Dialectical Behavior (DBT) Therapists in Brownsville, TX

Photo of Rosy Rea Morales, LPC, MEd, Licensed Professional Counselor
Rosy Rea Morales
Licensed Professional Counselor, LPC, MEd
Verified Verified
2 Endorsed
Brownsville, TX 78520
I can also guide you on how to make the necessary changes in your personality to accomplish your SMART goals using CBT (Cognitive Behavioral Therapy), DBT ( Dialectical Behavioral Therapy) and other modalities.
If you are experiencing anxiety, depression, stress, overwhelmed feelings, trauma, difficulty adjusting to a new life experience, and would like to make changes in your life, call for a free 15 minutes consultation. I will be glad to answer any questions you may have.
I can also guide you on how to make the necessary changes in your personality to accomplish your SMART goals using CBT (Cognitive Behavioral Therapy), DBT ( Dialectical Behavioral Therapy) and other modalities.
If you are experiencing anxiety, depression, stress, overwhelmed feelings, trauma, difficulty adjusting to a new life experience, and would like to make changes in your life, call for a free 15 minutes consultation. I will be glad to answer any questions you may have.
(956) 300-1361 View (956) 300-1361
Photo of Jessica Melissa Mancillas-Flores - Red Apple Therapy, LPC, MSEd, Licensed Professional Counselor
Red Apple Therapy
Licensed Professional Counselor, LPC, MSEd
Verified Verified
1 Endorsed
Brownsville, TX 78520
I utilize an integrated model of Cognitive Behavioral Therapy (CBT), Dialectical Behavior Therapy ( DBT), and Solution Focused Behavioral (SFBT) Therapy.
I work with individuals with a wide range of concerns, including, depression, trauma, abuse, ADHD, relationship issues, and life changing situations. I will meet you where you are and move along at your pace. Red Apple Therapy offers alternative therapies for those searching for a holistic and eclectic approach to counseling, including creative arts, play therapy and mindful meditation. Our goal is to assist you in meeting your goal by providing a safe, authentic and compassionate clinical setting with an individualized therapy experience.
I utilize an integrated model of Cognitive Behavioral Therapy (CBT), Dialectical Behavior Therapy ( DBT), and Solution Focused Behavioral (SFBT) Therapy.
I work with individuals with a wide range of concerns, including, depression, trauma, abuse, ADHD, relationship issues, and life changing situations. I will meet you where you are and move along at your pace. Red Apple Therapy offers alternative therapies for those searching for a holistic and eclectic approach to counseling, including creative arts, play therapy and mindful meditation. Our goal is to assist you in meeting your goal by providing a safe, authentic and compassionate clinical setting with an individualized therapy experience.
(210) 941-1482 View (210) 941-1482
Photo of Saima Hussain, LCSW, Clinical Social Work/Therapist
Saima Hussain
Clinical Social Work/Therapist, LCSW
Verified Verified
Brownsville, TX 78526
Saima Hussain is a Licensed Clinical Social Worker (LCSW) with over 10 years of experience in the field of mental health. She is known for her holistic approach to therapy, which combines evidence-based techniques such as Cognitive Behavioral Therapy (CBT) and Dialectical Behavioral Therapy ( DBT) with a focus on mind-body-spirit integration. She has extensive experience in helping clients manage stress, anxiety, depression, trauma, and relationship issues.
Saima Hussain is a Licensed Clinical Social Worker (LCSW) with over 10 years of experience in the field of mental health. She is known for her holistic approach to therapy, which combines evidence-based techniques such as Cognitive Behavioral Therapy (CBT) and Dialectical Behavioral Therapy ( DBT) with a focus on mind-body-spirit integration. She has extensive experience in helping clients manage stress, anxiety, depression, trauma, and relationship issues.
