Dialectical Behavior (DBT) Therapists in Bexar County, TX
I commonly use Cognitive Behavioral Therapy (CBT), Solution Focused Brief Therapy (SFBT), Dialectical Behavior Therapy ( DBT) and Play Therapy techniques.
My name is Maria Ramirez, an English/Spanish LPC focused on building strong therapeutic relationships and using proven effective interventions to help my clients identify, challenge, and replace unhealthy thinking patterns and behaviors that hold them back or prevent them from achieving wellness. When you're feeling stuck and unsure of where to start, taking the first step toward healing can be one of the most difficult things to do. Know that by being here you have already accomplished so much. If you allow me, I'd like to help you through the next steps of the process in a safe, nonjudgmental, honest, and fully supportive space.
I commonly use Cognitive Behavioral Therapy (CBT), Solution Focused Brief Therapy (SFBT), Dialectical Behavior Therapy ( DBT) and Play Therapy techniques.
My name is Maria Ramirez, an English/Spanish LPC focused on building strong therapeutic relationships and using proven effective interventions to help my clients identify, challenge, and replace unhealthy thinking patterns and behaviors that hold them back or prevent them from achieving wellness. When you're feeling stuck and unsure of where to start, taking the first step toward healing can be one of the most difficult things to do. Know that by being here you have already accomplished so much. If you allow me, I'd like to help you through the next steps of the process in a safe, nonjudgmental, honest, and fully supportive space.
Jessica Martin
Licensed Professional Counselor Associate, MS, NCC
Verified Verified
1 Endorsed
San Antonio, TX 78229
I am trained in Trauma-Focused Cognitive Behavioral Therapy and also use DBT and Solution Focused Therapy.
I am an LPC Associate, supervised by Miranda Solis, LPC-S. I have worked with teens who have been in partial or inpatient hospitalization, teens currently in the child welfare system in the group home setting, and children and families following an outcry of abuse. A big part of working with this population is working with their parents, so I could be a good fit if your child has experienced any of these events. I also have experience with depression, anxiety, trauma, and bipolar disorder. My age range is from age 8-80.
I am trained in Trauma-Focused Cognitive Behavioral Therapy and also use DBT and Solution Focused Therapy.
I am an LPC Associate, supervised by Miranda Solis, LPC-S. I have worked with teens who have been in partial or inpatient hospitalization, teens currently in the child welfare system in the group home setting, and children and families following an outcry of abuse. A big part of working with this population is working with their parents, so I could be a good fit if your child has experienced any of these events. I also have experience with depression, anxiety, trauma, and bipolar disorder. My age range is from age 8-80.
Kristel K Zoller
Licensed Professional Counselor, MA, LPC-S
Verified Verified
2 Endorsed
San Antonio, TX 78209
I provide structured therapeutic interventions, such as Cognitive Behavioral Therapy & Dialectical Behavior Therapy for the treatment of depression & anxiety, and Cognitive Processing Therapy & Prolonged Exposure and Eye Movement Desensitization & Reprocessing.
Trained, certified & experienced trauma therapist with over 10-years experience guiding clients through trauma recovery. I will provide a safe, non-judgmental space for you to release, process and learn to work through trauma, grief, depression and anxiety. My mission is to help you find your sense of self, your voice, your confidence and your power. I specialize in working with the military population and men & women with a history of childhood abuse, domestic violence, sexual trauma and combat trauma. "A lot of people who have experienced trauma at the hands of others take responsibility, and that is what's toxic." -Hannah Gadsby
I provide structured therapeutic interventions, such as Cognitive Behavioral Therapy & Dialectical Behavior Therapy for the treatment of depression & anxiety, and Cognitive Processing Therapy & Prolonged Exposure and Eye Movement Desensitization & Reprocessing.
