Photo of Wendy Nystrom, MA, LMHC, CMHS, SMMHS, Counselor
Wendy Nystrom
Counselor, MA, LMHC, CMHS, SMMHS
Verified Verified
1 Endorsed
Seattle, WA 98125
These include Art, Music and Drama Therapies, Poetry and Writing, Cognitive Behavioral Therapy, Dialectical Behavioral Therapy, Somatic (body) work, Play Therapy, Sandtray Therapy, and Mindfulness work.
I enjoy working with children, adolescents and adults in both individual and family therapy. I work well with clients with trauma, anxiety, depression, those facing life transitions or grief and loss. I have recently published an eBook on anxiety for teens, But Breathing Doesn't Help! Unlocking Teen Anxiety by Understanding Your Body, which can be found on Amazon, or for direct purchase at https://wendynystrom.selz.com/
These include Art, Music and Drama Therapies, Poetry and Writing, Cognitive Behavioral Therapy, Dialectical Behavioral Therapy, Somatic (body) work, Play Therapy, Sandtray Therapy, and Mindfulness work.
I enjoy working with children, adolescents and adults in both individual and family therapy. I work well with clients with trauma, anxiety, depression, those facing life transitions or grief and loss. I have recently published an eBook on anxiety for teens, But Breathing Doesn't Help! Unlocking Teen Anxiety by Understanding Your Body, which can be found on Amazon, or for direct purchase at https://wendynystrom.selz.com/
(206) 785-1985 View (206) 785-1985
Photo of Shelby Kanaly, MPS, LMHC, ATR, Counselor
Shelby Kanaly
Counselor, MPS, LMHC, ATR
Verified Verified
Seattle, WA 98103
Our therapists have additional training in DBT, Internal Family Systems, Art Therapy, Mindfulness, and LGBTQ issues.
Hello, I am the owner and Supervisor at Creative Expressions Therapy. We are a small, but slowly growing practice with current availability. We believe the therapeutic relationship is essential for growth. We focus on getting to know the way you experience yourself, your world, and others around you. The systems we exist in perpetuate dispiriting degrees of privilege and oppression, which significantly impact how we relate to our selves and our community. We aim to help navigate these systems and gain insight in order to make meaningful change. We value compassion, equity, creativity, humor, and honesty in our work with clients.
Our therapists have additional training in DBT, Internal Family Systems, Art Therapy, Mindfulness, and LGBTQ issues.
Hello, I am the owner and Supervisor at Creative Expressions Therapy. We are a small, but slowly growing practice with current availability. We believe the therapeutic relationship is essential for growth. We focus on getting to know the way you experience yourself, your world, and others around you. The systems we exist in perpetuate dispiriting degrees of privilege and oppression, which significantly impact how we relate to our selves and our community. We aim to help navigate these systems and gain insight in order to make meaningful change. We value compassion, equity, creativity, humor, and honesty in our work with clients.
(206) 430-1435 View (206) 430-1435
Photo of Charlie Health - Charlie Health
Charlie Health
Verified Verified
Seattle, WA 98101  (Online Only)
We specialize in CBT, DBT skills, and CFT.
Charlie Health is a leading provider of virtual mental health treatment for people in need of more than once-weekly therapy. Whether you're struggling with anxiety, depression, trauma, self-harm, suicidal ideation, or any ongoing mental health issue, Charlie Health’s Clinical Team is ready to help you start your healing journey today. You don’t have to struggle alone – we’re here for you. To get started today, reach out at t.ly/ch-ut
We specialize in CBT, DBT skills, and CFT.
Charlie Health is a leading provider of virtual mental health treatment for people in need of more than once-weekly therapy. Whether you're struggling with anxiety, depression, trauma, self-harm, suicidal ideation, or any ongoing mental health issue, Charlie Health’s Clinical Team is ready to help you start your healing journey today. You don’t have to struggle alone – we’re here for you. To get started today, reach out at t.ly/ch-ut
(206) 207-9605 View (206) 207-9605
Photo of Alison Fasolino, MA, LMHCA, Counselor
Alison Fasolino
Counselor, MA, LMHCA
Verified Verified
Seattle, WA 98109  (Online Only)
Waitlist for new clients
My roots are in art therapy, cognitive behavioral therapy, DBT & ACT.
