Dialectical Behavior (DBT) Therapists in Vashon, WA

Photo of Stephanie M Mustopich, MA, MHP, LMFT, Marriage & Family Therapist
Stephanie M Mustopich
Marriage & Family Therapist, MA, MHP, LMFT
Verified Verified
Vashon, WA 98070  (Online Only)
I am also trained in Dialectical Behavioral Therapy which I draw on to help individuals manage their emotions more effectively and have healthier relationships.
Welcome! You've already taken the first step of searching for a therapist for yourself or a loved one. I want to acknowledge how difficult that can be and am here to help support you through the rest of the journey. I see adolescents, adults and couples for a variety of issues such as family or relational conflict, anxiety, depression, self-compassion, codependency, and boundaries. I find it deeply rewarding to provide therapy to those who identify anywhere on the LGBTQ+ spectrum. Building a trusting relationship is my first priority. We will create a safe, non-judgmental space together where you can meet your goals.
I am also trained in Dialectical Behavioral Therapy which I draw on to help individuals manage their emotions more effectively and have healthier relationships.
Welcome! You've already taken the first step of searching for a therapist for yourself or a loved one. I want to acknowledge how difficult that can be and am here to help support you through the rest of the journey. I see adolescents, adults and couples for a variety of issues such as family or relational conflict, anxiety, depression, self-compassion, codependency, and boundaries. I find it deeply rewarding to provide therapy to those who identify anywhere on the LGBTQ+ spectrum. Building a trusting relationship is my first priority. We will create a safe, non-judgmental space together where you can meet your goals.
(541) 372-6052 View (541) 372-6052
Photo of Katlin Kellow, MA, LMHCA, Counselor
Katlin Kellow
Counselor, MA, LMHCA
Verified Verified
1 Endorsed
Vashon, WA 98070  (Online Only)
I have experience as an eclectic therapist who utilizes EMDR and a DBT approach.
Healing can be a beautiful process, both physically and mentally. It can bring relief from pain, restore functionality, and promote a sense of well-being. It can also offer an opportunity for personal growth and self-discovery. I specialize in a holistic approach to anxiety, trauma, and behavior modification through mind and body. The philosophy of trauma-informed counseling is based on the understanding that individuals who have experienced trauma require specialized care and support. I acknowledge the impact of trauma on my clients' lives and work collaboratively with them to identify and address their individual needs and goals.
I have experience as an eclectic therapist who utilizes EMDR and a DBT approach.
Healing can be a beautiful process, both physically and mentally. It can bring relief from pain, restore functionality, and promote a sense of well-being. It can also offer an opportunity for personal growth and self-discovery. I specialize in a holistic approach to anxiety, trauma, and behavior modification through mind and body. The philosophy of trauma-informed counseling is based on the understanding that individuals who have experienced trauma require specialized care and support. I acknowledge the impact of trauma on my clients' lives and work collaboratively with them to identify and address their individual needs and goals.
(206) 429-4876 View (206) 429-4876
Photo of Haley VandenHazel, LMHC, Counselor
Haley VandenHazel
Counselor, LMHC
Verified Verified
Vashon, WA 98070
I offer year-round hiking therapy (walk and talk therapy) for older teens and adults on Vashon Island. I also have clients I see in office and via telehealth. During a hiking therapy session we often focus on personal goals, similar to what we might do in the office, and we get the added benefits of physical activity and time in nature.
I offer year-round hiking therapy (walk and talk therapy) for older teens and adults on Vashon Island. I also have clients I see in office and via telehealth. During a hiking therapy session we often focus on personal goals, similar to what we might do in the office, and we get the added benefits of physical activity and time in nature.
(360) 226-5197 View (360) 226-5197
Photo of Gretchen Burkholder - Gretchen Burkholder, MA, LMHC, ATR, Counselor
Gretchen Burkholder
Counselor, MA, LMHC, ATR
Verified Verified
1 Endorsed
Vashon, WA 98070
I believe everyone has the ability to transform and grow into their fullest potential. I bring compassion and intuitive wisdom to help you find the courage and healing to fully become your true authentic and thriving self. I create a compassionate and empathetic space in which you can feel safe to explore whatever brings you into therapy. I enjoy working with adults, with a special interest in individuals who struggle with depression, anxiety, grief, and shame, or are adjusting to change.