Trained, certified & experienced trauma therapist with over 10-years experience guiding clients through trauma recovery. I will provide a safe, non-judgmental space for you to release, process and learn to work through trauma, grief, depression and anxiety. My mission is to help you find your sense of self, your voice, your confidence and your power. I specialize in working with the military population and men & women with a history of childhood abuse, domestic violence, sexual trauma and combat trauma. "A lot of people who have experienced trauma at the hands of others take responsibility, and that is what's toxic." -Hannah Gadsby
Daniella Lozano
Licensed Professional Counselor, LPC
Verified Verified
Helotes, TX 78023 (Online Only)
In her therapeutic practice, Daniella draws from various evidence-based modalities including Cognitive Behavioral Therapy, Dialectical Behavioral Therapy, Acceptance and Commitment Therapy, and Rational Emotive Behavioral Therapy.
Daniella Lozano is a Licensed Professional Counselor with 3 years of experience in the mental health field. Her primary focus is working with adults facing various challenges and seeking support in their lives. Daniella specializes in a range of issues such as anxiety, depression, trauma, grief, relationship problems, stress, and major life transitions. She helps clients develop coping strategies, explore patterns of thinking and behavior, and identify and modify unhelpful beliefs. Daniella holds a Bachelor of Arts in Psychology and a Master of Arts in Counseling Psychology, both from Texas A&M University-Kingsville.
In her therapeutic practice, Daniella draws from various evidence-based modalities including Cognitive Behavioral Therapy, Dialectical Behavioral Therapy, Acceptance and Commitment Therapy, and Rational Emotive Behavioral Therapy.
Daniella Lozano is a Licensed Professional Counselor with 3 years of experience in the mental health field. Her primary focus is working with adults facing various challenges and seeking support in their lives. Daniella specializes in a range of issues such as anxiety, depression, trauma, grief, relationship problems, stress, and major life transitions. She helps clients develop coping strategies, explore patterns of thinking and behavior, and identify and modify unhelpful beliefs. Daniella holds a Bachelor of Arts in Psychology and a Master of Arts in Counseling Psychology, both from Texas A&M University-Kingsville.
Ariel Falkon
Licensed Professional Counselor, LPC
Verified Verified
San Antonio, TX 78249 (Online Only)
My theoretical orientation is existential, humanistic, and contextual, but I incorporate interventions based in CBT, DBT, SFBT, and mindfulness.
Hi, I'm Ariel! Thanks for considering me to walk this path of growth, healing, and self-discovery with you. I have worked in counseling and mental health for a decade and have experience working with clients of all ages and varied concerns. The majority of my experience is in university counseling, where I have fostered a love of meeting clients in a transitional stage of life, working to carve out their identity and future.
My theoretical orientation is existential, humanistic, and contextual, but I incorporate interventions based in CBT, DBT, SFBT, and mindfulness.
Hi, I'm Ariel! Thanks for considering me to walk this path of growth, healing, and self-discovery with you. I have worked in counseling and mental health for a decade and have experience working with clients of all ages and varied concerns. The majority of my experience is in university counseling, where I have fostered a love of meeting clients in a transitional stage of life, working to carve out their identity and future.
Lindsey Osgood
Licensed Professional Counselor, MS, LPC
Verified Verified
1 Endorsed
San Antonio, TX 78230
I offer DBT for clients who desire to improve their lives through use of skills.
I work with clients wherever they are at. Finding a therapist can be an anxiety inducing process. My focus is to create an environment where clients feel comfortable to untangle their thoughts and be their authentic selves. I aim to assist clients with further knowing themselves with the goal of teaching themselves to be their own therapist. I welcome people of all faiths and backgrounds.
I offer DBT for clients who desire to improve their lives through use of skills.
I work with clients wherever they are at. Finding a therapist can be an anxiety inducing process. My focus is to create an environment where clients feel comfortable to untangle their thoughts and be their authentic selves. I aim to assist clients with further knowing themselves with the goal of teaching themselves to be their own therapist. I welcome people of all faiths and backgrounds.
My approach to counseling closely mirrors my view of life: there is no one-size-fits-all answer. I use a multifaceted approach to counseling, pulling from the core theoretical approaches of CBT, Person-Centered, and DBT. I believe that as humans, we were created for connection with others. We all experience unexpected circumstances that make life challenging, and attempting to balance life's challenges on our own can be confusing and frustrating. I focus on helping my clients discover their self-worth and core values in order to help them build a life they are proud of.
