Dialectical Behavior (DBT) Therapists in Renton, WA

Photo of Kathleen Walstrom, LICSW, Clinical Social Work/Therapist
Kathleen Walstrom
Clinical Social Work/Therapist, LICSW
Verified Verified
3 Endorsed
Renton, WA 98057  (Online Only)
I approach treatment primarily from a DBT and ACT framework, which incorporates strategies for both change and acceptance.
I believe we are all capable of building a meaningful life if we have the right tools and support. I enjoy working with motivated adults who want to learn how to cope with difficult emotions and stressors effectively. I predominantly support clients with mood and anxiety conditions as well as those who are seeking personal growth and want to improve their quality of life. Together, we can explore patterns that are no longer serving you, determine meaningful changes you'd like to make, and develop healthy coping skills to manage challenges. My counseling style is interactive, compassionate, and action oriented.
I approach treatment primarily from a DBT and ACT framework, which incorporates strategies for both change and acceptance.
I believe we are all capable of building a meaningful life if we have the right tools and support. I enjoy working with motivated adults who want to learn how to cope with difficult emotions and stressors effectively. I predominantly support clients with mood and anxiety conditions as well as those who are seeking personal growth and want to improve their quality of life. Together, we can explore patterns that are no longer serving you, determine meaningful changes you'd like to make, and develop healthy coping skills to manage challenges. My counseling style is interactive, compassionate, and action oriented.
(425) 250-9719 View (425) 250-9719
Photo of Genevieve Ward, NCC, LMHC
Genevieve Ward
Mental Health Counselor, NCC, LMHC
Verified Verified
1 Endorsed
Renton, WA 98057
I have completed extensive training in CBT, ERP, DBT, ACT and EFT Tapping.
I believe therapy should be a safe and non-judgmental space with a healthy mix of feeling your feelings, accountability, education and humor. My approach is to serve as a partner and guide on your journey to explore and sort the helpful vs. unhelpful in your life. Sometimes this journey will be tearful and uncomfortable, and sometimes we will laugh together at my many metaphors. I am most passionate about working with individuals who feel like they are “not good enough,” worry about living up to others’ expectations or struggle sometimes to get out of bed because their sadness is overwhelming.
I have completed extensive training in CBT, ERP, DBT, ACT and EFT Tapping.
I believe therapy should be a safe and non-judgmental space with a healthy mix of feeling your feelings, accountability, education and humor. My approach is to serve as a partner and guide on your journey to explore and sort the helpful vs. unhelpful in your life. Sometimes this journey will be tearful and uncomfortable, and sometimes we will laugh together at my many metaphors. I am most passionate about working with individuals who feel like they are “not good enough,” worry about living up to others’ expectations or struggle sometimes to get out of bed because their sadness is overwhelming.
(425) 295-2318 View (425) 295-2318
Photo of Mimi Ogasawara, MA, LMHC, CMHS, Counselor
Mimi Ogasawara
Counselor, MA, LMHC, CMHS
Verified Verified
Renton, WA 98057
I have 20 years of clinical experience in providing evidenced-based treatment. As a Licensed Mental Health Therapist, I work with children, adolescents, adults, & families with a variety of issues and challenges, including trauma/PTSD, depression, anxiety, relationship issues, parenting challenges, children emotional & behavioral issues, stress, etc... I am trained in Cognitive Behavioral Therapy, DBT skills, Play Therapy, Cognitive Processing Therapy, and Trauma-Focused Cognitive-Behavioral Therapy. Guided by my client's needs and issues, I use a variety of therapeutic orientations to work with children, adults, and families.
I have 20 years of clinical experience in providing evidenced-based treatment. As a Licensed Mental Health Therapist, I work with children, adolescents, adults, & families with a variety of issues and challenges, including trauma/PTSD, depression, anxiety, relationship issues, parenting challenges, children emotional & behavioral issues, stress, etc... I am trained in Cognitive Behavioral Therapy, DBT skills, Play Therapy, Cognitive Processing Therapy, and Trauma-Focused Cognitive-Behavioral Therapy. Guided by my client's needs and issues, I use a variety of therapeutic orientations to work with children, adults, and families.
