DBT Therapy: Skills, Benefits & How It Works

What It Is

Dialectical Behavior Therapy (DBT) is a comprehensive therapy that teaches four core skill sets: mindfulness, distress tolerance, emotion regulation, and interpersonal effectiveness. Originally developed for borderline personality disorder, it is now used for many conditions involving emotional dysregulation.

Who It Helps

DBT helps people who struggle with intense emotions, self-harm, suicidal thoughts, borderline personality disorder, eating disorders, substance abuse, and chronic emotional instability. It is especially effective for people who haven't responded well to other therapies.

What to Expect

DBT typically includes weekly individual therapy, weekly skills group, and phone coaching for crises. The skills group teaches practical techniques in a classroom-like setting. Full DBT programs last 6-12 months. You will learn concrete tools you can use immediately.

Cost Range

Typical Duration

6-12 months, weekly individual + group sessions

Frequently Asked Questions

What are the four DBT skills?

The four modules are: Mindfulness (present-moment awareness), Distress Tolerance (surviving crises without making things worse), Emotion Regulation (understanding and managing emotions), and Interpersonal Effectiveness (communicating needs and maintaining relationships).

How is DBT different from CBT?

DBT evolved from CBT but adds acceptance strategies alongside change strategies. DBT includes a skills group component and phone coaching. It is specifically designed for people with intense emotional responses.

How long does DBT take?

A full DBT program typically takes 6-12 months. The skills group cycles through all four modules in about 6 months. Many people continue individual therapy longer for deeper work.

Is DBT only for borderline personality disorder?

No, while DBT was developed for BPD, it is now used for eating disorders, substance abuse, depression, PTSD, and any condition involving emotional dysregulation.

How much does DBT cost?

Individual DBT sessions cost $150-$350. Skills groups cost $50-$100 per session. Full DBT programs can cost $200-$450 weekly. OpenMyPro helps you find affordable DBT therapists.

Related Resources