Dialectical Behavior (DBT) Therapists in Spanaway, WA

Photo of Katelynn Saunders-Kosta, LMHC
Katelynn Saunders-Kosta
Mental Health Counselor , LMHC
Verified Verified
Spanaway, WA 98387  (Online Only)
As a mother of three and a wife, I have firsthand experience with family dynamics and ADHD, which informs my empathetic and personalized approach. I understand the complexities of balancing personal and professional life, and I am here to support you through this journey. As a licensed therapist specializing in DBT, I am dedicated to helping individuals navigate emotional challenges and build a life worth living. DBT is an evidence-based approach that combines CBT techniques with mindfulness practices, designed to address intense emotions, relationship difficulties, and behaviors that interfere with a fulfilling life.
As a mother of three and a wife, I have firsthand experience with family dynamics and ADHD, which informs my empathetic and personalized approach. I understand the complexities of balancing personal and professional life, and I am here to support you through this journey. As a licensed therapist specializing in DBT, I am dedicated to helping individuals navigate emotional challenges and build a life worth living. DBT is an evidence-based approach that combines CBT techniques with mindfulness practices, designed to address intense emotions, relationship difficulties, and behaviors that interfere with a fulfilling life.
(509) 778-7746 View (509) 778-7746
Photo of Brenda S Waugh-Reimer - Wise Counsel Therapy PLLC, LMHC, Counselor
Wise Counsel Therapy PLLC
Counselor, LMHC
Verified Verified
1 Endorsed
Spanaway, WA 98387
I provide a combination of EMDR (eye movement desensitization and reprocessing), Cognitive and Dialectical Behavioral Therapies, as well as Solution-Focused therapeutic modalities in order to provide a tailored treatment plan that is specific to your individual needs.
Wise Counsel Therapy PLLC is a faith-based company that is committed to providing comprehensive, client-centered, mental and behavioral health counseling and healing for all. Whether you are struggling personally, or feeling helpless and hopeless over the relationships, situations, and individuals in your life, I aim to work collaboratively to meet you where you are, and to identify the barriers that affect your wellness. We will develop tools and establish goals that will aid in your healing journey.
I provide a combination of EMDR (eye movement desensitization and reprocessing), Cognitive and Dialectical Behavioral Therapies, as well as Solution-Focused therapeutic modalities in order to provide a tailored treatment plan that is specific to your individual needs.
Wise Counsel Therapy PLLC is a faith-based company that is committed to providing comprehensive, client-centered, mental and behavioral health counseling and healing for all. Whether you are struggling personally, or feeling helpless and hopeless over the relationships, situations, and individuals in your life, I aim to work collaboratively to meet you where you are, and to identify the barriers that affect your wellness. We will develop tools and establish goals that will aid in your healing journey.
(253) 364-1536 View (253) 364-1536
Photo of Suzra Martha Antoine, MSW, LICSWA, CCTP, Clinical Social Work/Therapist
Suzra Martha Antoine
Clinical Social Work/Therapist, MSW, LICSWA, CCTP
Verified Verified
2 Endorsed
Spanaway, WA 98387  (Online Only)
Evidence-based practices I uses are Cognitive behavioral therapy, Dialectical behavioral therapy, Trauma-Play, Play Therapy, TF-CBT, Art Therapy, and mindfulness/coping skills.
Are you struggling with anxiety, depression, PTSD, ADHD, trauma, and multiple mental health diagnoses? I assist clients in healing from trauma, helping youth, adolescents, and adults cope with life stressors, and low self-esteem. I also assist individuals in identifying their emotions, thoughts, and behaviors, establishing goals, empowering individuals to believe in themselves by offering compassion and support to clients in learning different coping skills to overcome life's stressors.
Evidence-based practices I uses are Cognitive behavioral therapy, Dialectical behavioral therapy, Trauma-Play, Play Therapy, TF-CBT, Art Therapy, and mindfulness/coping skills.
Are you struggling with anxiety, depression, PTSD, ADHD, trauma, and multiple mental health diagnoses? I assist clients in healing from trauma, helping youth, adolescents, and adults cope with life stressors, and low self-esteem. I also assist individuals in identifying their emotions, thoughts, and behaviors, establishing goals, empowering individuals to believe in themselves by offering compassion and support to clients in learning different coping skills to overcome life's stressors.