Hi! The first step is acknowledging that you need more support & I am proud of your bravery. Are you looking for a therapist that will treat you with respect, listen with compassion, & always have your back? I will do this for you every time! I offer a safe & non-judgmental space that will allow you to feel secure, heard, & supported. I will not shy away from asking you the tough questions & being honest with what I observe. You deserve to heal & I promise to help you do just that. I specialize in anxiety, eating disorders, depression, and pregnancy but I work with a variety of concerns! I support children, adolescents, and adults.
My roots are in art therapy, cognitive behavioral therapy, DBT & ACT.
Hi! The first step is acknowledging that you need more support & I am proud of your bravery. Are you looking for a therapist that will treat you with respect, listen with compassion, & always have your back? I will do this for you every time! I offer a safe & non-judgmental space that will allow you to feel secure, heard, & supported. I will not shy away from asking you the tough questions & being honest with what I observe. You deserve to heal & I promise to help you do just that. I specialize in anxiety, eating disorders, depression, and pregnancy but I work with a variety of concerns! I support children, adolescents, and adults.
(425) 541-8575 View (425) 541-8575
Photo of Laura Lee Matthews, MA, LMHC, ATR-P, Counselor
Laura Lee Matthews
Counselor, MA, LMHC, ATR-P
Verified Verified
Seattle, WA 98107  (Online Only)
Using art as a platform for talk therapy in adjunct with CBT, DBT, and other evidence based practices is where my ability to provide effective therapeutic connection thrives.
Are you struggling with navigating feelings of anxiety, depression, suicidality, substance abuse, attachment trauma, or self-harm? I am passionate about supporting people of all ages to heal from difficult or traumatic past experiences as well as supporting clients navigating life’s unpredictable challenges. I enjoy working with helping clients navigate emotional regulation, and becoming more self-aware and empowered.
Using art as a platform for talk therapy in adjunct with CBT, DBT, and other evidence based practices is where my ability to provide effective therapeutic connection thrives.
Are you struggling with navigating feelings of anxiety, depression, suicidality, substance abuse, attachment trauma, or self-harm? I am passionate about supporting people of all ages to heal from difficult or traumatic past experiences as well as supporting clients navigating life’s unpredictable challenges. I enjoy working with helping clients navigate emotional regulation, and becoming more self-aware and empowered.
(206) 855-6842 View (206) 855-6842
Photo of Shailyn Warnock, LSWAIC, MSW, MHP, Clinical Social Work/Therapist
Shailyn Warnock
Clinical Social Work/Therapist, LSWAIC, MSW, MHP
Verified Verified
Seattle, WA 98101  (Online Only)
With 5 years of experience in the field, I've honed my skills in evidence-based treatment modalities, including Cognitive Behavioral Therapy (CBT), Dialectical Behavior Therapy (DBT), grief and loss counseling, and self-esteem enhancement.
Are you seeking a compassionate and experienced therapist to guide you through life's challenges? I am a dedicated mental health therapist with a passion for helping individuals overcome depression, anxiety, trauma, relationship conflict, and self-esteem issues. I understand that seeking therapy can be a courageous step, and I provide a safe, non-judgmental space where you can explore your thoughts and feelings. Together, we'll work collaboratively to develop strategies that promote healing, resilience, and personal growth.
With 5 years of experience in the field, I've honed my skills in evidence-based treatment modalities, including Cognitive Behavioral Therapy (CBT), Dialectical Behavior Therapy (DBT), grief and loss counseling, and self-esteem enhancement.
Are you seeking a compassionate and experienced therapist to guide you through life's challenges? I am a dedicated mental health therapist with a passion for helping individuals overcome depression, anxiety, trauma, relationship conflict, and self-esteem issues. I understand that seeking therapy can be a courageous step, and I provide a safe, non-judgmental space where you can explore your thoughts and feelings. Together, we'll work collaboratively to develop strategies that promote healing, resilience, and personal growth.