(346) 572-3252 View (346) 572-3252
Photo of Christina R. Landeros, LCSW-S, C-DBT, Clinical Social Work/Therapist
Christina R. Landeros
Clinical Social Work/Therapist, LCSW-S, C-DBT
Verified Verified
1 Endorsed
Brownsville, TX 78521  (Online Only)
I will work with you to find hope, inner peace, build healthy habits, process traumatic experiences, and give you strategies to move forward. I tailor evidence-based mental health treatment to your needs and priority concerns. I have over 15 years of practice experience working in mental health and medical settings. I incorporate Mindfulness, Meditation, DBT Skills, IFS Informed EMDR (tapping to reprocess trauma), FLASH technique (positive imagery, including music) to reprocess, connect within, and connect with others. Email Me if you would like a free 15-minute online consultation to discuss your goals and treatment options.
I will work with you to find hope, inner peace, build healthy habits, process traumatic experiences, and give you strategies to move forward. I tailor evidence-based mental health treatment to your needs and priority concerns. I have over 15 years of practice experience working in mental health and medical settings. I incorporate Mindfulness, Meditation, DBT Skills, IFS Informed EMDR (tapping to reprocess trauma), FLASH technique (positive imagery, including music) to reprocess, connect within, and connect with others. Email Me if you would like a free 15-minute online consultation to discuss your goals and treatment options.
(512) 559-7807 View (512) 559-7807
Photo of Shanna Dominguez - Dominguez Psychotherapy and Counseling Center, MEd, LPC, NCC, Licensed Professional Counselor
Dominguez Psychotherapy and Counseling Center
Licensed Professional Counselor, MEd, LPC, NCC
Verified Verified
Brownsville, TX 78520
My name is Shanna Dominguez and I am a Licensed Professional Counselor. You may be experiencing worry, fear, anxiety, depression, or a variety of other emotions. Good news, those emotions can be managed, I believe there are two experts in the room: You are the expert of your life and I am the clinical expert. I have had the privilege of working with adults, couples, and adolescents. I use a variety of techniques and theories to guide my work with you depending on what fits your needs. I specialize in CBT and DBT methods. As humans, we not only want to feel understood, but we want to understand ourselves & why we do the things we do.
My name is Shanna Dominguez and I am a Licensed Professional Counselor. You may be experiencing worry, fear, anxiety, depression, or a variety of other emotions. Good news, those emotions can be managed, I believe there are two experts in the room: You are the expert of your life and I am the clinical expert. I have had the privilege of working with adults, couples, and adolescents. I use a variety of techniques and theories to guide my work with you depending on what fits your needs. I specialize in CBT and DBT methods. As humans, we not only want to feel understood, but we want to understand ourselves & why we do the things we do.
(915) 465-3585 View (915) 465-3585
Photo of Marcos Kito Holtzman, MEd, LPC-S, LCDC, Licensed Professional Counselor
Marcos Kito Holtzman
Licensed Professional Counselor, MEd, LPC-S, LCDC
Verified Verified
2 Endorsed
Brownsville, TX 78520
Over the last 20 years working as a psychotherapist, I have found that, we all long to be truly seen, heard, and understood; to experience real connection and be known by others. When these needs are not adequately met, it affects us deeply and may manifest as depression, anxiety, and many times addiction. Sometimes traumatic events occur in our lives, and we have difficulties creating or maintaining relationships. I'm here to help clear the trauma of the past or guide you through challenges of the present. I will help guide you in a way that is collaborative and centered on your goals and desires.
Over the last 20 years working as a psychotherapist, I have found that, we all long to be truly seen, heard, and understood; to experience real connection and be known by others. When these needs are not adequately met, it affects us deeply and may manifest as depression, anxiety, and many times addiction. Sometimes traumatic events occur in our lives, and we have difficulties creating or maintaining relationships. I'm here to help clear the trauma of the past or guide you through challenges of the present. I will help guide you in a way that is collaborative and centered on your goals and desires.
