Dialectical Behavior (DBT) Therapists in Sammamish, WA

Photo of Jami Sweeney, MA, MEd, LMHCA, Counselor
Jami Sweeney
Counselor, MA, MEd, LMHCA
Verified Verified
Sammamish, WA 98074
I work with youth and adults of all identities using a relational approach that includes an anti-oppressive, trauma-informed, and healing focus. While engaging my training in Cognitive Behavioral Therapy (CBT) and Dialectical Behavioral Therapy (DBT) I partner closely with my clients to identify and support their counseling goals in an open and nonjudgmental environment. Together, we engage your strengths, interests, passions, and intersecting identities as the vehicle for your transformation and healing. I work with individuals and families to identify sources of friction or discomfort, embrace emotions, and understand distress.
I work with youth and adults of all identities using a relational approach that includes an anti-oppressive, trauma-informed, and healing focus. While engaging my training in Cognitive Behavioral Therapy (CBT) and Dialectical Behavioral Therapy (DBT) I partner closely with my clients to identify and support their counseling goals in an open and nonjudgmental environment. Together, we engage your strengths, interests, passions, and intersecting identities as the vehicle for your transformation and healing. I work with individuals and families to identify sources of friction or discomfort, embrace emotions, and understand distress.
(425) 906-3361 View (425) 906-3361
Photo of Janice Rice -Centered Mind Counseling, PsyD, LMHC, Psychologist
Janice Rice -Centered Mind Counseling
Psychologist, PsyD, LMHC
Not Verified Not Verified
Sammamish, WA 98075
Therapeutic interventions draw from evidenced based practices such as acceptance and commitment therapy, cognitive processing therapy for trauma recovery, cognitive behavioral therapy, dialectical behavior therapy skills training, and supportive therapy.
I help people deal with painful thoughts, feelings, and symptoms that get in the way of living satisfying lives. My approach emphasizes values, acceptance, compassion for self and others, and living fully in the present. Treatment is tailored to your individual needs. We work together to clarify what you want your life to be about, identify factors that get in the way of living that life, and develop skills and a plan of action that works for you.
Therapeutic interventions draw from evidenced based practices such as acceptance and commitment therapy, cognitive processing therapy for trauma recovery, cognitive behavioral therapy, dialectical behavior therapy skills training, and supportive therapy.
I help people deal with painful thoughts, feelings, and symptoms that get in the way of living satisfying lives. My approach emphasizes values, acceptance, compassion for self and others, and living fully in the present. Treatment is tailored to your individual needs. We work together to clarify what you want your life to be about, identify factors that get in the way of living that life, and develop skills and a plan of action that works for you.
(425) 269-3277 View (425) 269-3277
Photo of Dr. Stephanie Shi, PhD, Psychologist
Dr. Stephanie Shi
Psychologist, PhD
Verified Verified
Sammamish, WA 98075
I practice the art and science of psychology by using evidence-based treatments (CBT, ACT, DBT), integrated with neuroscience and mindfulness.
Currently accepting new clients. Are you a "super achiever" on the outside but suffering internally due to anxiety, depression, or trauma? Do you feel a deep sense of loneliness because no one can understand what you are going through? Having been an executive coach & psychologist in the corporate world for 20+ years, I have been in the trenches and understand your pain. I provide you with a safe and supportive space where you feel listened to, valued and empowered. I help you gain deeper insight, build better coping skills, and find effective ways to thrive.
I practice the art and science of psychology by using evidence-based treatments (CBT, ACT, DBT), integrated with neuroscience and mindfulness.
Currently accepting new clients. Are you a "super achiever" on the outside but suffering internally due to anxiety, depression, or trauma? Do you feel a deep sense of loneliness because no one can understand what you are going through? Having been an executive coach & psychologist in the corporate world for 20+ years, I have been in the trenches and understand your pain. I provide you with a safe and supportive space where you feel listened to, valued and empowered. I help you gain deeper insight, build better coping skills, and find effective ways to thrive.