My approach to counseling closely mirrors my view of life: there is no one-size-fits-all answer. I use a multifaceted approach to counseling, pulling from the core theoretical approaches of CBT, Person-Centered, and DBT. I believe that as humans, we were created for connection with others. We all experience unexpected circumstances that make life challenging, and attempting to balance life's challenges on our own can be confusing and frustrating. I focus on helping my clients discover their self-worth and core values in order to help them build a life they are proud of.
I offer CBT, DBT, EMDR, Gottman, and Mindfulness for Anxiety, Depression, Relationship Issues, Self-Esteem, Substance Abuse, Eating Disorders, and Trauma.
I am an experienced clinician who offers exceptional care to people of all ages. I work with Adults, Couples, Public Figures and Adolescents. Services available in Spanish. My fee is $180 per session and I do not accept insurance.
I offer CBT, DBT, EMDR, Gottman, and Mindfulness for Anxiety, Depression, Relationship Issues, Self-Esteem, Substance Abuse, Eating Disorders, and Trauma.
I am an experienced clinician who offers exceptional care to people of all ages. I work with Adults, Couples, Public Figures and Adolescents. Services available in Spanish. My fee is $180 per session and I do not accept insurance.
Leslie LaBranch
Licensed Professional Counselor Associate , MA, LPC-A
Verified Verified
1 Endorsed
San Antonio, TX 78258
I work from a variety approaches to include CBT, DBT, mindfulness, in creating a safe, supportive and collaborative therapeutic environment.
Are you stuck? Do you feel lost? Are you ready for change? Life can be difficult in many ways. Perhaps you are changing jobs, entering a new stage of life, or making a life altering transition. Or maybe you are struggling with day to day challenges, such as stress, anxiety, or even depression. When it comes to life, there is no clear straight path to take, it is full of ups and downs, twists and turns. Whatever you may be struggling with, let's work together to help you get to where you would like to be in life. While we can't change the past, we can learn to understand it and grow from it. Let's start living life to the fullest!
I work from a variety approaches to include CBT, DBT, mindfulness, in creating a safe, supportive and collaborative therapeutic environment.
Are you stuck? Do you feel lost? Are you ready for change? Life can be difficult in many ways. Perhaps you are changing jobs, entering a new stage of life, or making a life altering transition. Or maybe you are struggling with day to day challenges, such as stress, anxiety, or even depression. When it comes to life, there is no clear straight path to take, it is full of ups and downs, twists and turns. Whatever you may be struggling with, let's work together to help you get to where you would like to be in life. While we can't change the past, we can learn to understand it and grow from it. Let's start living life to the fullest!
Lewis is a dedicated servant leader working from a holistic thirdwave therapy theoretical orientation (Cognitive Behavior Therapy, Dialectical Behavior Therapy, and Acceptance and Commitment Therapy).
Dr. Jessica S. Lewis is a counseling psychologist specializing in clinical, research, and program development focused on traumainformed care, valuesbased interventions, spiritualbased forms of coping, and interdisciplinary teamwork. She earned her Ph.D. in counseling psychology with a subspecialization in health psychology from the University of Georgia. She obtained her Master of Arts degree in psychology from Pepperdine University, graduating Magna Cum Laude. She received her Bachelor of Arts Degree in Communication Studies from Furman University. Dr.
Lewis is a dedicated servant leader working from a holistic thirdwave therapy theoretical orientation (Cognitive Behavior Therapy, Dialectical Behavior Therapy, and Acceptance and Commitment Therapy).
Dr. Jessica S. Lewis is a counseling psychologist specializing in clinical, research, and program development focused on traumainformed care, valuesbased interventions, spiritualbased forms of coping, and interdisciplinary teamwork. She earned her Ph.D. in counseling psychology with a subspecialization in health psychology from the University of Georgia. She obtained her Master of Arts degree in psychology from Pepperdine University, graduating Magna Cum Laude. She received her Bachelor of Arts Degree in Communication Studies from Furman University. Dr.
