Dialectical Behavior (DBT) Therapists in Princeton Junction, NJ

Photo of Karen S Cohen, PsyD, Psychologist
Karen S Cohen
Psychologist, PsyD
Verified Verified
Princeton Junction, NJ 08550
Mindfulness, DBT and hypnotherapy opened exciting avenues for leading a more balanced life.
With 25 years in practice, I treat a broad spectrum of problems across the life span. Utilizing a developmental perspective and extensive training (Psychodynamic, CBT, DBT, Mindfulness and Hypnotherapy), I customize treatment to your needs, in a warm and judgment free atmosphere supportive of personal growth. I am interested in how feelings, thoughts and behaviors intersect, or form patterns that play a role in distress and adaptation. I can help you, your child or family to see how these forces affect your well being and how they can shift to ease tensions and to create new perspectives and changes that allow for more fulfilling experiences.
Mindfulness, DBT and hypnotherapy opened exciting avenues for leading a more balanced life.
With 25 years in practice, I treat a broad spectrum of problems across the life span. Utilizing a developmental perspective and extensive training (Psychodynamic, CBT, DBT, Mindfulness and Hypnotherapy), I customize treatment to your needs, in a warm and judgment free atmosphere supportive of personal growth. I am interested in how feelings, thoughts and behaviors intersect, or form patterns that play a role in distress and adaptation. I can help you, your child or family to see how these forces affect your well being and how they can shift to ease tensions and to create new perspectives and changes that allow for more fulfilling experiences.
(609) 301-4015 View (609) 301-4015
Photo of Kayla Simmons, MA,  LAC, Counselor
Kayla Simmons
Counselor, MA, LAC
Verified Verified
Princeton Junction, NJ 08550
Kayla Simmons is a Licensed Associate Counselor in New Jersey who has been practicing since 2024. As a Licensed Associate Counselor with a Master’s degree in Clinical Mental Health Counseling, Kayla brings a unique blend of clinical expertise, diverse experiences, and a deep appreciation for cultural diversity. Her passion lies in utilizing evidence-based techniques, including Cognitive Behavioral Therapy, Dialectical Behavioral Therapy, and Solution-Focused Therapy, to address a range of mental health challenges, from anxiety and depression to relationship difficulties and trauma.
Kayla Simmons is a Licensed Associate Counselor in New Jersey who has been practicing since 2024. As a Licensed Associate Counselor with a Master’s degree in Clinical Mental Health Counseling, Kayla brings a unique blend of clinical expertise, diverse experiences, and a deep appreciation for cultural diversity. Her passion lies in utilizing evidence-based techniques, including Cognitive Behavioral Therapy, Dialectical Behavioral Therapy, and Solution-Focused Therapy, to address a range of mental health challenges, from anxiety and depression to relationship difficulties and trauma.
(848) 212-8620 View (848) 212-8620
Photo of Melissa Weisel - Hamilton Healing Arts, LLC, MSW, LCSW , MPH, Clinical Social Work/Therapist
Hamilton Healing Arts, LLC
Clinical Social Work/Therapist, MSW, LCSW , MPH
Verified Verified
1 Endorsed
Princeton Junction, NJ 08550  (Online Only)
We utilize CBT, DBT, positive psychology, mindfulness, scientifically proven therapeutic modalities, and psycho-education to improve the signs and symptoms of stress, anxiety, and depression daily.
Welcome to Hamilton Healing Arts! Our therapists are talented and ready to treat anxiety, depression, mood disorders, and assist in life transitions. We offer free consultations. Go to hamiltonhealingarts.com and fill out the contact form on the home page!
We utilize CBT, DBT, positive psychology, mindfulness, scientifically proven therapeutic modalities, and psycho-education to improve the signs and symptoms of stress, anxiety, and depression daily.
Welcome to Hamilton Healing Arts! Our therapists are talented and ready to treat anxiety, depression, mood disorders, and assist in life transitions. We offer free consultations. Go to hamiltonhealingarts.com and fill out the contact form on the home page!