(425) 541-8707 View (425) 541-8707
Photo of Andrew R Galbreath, MSW, LICSW, SUDP, Clinical Social Work/Therapist
Andrew R Galbreath
Clinical Social Work/Therapist, MSW, LICSW, SUDP
Verified Verified
Sammamish, WA 98074
Relevant intensive training/certification: Dialectical Behavioral Therapy (DBT), Trauma-Focused Cognitive Behavioral Therapy and Cognitive Behavioral Therapy (CBT), Adolescent Community Reinforcement Approach, 7-Challenges Individual and Group Therapy, Motivational Interviewing/Motivational Enhancement Therapy, Washington State Approved Clinical Supervisor.
As a therapist who specializes in the treatment of both mental health and substance use disorders, my approach centers around the strengths of the client while holding paramount the client's aspirations, needs, and goals. I believe in working collaboratively with clients to identify the issues they deem most important. Please visit my website for more details: www.andrewtherapy.com. I am available by phone and email Monday, Tuesday, Wednesday, and Thursday 12 pm - 6 pm.
Relevant intensive training/certification: Dialectical Behavioral Therapy (DBT), Trauma-Focused Cognitive Behavioral Therapy and Cognitive Behavioral Therapy (CBT), Adolescent Community Reinforcement Approach, 7-Challenges Individual and Group Therapy, Motivational Interviewing/Motivational Enhancement Therapy, Washington State Approved Clinical Supervisor.
As a therapist who specializes in the treatment of both mental health and substance use disorders, my approach centers around the strengths of the client while holding paramount the client's aspirations, needs, and goals. I believe in working collaboratively with clients to identify the issues they deem most important. Please visit my website for more details: www.andrewtherapy.com. I am available by phone and email Monday, Tuesday, Wednesday, and Thursday 12 pm - 6 pm.
(425) 409-2962 View (425) 409-2962
Photo of Holley Kaskel - LightHeart Psychological Associates, PsyD, Psychologist
LightHeart Psychological Associates
Psychologist, PsyD
Verified Verified
Sammamish, WA 98075
We are experienced with CBT, mindfulness-based therapy, narrative therapy, family systems therapy, as well as inter-subjective psychodynamic theory, DBT, and self psychology.
Securely request an appointment on our website: tinyurl.com/LHA-AppointmentRequest LightHeart provides therapy, medication management & assessment for children, adolescents & adults. We provide individual, family, and couples therapy. We work with all variety of concerns, including acute and chronic depression and anxiety, abuse & trauma, LGBTQ issues, conflicted relationships, & personality disorders. We also have experience working successfully with child behavioral problems.
We are experienced with CBT, mindfulness-based therapy, narrative therapy, family systems therapy, as well as inter-subjective psychodynamic theory, DBT, and self psychology.
Securely request an appointment on our website: tinyurl.com/LHA-AppointmentRequest LightHeart provides therapy, medication management & assessment for children, adolescents & adults. We provide individual, family, and couples therapy. We work with all variety of concerns, including acute and chronic depression and anxiety, abuse & trauma, LGBTQ issues, conflicted relationships, & personality disorders. We also have experience working successfully with child behavioral problems.
(206) 752-5362 View (206) 752-5362
Photo of Caitlin Elisabeth Pitchon, MA, LMHCA, Counselor
Caitlin Elisabeth Pitchon
Counselor, MA, LMHCA
Verified Verified
Sammamish, WA 98074
With a holistic approach, I pull from DBT, IFS, mindfulness, and reality therapy to best meet your needs.
Everyone has a story to tell and I'm here to listen to yours, to provide a warm, nonjudgmental space to reflect on your experiences and create lasting positive change that matters most to you. Anxiety, depression, self-esteem issues, and major life changes can often make us feel detached from ourselves and those around us. It is an absolute privilege for me to provide a space where you can feel supported and understood. I specialize in my work with adolescents and young adults, with extensive experience in this demographic. I also assist adults with anxiety and addiction and help couples improve communication.
With a holistic approach, I pull from DBT, IFS, mindfulness, and reality therapy to best meet your needs.