I believe everyone has the ability to transform and grow into their fullest potential. I bring compassion and intuitive wisdom to help you find the courage and healing to fully become your true authentic and thriving self. I create a compassionate and empathetic space in which you can feel safe to explore whatever brings you into therapy. I enjoy working with adults, with a special interest in individuals who struggle with depression, anxiety, grief, and shame, or are adjusting to change.
(206) 735-4867 View (206) 735-4867
Photo of Jennifer Keyte, MA, LMHC, Counselor
Jennifer Keyte
Counselor, MA, LMHC
Verified Verified
Vashon, WA 98070
Despite your best efforts, life is unknowable - you can't always predict or be prepared for what comes your way. Difficulties are inevitable. When they occur, you might need help sorting out what's going on and what to do next. The good news is, therapy helps. When you're feeling miserable, unlovable and afraid, therapy helps. When you find yourself asking the question "why me?", therapy helps. When you're ready to step into your life and take charge of it, instead of having it take charge of you, therapy helps.
Despite your best efforts, life is unknowable - you can't always predict or be prepared for what comes your way. Difficulties are inevitable. When they occur, you might need help sorting out what's going on and what to do next. The good news is, therapy helps. When you're feeling miserable, unlovable and afraid, therapy helps. When you find yourself asking the question "why me?", therapy helps. When you're ready to step into your life and take charge of it, instead of having it take charge of you, therapy helps.
(206) 681-1911 View (206) 681-1911
Photo of Woody Pollock, MA, LMHC, Counselor
Woody Pollock
Counselor, MA, LMHC
Verified Verified
Vashon, WA 98070
The client-therapist connection is one of trust and empathy and is central to the healing and growing process, forming the container for change. Together we create a collaborative therapeutic relationship where each client has the opportunity to explore their true self, reflect on possibilities, and gain insight that leads to action. Our goal together is to build more authentic connections, with yourself and others, which will allow deeper insight into your experience and define the action needed to move forward.
The client-therapist connection is one of trust and empathy and is central to the healing and growing process, forming the container for change. Together we create a collaborative therapeutic relationship where each client has the opportunity to explore their true self, reflect on possibilities, and gain insight that leads to action. Our goal together is to build more authentic connections, with yourself and others, which will allow deeper insight into your experience and define the action needed to move forward.
(425) 689-7471 View (425) 689-7471
Photo of Michael Dunbry, MA, LMHC, CMHS, NCC
Michael Dunbry
MA, LMHC, CMHS, NCC
Verified Verified
Vashon, WA 98070  (Online Only)
Hello! Welcome, and thank you for being here. While it’s certainly possible that you enjoy reading therapist profiles just for fun, it’s more likely that you are here looking for help of some kind. Without being indifferent to your suffering, please allow me to say, congratulations! It can be uncomfortable to admit that you are not feeling your best and to decide to ask for help. I hope you are also feeling empowered as you make the pivot towards healing and recovery.
Hello! Welcome, and thank you for being here. While it’s certainly possible that you enjoy reading therapist profiles just for fun, it’s more likely that you are here looking for help of some kind. Without being indifferent to your suffering, please allow me to say, congratulations! It can be uncomfortable to admit that you are not feeling your best and to decide to ask for help. I hope you are also feeling empowered as you make the pivot towards healing and recovery.
(253) 799-1133 View (253) 799-1133
Photo of Rebecca Gallagher, MA, LMHC, CHHC, Counselor
Rebecca Gallagher
Counselor, MA, LMHC, CHHC
Verified Verified
Vashon, WA 98070
"I must be a mermaid; I have no fear of depths & a great fear of shallow living" (A. Nin). Are you wanting a deeper experience of life? I will explore those depths with you & help you craft a life that feels more balanced, that is rich and rewarding. I am an active & supportive listener & aim to help you feel held in your own journey yet challenged to be your best self. My deepest desire is to help you meet your own goals for balance, relationships, health & happiness so that you can truly feel the joy of living an enchanted life.
"I must be a mermaid; I have no fear of depths & a great fear of shallow living" (A. Nin). Are you wanting a deeper experience of life? I will explore those depths with you & help you craft a life that feels more balanced, that is rich and rewarding. I am an active & supportive listener & aim to help you feel held in your own journey yet challenged to be your best self. My deepest desire is to help you meet your own goals for balance, relationships, health & happiness so that you can truly feel the joy of living an enchanted life.
