Dialectical Behavior (DBT) Treatment Centers in Raleigh, NC
Located in Raleigh, NC, Green Hill is an academic and career-oriented program that offers transitional living and intensive outpatient (IOP) services. Green Hill provides structured sober living, academic and college admissions counseling, career counseling, experiential and holistic therapy as well as intensive outpatient (IOP) clinical services to young adults who are dealing with substance use disorder and other co-occurring disorders. Green Hill focuses on helping 18-30 year old clients develop the skills needed to maintain healthy sobriety and lead successful lives. Our clients' clinical work is complemented by weekly meetings with our Academic and Career Team who assist with college admissions, academic advising, and career counseling. Families participate in weekly family programming and quarterly family weekends. To learn more about Green Hill Recovery, visit www.greenhillrecovery.com.
Located in Raleigh, NC, Green Hill is an academic and career-oriented program that offers transitional living and intensive outpatient (IOP) services. Green Hill provides structured sober living, academic and college admissions counseling, career counseling, experiential and holistic therapy as well as intensive outpatient (IOP) clinical services to young adults who are dealing with substance use disorder and other co-occurring disorders. Green Hill focuses on helping 18-30 year old clients develop the skills needed to maintain healthy sobriety and lead successful lives. Our clients' clinical work is complemented by weekly meetings with our Academic and Career Team who assist with college admissions, academic advising, and career counseling. Families participate in weekly family programming and quarterly family weekends. To learn more about Green Hill Recovery, visit www.greenhillrecovery.com.
Life circumstance, opportunity, experience, early relationships... All of these often plan into which parts of you get the most attention and which parts lie dominate, waiting to be rediscovered. Whatever your needs may be, we are here to offer objective, non-judgmental and clinical support. Our team is committed to your wellness & we feel tremendously grateful to walk alongside you during this part of your journey.
Life circumstance, opportunity, experience, early relationships... All of these often plan into which parts of you get the most attention and which parts lie dominate, waiting to be rediscovered. Whatever your needs may be, we are here to offer objective, non-judgmental and clinical support. Our team is committed to your wellness & we feel tremendously grateful to walk alongside you during this part of your journey.
In-person and virtual programming offered! The Pines at Holly Hill Adult (18+) and Adolescent (13-17 years old) Outpatient offers two programs: Partial Hospitalization (Mon-Fri from 8:45am-2:00pm) and Intensive Outpatient: (Mon-Wed-Fri from 8:45am-12:00pm). Led by our Director of Outpatient and staffed with a team of medical professionals (Psychiatrists, Therapists and Registered Nurse), each program uses elements of evidence-based practice such as Motivational Interviewing, Dialectical Behavioral Therapy (DBT) and Cognitive Behavioral Therapy (CBT) to help patients in need of more supportive treatment. The Pines patients receive medication management while participating in skills-based groups, mindfulness and meditation and expressive arts therapy. Contact us today to speak to a clinician. We are here to help!
In-person and virtual programming offered! The Pines at Holly Hill Adult (18+) and Adolescent (13-17 years old) Outpatient offers two programs: Partial Hospitalization (Mon-Fri from 8:45am-2:00pm) and Intensive Outpatient: (Mon-Wed-Fri from 8:45am-12:00pm). Led by our Director of Outpatient and staffed with a team of medical professionals (Psychiatrists, Therapists and Registered Nurse), each program uses elements of evidence-based practice such as Motivational Interviewing, Dialectical Behavioral Therapy (DBT) and Cognitive Behavioral Therapy (CBT) to help patients in need of more supportive treatment. The Pines patients receive medication management while participating in skills-based groups, mindfulness and meditation and expressive arts therapy. Contact us today to speak to a clinician. We are here to help!
Carolina House, located in Durham, North Carolina, provides residential eating disorder treatment for people who are struggling with anorexia, bulimia, and other eating disorders. We also offer comprehensive treatment for people who have co-occurring mental health concerns. The goal of our residential treatment program is to help people find healing and lasting freedom from the burdens of eating disorders. The average length of stay at this level of care is 30-60 days, but each person’s actual length of stay depends on their unique needs. Treatment at our facility incorporates a number of therapies, including dialectical behavior therapy (DBT), exposure and response prevention (ERP), motivational interviewing (MI), and cognitive behavioral therapy (CBT). While in treatment, clients can also benefit from medical care, medication management services, and individual, group, family, and experiential therapies.