Everyone has a story to tell and I'm here to listen to yours, to provide a warm, nonjudgmental space to reflect on your experiences and create lasting positive change that matters most to you. Anxiety, depression, self-esteem issues, and major life changes can often make us feel detached from ourselves and those around us. It is an absolute privilege for me to provide a space where you can feel supported and understood. I specialize in my work with adolescents and young adults, with extensive experience in this demographic. I also assist adults with anxiety and addiction and help couples improve communication.
(425) 225-3567 View (425) 225-3567
Photo of Jayne R Steinbach, BA , Pre-Licensed Professional
Jayne R Steinbach
Pre-Licensed Professional, BA
Verified Verified
1 Endorsed
Sammamish, WA 98074
I love working with folks across the lifespan (kids, teens, parents, adults)! Therapy provides tools to better navigate life’s challenges. I am passionate about helping my clients to overcome negative thought patterns and emotional hurdles like anxiety, low self-esteem, and depression. Through empathetic listening and fresh perspectives, I offer a safe space for growth and healing. My core belief is that while life's events are uncontrollable, our responses are within our power. My work uses the Incredible Years Parenting Curriculum, Play Therapy, ACT, CBT, DBT, and ERP. Parents are regular collaborators during child/teen therapy.
I love working with folks across the lifespan (kids, teens, parents, adults)! Therapy provides tools to better navigate life’s challenges. I am passionate about helping my clients to overcome negative thought patterns and emotional hurdles like anxiety, low self-esteem, and depression. Through empathetic listening and fresh perspectives, I offer a safe space for growth and healing. My core belief is that while life's events are uncontrollable, our responses are within our power. My work uses the Incredible Years Parenting Curriculum, Play Therapy, ACT, CBT, DBT, and ERP. Parents are regular collaborators during child/teen therapy.
(425) 584-6036 View (425) 584-6036
Photo of Torr Lindberg - Salveo Counseling Center, LMHC, LICSW, LMFT
Salveo Counseling Center
LMHC, LICSW, LMFT
Verified Verified
Sammamish, WA 98074
Therapies employed include CBT, DBT, EMDR, Solution-Focused, Mindfulness, and many other evidence-based interventions.
Are you experiencing depression, anxiety, relationship or work stress? Our therapists are standing by and ready to help. We accept all major insurance plans, offer a sliding scale and can set up your first appointment within days. You are in the right place! We offer in-person appointments at four office locations in Redmond, Kirkland and in Seattle on West Lake Union.
Therapies employed include CBT, DBT, EMDR, Solution-Focused, Mindfulness, and many other evidence-based interventions.
Are you experiencing depression, anxiety, relationship or work stress? Our therapists are standing by and ready to help. We accept all major insurance plans, offer a sliding scale and can set up your first appointment within days. You are in the right place! We offer in-person appointments at four office locations in Redmond, Kirkland and in Seattle on West Lake Union.
(425) 657-3283 View (425) 657-3283
Photo of Sara Mortaheb, MA, LMHC, MHP, NCC
Sara Mortaheb
Licensed Mental Health Counselor, MA, LMHC, MHP, NCC
Verified Verified
Sammamish, WA 98074
Since different challenges need their unique solutions, I adopt an integrative approach including evidence-based, person-centered, narrative, psychodynamic, EFT, CBT, ACT, DBT, existential, and multicultural approaches to counseling.
I have had the privilege of providing services to individuals, couples, and families facing a wide range of challenges including depression, loneliness, life transitions, perfectionism, relationship challenges, family conflicts, anxiety, body image, stress, trauma, identity concerns, and LGBTQIA+ issues. It is my role to meet you where you are in your life right now, support you during challenging times, and help you to know yourself better.
Since different challenges need their unique solutions, I adopt an integrative approach including evidence-based, person-centered, narrative, psychodynamic, EFT, CBT, ACT, DBT, existential, and multicultural approaches to counseling.
I have had the privilege of providing services to individuals, couples, and families facing a wide range of challenges including depression, loneliness, life transitions, perfectionism, relationship challenges, family conflicts, anxiety, body image, stress, trauma, identity concerns, and LGBTQIA+ issues. It is my role to meet you where you are in your life right now, support you during challenging times, and help you to know yourself better.
