Dialectical Behavior Therapy (DBT)
Skills to manage intense emotions and build a life worth living.
What Is DBT?
Dialectical Behavior Therapy was originally developed to help people experiencing chronic suicidal thoughts and self-harm, and it has since become a leading treatment for anyone struggling with intense, hard-to-manage emotions. "Dialectical" refers to balancing two seemingly opposite ideas at once: accepting yourself exactly as you are, while also working to change. DBT blends CBT techniques with mindfulness and acceptance-based practices.
How It Works
DBT is organized around four skill areas:
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Mindfulness — staying grounded in the present moment
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Distress Tolerance — getting through crises without making things worse
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Emotion Regulation — understanding and managing intense feelings
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Interpersonal Effectiveness — communicating needs and maintaining relationships
Treatment often combines individual therapy with skills-based group sessions, and may include between-session phone coaching for real-time support during difficult moments.
Who DBT Helps
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Borderline Personality Disorder (BPD)
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Self-harm and suicidal ideation
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Chronic emotional dysregulation
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Substance use disorders
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Eating disorders
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PTSD
What to Expect
DBT is more structured and skills-focused than traditional talk therapy. You'll practice concrete techniques, track your emotions and behaviors, and build a toolkit you can rely on in moments of crisis or overwhelm.