Carolina House, located in Durham, North Carolina, provides residential eating disorder treatment for people who are struggling with anorexia, bulimia, and other eating disorders. We also offer comprehensive treatment for people who have co-occurring mental health concerns. The goal of our residential treatment program is to help people find healing and lasting freedom from the burdens of eating disorders. The average length of stay at this level of care is 30-60 days, but each person’s actual length of stay depends on their unique needs. Treatment at our facility incorporates a number of therapies, including dialectical behavior therapy (DBT), exposure and response prevention (ERP), motivational interviewing (MI), and cognitive behavioral therapy (CBT). While in treatment, clients can also benefit from medical care, medication management services, and individual, group, family, and experiential therapies.
Do you want to transform your life? Do you find that you just can’t let go of your thoughts, feelings, or behaviors? Wouldn’t you like to just put it all behind you and move on to living a happier and fuller life? We work with adults, children, and adolescents who are struggling with anxiety, depression, anger, grief and loss, PTSD, trauma, behavioral challenges, stress, and much more. We have the clinical expertise to help you heal from trauma. Trauma can be caused by bullying, all forms of discrimination, relationship issues, betrayal, divorce, death, illness, childhood abuse, domestic violence, sexual assault, military combat, violent crime, motor vehicle accident, LGBTQ struggles, and so much more. We can help you figure out what would be the best path towards healing.
Do you want to transform your life? Do you find that you just can’t let go of your thoughts, feelings, or behaviors? Wouldn’t you like to just put it all behind you and move on to living a happier and fuller life? We work with adults, children, and adolescents who are struggling with anxiety, depression, anger, grief and loss, PTSD, trauma, behavioral challenges, stress, and much more. We have the clinical expertise to help you heal from trauma. Trauma can be caused by bullying, all forms of discrimination, relationship issues, betrayal, divorce, death, illness, childhood abuse, domestic violence, sexual assault, military combat, violent crime, motor vehicle accident, LGBTQ struggles, and so much more. We can help you figure out what would be the best path towards healing.
Finding it difficult to cope with day-to-day stressors is a common experience. Maybe it seems as though your emotions are difficult to control or that your emotions are controlling your life. Perhaps you cannot seem to move beyond anxiety or depression no matter how hard you try. For some, interpersonal difficulties seem to be a problem. You may find it difficult to get along with others, or, you would like more meaningful relationships, but aren't quite sure how to go about connecting with others.
Finding it difficult to cope with day-to-day stressors is a common experience. Maybe it seems as though your emotions are difficult to control or that your emotions are controlling your life. Perhaps you cannot seem to move beyond anxiety or depression no matter how hard you try. For some, interpersonal difficulties seem to be a problem. You may find it difficult to get along with others, or, you would like more meaningful relationships, but aren't quite sure how to go about connecting with others.
Our adolescent partial hospitalization program (PHP) and intensive outpatient program (IOP) are designed to be less restrictive, yet intensive treatment services offered to teens (ages 13-18) experiencing significant and serious mental and/or emotional issues. Usually our patients are struggling with suicidal ideation, past suicide attempts, school refusal, social anxiety, intense anxiety and depression symptoms, ADHD, and other co-occurring mental health disorders that inhibit them from being able to engage effectively in multiple areas of their lives. Our clinicians are LGBTQIA+ affirming and familiar with navigating the challenges of engaging teens in their own mental healthcare.
Our adolescent partial hospitalization program (PHP) and intensive outpatient program (IOP) are designed to be less restrictive, yet intensive treatment services offered to teens (ages 13-18) experiencing significant and serious mental and/or emotional issues. Usually our patients are struggling with suicidal ideation, past suicide attempts, school refusal, social anxiety, intense anxiety and depression symptoms, ADHD, and other co-occurring mental health disorders that inhibit them from being able to engage effectively in multiple areas of their lives. Our clinicians are LGBTQIA+ affirming and familiar with navigating the challenges of engaging teens in their own mental healthcare.