(908) 867-9461 View (908) 867-9461
Photo of Denise Martin, MS,  LPC, Licensed Professional Counselor
Denise Martin
Licensed Professional Counselor, MS, LPC
Verified Verified
Princeton Junction, NJ 08550
Her approach combines cognitive-behavioral, dialectical behavioral, trauma-focused, amongst other modalities.
Denise Martin is a Licensed Professional Counselor in New Jersey who has been practicing since 2015. She has a Master’s of Science in Mental Health Counseling from Monmouth University and is a certified Grief Counselor from David Kessler’s Grief Educator Certificate program. Denise has worked with individuals with a wide range of concerns including trauma, depression, anxiety, mood, personality disorders, low self-esteem, life transitions, and grief/loss amongst other areas. Her counseling style is nurturing, and client centered.
Her approach combines cognitive-behavioral, dialectical behavioral, trauma-focused, amongst other modalities.
Denise Martin is a Licensed Professional Counselor in New Jersey who has been practicing since 2015. She has a Master’s of Science in Mental Health Counseling from Monmouth University and is a certified Grief Counselor from David Kessler’s Grief Educator Certificate program. Denise has worked with individuals with a wide range of concerns including trauma, depression, anxiety, mood, personality disorders, low self-esteem, life transitions, and grief/loss amongst other areas. Her counseling style is nurturing, and client centered.
(609) 905-5738 View (609) 905-5738
Photo of Lindsay Broatch, LPC, LCADC, Licensed Professional Counselor
Lindsay Broatch
Licensed Professional Counselor, LPC, LCADC
Verified Verified
1 Endorsed
Princeton Junction, NJ 08550  (Online Only)
My passion lies in helping individuals who are facing challenges with addiction, anxiety, and depression. I use a range of evidence-based therapeutic techniques—including cognitive-behavioral therapy (CBT), dialectical behavior therapy ( DBT), mindfulness, and solution-focused therapy—to provide clients with practical tools to enhance their well-being and resilience.
My passion lies in helping individuals who are facing challenges with addiction, anxiety, and depression. I use a range of evidence-based therapeutic techniques—including cognitive-behavioral therapy (CBT), dialectical behavior therapy ( DBT), mindfulness, and solution-focused therapy—to provide clients with practical tools to enhance their well-being and resilience.
(215) 486-0118 View (215) 486-0118
Photo of Jessica Vlossak, LPC, Licensed Professional Counselor
Jessica Vlossak
Licensed Professional Counselor, LPC
Verified Verified
Princeton Junction, NJ 08550  (Online Only)
Our clinical staff has been trained in Dialectical Behavioral Therapy ( DBT), Cognitive Behavioral Therapy (CBT), trauma-informed care, substance use and motivational interviewing, and specialized training with eating disorders through the International Association of Eating Disorder Professionals (IAEDP).
At Emerging Wellness LLC we collaborate closely with you for individualized care and guidance to align with your values and needs. We are trained with CBT, DBT, solution-focused, mindfulness, and motivational interviewing to assist you in addressing various mental health, substance use, and eating disorder diagnoses. We provide individual therapy to adults that are seeking changes with their moods, behaviors, life changes, or career changes. We offer enhanced outpatient tracks that are once a week groups and once a week individual therapy! Call us today.
Our clinical staff has been trained in Dialectical Behavioral Therapy ( DBT), Cognitive Behavioral Therapy (CBT), trauma-informed care, substance use and motivational interviewing, and specialized training with eating disorders through the International Association of Eating Disorder Professionals (IAEDP).
At Emerging Wellness LLC we collaborate closely with you for individualized care and guidance to align with your values and needs. We are trained with CBT, DBT, solution-focused, mindfulness, and motivational interviewing to assist you in addressing various mental health, substance use, and eating disorder diagnoses. We provide individual therapy to adults that are seeking changes with their moods, behaviors, life changes, or career changes. We offer enhanced outpatient tracks that are once a week groups and once a week individual therapy! Call us today.