(206) 204-5185 View (206) 204-5185
Photo of Alisa Mattiazzi - Allie Mattiazzi, LICSW, MSW, Clinical Social Work/Therapist
Allie Mattiazzi
Clinical Social Work/Therapist, LICSW, MSW
Verified Verified
Spanaway, WA 98387  (Online Only)
Life can be challenging sometimes and focusing time on yourself can be a rare treat. That's what therapy is all about...YOU and the goals YOU set. I am solution-focused and Cognitive Behavioral and Narrative Therapies act as a foundation; Internal Family Systems, DBT, and psychodynamic theories provide some of my favorite therapy Ideas and tools. Through our work together, we will explore the changes you want to make and the best way to make those changes. I believe in you!
Life can be challenging sometimes and focusing time on yourself can be a rare treat. That's what therapy is all about...YOU and the goals YOU set. I am solution-focused and Cognitive Behavioral and Narrative Therapies act as a foundation; Internal Family Systems, DBT, and psychodynamic theories provide some of my favorite therapy Ideas and tools. Through our work together, we will explore the changes you want to make and the best way to make those changes. I believe in you!
(253) 263-1852 View (253) 263-1852
Photo of Devyna Aguon, MSW, LICSW, Clinical Social Work/Therapist
Devyna Aguon
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
Spanaway, WA 98387  (Online Only)
I utilize Cognitive Behavioral Therapy, Dialectical Behavioral Therapy, Motivational Interviewing, and Solution-Focused Therapy to help others achieve their goals.
I believe that everyone does the best they can with the skills they currently have. But sometimes life has some challenges, even unexpected ones, that can impact our mental health and well-being. These challenges don’t have to be faced alone. Through these challenges new skills can be acquired to help deal with the stressors life may bring. Together, we will identify goals you would like to achieve from counseling and work towards reaching them.
I utilize Cognitive Behavioral Therapy, Dialectical Behavioral Therapy, Motivational Interviewing, and Solution-Focused Therapy to help others achieve their goals.
I believe that everyone does the best they can with the skills they currently have. But sometimes life has some challenges, even unexpected ones, that can impact our mental health and well-being. These challenges don’t have to be faced alone. Through these challenges new skills can be acquired to help deal with the stressors life may bring. Together, we will identify goals you would like to achieve from counseling and work towards reaching them.
(253) 400-1574 View (253) 400-1574
Photo of Jetta Beacon, LSWAIC, Clinical Social Work/Therapist
Jetta Beacon
Clinical Social Work/Therapist, LSWAIC
Verified Verified
Spanaway, WA 98387
Provide a safe, secure space for clients to sense a freedom to share feelings, without fear of rejection, judgement, shame, or blame. A conviction that clients have a natural drive to work toward improving their quality of life. To assist the client with developing a stronger sense of self-awareness by pointing our their assets and natural gifts. Identifying the potential obstacles to achieving an enhanced emotional health and wellbeing. Additionally, by collaborating with the client and offering encouraging support along the way.
Provide a safe, secure space for clients to sense a freedom to share feelings, without fear of rejection, judgement, shame, or blame. A conviction that clients have a natural drive to work toward improving their quality of life. To assist the client with developing a stronger sense of self-awareness by pointing our their assets and natural gifts. Identifying the potential obstacles to achieving an enhanced emotional health and wellbeing. Additionally, by collaborating with the client and offering encouraging support along the way.
(253) 893-3845 View (253) 893-3845
Photo of Simone Koger, MA, LMFT, CGP, MBTMFT, Marriage & Family Therapist
Simone Koger
Marriage & Family Therapist, MA, LMFT, CGP, MBTMFT
Verified Verified
6 Endorsed
Spanaway, WA 98387
Thank you for being here today! Are you feeling like you cannot break the cycle you are in? Are there things about your life that you're finding difficult to navigate? Would it be helpful to have an unbiased space to identify your true wants? My practice provides personalized support for you to tap into your authentic self! Whether you are navigating loss, battling perfectionism, discerning a relationship, stuck people pleasing, or lost in how to name your emotions- we can explore your wellness journey together.