(425) 947-2838 View (425) 947-2838
Photo of Lindsey Ferris, MS, LMFT, Marriage & Family Therapist
Lindsey Ferris
Marriage & Family Therapist, MS, LMFT
Verified Verified
8 Endorsed
Vashon, WA 98070  (Online Only)
Looking to work with a therapist who can support and help you heal your critical inner voice, or relationship struggles? My therapeutic approach is collaborative and empathetic, with a primary focus on validating and understanding my clients’ perspectives and lived experiences. I particularly enjoy working with individuals who grapple with shame and self-criticism cycles, as well as couples where one or both individuals are neurodiverse. My passionate approach revolves around helping individuals foster self-trust and self-acceptance, both on an individual and relational level.
Looking to work with a therapist who can support and help you heal your critical inner voice, or relationship struggles? My therapeutic approach is collaborative and empathetic, with a primary focus on validating and understanding my clients’ perspectives and lived experiences. I particularly enjoy working with individuals who grapple with shame and self-criticism cycles, as well as couples where one or both individuals are neurodiverse. My passionate approach revolves around helping individuals foster self-trust and self-acceptance, both on an individual and relational level.
(206) 339-5596 View (206) 339-5596
Photo of Maria Tarasova, LMFTA, Marriage & Family Therapist Associate
Maria Tarasova
Marriage & Family Therapist Associate, LMFTA
Verified Verified
1 Endorsed
Vashon, WA 98070  (Online Only)
As a Licensed Marriage and Family Therapy Associate I work with teens, adults, couples and families from a systemic and relational approach. In session, I collaborate with clients to identify areas of distress and explore the impacts of culture, family development, and interpersonal relationships. My work is to bear witness to my client’s process and honor both where they are and their goals for therapy, while providing warmth, humor, and connection.
As a Licensed Marriage and Family Therapy Associate I work with teens, adults, couples and families from a systemic and relational approach. In session, I collaborate with clients to identify areas of distress and explore the impacts of culture, family development, and interpersonal relationships. My work is to bear witness to my client’s process and honor both where they are and their goals for therapy, while providing warmth, humor, and connection.
(206) 736-1683 View (206) 736-1683
Photo of Soleil Ann Brandenfels, Marriage & Family Therapist Intern
Soleil Ann Brandenfels
Marriage & Family Therapist Intern
Verified Verified
2 Endorsed
Vashon, WA 98070
Currently only accepting couples & families. Each of us is navigating a unique journey and encountering barriers along the way. At times, we may find ourselves feeling lost or stuck. Much of our longing stems from three simple but profound needs: we want to be seen, chosen, and understood. Whether you're grappling with excessive self-criticism, physical symptoms of emotional dysregulation, or the aftermath of challenging life circumstances, transitions, or oppressive social systems, I'm here to offer support. Together, we can work on regulating your nervous system and fostering a fulfilling and healthy life.
Currently only accepting couples & families. Each of us is navigating a unique journey and encountering barriers along the way. At times, we may find ourselves feeling lost or stuck. Much of our longing stems from three simple but profound needs: we want to be seen, chosen, and understood. Whether you're grappling with excessive self-criticism, physical symptoms of emotional dysregulation, or the aftermath of challenging life circumstances, transitions, or oppressive social systems, I'm here to offer support. Together, we can work on regulating your nervous system and fostering a fulfilling and healthy life.
(206) 800-7036 View (206) 800-7036

More Therapists Nearby

Photo of Mwiche Lupambo, MS, LMFT, MHP, CHMS, Marriage & Family Therapist
Mwiche Lupambo
Marriage & Family Therapist, MS, LMFT, MHP, CHMS
Verified Verified
Seatac, WA 98188
I'm trained in Evidenced Based Models like Cognitive Behavioral Therapy (CBT), Dialectical Behavioral Therapy ( DBT), and Emotional Freedom Technique (Tapping).
Life is full of transitions, expected and unexpected, and this can be hard on individuals and families as a whole. As a Licensed Marriage and Family Therapist, I seek to help you cope, decrease emotional distress, and bring balance and meaning to your current situation. Being a therapist of color has equipped me to be sensitive, open and authentic to issues such as privilege, classism, oppression, racism, as they may relate to emotional pain and suffering. I believe that each person develops unique coping skills to deal with life’s stresses.