(848) 292-5883 View (848) 292-5883
Photo of Tia Baranosky, MS, LPC, CCTP, NCC, Counselor
Tia Baranosky
Counselor, MS, LPC, CCTP, NCC
Verified Verified
4 Endorsed
Princeton Junction, NJ 08550  (Online Only)
I supported clients in healing with education of mental health/neuroscience; trauma skills/education; and provided coping skills; CBT/ DBT.
I work best with individuals in which are internally motivated for change, looking to work collaboratively alongside the individual to explore depression, anxiety, PTSD/trauma, substance abuse, and much more. My approach to therapy is person-centered, focused on offering a compassionate, yet straightforward approach to growth, which encourages individuals to think deeper and build connections that will assist them with a better understanding of the underlying issues. I believe in creating and modeling a healthy human connection to make those feel safe as possible in a time for many that can feel vulnerable.
I supported clients in healing with education of mental health/neuroscience; trauma skills/education; and provided coping skills; CBT/ DBT.
I work best with individuals in which are internally motivated for change, looking to work collaboratively alongside the individual to explore depression, anxiety, PTSD/trauma, substance abuse, and much more. My approach to therapy is person-centered, focused on offering a compassionate, yet straightforward approach to growth, which encourages individuals to think deeper and build connections that will assist them with a better understanding of the underlying issues. I believe in creating and modeling a healthy human connection to make those feel safe as possible in a time for many that can feel vulnerable.
(856) 712-9520 View (856) 712-9520
Photo of Jen Mele, LCSW, RYT, Clinical Social Work/Therapist
Jen Mele
Clinical Social Work/Therapist, LCSW, RYT
Verified Verified
6 Endorsed
Princeton Junction, NJ 08550
I also have a DBT group for Adults teaching emotion regulation and mindfulness skills.
Welcome! I'm a creative and somatic therapist helping people reduce stress, explore purpose and foster personal growth through art, painting & creative expression. Sessions are a safe space to play, release, enhance self-awareness, and build resilience, all through the power of art. No experience needed—just an open mind. Maybe you want to feel more joy, less criticism and connection to your body. Maybe you're dealing with stress, life transitions, or seeking self-discovery. Some wish to setup an art practice and would love the accountability and safe space to create. Still, you may be someone who feels complete with talk therapy.
I also have a DBT group for Adults teaching emotion regulation and mindfulness skills.
Welcome! I'm a creative and somatic therapist helping people reduce stress, explore purpose and foster personal growth through art, painting & creative expression. Sessions are a safe space to play, release, enhance self-awareness, and build resilience, all through the power of art. No experience needed—just an open mind. Maybe you want to feel more joy, less criticism and connection to your body. Maybe you're dealing with stress, life transitions, or seeking self-discovery. Some wish to setup an art practice and would love the accountability and safe space to create. Still, you may be someone who feels complete with talk therapy.
(646) 759-1405 View (646) 759-1405
Photo of Amy DeGirolamo - Amy DeGirolamo, LPC, Licensed Professional Counselor
Amy DeGirolamo
Licensed Professional Counselor, LPC
Verified Verified
Princeton Junction, NJ 08550
DBT Skills Training-Distress Tolerance, Emotional Regulation, Interpersonal Effectiveness and Mindfulness techniques taught and practiced.
Amy Degirolamo, LPC. I am licensed in New Jersey, Pennsylvania and Delaware. For the last 15 years my work with clients has focused on personal issues of all kinds: depression, self-esteem, conflict resolution, better communication, adult children of alcoholics, parenting, anxiety, chronic illness, addictions, and sexual abuse. I specialize in adjustment issues and assisting clients take steps to get back to a place where they can overcome issues and move on for a better, healthier life. Many of my clients are going through a life transition such as a seperation, divorce or dealing with "failure to launch" issues.
DBT Skills Training-Distress Tolerance, Emotional Regulation, Interpersonal Effectiveness and Mindfulness techniques taught and practiced.