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Photo of Vanessa Estes, LMHCA, MHP, Counselor
Vanessa Estes
Counselor, LMHCA, MHP
Verified Verified
Renton, WA 98057  (Online Only)
I utilize evidence practices with specialties in cognitive behavioral therapy, dialectical behavioral therapy, and mindfulness.
The human existence is full of joy, pain, plot twists, climaxes and curve balls and I am here to be with you to reduce the impact of these events on your way of living; whether that means learning to make changes or weathering the storm. I am here to provide a space for my clients to feel supported and safe to explore their light and dark experiences, and am honored to witness my clients' journeys.
I utilize evidence practices with specialties in cognitive behavioral therapy, dialectical behavioral therapy, and mindfulness.
The human existence is full of joy, pain, plot twists, climaxes and curve balls and I am here to be with you to reduce the impact of these events on your way of living; whether that means learning to make changes or weathering the storm. I am here to provide a space for my clients to feel supported and safe to explore their light and dark experiences, and am honored to witness my clients' journeys.
(425) 230-5152 View (425) 230-5152
Photo of Belen Martinez (Enlighten Psychology), PsyD, Psychologist
Belen Martinez (Enlighten Psychology)
Psychologist, PsyD
Verified Verified
Renton, WA 98057  (Online Only)
Belen Martinez, Psy.D. is a licensed clinical psychologist who has extensive experience providing English and Spanish individual psychotherapy to adolescents and adults of all ages. She works with individuals from diverse populations and cultures, with a wide range of concerns. Dr. Martinez’ approach to therapy is collaborative, authentic, empathic, active and caring. She integrates empirically driven methods, including dynamic psychotherapy, acceptance and commitment therapy (ACT) , cognitive-behavioral therapy (CBT), dialectical behavior therapy ( DBT), and relational frameworks, with a highly personalized approach.
Belen Martinez, Psy.D. is a licensed clinical psychologist who has extensive experience providing English and Spanish individual psychotherapy to adolescents and adults of all ages. She works with individuals from diverse populations and cultures, with a wide range of concerns. Dr. Martinez’ approach to therapy is collaborative, authentic, empathic, active and caring. She integrates empirically driven methods, including dynamic psychotherapy, acceptance and commitment therapy (ACT) , cognitive-behavioral therapy (CBT), dialectical behavior therapy ( DBT), and relational frameworks, with a highly personalized approach.
(425) 357-7928 View (425) 357-7928
Photo of Stefanie Jaswal, SUDP, Drug & Alcohol Counselor
Stefanie Jaswal
Drug & Alcohol Counselor, SUDP
Verified Verified
Renton, WA 98057
My practice focus includes Mindfulness, Coping skills, Relapse Prevention, Boundaries, Communication, Self-care, DBT skills and CBT skills.
My clients range in age from adolescent up and through adulthood. They are navigating substance use and are often caught between use (experimental or ongoing) and the desire for a more positive lifestyle as something in their life is not working how they would like. My clients also include the families of those navigating substance use, often finding themselves in search of a balance between supporting their loved one while still living their own fulfilling lives. Regardless of who my client is, each deserves a life free of the chaos they are currently experiencing.
My practice focus includes Mindfulness, Coping skills, Relapse Prevention, Boundaries, Communication, Self-care, DBT skills and CBT skills.
My clients range in age from adolescent up and through adulthood. They are navigating substance use and are often caught between use (experimental or ongoing) and the desire for a more positive lifestyle as something in their life is not working how they would like. My clients also include the families of those navigating substance use, often finding themselves in search of a balance between supporting their loved one while still living their own fulfilling lives. Regardless of who my client is, each deserves a life free of the chaos they are currently experiencing.
(206) 486-6736 View (206) 486-6736
Photo of Eddie Medina, MEd, LMHCA, SUDP, Counselor
Eddie Medina
Counselor, MEd, LMHCA, SUDP
Verified Verified
1 Endorsed
Renton, WA 98055
Waitlist for new clients
I’m a compassionate Licensed Mental Health Counselor Associate and Substance Use Disorder Professional, holding a Master of Education degree in Clinical Mental Health Counseling from Seattle University. I passionately support teens and adults aged 15-50, particularly those from underserved backgrounds, in navigating trauma treatment and recovery. My approach is rooted in cultural sensitivity, empathy, and a deep understanding of psychology and spirituality, fostering meaningful connections with my clients. My therapeutic toolbox includes modalities such as MI, CBT, DBT, EFT, & IFS.
