Remley
Licensed Professional Counselor, LPC
Verified Verified
2 Endorsed
Weldon Spring, MO 63304
Depression and anxiety are growing with our changing world. Plans have changed. Life goals have shifted. Uncertainty can suffocate us and lead us spiraling down a path of panic and sorrow. It doesn't have to be that way. Even when the road ahead is not clear, we can shift our thinking and find ways to calm our minds. Options are more plentiful than you may think. Together, we can explore your options and look for new pathways and new ideas for a more pleasing future and fresh start.
Depression and anxiety are growing with our changing world. Plans have changed. Life goals have shifted. Uncertainty can suffocate us and lead us spiraling down a path of panic and sorrow. It doesn't have to be that way. Even when the road ahead is not clear, we can shift our thinking and find ways to calm our minds. Options are more plentiful than you may think. Together, we can explore your options and look for new pathways and new ideas for a more pleasing future and fresh start.
(314) 262-4753 View (314) 262-4753

More Therapists Nearby

Photo of Melissa Riddle, Licensed Professional Counselor
Melissa Riddle
Licensed Professional Counselor
Verified Verified
Saint Peters, MO 63376  (Online Only)
Her work often reflects different theoretical approaches including Cognitive Behavioral Therapy (CBT), Dialectical Behavior Therapy ( DBT), Mindfulness-based Therapy, and Solution focused Therapy.
Therapy is exercise for the mind; your path to emotional health and wellbeing. Life can be difficult and each of us is a unique human being with our own experiences, we seek connection and understanding. Melissa completed her undergraduate degree at Rockhurst University and her graduate in Counseling Psychology at Avila University in Kansas City, Missouri. She has over 20 years’ experience working in inpatient, outpatient, and virtual telehealth platforms providing mental health services. As a Licensed Professional Counselor and EMDR trained therapist she works with adults and adolescents struggling with anxiety, depression, trauma,
Her work often reflects different theoretical approaches including Cognitive Behavioral Therapy (CBT), Dialectical Behavior Therapy ( DBT), Mindfulness-based Therapy, and Solution focused Therapy.
Therapy is exercise for the mind; your path to emotional health and wellbeing. Life can be difficult and each of us is a unique human being with our own experiences, we seek connection and understanding. Melissa completed her undergraduate degree at Rockhurst University and her graduate in Counseling Psychology at Avila University in Kansas City, Missouri. She has over 20 years’ experience working in inpatient, outpatient, and virtual telehealth platforms providing mental health services. As a Licensed Professional Counselor and EMDR trained therapist she works with adults and adolescents struggling with anxiety, depression, trauma,
(417) 670-2006 View (417) 670-2006
Photo of Carla Wolf, Licensed Professional Counselor
Carla Wolf
Licensed Professional Counselor
Verified Verified
Saint Peters, MO 63376  (Online Only)
I graduated with my MS from Pittsburg State University in 2014 and am currently a fully licensed LPC in both Missouri and Oklahoma. I work mainly with adults and teenagers who struggle with mental health and substance use disorders. The mental health disorders I most frequently work with include depression, anxiety, PTSD, and trauma related disorders. The modalities I use or pull from include: CBT, MI, DBT, and EMDR. I work to meet the client where they are in their treatment needs and to development a plan for what they want to achieve in their lives.
I graduated with my MS from Pittsburg State University in 2014 and am currently a fully licensed LPC in both Missouri and Oklahoma. I work mainly with adults and teenagers who struggle with mental health and substance use disorders. The mental health disorders I most frequently work with include depression, anxiety, PTSD, and trauma related disorders. The modalities I use or pull from include: CBT, MI, DBT, and EMDR. I work to meet the client where they are in their treatment needs and to development a plan for what they want to achieve in their lives.
(314) 350-4488 View (314) 350-4488
Photo of Carli Mareth, Clinical Social Work/Therapist
Carli Mareth
Clinical Social Work/Therapist
Verified Verified
Saint Peters, MO 63376  (Online Only)
if you are one of the many people who struggle with feelings of depression, anxiety, and stress, then schedule a time to talk with me. I work primarily with individuals who are 13 years and older who have been struggling to feel like themselves or who are going through one of life's transitional phases. I have a history of crisis stabilization and working with individuals who are facing self-harming or suicidal thoughts. I utilize various approaches but will typically use DBT, CBT, and mindfulness the most in my practice.
if you are one of the many people who struggle with feelings of depression, anxiety, and stress, then schedule a time to talk with me. I work primarily with individuals who are 13 years and older who have been struggling to feel like themselves or who are going through one of life's transitional phases. I have a history of crisis stabilization and working with individuals who are facing self-harming or suicidal thoughts. I utilize various approaches but will typically use DBT, CBT, and mindfulness the most in my practice.