Evolve offers the highest caliber of evidenced-based care in the nation for children and adolescents 12-17 who are struggling with mental health, substance use, and dual-diagnosis issues. We specialize in children and teens battling depression, anxiety, trauma, high-risk/self-harm behaviors, ADHD, addiction, suicidal ideation, and other emotional/behavioral issues. Our approach emphasizes Dialectical Behavior Therapy (DBT) and Cognitive Behavior Therapy (CBT), along with other evidence-based modalities such as Seeking Safety (Trauma), Relapse Prevention, Behavioral Activation, Motivational Interviewing, Mindfulness-Based Cognitive Therapy and 12-Step support programs. Our residential program includes individual, family, and group therapy, psychiatry, experiential therapies (e.g. equine, surf, art, music, drama, yoga, etc.) and coaching. For out-of-state families, we offer family therapy via HIPAA-compliant video conferencing. We also provide daily academic support to keep children and teens on track with school. Our comfortable home setting, combined with our individualized attention, makes us the leading residential treatment center for adolescents in America.
Evolve offers the highest caliber of evidenced-based care in the nation for children and adolescents 12-17 who are struggling with mental health, substance use, and dual-diagnosis issues. We specialize in children and teens battling depression, anxiety, trauma, high-risk/self-harm behaviors, ADHD, addiction, suicidal ideation, and other emotional/behavioral issues. Our approach emphasizes Dialectical Behavior Therapy (DBT) and Cognitive Behavior Therapy (CBT), along with other evidence-based modalities such as Seeking Safety (Trauma), Relapse Prevention, Behavioral Activation, Motivational Interviewing, Mindfulness-Based Cognitive Therapy and 12-Step support programs. Our residential program includes individual, family, and group therapy, psychiatry, experiential therapies (e.g. equine, surf, art, music, drama, yoga, etc.) and coaching. For out-of-state families, we offer family therapy via HIPAA-compliant video conferencing. We also provide daily academic support to keep children and teens on track with school. Our comfortable home setting, combined with our individualized attention, makes us the leading residential treatment center for adolescents in America.
We provide inclusive and affirming in-person psychotherapy and counseling services to children, adults, couples and families in our locations in Durham & Raleigh, and telehealth therapy services to anyone in North Carolina who wish to heal and grow into their best life. We treat a wide range of conditions including depression, post traumatic stress disorders, anxiety disorders, OCD, prolonged grief, eating disorders, interpersonal and relationship distress, anger problems, non-suicidal self injury, adjustment problems, and addictive disorders in individual, couple, family and group formats. Our providers are supported to focus on what matters most in therapy and counseling: a trusting, empathetic, collaborative relationship that delivers scientifically supported treatments tailored to client goals and needs.
We provide inclusive and affirming in-person psychotherapy and counseling services to children, adults, couples and families in our locations in Durham & Raleigh, and telehealth therapy services to anyone in North Carolina who wish to heal and grow into their best life. We treat a wide range of conditions including depression, post traumatic stress disorders, anxiety disorders, OCD, prolonged grief, eating disorders, interpersonal and relationship distress, anger problems, non-suicidal self injury, adjustment problems, and addictive disorders in individual, couple, family and group formats. Our providers are supported to focus on what matters most in therapy and counseling: a trusting, empathetic, collaborative relationship that delivers scientifically supported treatments tailored to client goals and needs.
Hillside® is a nationally recognized treatment facility for children and adolescents specializing in Dialectical Behavior Therapy (DBT.) Hillside ® is the first child and adolescent residential treatment facility awarded the highly coveted and professionally respected DBT-Linehan Board of Certification, Certified Program(tm) (dbt-lbc.org). As one of Atlanta's oldest non-profit organization, our mission is to help children and families thrive by providing outstanding residential and community mental health services. Our programs focus on the strengths of our clients and their families and encourage the growth and improvement they need to navigate through life. Hillside® provides specialized cutting edge behavioral treatment through a continuum of care from outpatient therapeutic services to residential treatment with a multidisciplinary team of experts.