I’m a compassionate Licensed Mental Health Counselor Associate and Substance Use Disorder Professional, holding a Master of Education degree in Clinical Mental Health Counseling from Seattle University. I passionately support teens and adults aged 15-50, particularly those from underserved backgrounds, in navigating trauma treatment and recovery. My approach is rooted in cultural sensitivity, empathy, and a deep understanding of psychology and spirituality, fostering meaningful connections with my clients. My therapeutic toolbox includes modalities such as MI, CBT, DBT, EFT, & IFS.
(425) 686-9509 View (425) 686-9509
Photo of Alisha Genetin, LMHC, Counselor
Alisha Genetin
Counselor, LMHC
Verified Verified
Renton, WA 98057  (Online Only)
For individuals, I provide an eclectic approach including DBT, RO- DBT, ERP, and CBT modalities.
I specialize in working with teens, and young adults struggling with body image and eating disorders. I also work with neurodivergent teens and adults that are navigating life living in a neurotypical world. Together we will work towards greater self acceptance and compassion, as well as creating and maintaining healthy relationships. I will work at a pace that feels safe, and also push you to explore parts of yourself that you may be avoiding.
For individuals, I provide an eclectic approach including DBT, RO- DBT, ERP, and CBT modalities.
I specialize in working with teens, and young adults struggling with body image and eating disorders. I also work with neurodivergent teens and adults that are navigating life living in a neurotypical world. Together we will work towards greater self acceptance and compassion, as well as creating and maintaining healthy relationships. I will work at a pace that feels safe, and also push you to explore parts of yourself that you may be avoiding.
(425) 490-5270 View (425) 490-5270
Photo of Akila Osakwe, LMHC, Counselor
Akila Osakwe
Counselor, LMHC
Verified Verified
2 Endorsed
Renton, WA 98057  (Online Only)
We will work together to develop effective strategies that work for you while utilizing evidenced based approaches such as CBT, DBT, and compassion based therapies.
I am Akila Osakwe, A licensed Mental Health Counselor with over 10 years of experience working with individuals and families. My areas of expertise are postpartum and prenatal issues, Trauma, depression, anxiety, ADHD, behavioral issues, family issues, Injuries, parenting support, grief, severe mental illness, and co-occurring disorders.
We will work together to develop effective strategies that work for you while utilizing evidenced based approaches such as CBT, DBT, and compassion based therapies.
I am Akila Osakwe, A licensed Mental Health Counselor with over 10 years of experience working with individuals and families. My areas of expertise are postpartum and prenatal issues, Trauma, depression, anxiety, ADHD, behavioral issues, family issues, Injuries, parenting support, grief, severe mental illness, and co-occurring disorders.
(425) 537-4674 View (425) 537-4674
Photo of Michelle Kusterman, Counselor
Michelle Kusterman
Counselor
Verified Verified
1 Endorsed
Renton, WA 98057  (Online Only)
The interventions that I use include but are not limited to the following: Cognitive Behavioral Therapy, Trauma Focused CBT, Motivational Interviewing, Acceptance and Commitment Therapy, Problem Solving Therapy, Restorative Practices, Dialectical Behavioral Therapy, Art Therapy, and Play Therapy.
I believe in the importance of celebrating diversity and empowering individuals through a personalized therapeutic process. Having commitment and compassion at the forefront of services, to achieve best results and outcomes. I have provided services in the mental health field for eight years, serving children, adults, and families through individual, family, and group counseling settings. I am dedicated to helping identify the strengths and unique gifts of every individual, to help you reach your personal goals in therapy and beyond.
The interventions that I use include but are not limited to the following: Cognitive Behavioral Therapy, Trauma Focused CBT, Motivational Interviewing, Acceptance and Commitment Therapy, Problem Solving Therapy, Restorative Practices, Dialectical Behavioral Therapy, Art Therapy, and Play Therapy.
I believe in the importance of celebrating diversity and empowering individuals through a personalized therapeutic process. Having commitment and compassion at the forefront of services, to achieve best results and outcomes. I have provided services in the mental health field for eight years, serving children, adults, and families through individual, family, and group counseling settings. I am dedicated to helping identify the strengths and unique gifts of every individual, to help you reach your personal goals in therapy and beyond.