(512) 729-7544 View (512) 729-7544
Photo of Dr. James F. Whittenberg, PhD, LPC-S, LCDC, NCC, ACS, Licensed Professional Counselor
Dr. James F. Whittenberg
Licensed Professional Counselor, PhD, LPC-S, LCDC, NCC, ACS
Verified Verified
12 Endorsed
Brownsville, TX 78526  (Online Only)
Some people fear therapy as intimidating. You can be assured that it is just a conversation, and I want to hear your story. You have the strength and resources to achieve any goals that you set in life, with just a little guidance. You can enjoy the process of therapy and learn to love yourself at a deeper level. Calling a therapist can create a little bit of anxiety, but few therapists are as down-to-earth as me. Just take a slow, deep breath and give me a call at (956) 271-8487 or email us when you visit our website at inmindout.com
Some people fear therapy as intimidating. You can be assured that it is just a conversation, and I want to hear your story. You have the strength and resources to achieve any goals that you set in life, with just a little guidance. You can enjoy the process of therapy and learn to love yourself at a deeper level. Calling a therapist can create a little bit of anxiety, but few therapists are as down-to-earth as me. Just take a slow, deep breath and give me a call at (956) 271-8487 or email us when you visit our website at inmindout.com
(956) 271-8487 View (956) 271-8487
Photo of Sharee Traskauskas Calming Minds Wellness, MEdLPC,  , Licensed Professional Counselor
Sharee Traskauskas Calming Minds Wellness
Licensed Professional Counselor, MEdLPC,
Verified Verified
1 Endorsed
Brownsville, TX 78520
Are you feeling lost, conflicted or stuck? Life is full of difficult twists and turns, ups and downs that can often lead us down unwanted paths. Sometimes life has a hard way of teaching us lessons…lessons that test our strength, our very existence and our faith. We come to believe we are too different, not good enough, or hopeless and often lose sight on where to begin. Well...I'm here to tell you Resiliency is where it begins. What I’ve learned on my own journey of resiliency, is that when you are honest with yourself, the real healing begins. Together we will explore your truth and help you reconnect with your authentic self.
Are you feeling lost, conflicted or stuck? Life is full of difficult twists and turns, ups and downs that can often lead us down unwanted paths. Sometimes life has a hard way of teaching us lessons…lessons that test our strength, our very existence and our faith. We come to believe we are too different, not good enough, or hopeless and often lose sight on where to begin. Well...I'm here to tell you Resiliency is where it begins. What I’ve learned on my own journey of resiliency, is that when you are honest with yourself, the real healing begins. Together we will explore your truth and help you reconnect with your authentic self.
(956) 758-1754 View (956) 758-1754
Photo of Nisha Saintelus-Deratus - Lifebulb Counseling & Therapy, LCSW, Clinical Social Work/Therapist
Lifebulb Counseling & Therapy
Clinical Social Work/Therapist, LCSW
Verified Verified
Brownsville, TX 78521  (Online Only)
We're here to help you reach your therapy goals at Lifebulb! We’ll connect you with the best possible therapist for your unique goals, someone who genuinely cares about helping you. We’re all about making therapy enjoyable for both therapists and clients. Whether you prefer in-person sessions at our locations or online through telehealth, we've got you covered. Our team consists of highly trained and licensed clinicians who are passionate about the therapy process. Let's work together to achieve your goals!
We're here to help you reach your therapy goals at Lifebulb! We’ll connect you with the best possible therapist for your unique goals, someone who genuinely cares about helping you. We’re all about making therapy enjoyable for both therapists and clients. Whether you prefer in-person sessions at our locations or online through telehealth, we've got you covered. Our team consists of highly trained and licensed clinicians who are passionate about the therapy process. Let's work together to achieve your goals!
(956) 452-0605 View (956) 452-0605
Photo of Shanna Lynn Boone, MS, CMHC, LPC-A
Shanna Lynn Boone
LPC Associate, MS, CMHC, LPC-A
Verified Verified
Brownsville, TX 78520
At Wholeness Clinical Mental Health Services, we believe that you do not need a mental illness to benefit from counseling. All of us can use extra guidance and support with life challenges. Here, we support the emotional, behavioral, and mental well-being of people from all walks of life. We evaluate, treat, and empower individuals, groups, families, and children with the emotional, spiritual, mental, or behavioral struggles they face. We understand that all of us are unique; therefore, in a supportive and confidential atmosphere, treatments are customized to meet individual counseling needs and goals.