Amy Degirolamo, LPC. I am licensed in New Jersey, Pennsylvania and Delaware. For the last 15 years my work with clients has focused on personal issues of all kinds: depression, self-esteem, conflict resolution, better communication, adult children of alcoholics, parenting, anxiety, chronic illness, addictions, and sexual abuse. I specialize in adjustment issues and assisting clients take steps to get back to a place where they can overcome issues and move on for a better, healthier life. Many of my clients are going through a life transition such as a seperation, divorce or dealing with "failure to launch" issues.
(215) 486-0341 View (215) 486-0341
Photo of Gianna Vaccarino, LMHC, LPC, LCPC, Counselor
Gianna Vaccarino
Counselor, LMHC, LPC, LCPC
Verified Verified
2 Endorsed
Princeton Junction, NJ 08550  (Online Only)
This often includes Exposure Response Prevention, Cognitive Behavioral, Dialectical Behavior and Acceptance and Commitment Therapy when addressing various anxiety disorders, self-esteem, depression and trauma.
I’ve worked in a wide range of mental health settings, allowing me to effectively support individuals facing challenges such as anxiety, depression, self-esteem and change of life issues. Through a compassionate and integrative approach, I tailor my therapeutic techniques to meet the unique needs of each client, fostering a safe space for healing and personal growth. I am particularly passionate about working with people of all ages who are seeking help to manage anxiety and stress, OCD, panic, intrusive & negative thought patterns.
This often includes Exposure Response Prevention, Cognitive Behavioral, Dialectical Behavior and Acceptance and Commitment Therapy when addressing various anxiety disorders, self-esteem, depression and trauma.
I’ve worked in a wide range of mental health settings, allowing me to effectively support individuals facing challenges such as anxiety, depression, self-esteem and change of life issues. Through a compassionate and integrative approach, I tailor my therapeutic techniques to meet the unique needs of each client, fostering a safe space for healing and personal growth. I am particularly passionate about working with people of all ages who are seeking help to manage anxiety and stress, OCD, panic, intrusive & negative thought patterns.
(845) 295-5351 View (845) 295-5351
NJ Behavioral Health - A LifeStance Health Affilia
Licensed Professional Counselor, LPC
Verified Verified
Princeton Junction, NJ 08550
Making your first appointment can be one of the most challenging steps in your mental health journey. At LifeStance, we make it simple by offering both online and in-person therapy and psychiatry services, covered by major insurance plans.
Making your first appointment can be one of the most challenging steps in your mental health journey. At LifeStance, we make it simple by offering both online and in-person therapy and psychiatry services, covered by major insurance plans.
(855) 262-3895 View (855) 262-3895
Photo of Magdalena Zilveti Manasson, LAC,  ATR-P, Counselor
Magdalena Zilveti Manasson
Counselor, LAC, ATR-P
Verified Verified
Princeton Junction, NJ 08550
Magdalena Zilveti Manasson is a Licensed Associate Counselor with 20 years of experience. She started her career as a psychologist in France after completing a master's degree in psychology from Universite of Paris. Subsequently she received a master's degree in Mental Health Counseling with Art Therapy specialization from Caldwell University, after moving to NJ. Magdalena provides psychotherapy to children, adolescents, adults, and couples. Being multicultural with fluency in French, Spanish, and English languages, she developed an expertise in helping migrants and expatriates to adapt to new cultures and countries.
Magdalena Zilveti Manasson is a Licensed Associate Counselor with 20 years of experience. She started her career as a psychologist in France after completing a master's degree in psychology from Universite of Paris. Subsequently she received a master's degree in Mental Health Counseling with Art Therapy specialization from Caldwell University, after moving to NJ. Magdalena provides psychotherapy to children, adolescents, adults, and couples. Being multicultural with fluency in French, Spanish, and English languages, she developed an expertise in helping migrants and expatriates to adapt to new cultures and countries.