(360) 964-3498 View (360) 964-3498
Photo of Scott Vranicar, LMHC, MHP, Counselor
Scott Vranicar
Counselor, LMHC, MHP
Verified Verified
Renton, WA 98055
My therapeutic approach is informed by Relational Focused Psychodynamic Therapy, DBT, CBT, Solution Focused Therapy, Attachment Therapy, Client-Centered Therapy, Object Relations and Play Therapy.
Healing, growth, change and/or integration are possible for you. Using a non-judgmental and collaborative therapeutic approach we will honor and work with your unique story (past, present and future). My therapeutic lens is framed predominantly by relational and attachment theories therefore providing opportunities to engage your inner world through the context of our therapeutic relationship. Periodically you and I may be gifted real time relational interactions that mirror or reflect core issues that bring you to to therapy. In working with and through these dynamics we will have an opportunity to heal, grow and integrate.
My therapeutic approach is informed by Relational Focused Psychodynamic Therapy, DBT, CBT, Solution Focused Therapy, Attachment Therapy, Client-Centered Therapy, Object Relations and Play Therapy.
Healing, growth, change and/or integration are possible for you. Using a non-judgmental and collaborative therapeutic approach we will honor and work with your unique story (past, present and future). My therapeutic lens is framed predominantly by relational and attachment theories therefore providing opportunities to engage your inner world through the context of our therapeutic relationship. Periodically you and I may be gifted real time relational interactions that mirror or reflect core issues that bring you to to therapy. In working with and through these dynamics we will have an opportunity to heal, grow and integrate.
(206) 208-7340 View (206) 208-7340
Photo of Nathan Feuerborn, MA, LMHC, Counselor
Nathan Feuerborn
Counselor, MA, LMHC
Verified Verified
Renton, WA 98056
My relational therapy employs Mindfulness meditation, Somatic (body based) therapy, ACT, DBT .
Life can be difficult and painful at times but it doesn't have to involve so much suffering. How may we find the calm stillness in the eye of our storm so as to relate to our mind and our present experience compassionately and even learn and grow from it? I invite you to open to your life in a new way: a way that relieves your suffering and promotes your health and expands your awareness. Through mindfully listening to the body and courageously opening and relating to the uncomfortable/painful, somatic therapy provides a practice of gentle self-exploration toward discovering your connection to your truth, purpose and life.
My relational therapy employs Mindfulness meditation, Somatic (body based) therapy, ACT, DBT .
Life can be difficult and painful at times but it doesn't have to involve so much suffering. How may we find the calm stillness in the eye of our storm so as to relate to our mind and our present experience compassionately and even learn and grow from it? I invite you to open to your life in a new way: a way that relieves your suffering and promotes your health and expands your awareness. Through mindfully listening to the body and courageously opening and relating to the uncomfortable/painful, somatic therapy provides a practice of gentle self-exploration toward discovering your connection to your truth, purpose and life.
(206) 866-7522 View (206) 866-7522
Photo of Makoto Fujisaki, LMHCA, MS, MPhilEd, Counselor
Makoto Fujisaki
Counselor, LMHCA, MS, MPhilEd
Verified Verified
5 Endorsed
Renton, WA 98055  (Online Only)
I believe in having an authentic conversation with my clients with a collaborative and integrative approach using CBT, DBT, client-centered, and strength-based therapy.
Immediate opening available. Therapist who understands and will work with you to manage anxiety, relationship conflict, boost your confidence and guide you to identify deeper root causes. Accepting Premera, BCBS, Anthem and Lifewise. Japanese available. Feeling overwhelmed, stressed and pressured? Struggling with low self-esteem? Keep comparing yourself to the others but don't know why? Need to improve communication skills with others? Have you wondered where your anxieties are coming from? Whether understanding yourself better, improving relationships or overcoming everyday life struggles, you are not alone and I’m here for you.
I believe in having an authentic conversation with my clients with a collaborative and integrative approach using CBT, DBT, client-centered, and strength-based therapy.