Hillside® is a nationally recognized treatment facility for children and adolescents specializing in Dialectical Behavior Therapy (DBT.) Hillside ® is the first child and adolescent residential treatment facility awarded the highly coveted and professionally respected DBT-Linehan Board of Certification, Certified Program(tm) (dbt-lbc.org). As one of Atlanta's oldest non-profit organization, our mission is to help children and families thrive by providing outstanding residential and community mental health services. Our programs focus on the strengths of our clients and their families and encourage the growth and improvement they need to navigate through life. Hillside® provides specialized cutting edge behavioral treatment through a continuum of care from outpatient therapeutic services to residential treatment with a multidisciplinary team of experts.
New Waters Recovery offers medically and clinically sophisticated inpatient medical detox services for clients struggling with substance use disorders (alcohol or other substances).
New Waters Recovery offers medically and clinically sophisticated inpatient medical detox services for clients struggling with substance use disorders (alcohol or other substances).
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The one thing we all have in common is that we want to be happy. Life's struggles can make it hard for us to feel safe, empowered, and fully ourselves. Happiness can feel out of reach. How do we get so far from our truest, best self? Trauma, depression, anxiety, substance use, anger, and shame are all signs that point to a deeper root - the pain of disconnection. When we don't feel seen, don't feel understood, and don't feel supported, how can we ever hope to feel fully alive?
The one thing we all have in common is that we want to be happy. Life's struggles can make it hard for us to feel safe, empowered, and fully ourselves. Happiness can feel out of reach. How do we get so far from our truest, best self? Trauma, depression, anxiety, substance use, anger, and shame are all signs that point to a deeper root - the pain of disconnection. When we don't feel seen, don't feel understood, and don't feel supported, how can we ever hope to feel fully alive?
Fernandez Community Center offers a range of services including Outpatient Behavioral Health Treatment, Psychiatric Evaluation, Medication Management, Telepsychiatry, Substance Abuse Treatment, Opioid Treatment, and Tailored Care Management. Our mission is to enhance the quality of mental health and substance abuse services by combating stigma and safeguarding the rights of individuals facing mental illness and substance abuse. We are dedicated to fostering therapeutic systems that enhance overall quality of life. Our team strives to create a welcoming and comfortable environment for our clients. Key Staff: Director - Yanet Fernandez Cerda, PhD, LCMHCS, LCAS, RPT; Psychiatrist - Dr. Eric Mizelle.
Fernandez Community Center offers a range of services including Outpatient Behavioral Health Treatment, Psychiatric Evaluation, Medication Management, Telepsychiatry, Substance Abuse Treatment, Opioid Treatment, and Tailored Care Management. Our mission is to enhance the quality of mental health and substance abuse services by combating stigma and safeguarding the rights of individuals facing mental illness and substance abuse. We are dedicated to fostering therapeutic systems that enhance overall quality of life. Our team strives to create a welcoming and comfortable environment for our clients. Key Staff: Director - Yanet Fernandez Cerda, PhD, LCMHCS, LCAS, RPT; Psychiatrist - Dr. Eric Mizelle.
Triangle Springs is a leading provider of high-quality behavioral healthcare services. Our engaged and mission-driven team is dedicated to Changing People's Lives through a patient-centric approach to delivering superior outcomes. Our state-of-the-art facilities provide quality, compassionate treatment of mental illness and addiction, offering a broad scope of inpatient and outpatient services for our diverse patient population in Raleigh, NC.
Triangle Springs is a leading provider of high-quality behavioral healthcare services. Our engaged and mission-driven team is dedicated to Changing People's Lives through a patient-centric approach to delivering superior outcomes. Our state-of-the-art facilities provide quality, compassionate treatment of mental illness and addiction, offering a broad scope of inpatient and outpatient services for our diverse patient population in Raleigh, NC.