At Wholeness Clinical Mental Health Services, we believe that you do not need a mental illness to benefit from counseling. All of us can use extra guidance and support with life challenges. Here, we support the emotional, behavioral, and mental well-being of people from all walks of life. We evaluate, treat, and empower individuals, groups, families, and children with the emotional, spiritual, mental, or behavioral struggles they face. We understand that all of us are unique; therefore, in a supportive and confidential atmosphere, treatments are customized to meet individual counseling needs and goals.
(956) 446-0017 View (956) 446-0017
Ysela Morales
Licensed Professional Counselor, LPC
Verified Verified
Brownsville, TX 78526
Do you feel stuck thinking the worst will happen? Do you have negative thinking that leads to relationship issues at school, home or work? Do you sometimes become overwhelmed with situations that lead to a panic attack? Are you having difficulty sleeping? Do you have unresolved traumatic experiences that may be interfering with your inner calm? My goal, as a licensed professional counselor, is to help you live a more peaceful life. Know that you are not alone, and that you can learn to cope with life's stressors. Feel at ease knowing that it's Okay to not be Okay. Find Peace in Your Journey of Life.
Do you feel stuck thinking the worst will happen? Do you have negative thinking that leads to relationship issues at school, home or work? Do you sometimes become overwhelmed with situations that lead to a panic attack? Are you having difficulty sleeping? Do you have unresolved traumatic experiences that may be interfering with your inner calm? My goal, as a licensed professional counselor, is to help you live a more peaceful life. Know that you are not alone, and that you can learn to cope with life's stressors. Feel at ease knowing that it's Okay to not be Okay. Find Peace in Your Journey of Life.
(956) 857-6797 View (956) 857-6797
Photo of Eleni Salinas Escorza, LPC, Licensed Professional Counselor
Eleni Salinas Escorza
Licensed Professional Counselor, LPC
Verified Verified
Brownsville, TX 78520
Now accepting NEW clients! There's a reason they say "It takes a village to raise a child." Let's be honest, raising little humans is one of life's biggest challenges. I proudly serve children (3-13 yrs old) who may be struggling with big emotions & behaviors, developmental transitions, or child/adult mental health issues. Using a playful, client-centered & attachment-based approach, I can begin to understand & communicate with your child. I can actively support & guide them as s/he/they make sense of their feelings and behaviors.
Now accepting NEW clients! There's a reason they say "It takes a village to raise a child." Let's be honest, raising little humans is one of life's biggest challenges. I proudly serve children (3-13 yrs old) who may be struggling with big emotions & behaviors, developmental transitions, or child/adult mental health issues. Using a playful, client-centered & attachment-based approach, I can begin to understand & communicate with your child. I can actively support & guide them as s/he/they make sense of their feelings and behaviors.
(956) 476-2905 View (956) 476-2905
Photo of Sylvia Chelf, MEd, LPC, LCDC, NCC, Licensed Professional Counselor
Sylvia Chelf
Licensed Professional Counselor, MEd, LPC, LCDC, NCC
Verified Verified
1 Endorsed
Brownsville, TX 78526
Feeling depressed, anxious, or struggling to cope with everyday life challenges? Or perhaps, you just need assistance in prioritizing your mental health. If so, I can help. I have a wealth of experience treating a myriad of mental health issues. Voted Top 3 Best Rated Therapist, at Priority Counseling, I provide you with the tools necessary to cope with these challenges, and will help you live the life you deserve. I can help you develop resiliency and help you to focus on what matters most in life. Call me today to schedule an appointment at (956) 224-9505. I am currently accepting new clients.
Feeling depressed, anxious, or struggling to cope with everyday life challenges? Or perhaps, you just need assistance in prioritizing your mental health. If so, I can help. I have a wealth of experience treating a myriad of mental health issues. Voted Top 3 Best Rated Therapist, at Priority Counseling, I provide you with the tools necessary to cope with these challenges, and will help you live the life you deserve. I can help you develop resiliency and help you to focus on what matters most in life. Call me today to schedule an appointment at (956) 224-9505. I am currently accepting new clients.