Cathi Heare
Licensed Professional Counselor, MA, LPC-S
Verified Verified
4 Endorsed
San Antonio, TX 78260
My passion for counseling arises from my deep desire to help provide clarity, hope, and healing for those struggling with issues surrounding depression, anxiety, grief, eating disorders, conflict resolution, marriage, and parenting issues. I largely utilize Cognitive Behavioral Therapy (CBT), Dialectical Behavior Therapy ( DBT), and Acceptance and Commitment Therapy (ACT) while working with individuals, couples and families to live a more wholehearted life. I value the integration of faith and psychology as a foundation for partnering with clients.
My passion for counseling arises from my deep desire to help provide clarity, hope, and healing for those struggling with issues surrounding depression, anxiety, grief, eating disorders, conflict resolution, marriage, and parenting issues. I largely utilize Cognitive Behavioral Therapy (CBT), Dialectical Behavior Therapy ( DBT), and Acceptance and Commitment Therapy (ACT) while working with individuals, couples and families to live a more wholehearted life. I value the integration of faith and psychology as a foundation for partnering with clients.
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Licensed Professional Counselor, Jennifer Rush, MA, NCC, LPC
Verified Verified
San Antonio, TX 78216
I have found Dialectical Behavioral to be effective in many areas.
Sometimes we can feel like we are settling for an unfulfilling life, yearning for freedom from the emotional pain that plagues us. We may feel that we are drowning in conflict, depression, and loneliness, as well as feeling scared and overwhelmed. Our wants and needs sound so simple, yet no matter what we do and what we try to change, it turns out to seem like it is just not that simple after all. We crave connection and intimacy, but sometimes our anxiety, sadness, fear, anger and relationships seem like obstacles to our goals, and the changes we want to make in our lives. Talking helps. There is hope, you are not alone.
I have found Dialectical Behavioral to be effective in many areas.
Sometimes we can feel like we are settling for an unfulfilling life, yearning for freedom from the emotional pain that plagues us. We may feel that we are drowning in conflict, depression, and loneliness, as well as feeling scared and overwhelmed. Our wants and needs sound so simple, yet no matter what we do and what we try to change, it turns out to seem like it is just not that simple after all. We crave connection and intimacy, but sometimes our anxiety, sadness, fear, anger and relationships seem like obstacles to our goals, and the changes we want to make in our lives. Talking helps. There is hope, you are not alone.
Yesenia Vasquez
Licensed Professional Counselor, MS, LPC-S, C-DBT, CTMH
Verified Verified
San Antonio, TX 78247 (Online Only)
I am certified in Dialectical Behavioral Therapy and have been trained in Cognitive Behavioral Therapy, Solution Focused Therapy and I am Trauma Informed.
I am a bilingual/multicultural counselor with experience working with individuals with mood disorders, relationship and interpersonal difficulties, women’s issues, codependency, and family of origin dynamics and issues. I have also worked with individuals struggling with life transitions that bring bouts of anxiety and depression. I have over ten years of experience working with individuals navigating the journey of grief, PTSD/trauma, and those who experience suicidal ideation, self-harm and difficulties with coping.
I am certified in Dialectical Behavioral Therapy and have been trained in Cognitive Behavioral Therapy, Solution Focused Therapy and I am Trauma Informed.
I am a bilingual/multicultural counselor with experience working with individuals with mood disorders, relationship and interpersonal difficulties, women’s issues, codependency, and family of origin dynamics and issues. I have also worked with individuals struggling with life transitions that bring bouts of anxiety and depression. I have over ten years of experience working with individuals navigating the journey of grief, PTSD/trauma, and those who experience suicidal ideation, self-harm and difficulties with coping.
I use a variety of treatment modalities including, but not limited to CBT, DBT, ACT, Existential Therapy and Mindfulness.
Therapy can be one of the most rewarding things you can do for yourself. Therapy is a personal journey, and I am honored to be the therapist to help you expand and strengthen your insight and awareness. My goal is to help you understand yourself better, and equip you with skills to actualize your best self. My therapy style is developmental, and supportive, with a strong focus on thinking about our thinking. Together we can explore narratives, with goals of reframing into a healthier, more self-compassionate internal dialogue of self acceptance. My approaches are engaging, workable and direct.