Like many professionals with successful careers, our founder managed to build a thriving business in spite of being a full-fledged alcoholic. The day finally came for him to face the music and it was a turning point in his life for which he is profoundly grateful. As a result, Welwynn services only executives and professionals who struggle with mental health or alcohol and drug addictions, allowing them to get help in a setting with people to whom they most closely align. His belief is that by coupling the professional peer component with the outpatient element will make a difficult circumstance just a little more palatable and accessible; in the end, leading to a better path for recovery.
Like many professionals with successful careers, our founder managed to build a thriving business in spite of being a full-fledged alcoholic. The day finally came for him to face the music and it was a turning point in his life for which he is profoundly grateful. As a result, Welwynn services only executives and professionals who struggle with mental health or alcohol and drug addictions, allowing them to get help in a setting with people to whom they most closely align. His belief is that by coupling the professional peer component with the outpatient element will make a difficult circumstance just a little more palatable and accessible; in the end, leading to a better path for recovery.
Certus is Latin for determined. At Certus Psychiatric & Integrated Care in Raleigh, we are determined to help our patients emotionally and physically to achieve balance by being active participants in their own care. At Certus, we are a "stigma-free zone." You can come to us with peace of mind in knowing no one will stand in judgment of you. Our primary objectives are to evaluate your symptoms and develop strategies to help put you on a path to recovery and wellness.
Certus is Latin for determined. At Certus Psychiatric & Integrated Care in Raleigh, we are determined to help our patients emotionally and physically to achieve balance by being active participants in their own care. At Certus, we are a "stigma-free zone." You can come to us with peace of mind in knowing no one will stand in judgment of you. Our primary objectives are to evaluate your symptoms and develop strategies to help put you on a path to recovery and wellness.
Pasadena Villa, one of America's premier residential psychiatric treatment providers for adults with complex psychiatric disorders, has now opened an outpatient center offering Partial Hospitalization and Intensive Outpatient programs. As recognized visionaries in mental health treatment and transitional living services, we offer compassionate, comprehensive, individualized psychiatric and psychotherapeutic care. Pasadena Villa Outpatient Centers specialize in treating adults (18 years or older) who struggle with various mental illnesses including, but not limited to depression, anxiety, and bipolar disorder. Our treatment programs provide a supportive environment to discover ways to recognize and manage psychiatric symptoms. We place a strong emphasis on building and practicing new self-management strategies, in real-time to promote independence and autonomy.
Pasadena Villa, one of America's premier residential psychiatric treatment providers for adults with complex psychiatric disorders, has now opened an outpatient center offering Partial Hospitalization and Intensive Outpatient programs. As recognized visionaries in mental health treatment and transitional living services, we offer compassionate, comprehensive, individualized psychiatric and psychotherapeutic care. Pasadena Villa Outpatient Centers specialize in treating adults (18 years or older) who struggle with various mental illnesses including, but not limited to depression, anxiety, and bipolar disorder. Our treatment programs provide a supportive environment to discover ways to recognize and manage psychiatric symptoms. We place a strong emphasis on building and practicing new self-management strategies, in real-time to promote independence and autonomy.
Village Behavioral Health - Adolescent Residential
Treatment Center
Not Verified Not Verified
Raleigh, NC 27610
Adolescents’ bodies and brains are still developing, so when young people struggle with addictions, they can be negatively impacted in unique ways. Adolescents who have substance use disorders can experience impaired brain development, academic problems, and struggles with interpersonal relationships. They can also be at risk for developing mental health concerns. At Village Behavioral Health, we believe that addressing mental health concerns and addictions together through dual diagnosis treatment can lead to the most optimal results for young people. We offer three dual diagnosis programs that are organized by gender and age group. Our Nova Program serves youths ages 10-12 of all genders who are suffering from mental health concerns and co-occurring addictions. We also have residential programs for teen girls and boys ages 13-17 who need dual diagnosis treatment.