I'm trained in Evidenced Based Models like Cognitive Behavioral Therapy (CBT), Dialectical Behavioral Therapy ( DBT), and Emotional Freedom Technique (Tapping).
Life is full of transitions, expected and unexpected, and this can be hard on individuals and families as a whole. As a Licensed Marriage and Family Therapist, I seek to help you cope, decrease emotional distress, and bring balance and meaning to your current situation. Being a therapist of color has equipped me to be sensitive, open and authentic to issues such as privilege, classism, oppression, racism, as they may relate to emotional pain and suffering. I believe that each person develops unique coping skills to deal with life’s stresses.
(218) 217-0745 View (218) 217-0745
Photo of Nadya Kosanovskaya, MA LMFT, SUDP, CMHS, Marriage & Family Therapist
Nadya Kosanovskaya
Marriage & Family Therapist, MA LMFT, SUDP, CMHS
Verified Verified
4 Endorsed
Port Orchard, WA 98366
I am certified in Evidence-Based Therapy: DBT, TF-CBT+, MI, Trauma Work, DV, PTSD and Children's Therapy.
I am a Master’s level Licensed Marriage and Family Therapy (LMFT) and co-occurring disorders therapist, who is trained in Family Systems and Substance Use/Dependency (SUDP) with the background in Human Biochemistry. I practice with a Holistic view and will focus on your overall well-being and not only emotional and mental health. My specialties are anxiety, depression, low self-esteem, insecurities and stress management. I support my clients and families on a level that is approachable, sensitive & humane, working with employees from; Google, Microsoft, FaceBook, AMZ, Boeing, Starbucks + others. Video sessions or in person meetings.
I am certified in Evidence-Based Therapy: DBT, TF-CBT+, MI, Trauma Work, DV, PTSD and Children's Therapy.
I am a Master’s level Licensed Marriage and Family Therapy (LMFT) and co-occurring disorders therapist, who is trained in Family Systems and Substance Use/Dependency (SUDP) with the background in Human Biochemistry. I practice with a Holistic view and will focus on your overall well-being and not only emotional and mental health. My specialties are anxiety, depression, low self-esteem, insecurities and stress management. I support my clients and families on a level that is approachable, sensitive & humane, working with employees from; Google, Microsoft, FaceBook, AMZ, Boeing, Starbucks + others. Video sessions or in person meetings.
(253) 300-2889 View (253) 300-2889
Photo of Mar Galizio, MSW, LSWAIC, Clinical Social Work/Therapist
Mar Galizio
Clinical Social Work/Therapist, MSW, LSWAIC
Verified Verified
Burien, WA 98166  (Online Only)
I provide Dialectical Behavioral Therapy, in which I have extensive training by DBT Linehan Board-Certified clinicians, as well as Exposure and Response Prevention for OCD.
Do you feel overwhelmed by intense emotions or struggle to be connected to your life? You're not alone. Together we can work to build the skills you need to live a life that fits within your values. Being emotionally sensitive myself, I understand the difficulties many of us face when we feel things deeply. My mission as your therapist will be to support you in cherishing this aspect of yourself, while we work on any negative impacts it might have on your life. My specialty is working with adults and older teens with difficulty regulating emotion, as well as anxiety, depression, complex trauma, eating disorders, and mood disorders.
I provide Dialectical Behavioral Therapy, in which I have extensive training by DBT Linehan Board-Certified clinicians, as well as Exposure and Response Prevention for OCD.
Do you feel overwhelmed by intense emotions or struggle to be connected to your life? You're not alone. Together we can work to build the skills you need to live a life that fits within your values. Being emotionally sensitive myself, I understand the difficulties many of us face when we feel things deeply. My mission as your therapist will be to support you in cherishing this aspect of yourself, while we work on any negative impacts it might have on your life. My specialty is working with adults and older teens with difficulty regulating emotion, as well as anxiety, depression, complex trauma, eating disorders, and mood disorders.