I use a variety of treatment modalities including, but not limited to CBT, DBT, ACT, Existential Therapy and Mindfulness.
Therapy can be one of the most rewarding things you can do for yourself. Therapy is a personal journey, and I am honored to be the therapist to help you expand and strengthen your insight and awareness. My goal is to help you understand yourself better, and equip you with skills to actualize your best self. My therapy style is developmental, and supportive, with a strong focus on thinking about our thinking. Together we can explore narratives, with goals of reframing into a healthier, more self-compassionate internal dialogue of self acceptance. My approaches are engaging, workable and direct.
Kristin Arnold
Licensed Professional Counselor, MA, LPC, LCDC
Verified Verified
1 Endorsed
San Antonio, TX 78230 (Online Only)
I value an integrative approach to therapy utilizing evidence-based modalities and I am certified in Cognitive Behavioral Therapy, Dialectical Behavioral Therapy, Motivational Enhancement Therapy, and Cognitive Processing Therapy.
My goal is to provide an empathetic ear and therapeutic interventions to help you find cohesiveness and balance. Together, we can identify what’s not working in your life, enhance what is working, and explore ways to expand your life in more fulfilling ways. We will focus on the present moment – getting honest and vulnerable about your current patterns, curious about the past and how those experiences impact you now, and influence the future by incorporating new skills and goals. My role is to walk with you through your highs and lows, challenge, and encourage you.
I value an integrative approach to therapy utilizing evidence-based modalities and I am certified in Cognitive Behavioral Therapy, Dialectical Behavioral Therapy, Motivational Enhancement Therapy, and Cognitive Processing Therapy.
My goal is to provide an empathetic ear and therapeutic interventions to help you find cohesiveness and balance. Together, we can identify what’s not working in your life, enhance what is working, and explore ways to expand your life in more fulfilling ways. We will focus on the present moment – getting honest and vulnerable about your current patterns, curious about the past and how those experiences impact you now, and influence the future by incorporating new skills and goals. My role is to walk with you through your highs and lows, challenge, and encourage you.
Popular approaches include CBT, DBT, EMDR, Christian Counseling, PCT, Motivational Interviewing, EFT, Positive Psychology, Psychodynamic therapy, Relational therapy, Narrative therapy, and more.
At Thriveworks, we're dedicated to providing top-tier mental health services that are easily accessible to everyone. With over 340 locations nationwide and flexible online therapy options, our professional therapists are equipped to assist you through any stress, life transitions, or ongoing mental health concerns. We prioritize your convenience and needs by offering flexible scheduling, including evening and weekend appointments, ensuring that you can start your therapy journey as early as this week. Plus, we accept most major insurance plans, making your path to mental health support smoother and more affordable.
Popular approaches include CBT, DBT, EMDR, Christian Counseling, PCT, Motivational Interviewing, EFT, Positive Psychology, Psychodynamic therapy, Relational therapy, Narrative therapy, and more.
At Thriveworks, we're dedicated to providing top-tier mental health services that are easily accessible to everyone. With over 340 locations nationwide and flexible online therapy options, our professional therapists are equipped to assist you through any stress, life transitions, or ongoing mental health concerns. We prioritize your convenience and needs by offering flexible scheduling, including evening and weekend appointments, ensuring that you can start your therapy journey as early as this week. Plus, we accept most major insurance plans, making your path to mental health support smoother and more affordable.
She uses different modalities as needed including cognitive behavioral therapy, dialectical behavior therapy, acceptance and commitment therapy, art therapy, and play therapy, among other specialties.
Monica Pinzon is a Licensed Professional Counselor that has developed experience helping families with generational trauma, cultural issues, youth-specific trauma, challenges as an immigrant, life adjustments, and family conflict. Monica is an immigrant who has a strong understanding of the impact that life adjustments can have on a person's mental health and overall sense of well-being. She is able to connect with youth easily and utilizes unconditional positive regard with all her clients. Monica completed her Master of Science in Clinical Mental Health Counseling at the University of Texas at San Antonio.