(816) 477-4302 View (816) 477-4302
Photo of Antoinette Zvorak, LCSW, Clinical Social Work/Therapist
Antoinette Zvorak
Clinical Social Work/Therapist, LCSW
Verified Verified
Saint Charles, MO 63304
oni has specialized training in DBT and has developed her therapeutic skills working as a Crisis Intervention Counselor, group therapy leader, and individual therapist over the past twenty-three years.
Toni Zvorak, MSW, LCSW provides treatment to adults ages 18+ who struggle with anxiety, anger, and grief, as well as mood swings, sadness, self-harm, relationship issues, substance abuse, and self-sabotaging behaviors. She enjoys working with clients who have Borderline Personality Disorder, Trauma, Bipolar Disorder, Depression, Grief, and Dual Diagnosis. She focuses on coaching clients on how to build new skills that help them restore confidence in themselves and mental balance within their lives.
oni has specialized training in DBT and has developed her therapeutic skills working as a Crisis Intervention Counselor, group therapy leader, and individual therapist over the past twenty-three years.
Toni Zvorak, MSW, LCSW provides treatment to adults ages 18+ who struggle with anxiety, anger, and grief, as well as mood swings, sadness, self-harm, relationship issues, substance abuse, and self-sabotaging behaviors. She enjoys working with clients who have Borderline Personality Disorder, Trauma, Bipolar Disorder, Depression, Grief, and Dual Diagnosis. She focuses on coaching clients on how to build new skills that help them restore confidence in themselves and mental balance within their lives.
(636) 435-7083 View (636) 435-7083
Photo of Steven Mishkin, Clinical Social Work/Therapist
Steven Mishkin
Clinical Social Work/Therapist
Verified Verified
Saint Peters, MO 63376  (Online Only)
I enjoy working with adolescents and adults struggling with depression and anxiety stemming from life transitions, crisis, and unexpected life events. I also have experience helping people and their families cope with medical illness and communicate with doctors to achieve good medical care. I have experience in providing Cognitive Behavioral Therapy (CBT), Dialectical Behavioral Therapy ( DBT), Solution-Focused Therapy, and Gestalt Therapy. I also provide Supportive and Crisis Counseling, and Motivational Interviewing when needed to help clients in their efforts to better their lives.
I enjoy working with adolescents and adults struggling with depression and anxiety stemming from life transitions, crisis, and unexpected life events. I also have experience helping people and their families cope with medical illness and communicate with doctors to achieve good medical care. I have experience in providing Cognitive Behavioral Therapy (CBT), Dialectical Behavioral Therapy ( DBT), Solution-Focused Therapy, and Gestalt Therapy. I also provide Supportive and Crisis Counseling, and Motivational Interviewing when needed to help clients in their efforts to better their lives.
(314) 876-0789 View (314) 876-0789
Photo of John Koth - John - Epic Growth LLC, MA, LPC, Licensed Professional Counselor
John - Epic Growth LLC
Licensed Professional Counselor, MA, LPC
Verified Verified
Saint Peters, MO 63376  (Online Only)
Lastly, I utilize Cognitive Behavioral Therapy (CBT) and Dialectical Behavioral Therapy ( DBT) techniques to help address depression, anxiety, stress, and anger symptoms.
Counseling as a whole is in higher and higher need. We've seen inflation in Missouri and across the US, horrible things happening in current wars, and of course, there is the pandemic we went through that affected literally everyone in the world. We also have, what for many will likely be, a stressful election year. Even without these things, life brings its challenges, but add the stressors we've been through for over 4 years now, in addition to the personal stressors we face, and it only makes sense that many people just like you will benefit from additional support and professional help in processing through life's difficulties.
Lastly, I utilize Cognitive Behavioral Therapy (CBT) and Dialectical Behavioral Therapy ( DBT) techniques to help address depression, anxiety, stress, and anger symptoms.
Counseling as a whole is in higher and higher need. We've seen inflation in Missouri and across the US, horrible things happening in current wars, and of course, there is the pandemic we went through that affected literally everyone in the world. We also have, what for many will likely be, a stressful election year. Even without these things, life brings its challenges, but add the stressors we've been through for over 4 years now, in addition to the personal stressors we face, and it only makes sense that many people just like you will benefit from additional support and professional help in processing through life's difficulties.