(440) 597-2381 View (440) 597-2381
Photo of Devyna Aguon, MSW, LICSW, Clinical Social Work/Therapist
Devyna Aguon
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
Tukwila, WA 98168  (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 Em Rose - Traverse Therapy Services, LSWAIC, Clinical Social Work/Therapist
Traverse Therapy Services
Clinical Social Work/Therapist, LSWAIC
Verified Verified
Tukwila, WA 98188
I offer CBT and DBT while also integrating non-Western approaches to psychotherapy.
I am accepting new clients! My name is Em Rose (they/them). As a queer, trans, multiracial therapist, I bring an intersectional perspective to my practice. I am dedicated to providing affirming and inclusive therapy for teens and adults who experience depression, anxiety, the impacts of trauma, and the complexities of queer and trans identities.
I offer CBT and DBT while also integrating non-Western approaches to psychotherapy.
I am accepting new clients! My name is Em Rose (they/them). As a queer, trans, multiracial therapist, I bring an intersectional perspective to my practice. I am dedicated to providing affirming and inclusive therapy for teens and adults who experience depression, anxiety, the impacts of trauma, and the complexities of queer and trans identities.
(253) 676-9047 View (253) 676-9047
Photo of Jennifer Buchman, PhD, Psychologist
Jennifer Buchman
Psychologist, PhD
Verified Verified
2 Endorsed
Seattle, WA 98126
I have extensive training in evidenced-based approaches such as Acceptance and Commitment Therapy, Cognitive Behavioral Therapy, Dialectical Behavior Therapy, and trauma-focused treatments (CPT, PE).
I am a licensed clinical psychologist with over 10 years of experience providing individual and group therapy services. I begin the therapeutic process with a discussion of your current symptoms and challenges, your strengths, goals, life experiences, and aspects of your identity that help us better understand your unique circumstances. We then collaboratively develop treatment goals and an individualized plan to help you meet your goals. Ultimately, I aim to help you feel confident in your ability to navigate stressors, regulate emotions, and feel strongly connected to your values.
I have extensive training in evidenced-based approaches such as Acceptance and Commitment Therapy, Cognitive Behavioral Therapy, Dialectical Behavior Therapy, and trauma-focused treatments (CPT, PE).
I am a licensed clinical psychologist with over 10 years of experience providing individual and group therapy services. I begin the therapeutic process with a discussion of your current symptoms and challenges, your strengths, goals, life experiences, and aspects of your identity that help us better understand your unique circumstances. We then collaboratively develop treatment goals and an individualized plan to help you meet your goals. Ultimately, I aim to help you feel confident in your ability to navigate stressors, regulate emotions, and feel strongly connected to your values.
(206) 875-2456 View (206) 875-2456
Photo of Eddie Medina, MEd, LMHCA, SUDP, Counselor
Eddie Medina
Counselor, MEd, LMHCA, SUDP
Verified Verified
1 Endorsed
Tukwila, WA 98188
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 Mimi Ogasawara, MA, LMHC, CMHS, Counselor
Mimi Ogasawara
Counselor, MA, LMHC, CMHS
Verified Verified
Tukwila, WA 98188
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 Markie Mitchell, LICSW, MHP , Clinical Social Work/Therapist
Markie Mitchell
Clinical Social Work/Therapist, LICSW, MHP
Verified Verified
2 Endorsed
Federal Way, WA 98023  (Online Only)
I am a Licensed Clinical Social Worker specializing in therapy with children, youth, families, and adults across all stages of life. I can assist you in meeting personalized goals to achieve the best version of yourself at a pace that feels appropriate and healthy. I seek to understand how each individual lives in a complex system and holds unique experiences and try to tailor therapy accordingly to each person. Modalities used include Cognitive Behavioral Therapy, Dialectical Behavioral Therapy, Solution Focused, Family Systems, Meditation/Mindfulness, Trauma Informed Care and more.
I am a Licensed Clinical Social Worker specializing in therapy with children, youth, families, and adults across all stages of life. I can assist you in meeting personalized goals to achieve the best version of yourself at a pace that feels appropriate and healthy. I seek to understand how each individual lives in a complex system and holds unique experiences and try to tailor therapy accordingly to each person. Modalities used include Cognitive Behavioral Therapy, Dialectical Behavioral Therapy, Solution Focused, Family Systems, Meditation/Mindfulness, Trauma Informed Care and more.
(253) 465-9644 View (253) 465-9644
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.