(956) 446-0264 View (956) 446-0264
Photo of Laura Colon - Colón Counseling, PLLC, MA, LPC, NCC, Licensed Professional Counselor
Colón Counseling, PLLC
Licensed Professional Counselor, MA, LPC, NCC
Verified Verified
Brownsville, TX 78521
Whether one is suffering from a chronic mental disorder, or the "worried well", I tailor therapeutic needs for each individual client. I use multiple theoretic approaches and the most up-to-date techniques to help individuals gain insight into their issues, decrease their symptoms, and to uncover the underlying issues that cause their distress. My goal is to help individuals reach their full potential, and to improve their daily functioning in a compassionate, personalized, and private setting.
Whether one is suffering from a chronic mental disorder, or the "worried well", I tailor therapeutic needs for each individual client. I use multiple theoretic approaches and the most up-to-date techniques to help individuals gain insight into their issues, decrease their symptoms, and to uncover the underlying issues that cause their distress. My goal is to help individuals reach their full potential, and to improve their daily functioning in a compassionate, personalized, and private setting.
(956) 287-3549 View (956) 287-3549
Photo of Cassandra L. Lozano, MEd, LPC, LCDC, Licensed Professional Counselor
Cassandra L. Lozano
Licensed Professional Counselor, MEd, LPC, LCDC
Verified Verified
1 Endorsed
Brownsville, TX 78521  (Online Only)
Hello, my name is Cassandra L. Lozano, LPC, LCDC. I have had the privilege of working with a Local Mental Health Authority for the past 8 years, where I have dedicated myself to assisting clients with co-occurring disorders. In 2015, I obtained my Master’s degree in Counseling and Guidance, which has provided a strong foundation for my practice. My areas of specialization include addiction, self-esteem, and mood disorders. I am currently providing Tele-health services through some online platforms including: Headway, Betterhelp and talkspace. Check out my website for more information.
Hello, my name is Cassandra L. Lozano, LPC, LCDC. I have had the privilege of working with a Local Mental Health Authority for the past 8 years, where I have dedicated myself to assisting clients with co-occurring disorders. In 2015, I obtained my Master’s degree in Counseling and Guidance, which has provided a strong foundation for my practice. My areas of specialization include addiction, self-esteem, and mood disorders. I am currently providing Tele-health services through some online platforms including: Headway, Betterhelp and talkspace. Check out my website for more information.
(956) 398-5638 View (956) 398-5638
Photo of Patrick Flores, MA, MEd , LPC, Licensed Professional Counselor
Patrick Flores
Licensed Professional Counselor, MA, MEd , LPC
Verified Verified
1 Endorsed
Brownsville, TX 78526  (Online Only)
I am a licensed professional counselor in the State of Texas. I have over 9 years of professional experience providing counseling services to individuals, groups, and families. I am an optimistic person and believe in the best in people. My educational background includes a bachelor's degree in Psychology and Sociology from the University of Texas. Then, I became very interested in studying human behavior and decided to pursue a master's degree in Psychology.
I am a licensed professional counselor in the State of Texas. I have over 9 years of professional experience providing counseling services to individuals, groups, and families. I am an optimistic person and believe in the best in people. My educational background includes a bachelor's degree in Psychology and Sociology from the University of Texas. Then, I became very interested in studying human behavior and decided to pursue a master's degree in Psychology.
(956) 420-0193 View (956) 420-0193
Photo of Jaime Barbosa, MA, LPC, Licensed Professional Counselor
Jaime Barbosa
Licensed Professional Counselor, MA, LPC
Verified Verified
1 Endorsed
Brownsville, TX 78526  (Online Only)
Life can be tough at times. You might find yourself dealing with emotions like anxiety, loneliness, depression, fatigue, and stress. Maybe your life doesn't feel the same as it once did, and the things you used to enjoy no longer bring you happiness. Or perhaps you're uncertain about your feelings and the root of your distress. Talking to a professional may help you navigate these emotions and improve your overall well-being, leading to greater happiness.