Immediate opening available. Therapist who understands and will work with you to manage anxiety, relationship conflict, boost your confidence and guide you to identify deeper root causes. Accepting Premera, BCBS, Anthem and Lifewise. Japanese available. Feeling overwhelmed, stressed and pressured? Struggling with low self-esteem? Keep comparing yourself to the others but don't know why? Need to improve communication skills with others? Have you wondered where your anxieties are coming from? Whether understanding yourself better, improving relationships or overcoming everyday life struggles, you are not alone and I’m here for you.
(206) 401-5763 View (206) 401-5763
Photo of Bria Wright, LMHCA, NCC, Counselor
Bria Wright
Counselor, LMHCA, NCC
Verified Verified
1 Endorsed
Renton, WA 98055
I work from a person-centered theoretical orientation and I incorporate aspects of cognitive behavioral therapy (CBT), dialectical behavioral therapy ( DBT), and mindfulness-based counseling.
I have experience working with adolescents and adults struggling with depression, anxiety and general distress regarding life transitions. I am especially passionate about providing services to clients who identify as racial and ethnic minorities, young adults, and individuals struggling with mood disorders.
I work from a person-centered theoretical orientation and I incorporate aspects of cognitive behavioral therapy (CBT), dialectical behavioral therapy ( DBT), and mindfulness-based counseling.
I have experience working with adolescents and adults struggling with depression, anxiety and general distress regarding life transitions. I am especially passionate about providing services to clients who identify as racial and ethnic minorities, young adults, and individuals struggling with mood disorders.
(425) 491-1866 View (425) 491-1866
Photo of Tammy Ross, MA, LMHCA, Counselor
Tammy Ross
Counselor, MA, LMHCA
Verified Verified
Renton, WA 98055  (Online Only)
I utilize an eclectic approach to therapy that includes: CBT, DBT, Trauma Focused-CBT (in children and adolescents), relaxation & mindfulness training.
In our present lives, due to the high levels of stress, so many individuals of every age are suffering with their mental health. Our mental health is a vital part in living a quality life. The first step is always the most difficult in anything we do, especially when it comes to letting others know we need help. That first step towards positive mental health involves the realization, that you may need another person to come along side of you, to assist in leading the way forward.
I utilize an eclectic approach to therapy that includes: CBT, DBT, Trauma Focused-CBT (in children and adolescents), relaxation & mindfulness training.
In our present lives, due to the high levels of stress, so many individuals of every age are suffering with their mental health. Our mental health is a vital part in living a quality life. The first step is always the most difficult in anything we do, especially when it comes to letting others know we need help. That first step towards positive mental health involves the realization, that you may need another person to come along side of you, to assist in leading the way forward.
(253) 352-3054 View (253) 352-3054
Photo of Jasika K Waraich - Westcoast Divine Therapy , LACSW, Clinical Social Work/Therapist
Westcoast Divine Therapy
Clinical Social Work/Therapist, LACSW
Verified Verified
Renton, WA 98056
I am skilled in, CBT, DBT, and psychodynamic therapy.
Sometimes the smallest step in the right direction ends up being the biggest step of your life. You may be feeling scared, overwhelmed, confused, anxious, or even indifferent. This list can go on, however, these emotions are normal and it's okay to feel them! By being here today, you already took the first step of seeking professional help to further assist you in coping with these emotions that you may be going through. I like to provide a safe and respectful space for my patients to develop the skills for successful emotional regulation, interpersonal relationships, and to provide the right tools and support to help you succeed.
I am skilled in, CBT, DBT, and psychodynamic therapy.
Sometimes the smallest step in the right direction ends up being the biggest step of your life. You may be feeling scared, overwhelmed, confused, anxious, or even indifferent. This list can go on, however, these emotions are normal and it's okay to feel them! By being here today, you already took the first step of seeking professional help to further assist you in coping with these emotions that you may be going through. I like to provide a safe and respectful space for my patients to develop the skills for successful emotional regulation, interpersonal relationships, and to provide the right tools and support to help you succeed.
(425) 215-0286 View (425) 215-0286
Photo of Gabriela Prado - Gabriela Prado PLLC, MA, LMFT, Marriage & Family Therapist
Gabriela Prado PLLC
Marriage & Family Therapist, MA, LMFT
Verified Verified
3 Endorsed
Renton, WA 98058  (Online Only)
Therapy in English and Spanish. Do you find yourself struggling to meet expectations set up by society about roles that do not resonate with you? Or maybe, you feel distant and disconnected from your partner which makes you second guess your life together? You may be fed up of trying to please people all the time to meet those expectations. Or being exhausted by continuously worrying about the future of your relationship with your partner. You might not even remember a time things didn’t feel this way.