Thank you for being here today! Are you feeling like you cannot break the cycle you are in? Are there things about your life that you're finding difficult to navigate? Would it be helpful to have an unbiased space to identify your true wants? My practice provides personalized support for you to tap into your authentic self! Whether you are navigating loss, battling perfectionism, discerning a relationship, stuck people pleasing, or lost in how to name your emotions- we can explore your wellness journey together.
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Photo of Shandra Sullivan, MSW, LICSW, Clinical Social Work/Therapist
Shandra Sullivan
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
2 Endorsed
Spanaway, WA 98387  (Online Only)
Waitlist for new clients
You find yourself completely overwhelmed, constantly trying to expect what comes next. Stuck, frustrated, or unsure, you know you need support, but don’t know where to go. Maybe you are feeling deep sadness, alone, and lost. Or you look at yourself and say how did I get here? Whatever the starting point, there is a way forward. Today’s fast paced world leaves many feeling alone, and not ready to cope with what comes next. I would be honored to work with you to find your personal goals, and the freedom you seek. Let’s find a way forward together with respect, empathy, and no judgement.Please contact me with any questions you have, or
You find yourself completely overwhelmed, constantly trying to expect what comes next. Stuck, frustrated, or unsure, you know you need support, but don’t know where to go. Maybe you are feeling deep sadness, alone, and lost. Or you look at yourself and say how did I get here? Whatever the starting point, there is a way forward. Today’s fast paced world leaves many feeling alone, and not ready to cope with what comes next. I would be honored to work with you to find your personal goals, and the freedom you seek. Let’s find a way forward together with respect, empathy, and no judgement.Please contact me with any questions you have, or
(253) 262-0252 View (253) 262-0252
Photo of Robert Olsen, MS, LMHC, CTT+, Counselor
Robert Olsen
Counselor, MS, LMHC, CTT+
Verified Verified
Spanaway, WA 98387
DORI is Accepting New Couples! Dori specializes in Couples, Marriage, and Pre-Marital Coaching! Dori helps couples Repair Trust, Build Healthier Communication, Resolve Relational Conflicts, and learn to grow past your past. Her coaching approach utilizes skill-based activities, practice sessions during sessions, learning to know your own and your loved one's deepest needs, how to set healthy boundaries and stop passive-aggressiveness, and you'll learn to grow emotionally and relationally. Dori(AT)Success4Couples.com or 253.355.6620.
DORI is Accepting New Couples! Dori specializes in Couples, Marriage, and Pre-Marital Coaching! Dori helps couples Repair Trust, Build Healthier Communication, Resolve Relational Conflicts, and learn to grow past your past. Her coaching approach utilizes skill-based activities, practice sessions during sessions, learning to know your own and your loved one's deepest needs, how to set healthy boundaries and stop passive-aggressiveness, and you'll learn to grow emotionally and relationally. Dori(AT)Success4Couples.com or 253.355.6620.
(253) 345-4467 View (253) 345-4467
Photo of Carianne Sellers, MSW, LICSWA, Clinical Social Work/Therapist
Carianne Sellers
Clinical Social Work/Therapist, MSW, LICSWA
Verified Verified
Spanaway, WA 98387
We all have experiences that shape who we are and may bring emotional suffering to our lives and relationships. If you are ready to let go of shame, worry and self-doubt, we will work together to build a safe, trusting relationship that helps you to discover your unique strengths and build effective coping strategies. If you're ready to embrace hope for a better tomorrow and are looking for healing and freedom from past hurts, anxiety or depression, then I am hear to listen with compassion and provide guidance on your journey.
We all have experiences that shape who we are and may bring emotional suffering to our lives and relationships. If you are ready to let go of shame, worry and self-doubt, we will work together to build a safe, trusting relationship that helps you to discover your unique strengths and build effective coping strategies. If you're ready to embrace hope for a better tomorrow and are looking for healing and freedom from past hurts, anxiety or depression, then I am hear to listen with compassion and provide guidance on your journey.