(425) 414-3428 View (425) 414-3428
Photo of Katie Kitzing, LMHC, SUDP, CECP, CBCP
Katie Kitzing
Mental Health Counselor, LMHC, SUDP, CECP, CBCP
Verified Verified
2 Endorsed
Sammamish, WA 98074
I'm a Mental Health Therapist and Substance Use Disorder Professional. My passion is working with individuals with complex trauma and those who experience somatic complaints. My primary modality used in therapy includes Dialectic Behavioral Therapy (DBT) and Cognitive Behavioral Therapy (CBT). I incorporate somatic techniques in therapy as well such as Emotion Freedom Technique (EFT) and Brainspotting (BSP).
I'm a Mental Health Therapist and Substance Use Disorder Professional. My passion is working with individuals with complex trauma and those who experience somatic complaints. My primary modality used in therapy includes Dialectic Behavioral Therapy (DBT) and Cognitive Behavioral Therapy (CBT). I incorporate somatic techniques in therapy as well such as Emotion Freedom Technique (EFT) and Brainspotting (BSP).
(253) 553-7231 View (253) 553-7231
Photo of Anna Kim Douglass, MSW, LICSW, Clinical Social Work/Therapist
Anna Kim Douglass
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
Sammamish, WA 98075  (Online Only)
I am trained in EMDR, CBT, DBT, TF-CBT, and mindfulness.
Accepting new clients> Have you ever felt like you're living one foot in the past and one foot in the present, but not by choice? You want to be all here, but there's something holding you back. To your surprise, it can even control your thoughts, emotions, and behaviors, so it's naturally also affecting your present-day relationships. Do you ever find yourself fighting visual snapshots or memories of past trauma and its counterpart, shame? Have you ever wondered why certain topics or interactions provoke a strong reaction and leave you feeling raw? If your answer to any of these questions is, "Yes," I may be able to help.
I am trained in EMDR, CBT, DBT, TF-CBT, and mindfulness.
Accepting new clients> Have you ever felt like you're living one foot in the past and one foot in the present, but not by choice? You want to be all here, but there's something holding you back. To your surprise, it can even control your thoughts, emotions, and behaviors, so it's naturally also affecting your present-day relationships. Do you ever find yourself fighting visual snapshots or memories of past trauma and its counterpart, shame? Have you ever wondered why certain topics or interactions provoke a strong reaction and leave you feeling raw? If your answer to any of these questions is, "Yes," I may be able to help.
(425) 363-9786 View (425) 363-9786
Photo of Lydia Peckover, MS, MA, LMHC, Counselor
Lydia Peckover
Counselor, MS, MA, LMHC
Verified Verified
Sammamish, WA 98075  (Online Only)
My desire is to support you and your family through the challenges of life. I have over 20 years of experience working with school aged children/teens and parents. My preferred counseling theory is Cognitive Behavioral Theory, but I am familiar with a wide variety of other counseling theories (EMDR, DBT, Motivational Interviewing, Systems) that may work better for you and your family. I completed both a M.S. degree in Psychology from Utah State University in 2005 and a M.A. degree in Counseling from Ottawa University in 2016. Currently I am licensed as a Mental Health Counselor.
My desire is to support you and your family through the challenges of life. I have over 20 years of experience working with school aged children/teens and parents. My preferred counseling theory is Cognitive Behavioral Theory, but I am familiar with a wide variety of other counseling theories (EMDR, DBT, Motivational Interviewing, Systems) that may work better for you and your family. I completed both a M.S. degree in Psychology from Utah State University in 2005 and a M.A. degree in Counseling from Ottawa University in 2016. Currently I am licensed as a Mental Health Counselor.
(360) 233-8190 View (360) 233-8190
Photo of Nicole Lemos, PsyD, MA, LMHCA, Counselor
Nicole Lemos
Counselor, PsyD, MA, LMHCA
Verified Verified
Sammamish, WA 98075
You may not control all the events that happen to you, but you can decide not to be reduced by them. -Maya Angelou. Do you want to take your power back? Therapy can help guide you to healing and restoration. You have the ability to turn your life around. If you are struggling with a mental illness, you are not alone. I would love to help you on this journey. My approach to therapy is very client-centered and I place a strong emphasis on improving your overall functionality. You are not defined by your past or diagnosis.