Adolescents’ bodies and brains are still developing, so when young people struggle with addictions, they can be negatively impacted in unique ways. Adolescents who have substance use disorders can experience impaired brain development, academic problems, and struggles with interpersonal relationships. They can also be at risk for developing mental health concerns. At Village Behavioral Health, we believe that addressing mental health concerns and addictions together through dual diagnosis treatment can lead to the most optimal results for young people. We offer three dual diagnosis programs that are organized by gender and age group. Our Nova Program serves youths ages 10-12 of all genders who are suffering from mental health concerns and co-occurring addictions. We also have residential programs for teen girls and boys ages 13-17 who need dual diagnosis treatment.
The Refuge A Healing Place - Detox Program
Treatment Center
Not Verified Not Verified
Raleigh, NC 27604
The Refuge, A Healing Place, located in Ocklawaha, Florida, offers a detoxification program for adults age 18 and older who are struggling with addictions to alcohol, opioids, prescription drugs, and other substances. Sometimes, people turn to drugs or alcohol as a way to cope with stress, the effects of trauma, or difficult life circumstances. Unfortunately, this can lead to addictions and increased tolerance as people require more of the substance to achieve the same outcomes. When someone suddenly stops using a substance, they may experience a range of uncomfortable, painful, or dangerous effects. It's crucial for individuals in this situation to seek support from qualified medical professionals who can help them manage their withdrawal symptoms safely. Clients typically participate in our detox program for three to seven days before transitioning to our residential treatment program. However, a client’s individual progress, needs, and goals determine their actual length of stay.
The Refuge, A Healing Place, located in Ocklawaha, Florida, offers a detoxification program for adults age 18 and older who are struggling with addictions to alcohol, opioids, prescription drugs, and other substances. Sometimes, people turn to drugs or alcohol as a way to cope with stress, the effects of trauma, or difficult life circumstances. Unfortunately, this can lead to addictions and increased tolerance as people require more of the substance to achieve the same outcomes. When someone suddenly stops using a substance, they may experience a range of uncomfortable, painful, or dangerous effects. It's crucial for individuals in this situation to seek support from qualified medical professionals who can help them manage their withdrawal symptoms safely. Clients typically participate in our detox program for three to seven days before transitioning to our residential treatment program. However, a client’s individual progress, needs, and goals determine their actual length of stay.
Crest View Recovery Center is Asheville's Premier Drug & Alcohol Treatment Center. At CVRC we offer multiple levels of addiction & alcoholism treatment programs, each tailored to the clients' specific issues and needs. All of our programs are designed to help you gain insight into the disease of addiction while acquiring the life skills needed to sustain long-term recovery. CVRC's professional, experienced, and caring staff develops individualized treatment plans for each patient. Therapies that will help every individual learn to manage their behavioral health problems. The path to sobriety requires patience and dedication on behalf of the addict and their family. The decision to enter rehab is an important one, and we at CVRC understand and respect that.Our drug rehab program focuses on changing the patterns and daily habits that naturally develop when a loved one is addicted to drugs. Our therapists will also address the underlying psychological issues that may have caused the drug abuse in the first place. Clients will receive individual and necessary therapeutic attention while working on and replacing bad habits with good ones, and creating a healthy lifestyle.
Crest View Recovery Center is Asheville's Premier Drug & Alcohol Treatment Center. At CVRC we offer multiple levels of addiction & alcoholism treatment programs, each tailored to the clients' specific issues and needs. All of our programs are designed to help you gain insight into the disease of addiction while acquiring the life skills needed to sustain long-term recovery. CVRC's professional, experienced, and caring staff develops individualized treatment plans for each patient. Therapies that will help every individual learn to manage their behavioral health problems. The path to sobriety requires patience and dedication on behalf of the addict and their family. The decision to enter rehab is an important one, and we at CVRC understand and respect that.Our drug rehab program focuses on changing the patterns and daily habits that naturally develop when a loved one is addicted to drugs. Our therapists will also address the underlying psychological issues that may have caused the drug abuse in the first place. Clients will receive individual and necessary therapeutic attention while working on and replacing bad habits with good ones, and creating a healthy lifestyle.
See more therapy options for Raleigh
Dialectical Behavior (DBT) Treatment Centers
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.