Life can be tough at times. You might find yourself dealing with emotions like anxiety, loneliness, depression, fatigue, and stress. Maybe your life doesn't feel the same as it once did, and the things you used to enjoy no longer bring you happiness. Or perhaps you're uncertain about your feelings and the root of your distress. Talking to a professional may help you navigate these emotions and improve your overall well-being, leading to greater happiness.
(956) 567-9567 View (956) 567-9567
Photo of Clara O Magallanes, M Ed, LPC, NCC, EMDR, CLYL, Licensed Professional Counselor
Clara O Magallanes
Licensed Professional Counselor, M Ed, LPC, NCC, EMDR, CLYL
Verified Verified
2 Endorsed
Brownsville, TX 78526
Congratulations on taking the first step to feeling better. As a licensed professional counselor in Texas, I’m here to help you take the next step to begin creating a positive change in your life today. My approach is person centered & I work with children, teens, & adults. I use scientifically driven therapies to alleviate complex trauma, PTSD, anxiety, depression, stress, anger, grief, sleep, insomnia, relationship issues, self-esteem, social anxiety, school issues, ADHD, parenting, a difficult phase in your life or challenging experiences. Working together, I support & empower clients to discover & develop their full potential.
Congratulations on taking the first step to feeling better. As a licensed professional counselor in Texas, I’m here to help you take the next step to begin creating a positive change in your life today. My approach is person centered & I work with children, teens, & adults. I use scientifically driven therapies to alleviate complex trauma, PTSD, anxiety, depression, stress, anger, grief, sleep, insomnia, relationship issues, self-esteem, social anxiety, school issues, ADHD, parenting, a difficult phase in your life or challenging experiences. Working together, I support & empower clients to discover & develop their full potential.
(956) 253-1187 View (956) 253-1187
Photo of Madison Habet, MA, LPC, NCC, Licensed Professional Counselor
Madison Habet
Licensed Professional Counselor, MA, LPC, NCC
Verified Verified
Brownsville, TX 78520  (Online Only)
We often feel like we’re lost with no map or compass. As if we’re going down a path with no end. Let me be your guide that can help traverse and direct you through the winding, rocky, and sometimes very rough terrain we call life. Bringing healing to those struggling through a stressful or traumatic time in life is a passion and driving force behind my motivation. I believe fostering a therapeutic relationship and providing a safe and trusting environment for my clients to be paramount. I am here to walk alongside you through your wellness journey. I belong to a group practice, if you are seeking my services, just ask for me!
We often feel like we’re lost with no map or compass. As if we’re going down a path with no end. Let me be your guide that can help traverse and direct you through the winding, rocky, and sometimes very rough terrain we call life. Bringing healing to those struggling through a stressful or traumatic time in life is a passion and driving force behind my motivation. I believe fostering a therapeutic relationship and providing a safe and trusting environment for my clients to be paramount. I am here to walk alongside you through your wellness journey. I belong to a group practice, if you are seeking my services, just ask for me!
(956) 474-2948 View (956) 474-2948
Photo of Teresita D Silguero, LPC, Licensed Professional Counselor
Teresita D Silguero
Licensed Professional Counselor, LPC
Verified Verified
1 Endorsed
Brownsville, TX 78520  (Online Only)
Are you experiencing feelings of sadness, lack of motivation, or difficulty managing daily tasks? If you've been contemplating starting therapy but haven't yet found the right moment, I am here to support you. Navigating life's challenges can be difficult, and together we can work to address what’s making you feel stuck. I will provide you with effective tools and strategies to manage your difficulties and facilitate your personal growth. Call today to set an appointment!
Are you experiencing feelings of sadness, lack of motivation, or difficulty managing daily tasks? If you've been contemplating starting therapy but haven't yet found the right moment, I am here to support you. Navigating life's challenges can be difficult, and together we can work to address what’s making you feel stuck. I will provide you with effective tools and strategies to manage your difficulties and facilitate your personal growth. Call today to set an appointment!
(956) 628-4059 View (956) 628-4059
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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.