(253) 527-7762 View (253) 527-7762
Photo of Devin McCabe, LMHC, MHP, CMHS, Counselor
Devin McCabe
Counselor, LMHC, MHP, CMHS
Verified Verified
1 Endorsed
Seattle, WA 98107
As an art therapist I work to synthesize creative interventions with evidence-based practices (like CBT and DBT) to restore wellness and balance in my clients' lives.
I specialize in working with children, teens, and adults who might be struggling to make sense of the complicated world that we live in. Despite our connectivity, it seems that we live in a time in which individuals and families are more isolated than ever before. I truly believe that we all need and desire a village — a network of support and care to help us when needed. It is my aim to be that extra form of support. I am here to help individuals and families navigate the more difficult hurdles and to find ways to work towards creating more peaceful, authentic, and connected lives.
As an art therapist I work to synthesize creative interventions with evidence-based practices (like CBT and DBT) to restore wellness and balance in my clients' lives.
I specialize in working with children, teens, and adults who might be struggling to make sense of the complicated world that we live in. Despite our connectivity, it seems that we live in a time in which individuals and families are more isolated than ever before. I truly believe that we all need and desire a village — a network of support and care to help us when needed. It is my aim to be that extra form of support. I am here to help individuals and families navigate the more difficult hurdles and to find ways to work towards creating more peaceful, authentic, and connected lives.
(206) 489-0728 View (206) 489-0728
Photo of Rachael Blair, LSWAIC, Clinical Social Work/Therapist
Rachael Blair
Clinical Social Work/Therapist, LSWAIC
Verified Verified
1 Endorsed
Seattle, WA 98107  (Online Only)
My therapeutic practice incorporates evidence-based practices such as Motivational Interviewing, Mindfulness, Cognitive Behavior Therapy, Dialectical Behavior Therapy, Play, Art and Expressive Therapies, Narrative Therapy and others.
I have a passion for working with young adults 18-35 and adolescents 13 and older, who are exploring their identities and trying to create their place in the world. Whether this includes healing past trauma, increasing coping skills or changing relational patterns, our work together can address a variety of topics, like increasing healthy coping strategies for anxiety and depression, breaking the cycle of perfectionism and self-judgment, increasing self-compassion, LGBTQIA+ identity exploration, family of origin issues and learning how to set healthy boundaries in relationships.
My therapeutic practice incorporates evidence-based practices such as Motivational Interviewing, Mindfulness, Cognitive Behavior Therapy, Dialectical Behavior Therapy, Play, Art and Expressive Therapies, Narrative Therapy and others.
I have a passion for working with young adults 18-35 and adolescents 13 and older, who are exploring their identities and trying to create their place in the world. Whether this includes healing past trauma, increasing coping skills or changing relational patterns, our work together can address a variety of topics, like increasing healthy coping strategies for anxiety and depression, breaking the cycle of perfectionism and self-judgment, increasing self-compassion, LGBTQIA+ identity exploration, family of origin issues and learning how to set healthy boundaries in relationships.
(206) 222-9712 View (206) 222-9712
Photo of Kellsie Pence, MA, Counselor
Kellsie Pence
Counselor, MA
Verified Verified
Seattle, WA 98115  (Online Only)
Waitlist for new clients
My approach with clients is trauma-informed and influenced by evidence-based therapies such as DBT.
Whatever you bring to the table, I begin each therapy journey by developing an understanding and warm relationship where I encourage imperfection to show up so that you can be deeply seen and known. Most importantly, I work to meet you where you are and tailor my approach and interventions to your individual needs. Together, we build a safe and compassionate space where you get to honor your story and find the healing you're seeking.
My approach with clients is trauma-informed and influenced by evidence-based therapies such as DBT.
Whatever you bring to the table, I begin each therapy journey by developing an understanding and warm relationship where I encourage imperfection to show up so that you can be deeply seen and known. Most importantly, I work to meet you where you are and tailor my approach and interventions to your individual needs. Together, we build a safe and compassionate space where you get to honor your story and find the healing you're seeking.
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Photo of Marie Rule, LSWAIC, MSW , MHP, Clinical Social Work/Therapist
Marie Rule
Clinical Social Work/Therapist, LSWAIC, MSW , MHP
Verified Verified
Seattle, WA 98116
I work with CBT, DBT, Trauma focused CBT to name a few.