(417) 744-5648 View (417) 744-5648
Photo of Kimberly Kanna, Clinical Social Work/Therapist
Kimberly Kanna
Clinical Social Work/Therapist
Verified Verified
Saint Peters, MO 63376  (Online Only)
I am trauma informed and trained in a variety of different interventions, such as CBT, DBT, and Eye Movement Desensitization Reprocessing (EMDR).
Are you looking for telehealth therapy from the comfort of your own home in Colorado or Missouri, or would you prefer to schedule an in person appointment at my office in Bolivar, Missouri? Are you looking for a therapist who is empathetic and compassionate? Have you had difficulty with anxiety, depressed mood, trauma and/or abuse, relationship difficulties, communication issues, challenges coping with life changes, distractibility, impulsivity, obsessions or compulsions, chronic pain, or other psychological difficulties? It takes courage to seek out a more fulfilling and happier life and to take the first steps towards change.
I am trauma informed and trained in a variety of different interventions, such as CBT, DBT, and Eye Movement Desensitization Reprocessing (EMDR).
Are you looking for telehealth therapy from the comfort of your own home in Colorado or Missouri, or would you prefer to schedule an in person appointment at my office in Bolivar, Missouri? Are you looking for a therapist who is empathetic and compassionate? Have you had difficulty with anxiety, depressed mood, trauma and/or abuse, relationship difficulties, communication issues, challenges coping with life changes, distractibility, impulsivity, obsessions or compulsions, chronic pain, or other psychological difficulties? It takes courage to seek out a more fulfilling and happier life and to take the first steps towards change.
(417) 345-3235 View (417) 345-3235
Photo of DeAnna Whittaker, Clinical Social Work/Therapist
DeAnna Whittaker
Clinical Social Work/Therapist
Verified Verified
Saint Peters, MO 63376  (Online Only)
Hi! I am a Licensed Clinical Social Worker specializing in anxiety, depression, relationships and trauma. My approach to therapy is to be a guide on your healing journey. I practice with a holistic approach utilizing evidenced based practices of CBT, ACT, DBT, BSFT, TFCBT, psychoanalysis, Jungian techniques and Accelerated Resolution Therapy.
Hi! I am a Licensed Clinical Social Worker specializing in anxiety, depression, relationships and trauma. My approach to therapy is to be a guide on your healing journey. I practice with a holistic approach utilizing evidenced based practices of CBT, ACT, DBT, BSFT, TFCBT, psychoanalysis, Jungian techniques and Accelerated Resolution Therapy.
(816) 451-4483 View (816) 451-4483
Photo of Lucie Ecker, MA, PLPC, Pre-Licensed Professional
Lucie Ecker
Pre-Licensed Professional, MA, PLPC
Verified Verified
Saint Peters, MO 63304
Through counseling, I strive to help individuals work through any challenges they may be experiencing and toward their individual mental health goals. I work with children, adolescents, young adults, the young at heart, and the LGBTQ+ community. Some of my focus areas include anxiety, depression, trauma, self-esteem, emotional regulation and awareness, and general life adjustments. I utilize different therapeutic approaches best suited for each individual client, including cognitive behavioral therapy, person-centered theory, dialectical behavioral therapy, and positive psychology.
Through counseling, I strive to help individuals work through any challenges they may be experiencing and toward their individual mental health goals. I work with children, adolescents, young adults, the young at heart, and the LGBTQ+ community. Some of my focus areas include anxiety, depression, trauma, self-esteem, emotional regulation and awareness, and general life adjustments. I utilize different therapeutic approaches best suited for each individual client, including cognitive behavioral therapy, person-centered theory, dialectical behavioral therapy, and positive psychology.
(636) 280-9836 View (636) 280-9836
Photo of Charlie Health
Charlie Health
Verified Verified
Saint Peters, MO 63376  (Online Only)
We specialize in CBT, DBT skills, and CFT.
Charlie Health is a leading provider of virtual mental health treatment for people in need of more than once-weekly therapy. Whether you're struggling with anxiety, depression, trauma, self-harm, suicidal ideation, or any ongoing mental health issue, Charlie Health’s Clinical Team is ready to help you start your healing journey today. You don’t have to struggle alone – we’re here for you. To get started today, reach out at t.ly/ch-mo
We specialize in CBT, DBT skills, and CFT.
Charlie Health is a leading provider of virtual mental health treatment for people in need of more than once-weekly therapy. Whether you're struggling with anxiety, depression, trauma, self-harm, suicidal ideation, or any ongoing mental health issue, Charlie Health’s Clinical Team is ready to help you start your healing journey today. You don’t have to struggle alone – we’re here for you. To get started today, reach out at t.ly/ch-mo
(816) 429-3704 View (816) 429-3704
Photo of Sarah Tyndall, Licensed Professional Counselor
Sarah Tyndall
Licensed Professional Counselor
Verified Verified
Saint Peters, MO 63376  (Online Only)
I pull from these types of therapy as well as other mental health interventions such as Dialectical Behavioral Therapy, mindfulness, and other emotional regulation skills.