(253) 262-0132 View (253) 262-0132
Photo of Cara McCartney, LICSW, CCTP, Clinical Social Work/Therapist
Cara McCartney
Clinical Social Work/Therapist, LICSW, CCTP
Verified Verified
Spanaway, WA 98387
Our mission at Achieving Balance Counseling is to foster an environment that empowers an individual or family’s ability to resolve, change and achieve balance in order to attain happiness, hope and harmony in life. www.therapyportal.com/p/achieving98373 to request an appointment
Our mission at Achieving Balance Counseling is to foster an environment that empowers an individual or family’s ability to resolve, change and achieve balance in order to attain happiness, hope and harmony in life. www.therapyportal.com/p/achieving98373 to request an appointment
(253) 523-3012 View (253) 523-3012
Photo of Heidi Gillmore, LMHCA, Counselor
Heidi Gillmore
Counselor, LMHCA
Verified Verified
Spanaway, WA 98387
To build trust with my clients, I strive to be authentic, empathetic, and respectful. I recognize that every individual has unique needs and experiences, and I work to tailor my approach to best meet those needs. I believe in the power of a collaborative therapeutic relationship, and I will work with you to create a treatment plan that aligns with your goals and values.
To build trust with my clients, I strive to be authentic, empathetic, and respectful. I recognize that every individual has unique needs and experiences, and I work to tailor my approach to best meet those needs. I believe in the power of a collaborative therapeutic relationship, and I will work with you to create a treatment plan that aligns with your goals and values.
(253) 446-7176 View (253) 446-7176
Photo of Dr. Heather Wisdom, MS, MHP, LMHC
Dr. Heather Wisdom
Mental Health Counselor, MS, MHP, LMHC
Verified Verified
Spanaway, WA 98387
Not accepting new clients
My therapeutic approach incorporates several major therapeutic modalities and techniques, including EMDR, Emotional Freedom Technique, CBT, DBT, and Gottman.
Although not currently taking new clients, I do offer and lead numerous workgroups and retreats. Please see my website for more details. I am grateful to be a guide to individuals during difficult life challenges: depression, anxiety, loss, trauma, and relationship issues. I work collaboratively with you to understand and define your current issues and find solutions. We will explore how to build upon strengths and help develop new coping skills to manage life's challenges. I also provide couples, marriage, and relationship workshops and retreats based on Dr. Gottman and others' research and work.
My therapeutic approach incorporates several major therapeutic modalities and techniques, including EMDR, Emotional Freedom Technique, CBT, DBT, and Gottman.
Although not currently taking new clients, I do offer and lead numerous workgroups and retreats. Please see my website for more details. I am grateful to be a guide to individuals during difficult life challenges: depression, anxiety, loss, trauma, and relationship issues. I work collaboratively with you to understand and define your current issues and find solutions. We will explore how to build upon strengths and help develop new coping skills to manage life's challenges. I also provide couples, marriage, and relationship workshops and retreats based on Dr. Gottman and others' research and work.
(253) 544-5277 View (253) 544-5277

More Therapists Nearby

Photo of Kristen Moore - Key Counseling PLLC, EdD, LMHC, Counselor
Key Counseling PLLC
Counselor, EdD, LMHC
Verified Verified
Joint Base Lewis Mcchord, WA 98433
I also have a working knowledge of a wide range of other approaches including DBT.
Now accepting new clients! Hello! I'm Dr. Kristen Moore (nee Bradley). My focus is on adult clients who have anxiety, depression, trauma, or PTSD. I strive to create a supportive environment and work with you to come up with a plan that addresses your concerns where you are right now. I believe everyone has strengths and that sometimes people become so overwhelmed they lose sight of themselves. I'm a guide that helps you find your way back and encourages you to keep moving forward. If you experience insomnia, nightmares, flashbacks, fatigue, sudden anger, anxiety or depression and feel it is time to get control back, call me.
I also have a working knowledge of a wide range of other approaches including DBT.