I work with clients who are dealing with depression, anxiety, grief and loss, challenges with self-worth and unhelpful thinking, trauma, PTSD, relationships and feeling stuck. I help clients realize their innate wisdom, achieve their goals - whatever they may be, and find new ways of being in a world that is constantly full of challenges. I also work with parents who are struggling with their roles as parents, dealing with guilt and shame that oftentimes comes with parenting and help to find positive solutions with childrearing.
I work with CBT, DBT, Trauma focused CBT to name a few.
I work with clients who are dealing with depression, anxiety, grief and loss, challenges with self-worth and unhelpful thinking, trauma, PTSD, relationships and feeling stuck. I help clients realize their innate wisdom, achieve their goals - whatever they may be, and find new ways of being in a world that is constantly full of challenges. I also work with parents who are struggling with their roles as parents, dealing with guilt and shame that oftentimes comes with parenting and help to find positive solutions with childrearing.
(253) 243-3930 View (253) 243-3930
Photo of Paige Boren, MS, LMHC, CDP, Counselor
Paige Boren
Counselor, MS, LMHC, CDP
Verified Verified
1 Endorsed
Seattle, WA 98101  (Online Only)
Waitlist for new clients
My professional orientation is very eclectic. I combine a Jungian philosophy with CBT and DBT interventions with a client centered approach that involves a caring and insightful focus on self, others and community. My intention is to collaborate fully with each individual and to assist him or her in changing the trajectory of his or her life in a positive way. I view self discovery as an essential part of our unfolding experience together and value our time together. To become an agent of change in one's own life takes tremendous courage and strength; I can help facilitate this.
My professional orientation is very eclectic. I combine a Jungian philosophy with CBT and DBT interventions with a client centered approach that involves a caring and insightful focus on self, others and community. My intention is to collaborate fully with each individual and to assist him or her in changing the trajectory of his or her life in a positive way. I view self discovery as an essential part of our unfolding experience together and value our time together. To become an agent of change in one's own life takes tremendous courage and strength; I can help facilitate this.
(206) 966-4380 View (206) 966-4380
Photo of Erin Heath, LMHC, LPC, ATR, Counselor
Erin Heath
Counselor, LMHC, LPC, ATR
Verified Verified
1 Endorsed
Seattle, WA 98125  (Online Only)
I utilize an eclectic approach, primarily focused in the person-centered theoretical model, but I also include elements of strength-based, solution-focused, CBT and DBT approaches.
My therapy practice is centered in helping people discover the strength they already have, but have been struggling to use. Therapy can be useful for anyone, but sometimes finding the strength to seek out help can be the hardest part. I use a non-judgemental, empathetic, and casual approach with my clients to meet them wherever they are in their lives. Together, we establish goals and solutions. I work with those who are struggling with self-expression and effective communication as well as those who are having difficulty with identity exploration within and outside of relationships.
I utilize an eclectic approach, primarily focused in the person-centered theoretical model, but I also include elements of strength-based, solution-focused, CBT and DBT approaches.
My therapy practice is centered in helping people discover the strength they already have, but have been struggling to use. Therapy can be useful for anyone, but sometimes finding the strength to seek out help can be the hardest part. I use a non-judgemental, empathetic, and casual approach with my clients to meet them wherever they are in their lives. Together, we establish goals and solutions. I work with those who are struggling with self-expression and effective communication as well as those who are having difficulty with identity exploration within and outside of relationships.
(425) 528-8889 View (425) 528-8889
Photo of Corrine Kuehner, LMHCA, Counselor
Corrine Kuehner
Counselor, LMHCA
Verified Verified
Seattle, WA 98105  (Online Only)
As a trauma-informed, person-centered, & humanistic counselor, I utilize integrated methods including CBT, DBT, ACT, & mindfulness strategies.