(609) 604-7375 View (609) 604-7375
Photo of Jennifer Chiaramonti, MSEd,  LPC, Licensed Professional Counselor
Jennifer Chiaramonti
Licensed Professional Counselor, MSEd, LPC
Verified Verified
Princeton Junction, NJ 08550
Jennifer Chiaramonti is a Licensed Professional Counselor, National Board-Certified Counselor, and a Certified Global Career Development Facilitator in New Jersey who has been practicing since 2004. She has a Bachelor’s degree in Psychology, Sociology, and World Religions, and a Master’s degree in Counseling and Higher Education. Jennifer assists clients from ages 16-65 with a wide range of concerns including, but not limited to: Depression and anxiety; relationship, family, and couple challenges; trauma; life transitions and adjustments; stress; low self-esteem; attachment issues; seasonal affective disorder; social anxiety;
Jennifer Chiaramonti is a Licensed Professional Counselor, National Board-Certified Counselor, and a Certified Global Career Development Facilitator in New Jersey who has been practicing since 2004. She has a Bachelor’s degree in Psychology, Sociology, and World Religions, and a Master’s degree in Counseling and Higher Education. Jennifer assists clients from ages 16-65 with a wide range of concerns including, but not limited to: Depression and anxiety; relationship, family, and couple challenges; trauma; life transitions and adjustments; stress; low self-esteem; attachment issues; seasonal affective disorder; social anxiety;
(609) 507-3100 View (609) 507-3100
NJ Behavioral Health - A LifeStance Health Affilia
Licensed Professional Counselor, LPC
Verified Verified
Princeton Junction, NJ 08550
Making your first appointment can be one of the most challenging steps in your mental health journey. At LifeStance, we make it simple by offering both online and in-person therapy and psychiatry services, covered by major insurance plans.
Making your first appointment can be one of the most challenging steps in your mental health journey. At LifeStance, we make it simple by offering both online and in-person therapy and psychiatry services, covered by major insurance plans.
(855) 262-3895 View (855) 262-3895
Photo of Melissa Weisel, MSW, LCSW, MPH-PP, Clinical Social Work/Therapist
Melissa Weisel
Clinical Social Work/Therapist, MSW, LCSW, MPH-PP
Verified Verified
1 Endorsed
Princeton Junction, NJ 08550  (Online Only)
Welcome! I offer free consultations. Go to hamiltonhealingarts.com and fill out the contact form on the home page! My therapeutic aim is to support individuals in transforming themselves from who they believe they need to be, to their most authentic and satisfied selves. I am a Licensed Clinical Social Worker and Certified Clinical Anxiety Treatment Professional (CCATP). With experience helping those from eight years old to 80, I can offer a wide range of interventions to successfully alleviate symptoms of distress that may disrupt your daily life or keep you from achieving your most important goals.
Welcome! I offer free consultations. Go to hamiltonhealingarts.com and fill out the contact form on the home page! My therapeutic aim is to support individuals in transforming themselves from who they believe they need to be, to their most authentic and satisfied selves. I am a Licensed Clinical Social Worker and Certified Clinical Anxiety Treatment Professional (CCATP). With experience helping those from eight years old to 80, I can offer a wide range of interventions to successfully alleviate symptoms of distress that may disrupt your daily life or keep you from achieving your most important goals.
(609) 316-4450 View (609) 316-4450
Photo of Nicole Terry, LSW, MSW, Clinical Social Work/Therapist
Nicole Terry
Clinical Social Work/Therapist, LSW, MSW
Verified Verified
1 Endorsed
Princeton Junction, NJ 08550
We all accrue wounds in the course of living. Finding the right therapist is the best way to find help to heal wounds. To support those who seek change, particularly in relationships, I take an authentic, non-judgmental approach that is free of trend-driven techniques. By providing a safe and respectful space that values and nourishes the healing process, clients can expect non-pathologized care. Given that conflict comes in many forms, my therapeutic approach is equally personalized to each individual's needs.
We all accrue wounds in the course of living. Finding the right therapist is the best way to find help to heal wounds. To support those who seek change, particularly in relationships, I take an authentic, non-judgmental approach that is free of trend-driven techniques. By providing a safe and respectful space that values and nourishes the healing process, clients can expect non-pathologized care. Given that conflict comes in many forms, my therapeutic approach is equally personalized to each individual's needs.