Now accepting new clients! Hello! I'm Dr. Kristen Moore (nee Bradley). My focus is on adult clients who have anxiety, depression, trauma, or PTSD. I strive to create a supportive environment and work with you to come up with a plan that addresses your concerns where you are right now. I believe everyone has strengths and that sometimes people become so overwhelmed they lose sight of themselves. I'm a guide that helps you find your way back and encourages you to keep moving forward. If you experience insomnia, nightmares, flashbacks, fatigue, sudden anger, anxiety or depression and feel it is time to get control back, call me.
(360) 905-0724 View (360) 905-0724
Photo of Cambee J Jines, MA, LMHC, Counselor
Cambee J Jines
Counselor, MA, LMHC
Verified Verified
Tacoma, WA 98433  (Online Only)
I draw from modalities from Acceptance and Commitment Therapy, Dialectical Behavioral Therapy, Cognitive Behavioral Therapy.
Thank you for considering talk therapy as a vehicle for self-reflection and personal growth. I believe the therapeutic relationship is one of the most important components for effective treatment outcomes. I strive to provide clients with a warm, compassionate space that fosters healing, a place where they can feel safe to be who they are in the moment, while working towards meaningful change.
I draw from modalities from Acceptance and Commitment Therapy, Dialectical Behavioral Therapy, Cognitive Behavioral Therapy.
Thank you for considering talk therapy as a vehicle for self-reflection and personal growth. I believe the therapeutic relationship is one of the most important components for effective treatment outcomes. I strive to provide clients with a warm, compassionate space that fosters healing, a place where they can feel safe to be who they are in the moment, while working towards meaningful change.
View
Photo of Julia A Boyd, MEd, Counselor
Julia A Boyd
Counselor, MEd
Verified Verified
2 Endorsed
Puyallup, WA 98371  (Online Only)
In that respect I use evidence based theoretical practices that include Cognitive Behavioral Therapy, Dialectical Behavior Therapy, Solution Focus, Narrative.
I believe that therapy is based in a philosophy of respect, trust and building a safe non-judgemental relationship. I strongly believe each person has the wisdom to understand what works for them. I want clients to know they've come to a place of hope and my role as therapist is to listen and guide by providing support and encouragement
In that respect I use evidence based theoretical practices that include Cognitive Behavioral Therapy, Dialectical Behavior Therapy, Solution Focus, Narrative.
I believe that therapy is based in a philosophy of respect, trust and building a safe non-judgemental relationship. I strongly believe each person has the wisdom to understand what works for them. I want clients to know they've come to a place of hope and my role as therapist is to listen and guide by providing support and encouragement
(253) 303-5420 View (253) 303-5420
Photo of Lizzie Stryker, LMHCA, Counselor
Lizzie Stryker
Counselor, LMHCA
Verified Verified
Puyallup, WA 98373
I draw upon Cognitive Behavioral Therapy, Dialectical Behavioral Therapy, Mindfulness, Acceptance, Commitment Therapy therapy, Humanistic Person Centered approach, and Healing inner child.
My name is Lizzie Stryker, she/her. I’m a licensed Mental Health Counselor Associate and I am also an experienced and nationally accredited Vocational Rehabilitation Counselor. Through my combined experiences of counseling and therapy work I offer support through various challenges and periods of change including: Anxiety, Burnout, Depression, Difficulty with interpersonal communication and relationships, Feelings of hopelessness, Grief, Life transitions, Struggles with self harm and suicidal ideations, Struggles with self-worth and confidence, Various types of trauma, Vocational exploration, and Work stress.
I draw upon Cognitive Behavioral Therapy, Dialectical Behavioral Therapy, Mindfulness, Acceptance, Commitment Therapy therapy, Humanistic Person Centered approach, and Healing inner child.
My name is Lizzie Stryker, she/her. I’m a licensed Mental Health Counselor Associate and I am also an experienced and nationally accredited Vocational Rehabilitation Counselor. Through my combined experiences of counseling and therapy work I offer support through various challenges and periods of change including: Anxiety, Burnout, Depression, Difficulty with interpersonal communication and relationships, Feelings of hopelessness, Grief, Life transitions, Struggles with self harm and suicidal ideations, Struggles with self-worth and confidence, Various types of trauma, Vocational exploration, and Work stress.