I offer individual sessions tailored to your unique needs, with a focus on creative solutions that promote healing and growth. Over the last decade and more, I have worked in mental health and behavioral health fields, with the majority of my time working with adults and children with developmental disabilities. I have also experienced my own interesting journey navigating relational trauma, chronic health issues, and learning that I have ADHD at 30 years old. I know first hand many of the struggles disabled and neurodivergent people face and I use this experience to help my clients better their own lives.
As a trauma-informed, person-centered, & humanistic counselor, I utilize integrated methods including CBT, DBT, ACT, & mindfulness strategies.
I offer individual sessions tailored to your unique needs, with a focus on creative solutions that promote healing and growth. Over the last decade and more, I have worked in mental health and behavioral health fields, with the majority of my time working with adults and children with developmental disabilities. I have also experienced my own interesting journey navigating relational trauma, chronic health issues, and learning that I have ADHD at 30 years old. I know first hand many of the struggles disabled and neurodivergent people face and I use this experience to help my clients better their own lives.
(253) 352-3789 View (253) 352-3789
Photo of Krystyl W. Miyamoto, LMHC, LICSWA, Clinical Social Work/Therapist
Krystyl W. Miyamoto
Clinical Social Work/Therapist, LMHC, LICSWA
Verified Verified
1 Endorsed
Seattle, WA 98101  (Online Only)
I utilize techniques derived from Cognitive Behavioral Therapy and Dialectical Behavioral Therapy Models.
As a licensed mental health clinician, I am here to help you achieve personal empowerment in all areas of your life. I will help guide you in addressing issues that may be present in your life, that you feel, might be holding you back from reaching your goals. I offer help with navigating anxiety, depression, phase of life transitions, parenting, sexuality, gender, chronic pain/illness, perinatal mood disorders and more. I am an LGBTQIA+ and gender affirming therapist navigating gender identity, inclusion and equity. Let’s work together to actively identify and start living by your own personally empowered best life!
I utilize techniques derived from Cognitive Behavioral Therapy and Dialectical Behavioral Therapy Models.
As a licensed mental health clinician, I am here to help you achieve personal empowerment in all areas of your life. I will help guide you in addressing issues that may be present in your life, that you feel, might be holding you back from reaching your goals. I offer help with navigating anxiety, depression, phase of life transitions, parenting, sexuality, gender, chronic pain/illness, perinatal mood disorders and more. I am an LGBTQIA+ and gender affirming therapist navigating gender identity, inclusion and equity. Let’s work together to actively identify and start living by your own personally empowered best life!
(509) 260-2598 View (509) 260-2598
Photo of Torr Lindberg - Salveo Counseling Center, LMHC, LICSW, LMFT
Salveo Counseling Center
LMHC, LICSW, LMFT
Verified Verified
Seattle, WA 98101
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 Gaby Davila, LSWAIC, Clinical Social Work/Therapist
Gaby Davila
Clinical Social Work/Therapist, LSWAIC
Verified Verified
1 Endorsed
Seattle, WA 98117
What if your wildest and most authentic dreams became a reality? I view therapy as one of the purest forms of human connection, and I am honored by the trust and opportunity every client gives to me to join them on their beautiful journeys to themselves. I will support you in leading the life of your dreams, understanding that the change we do together in therapy is a microcosm of the change that occurs in our communities! I will encourage you every step of the way and validate this courageous journey of your commitment to yourself.
What if your wildest and most authentic dreams became a reality? I view therapy as one of the purest forms of human connection, and I am honored by the trust and opportunity every client gives to me to join them on their beautiful journeys to themselves. I will support you in leading the life of your dreams, understanding that the change we do together in therapy is a microcosm of the change that occurs in our communities! I will encourage you every step of the way and validate this courageous journey of your commitment to yourself.
(206) 495-6884 View (206) 495-6884
Photo of Aylee Welch, LICSW, Clinical Social Work/Therapist
Aylee Welch
Clinical Social Work/Therapist, LICSW
Verified Verified
Seattle, WA 98125
Traditional psychotherapy works toward congruence in a persons thinking, emotions, actions, and life choices. Body-oriented therapy understands that the body is also profoundly affected by our life experiences. Identifying and releasing attitudes and old images held in our physical structure adds an important component to therapy. This promotes lasting change, allowing for free flow of life energy from within us so we can more fully realize our life, our joy. I am also founder of the Seattle School of Body-Psychotherapy, and enterprise of Body-Psychotherapy of Seattle.