Do your relationships cause you to feel anxious or depressed? Do you want to quit or cut back your substance use but find it difficult? Is your anxiety getting in the way of your goals and living? I provides a warm, safe environment in which you can share and process relationships, or things that may be causing you distress. Asking for help, starting the process of change and growth is hard, but you do not have to do it alone. It takes time, and we will go at your pace, making sure that your needs are being met. You are an expert in you! I approach therapy from an eclectic, trauma informed approach.
I pull from these types of therapy as well as other mental health interventions such as Dialectical Behavioral Therapy, mindfulness, and other emotional regulation skills.
Do your relationships cause you to feel anxious or depressed? Do you want to quit or cut back your substance use but find it difficult? Is your anxiety getting in the way of your goals and living? I provides a warm, safe environment in which you can share and process relationships, or things that may be causing you distress. Asking for help, starting the process of change and growth is hard, but you do not have to do it alone. It takes time, and we will go at your pace, making sure that your needs are being met. You are an expert in you! I approach therapy from an eclectic, trauma informed approach.
(636) 306-5185 View (636) 306-5185
Photo of Debra Lyons, Licensed Professional Counselor
Debra Lyons
Licensed Professional Counselor
Verified Verified
Saint Peters, MO 63376  (Online Only)
Clinical focus: Anxiety, Depression, stress management, trauma, grief, relationship issues, family concerns, career changes, anger management, life transitions, and other mental health issues. • Professional Experience: I have 17years of experience in helping clients with anxiety, depression, trauma, grief, anger issues, relationship issues, career challenges, and other life stressors. • Philosophy of Care: My counseling approach is person centered and I facilitate mindfulness, cognitive-behavioral, expressive arts, Dialectical Behavioral Therapy, and solution-focused counseling.
Clinical focus: Anxiety, Depression, stress management, trauma, grief, relationship issues, family concerns, career changes, anger management, life transitions, and other mental health issues. • Professional Experience: I have 17years of experience in helping clients with anxiety, depression, trauma, grief, anger issues, relationship issues, career challenges, and other life stressors. • Philosophy of Care: My counseling approach is person centered and I facilitate mindfulness, cognitive-behavioral, expressive arts, Dialectical Behavioral Therapy, and solution-focused counseling.
(417) 345-3285 View (417) 345-3285
Photo of James M Morgan, MA, LPC, EMDR, Licensed Professional Counselor
James M Morgan
Licensed Professional Counselor, MA, LPC, EMDR
Verified Verified
Saint Peters, MO 63376
Whether you are in a marriage that is struggling, having a problem personally with substances, or just need some help clearing out the clutter in your life, my approach to counseling comes from many different counseling theories. I believe that it is important to focus on the here and now, emphasizing future actions, behaviors, and thoughts, rather than deeply exploring the past. While the past has brought us where we are today, how you believe today and how you act today is of more importance. I believe in being directive and intentional in all aspects of therapy.
Whether you are in a marriage that is struggling, having a problem personally with substances, or just need some help clearing out the clutter in your life, my approach to counseling comes from many different counseling theories. I believe that it is important to focus on the here and now, emphasizing future actions, behaviors, and thoughts, rather than deeply exploring the past. While the past has brought us where we are today, how you believe today and how you act today is of more importance. I believe in being directive and intentional in all aspects of therapy.
(636) 400-3311 View (636) 400-3311
Diane M Scott
Licensed Professional Counselor, MA, LPC
Verified Verified
1 Endorsed
Saint Peters, MO 63376
Change is possible and hope always exists. I create a therapeutic environment of acceptance with no judgement so that change and growth can occur. My ideal client will realize that something in their life is not working and they want to figure it out and make things better. They want to experience happiness, purpose and peace in their life. Taking that first step toward counseling is challenging but benefits will include increased self-esteem, better relationships, a clearer understanding of self, increased productivity and a greater ability to deal with stress.
Change is possible and hope always exists. I create a therapeutic environment of acceptance with no judgement so that change and growth can occur. My ideal client will realize that something in their life is not working and they want to figure it out and make things better. They want to experience happiness, purpose and peace in their life. Taking that first step toward counseling is challenging but benefits will include increased self-esteem, better relationships, a clearer understanding of self, increased productivity and a greater ability to deal with stress.
(636) 487-4831 View (636) 487-4831

See more therapy options for Weldon Spring

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.