(253) 446-7176 View (253) 446-7176
Photo of Rachael Nadyne Jordan - Revitalize and Restore Therapy, MA, LMHC, CMHS, Counselor
Revitalize and Restore Therapy
Counselor, MA, LMHC, CMHS
Verified Verified
Puyallup, WA 98373
Waitlist for new clients
I offer DBT, CBT, ACT & therapeutic interventions to help you.
I am proud of you for taking the first steps for you. I imagine this is not easy, but this is a sign of strength and you're stronger then you know. In today's realities, many are struggling with uncertainties, stress, fear, loneliness and isolation. If you are facing ADHD/Depression/Anxiety symptoms, therapy can be helpful in learning coping strategies. If you're struggling and having a hard time, therapy can be helpful. Lets learn how to bring ourselves a sense of calm and learn how to be in control of our life. Therapy helps us learn to manage the perceived unmanageable.
I offer DBT, CBT, ACT & therapeutic interventions to help you.
I am proud of you for taking the first steps for you. I imagine this is not easy, but this is a sign of strength and you're stronger then you know. In today's realities, many are struggling with uncertainties, stress, fear, loneliness and isolation. If you are facing ADHD/Depression/Anxiety symptoms, therapy can be helpful in learning coping strategies. If you're struggling and having a hard time, therapy can be helpful. Lets learn how to bring ourselves a sense of calm and learn how to be in control of our life. Therapy helps us learn to manage the perceived unmanageable.
(253) 242-9970 View (253) 242-9970
Photo of Becky Pedersen, LCSW, Clinical Social Work/Therapist
Becky Pedersen
Clinical Social Work/Therapist, LCSW
Verified Verified
Puyallup, WA 98373
I am trained in EMDR, Brainspotting,Internal Family Systems, DBT, and Acceptance Commitment Therapy to help you build new skills.
I am certified in trauma and complex trauma related disorders. My focus in therapy is to start where you are and identify what brings you to therapy. We will create a treatment plan specific to your needs and goals. I understand that working through trauma and recovery can be complex and challenging for many, but I believe in recovery using the mind body and spirit so you can fully heal and become the best version of yourself that you can be.
I am trained in EMDR, Brainspotting,Internal Family Systems, DBT, and Acceptance Commitment Therapy to help you build new skills.
I am certified in trauma and complex trauma related disorders. My focus in therapy is to start where you are and identify what brings you to therapy. We will create a treatment plan specific to your needs and goals. I understand that working through trauma and recovery can be complex and challenging for many, but I believe in recovery using the mind body and spirit so you can fully heal and become the best version of yourself that you can be.
(385) 330-5248 View (385) 330-5248
Photo of Beth Mercer, LMHCA, MA, NCC, ESA, Counselor
Beth Mercer
Counselor, LMHCA, MA, NCC, ESA
Verified Verified
1 Endorsed
Puyallup, WA 98375  (Online Only)
Waitlist for new clients
I also use aspects of CBT and DBT as tools to retrain faulty thinking and negative self-talk.
We all face difficult times in life and sometimes cannot even pinpoint the source of the pain. Therapy is an incredible way to face what hurts but also an amazing opportunity to grow into our best selves. I work with adolescents and adults who are struggling with anxiety/depression, past-trauma, divorce/separation, toxic relationships and negative seIf-talk/faulty thinking. You may not feel like yourself lately, or are struggling to even know who you are or what you want out of life. Allow me to listen, walk beside you, and help you set and achieve your personal goals. Note: I am a telehealth only therapist.
I also use aspects of CBT and DBT as tools to retrain faulty thinking and negative self-talk.
We all face difficult times in life and sometimes cannot even pinpoint the source of the pain. Therapy is an incredible way to face what hurts but also an amazing opportunity to grow into our best selves. I work with adolescents and adults who are struggling with anxiety/depression, past-trauma, divorce/separation, toxic relationships and negative seIf-talk/faulty thinking. You may not feel like yourself lately, or are struggling to even know who you are or what you want out of life. Allow me to listen, walk beside you, and help you set and achieve your personal goals. Note: I am a telehealth only therapist.
(253) 785-4616 View (253) 785-4616

See more therapy options for Spanaway

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.