Traditional psychotherapy works toward congruence in a persons thinking, emotions, actions, and life choices. Body-oriented therapy understands that the body is also profoundly affected by our life experiences. Identifying and releasing attitudes and old images held in our physical structure adds an important component to therapy. This promotes lasting change, allowing for free flow of life energy from within us so we can more fully realize our life, our joy. I am also founder of the Seattle School of Body-Psychotherapy, and enterprise of Body-Psychotherapy of Seattle.
(206) 745-4956 View (206) 745-4956
Photo of Sara Ramos-Amador, LMHC , Counselor
Sara Ramos-Amador
Counselor, LMHC
Verified Verified
Seattle, WA 98188
Waitlist for new clients
I am an artist/poet turned therapist. My method is to slowly build a therapeutic relationship, uncover strengths, and move toward client-identified treatment goals. I support clients to externalize problematic narratives or inner states they are stuck in through creative mediums. Once clients are resourced and can see, and then interact with their patterns and parts they make changes. Together we discover and incorporate parts of the self that had to go underground due to trauma or oppression. Clients emerge from their work, whole and empowered.
I am an artist/poet turned therapist. My method is to slowly build a therapeutic relationship, uncover strengths, and move toward client-identified treatment goals. I support clients to externalize problematic narratives or inner states they are stuck in through creative mediums. Once clients are resourced and can see, and then interact with their patterns and parts they make changes. Together we discover and incorporate parts of the self that had to go underground due to trauma or oppression. Clients emerge from their work, whole and empowered.
(206) 678-0215 View (206) 678-0215
Photo of Adrienne Kandhari, MA, LMHC
Adrienne Kandhari
Mental Health Counselor, MA, LMHC
Verified Verified
Seattle, WA 98107
As a woman with ADHD, do you feel that your ADHD is impacting your relationships, self-esteem, goals and/or work? Do you find yourself saying sentences like, ‘I should…, ‘Why can’t I just...’, or ‘If I wasn’t so lazy…’? What if you could find strategies that could help you manage the things that feel like they always are falling through the cracks? Women with ADHD often experience ADHD differently than the stereotypical symptoms. What if you could find validation and understanding of your experience? Whether you have been diagnosed with ADHD for years or just starting your journey, your ADHD doesn't have to feel like a burden.
As a woman with ADHD, do you feel that your ADHD is impacting your relationships, self-esteem, goals and/or work? Do you find yourself saying sentences like, ‘I should…, ‘Why can’t I just...’, or ‘If I wasn’t so lazy…’? What if you could find strategies that could help you manage the things that feel like they always are falling through the cracks? Women with ADHD often experience ADHD differently than the stereotypical symptoms. What if you could find validation and understanding of your experience? Whether you have been diagnosed with ADHD for years or just starting your journey, your ADHD doesn't have to feel like a burden.
(206) 309-3475 View (206) 309-3475
Photo of Melanie Sherzad, LICSW, Clinical Social Work/Therapist
Melanie Sherzad
Clinical Social Work/Therapist, LICSW
Verified Verified
1 Endorsed
Seattle, WA 98117
In my approach to therapy, I believe that connecting with your authentic self is essential for achieving harmony and wellness. Authenticity is the foundation upon which we build a fulfilling and balanced life. In each session, I commit to showing up authentically and wholeheartedly, creating a safe and supportive space where you can do the same. Whether you are uncovering long-held beliefs, trying out new behaviors, or simply expressing your thoughts and feelings, this process is about finding what resonates with your true self.
In my approach to therapy, I believe that connecting with your authentic self is essential for achieving harmony and wellness. Authenticity is the foundation upon which we build a fulfilling and balanced life. In each session, I commit to showing up authentically and wholeheartedly, creating a safe and supportive space where you can do the same. Whether you are uncovering long-held beliefs, trying out new behaviors, or simply expressing your thoughts and feelings, this process is about finding what resonates with your true self.
(206) 659-5945 x27 View (206) 659-5945 x27
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.