She uses different modalities as needed including cognitive behavioral therapy, dialectical behavior therapy, acceptance and commitment therapy, art therapy, and play therapy, among other specialties.
Monica Pinzon is a Licensed Professional Counselor that has developed experience helping families with generational trauma, cultural issues, youth-specific trauma, challenges as an immigrant, life adjustments, and family conflict. Monica is an immigrant who has a strong understanding of the impact that life adjustments can have on a person's mental health and overall sense of well-being. She is able to connect with youth easily and utilizes unconditional positive regard with all her clients. Monica completed her Master of Science in Clinical Mental Health Counseling at the University of Texas at San Antonio.
I provide individual and couples therapy to older adolescents and adults. My approach to therapy mainly draws from Cognitive Behavioral Therapy (CBT). I have additional training in Dialectical Behavioral Therapy ( DBT). While I tend to draw from CBT, I incorporate other styles and techniques to tailor each session to meet the needs of each person I work with. I believe the most important and healing aspect of therapy is the relationship that is created between myself and the person sitting across from me.
I provide individual and couples therapy to older adolescents and adults. My approach to therapy mainly draws from Cognitive Behavioral Therapy (CBT). I have additional training in Dialectical Behavioral Therapy ( DBT). While I tend to draw from CBT, I incorporate other styles and techniques to tailor each session to meet the needs of each person I work with. I believe the most important and healing aspect of therapy is the relationship that is created between myself and the person sitting across from me.
I have a background in Dialectical Behavioral Therapy, Motivational Interviewing, and problem-solving.
Change is not easy but it is possible. You will be held accountable, challenged, and coached. I am a no-BS mental health professional. I am passionate about working alongside you as you move closer to the ideal version of yourself. I understand that your motivation may be lacking. I know that you may need help finding initiative. That's OK! We will figure it out with an actionable plan, one step at a time. Additionally, I am a kink-friendly provider able to assist BDSM, polyamorous, and other lifestyle relationships. I understand your experiences and love working to improve interpersonal dynamics through effective communication.
I have a background in Dialectical Behavioral Therapy, Motivational Interviewing, and problem-solving.
Change is not easy but it is possible. You will be held accountable, challenged, and coached. I am a no-BS mental health professional. I am passionate about working alongside you as you move closer to the ideal version of yourself. I understand that your motivation may be lacking. I know that you may need help finding initiative. That's OK! We will figure it out with an actionable plan, one step at a time. Additionally, I am a kink-friendly provider able to assist BDSM, polyamorous, and other lifestyle relationships. I understand your experiences and love working to improve interpersonal dynamics through effective communication.
Monica Marie Rivera-Pina
Licensed Professional Counselor, LPC, NBCC, LMHC
Verified Verified
San Antonio, TX 78229 (Online Only)
Welcome to my profile! Let me share a little about myself. I own a telehealth practice in TX, Pragmatic Solutions Therapy PLLC. I serve adults of any age and specialize helping those dealing with anxiety, grief, trauma, depression, mood disorders, adjustment issues, anxiety, life transitions and health-related challenges. I use specific modalities such as: Cognitive Behavioral Therapy, Dialectical Behavioral Therapy, Solutions Focused, Mindfulness-Based Cognitive, Biofeedback, Humanistic, Acceptance Commitment therapy and a telehealth version of EMDR. I welcome anyone searching for solutions to any issue impeding their life goals.
Welcome to my profile! Let me share a little about myself. I own a telehealth practice in TX, Pragmatic Solutions Therapy PLLC. I serve adults of any age and specialize helping those dealing with anxiety, grief, trauma, depression, mood disorders, adjustment issues, anxiety, life transitions and health-related challenges. I use specific modalities such as: Cognitive Behavioral Therapy, Dialectical Behavioral Therapy, Solutions Focused, Mindfulness-Based Cognitive, Biofeedback, Humanistic, Acceptance Commitment therapy and a telehealth version of EMDR. I welcome anyone searching for solutions to any issue impeding their life goals.
See more therapy options for Bexar County
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.