You may not control all the events that happen to you, but you can decide not to be reduced by them. -Maya Angelou. Do you want to take your power back? Therapy can help guide you to healing and restoration. You have the ability to turn your life around. If you are struggling with a mental illness, you are not alone. I would love to help you on this journey. My approach to therapy is very client-centered and I place a strong emphasis on improving your overall functionality. You are not defined by your past or diagnosis.
(425) 414-8487 View (425) 414-8487
Photo of Kelley Nay, MS, LMHC, Counselor
Kelley Nay
Counselor, MS, LMHC
Verified Verified
Sammamish, WA 98074  (Online Only)
I work with adolescents, adults, couples, and families dealing with depression, anxiety, academic challenges, parenting, relationship challenges, ADHD, grief, eating disorders, and trauma. I love helping people better understand themselves, get unstuck from whatever is holding them back, and create plans for their future that align with their interests, passions, and values. I am passionate about supporting adolescents, young adults, and parents as they strive to be their best selves. I use an approach called Emotionally Focused Therapy to help couples work through relationship problems and create emotional closeness.
I work with adolescents, adults, couples, and families dealing with depression, anxiety, academic challenges, parenting, relationship challenges, ADHD, grief, eating disorders, and trauma. I love helping people better understand themselves, get unstuck from whatever is holding them back, and create plans for their future that align with their interests, passions, and values. I am passionate about supporting adolescents, young adults, and parents as they strive to be their best selves. I use an approach called Emotionally Focused Therapy to help couples work through relationship problems and create emotional closeness.
(425) 215-1205 View (425) 215-1205
Photo of Lesley-Rose Gutter, MA, LMHCA, Counselor
Lesley-Rose Gutter
Counselor, MA, LMHCA
Verified Verified
1 Endorsed
Sammamish, WA 98075
I have experience working with a diverse population of clients with various backgrounds including, age, religion, and ethnicity. Specifically, I have worked with individuals, couples, teens, and children with a primary focus on adolescents, young, and older adults. Additionally, I have gained clinical experience through my work in a community mental health setting and integrated behavioral healthcare setting at a pediatric clinic. Through these experiences, I have found a passion for serving my community by promoting mental health wellbeing and providing support and tools for individuals to live with and lessen their pain.
I have experience working with a diverse population of clients with various backgrounds including, age, religion, and ethnicity. Specifically, I have worked with individuals, couples, teens, and children with a primary focus on adolescents, young, and older adults. Additionally, I have gained clinical experience through my work in a community mental health setting and integrated behavioral healthcare setting at a pediatric clinic. Through these experiences, I have found a passion for serving my community by promoting mental health wellbeing and providing support and tools for individuals to live with and lessen their pain.
(253) 258-5740 View (253) 258-5740
Photo of Tracy Askilsrud, MA, LMFT, Marriage & Family Therapist
Tracy Askilsrud
Marriage & Family Therapist, MA, LMFT
Verified Verified
3 Endorsed
Sammamish, WA 98075
You are in a committed relationship but feeling so lonely and frustrated. You try to communicate your needs to your partner, but each time the two of you end up in a disagreement, leaving you feeling worse than before. You feel you are out of options for how to have these discussions differently. You are unsure how the two of you can reconnect and get your needs met. You yearn for your partner to respond to your needs in a way that feels loving and accepting instead of reactive. You would love to rekindle the love you once felt in your relationship and move from being roommates back to loving partners with a satisfying sex life.
You are in a committed relationship but feeling so lonely and frustrated. You try to communicate your needs to your partner, but each time the two of you end up in a disagreement, leaving you feeling worse than before. You feel you are out of options for how to have these discussions differently. You are unsure how the two of you can reconnect and get your needs met. You yearn for your partner to respond to your needs in a way that feels loving and accepting instead of reactive. You would love to rekindle the love you once felt in your relationship and move from being roommates back to loving partners with a satisfying sex life.