Therapy in English and Spanish. Do you find yourself struggling to meet expectations set up by society about roles that do not resonate with you? Or maybe, you feel distant and disconnected from your partner which makes you second guess your life together? You may be fed up of trying to please people all the time to meet those expectations. Or being exhausted by continuously worrying about the future of your relationship with your partner. You might not even remember a time things didn’t feel this way.
(206) 401-7199 View (206) 401-7199
Photo of Maya Sanchez, LMHC, Clinical Social Work/Therapist
Maya Sanchez
Clinical Social Work/Therapist, LMHC
Verified Verified
1 Endorsed
Renton, WA 98055
Maya Sanchez is a Licensed Mental Health Counselor in Washington who has been practicing since 2012. Maya has experience with a wide range of mental health and behavioral disorders in a variety of treatment settings. Although her specialty is in couple's therapy, she feels confident in treating individual patients with mood disorders, anxiety disorders, co-occurring disorders, gender issues, and adjustment disorders. Maya utilizes a blend of treatment approaches based on the individual client's needs. She provides a safe space to process without judgment and nurtures the cultivation of authenticity.
Maya Sanchez is a Licensed Mental Health Counselor in Washington who has been practicing since 2012. Maya has experience with a wide range of mental health and behavioral disorders in a variety of treatment settings. Although her specialty is in couple's therapy, she feels confident in treating individual patients with mood disorders, anxiety disorders, co-occurring disorders, gender issues, and adjustment disorders. Maya utilizes a blend of treatment approaches based on the individual client's needs. She provides a safe space to process without judgment and nurtures the cultivation of authenticity.
(206) 558-5284 View (206) 558-5284
Photo of Ying Chiao (Livia) Chen, MA, LMHC, IMH-E®, Counselor
Ying Chiao (Livia) Chen
Counselor, MA, LMHC, IMH-E®
Verified Verified
Renton, WA 98056
I am a licensed mental health counselor (LMHC), an Infant Family Specialist endorsed by WA-AIMH, as well as an educator. I love working with children, parents, and adults! As an early childhood educator, endorsed infant-family specialist, and mental health therapist, I offer therapy services for children, families, and adults. I provide mental health and development services for infants and early childhood (0-6), children (7-12), parents, perinatal mental health, and adults (18+). With over 6 years of experience, I have worked in various settings, including schools, daycare centers, and community clinics.
I am a licensed mental health counselor (LMHC), an Infant Family Specialist endorsed by WA-AIMH, as well as an educator. I love working with children, parents, and adults! As an early childhood educator, endorsed infant-family specialist, and mental health therapist, I offer therapy services for children, families, and adults. I provide mental health and development services for infants and early childhood (0-6), children (7-12), parents, perinatal mental health, and adults (18+). With over 6 years of experience, I have worked in various settings, including schools, daycare centers, and community clinics.
(206) 203-8645 View (206) 203-8645
Photo of Veronica Diaz, LMHCA, Counselor
Veronica Diaz
Counselor, LMHCA
Verified Verified
Renton, WA 98057
I work to support adolescents and adults recognize their capacity, realize their strength, and achieve a higher level of independence and self-confidence to accomplish their goals. I aim to work collaboratively with you to process any confusion, fear, or hurt that may cause obstacles to your goals and support you in honoring the vulnerabilities that provide a basis for the incredible strengths you hold. I aim for our work together to clarify your values and that the choices you make are comfortably rooted in your truth and in the best interest of yourself and the community you hold dear.
I work to support adolescents and adults recognize their capacity, realize their strength, and achieve a higher level of independence and self-confidence to accomplish their goals. I aim to work collaboratively with you to process any confusion, fear, or hurt that may cause obstacles to your goals and support you in honoring the vulnerabilities that provide a basis for the incredible strengths you hold. I aim for our work together to clarify your values and that the choices you make are comfortably rooted in your truth and in the best interest of yourself and the community you hold dear.
(206) 208-2679 View (206) 208-2679
1
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.