(609) 454-6298 View (609) 454-6298
Photo of Dione Johnson, PhD, Psychologist
Dione Johnson
Psychologist, PhD
Verified Verified
Princeton Junction, NJ 08550
Dr. Dione Johnson is a Psychologist in New Jersey who has been practicing since 2000. They graduated from California State University and Fuller Theological Seminary. Dr. Johnson has experience in helping clients with stress and anxiety, coping with addictions, relationship issues, and family conflicts. Dr. Johnson works with individuals and families between the ages of 18-64 to create an open and safe environment where thoughts and feelings can be shared without fear of judgment. Taking the first step to seeking a more fulfilling and happier life takes courage. Dr. Johnson is here to support you in that process.
Dr. Dione Johnson is a Psychologist in New Jersey who has been practicing since 2000. They graduated from California State University and Fuller Theological Seminary. Dr. Johnson has experience in helping clients with stress and anxiety, coping with addictions, relationship issues, and family conflicts. Dr. Johnson works with individuals and families between the ages of 18-64 to create an open and safe environment where thoughts and feelings can be shared without fear of judgment. Taking the first step to seeking a more fulfilling and happier life takes courage. Dr. Johnson is here to support you in that process.
(609) 798-2506 View (609) 798-2506
Photo of Allison Hurwitz, MSW, MA, ATR, Licensed Professional Counselor
Allison Hurwitz
Licensed Professional Counselor, MSW, MA, ATR
Verified Verified
2 Endorsed
Princeton Junction, NJ 08550  (Online Only)
One size does not fit all. I utilize a variety of approaches that I tailor to best meet each client's individual needs. I have worked with kids, teens and adults for 29 years with specialties in: Parent Coaching, Art Therapy, and Navigating Life with Chronic Illness. From decades of work with children and families, I am skilled at helping parents to better understand their kids, improve communication and develop effective solutions. Having degrees in Art Therapy and Social Work expands the array of services I can provide. Art therapy offers a safe, powerful way to explore thoughts and feelings that seem too hard to express in words.
One size does not fit all. I utilize a variety of approaches that I tailor to best meet each client's individual needs. I have worked with kids, teens and adults for 29 years with specialties in: Parent Coaching, Art Therapy, and Navigating Life with Chronic Illness. From decades of work with children and families, I am skilled at helping parents to better understand their kids, improve communication and develop effective solutions. Having degrees in Art Therapy and Social Work expands the array of services I can provide. Art therapy offers a safe, powerful way to explore thoughts and feelings that seem too hard to express in words.
(917) 722-6810 View (917) 722-6810
Photo of LaShelle Corley - LaShelle Corley , LCSW, LCADC, Clinical Social Work/Therapist
LaShelle Corley
Clinical Social Work/Therapist, LCSW, LCADC
Verified Verified
Princeton Junction, NJ 08550  (Online Only)
You don't have to navigate the challenges of life alone. Connecting with a competent therapist to help you build upon your strengths, while providing you with skills to improve areas of weakness, is essential. After reviewing my profile, if you are experiencing a condition that is within my area of specialty, schedule your initial session today! I look forward to working with you.
You don't have to navigate the challenges of life alone. Connecting with a competent therapist to help you build upon your strengths, while providing you with skills to improve areas of weakness, is essential. After reviewing my profile, if you are experiencing a condition that is within my area of specialty, schedule your initial session today! I look forward to working with you.
(862) 407-5282 View (862) 407-5282
Photo of Rovin Chonielall, LPC, LCADC, Licensed Professional Counselor
Rovin Chonielall
Licensed Professional Counselor, LPC, LCADC
Verified Verified
Princeton Junction, NJ 08550
Are you struggling to manage your inner feelings and all of the stressors in your life? You can overcome your obstacles with the right therapist. I enjoy working with people who, like myself, are trying to face the many feelings that are sometimes difficult to stay present with.
Are you struggling to manage your inner feelings and all of the stressors in your life? You can overcome your obstacles with the right therapist. I enjoy working with people who, like myself, are trying to face the many feelings that are sometimes difficult to stay present with.
(609) 403-3152 View (609) 403-3152
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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.