(425) 600-7687 View (425) 600-7687
Photo of Dr. Puja Kakkar, PhD, PsyD, LMHC, Counselor
Dr. Puja Kakkar
Counselor, PhD, PsyD, LMHC
Verified Verified
7 Endorsed
Sammamish, WA 98074
Are you a teen who feels like no one understands you? Are you a parent who is struggling with parenting challenges? Are you an adult having trouble in coping with anxiety, depression, ADHD, work stress, or a couple struggling with marital problems where it is so hard to connect with your partner? Life can be hard, and we often find ourselves stuck. I'm here to help you to cope with the life's struggles without feeling alone. I have 23 years of experience providing therapy to children, adolescents, adults and couples. I can assist you in finding solutions to your problems and guide you to the path of happiness and success.
Are you a teen who feels like no one understands you? Are you a parent who is struggling with parenting challenges? Are you an adult having trouble in coping with anxiety, depression, ADHD, work stress, or a couple struggling with marital problems where it is so hard to connect with your partner? Life can be hard, and we often find ourselves stuck. I'm here to help you to cope with the life's struggles without feeling alone. I have 23 years of experience providing therapy to children, adolescents, adults and couples. I can assist you in finding solutions to your problems and guide you to the path of happiness and success.
(425) 578-5986 View (425) 578-5986
Photo of Pamela Wilensky, LMFT, Marriage & Family Therapist Associate
Pamela Wilensky
Marriage & Family Therapist Associate, LMFT
Verified Verified
Sammamish, WA 98074
If you have found yourself on this page you are likely searching for something. Relief, joy, acceptance, connection, healing, guidance, inspiration, personal growth- these things do not always come easily. Sometimes even starting the search for a therapist represents a tremendous act of bravery and a hopeful step toward that which you seek. In my practice I see your bravery, your struggle, your successes and your mistakes and I honor all of it because these are the ingredients of your humanity. I will come alongside you in this part of your journey through humanity and help explore how you might better show up for yourself.
If you have found yourself on this page you are likely searching for something. Relief, joy, acceptance, connection, healing, guidance, inspiration, personal growth- these things do not always come easily. Sometimes even starting the search for a therapist represents a tremendous act of bravery and a hopeful step toward that which you seek. In my practice I see your bravery, your struggle, your successes and your mistakes and I honor all of it because these are the ingredients of your humanity. I will come alongside you in this part of your journey through humanity and help explore how you might better show up for yourself.
(425) 368-9577 View (425) 368-9577
Photo of Sibel Ulger, MA , LMHCA, Counselor
Sibel Ulger
Counselor, MA , LMHCA
Verified Verified
2 Endorsed
Sammamish, WA 98074  (Online Only)
Are you seeking a compassionate, culturally sensitive therapist who truly understands the unique challenges of diverse communities? I’m here to help. As a positive and approachable mental health professional, I offer a safe, non-judgmental space where you can explore your thoughts and feelings. With a multicultural and bilingual background, I specialize in supporting individuals from various walks of life, ensuring that you feel understood and respected.
Are you seeking a compassionate, culturally sensitive therapist who truly understands the unique challenges of diverse communities? I’m here to help. As a positive and approachable mental health professional, I offer a safe, non-judgmental space where you can explore your thoughts and feelings. With a multicultural and bilingual background, I specialize in supporting individuals from various walks of life, ensuring that you feel understood and respected.
(425) 584-5988 View (425) 584-5988
Photo of Bob Smith, PsyD, LMHC, Psychologist
Bob Smith
Psychologist, PsyD, LMHC
Verified Verified
Sammamish, WA 98075
I work with clients struggling with ADHD symptoms as well as clients who are overwhelmed with the stress and expectations of life. I want to talk with young people who feel like they should be able to handle things better, but for one reason or another, are not. I also want to work with the families who struggle providing the support and guidance their young person needs to attain the success they can have.
I work with clients struggling with ADHD symptoms as well as clients who are overwhelmed with the stress and expectations of life. I want to talk with young people who feel like they should be able to handle things better, but for one reason or another, are not. I also want to work with the families who struggle providing the support and guidance their young person needs to attain the success they can have.
(425) 368-5692 View (425) 368-5692
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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.