
Dialectical Behavior Therapy (DBT) Clinic
DBT is an intensive treatment protocol and we urge clients to really understand what the treatment entails as entering the DBT clinic should be a thoughtful, well-informed decision. The research on DBT is that it is an exceptional, effective treatment protocol for severe psychopathology
(e.g., personality disorders) and for populations struggling with impulsive behaviors (e.g., suicide, self-harm, addiction).
In DBT, acceptance strategies are added to the behavioral change strategies in CBT through validation and accepting the client just as he or she is. We can observe that too much focus on change results in clients feeling misunderstood and that their suffering is invalid. Working with people with extreme emotional sensitivity requires careful attention to the balance between acceptance and change.
DBT requires a behavioral approach. This means that we assess the situations and target behaviors that are relevant to our clients’ goals in order to figure out how to solve the problems in their lives. Learn how DBT provides you a path to get the change that your clients so desperately need to see.
There are four modes of standard outpatient DBT: Individual psychotherapy, DBT Skills training, in-the-moment phone coaching, and DBT Consultation Teams for therapists. This is different than many other psychotherapies that consist of just one mode or aspect of treatment, such as individual therapy.
There are four skills set emphasized in DBT:
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Mindfulness: the practice of being fully aware and present in this one moment
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Distress Tolerance: how to tolerate pain in difficult situations, not change it
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Interpersonal Effectiveness: how to ask for what you want and say “no” while maintaining self-respect and relationships with others
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Emotion Regulation: how to change emotions that you want to change

Does this sound like you or a loved one?
Emotions feel out of control
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Emotions just feel overly intense
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I just feel out of control at times
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When I get emotional, I get tunnel vision
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I struggle to calm myself down
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There is an urgency in my body when I get emotional, like I am going to explode
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When I get emotional, I sometimes lost track of my values and just react
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Little things just upset me and people have said that I am " too sensitive"
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I feel empty and struggle to know who I am
Hard to control behaviors
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I've engaged in self-harm or suicidal behaviors because things just felt so out of control or I feel so much despair
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I get into really intense relationships that just sometimes end suddenly
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I find myself exploding at my love ones or sometimes even strangers
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I do reckless things like driving fast, overspending, having unsafe sex, or disordered eating, or drug use.
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I don't seem to know how to behave sometimes
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I find myself just doing what others people do just to fit in
Thoughts are confusing
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I find myself thinking I am worthless, unlovable, inherently flawed, or broken.
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I find myself thinking about how I can't do anything right.
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I think that people will abandon me
- I find myself thinking how people will always leave me or no one wants me
- I find myself jumping to conclusions
- I feel detached from other and reality at times
- I think my loved ones would be better off without me
- I see things in black and white
- Sometimes I think people are out to get me
Unclear who I am
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I feel like a chameleon sometimes
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I struggle to identify clear values or directions for myself
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I find myself looking for validation and approval from people and struggle to make decisions without others' approval
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It's hard for me to have others disagree with me without me then questioning myself
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I will adopt other people's ideas or beliefs so they wont' reject me or I worry about how others will judge me if I share my opinion
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I don't really know who I am
at times


