Dialectical Behavior Therapy in Washington

About Dialectical Behavior Therapy

Dialectical Behavior Therapy (DBT) is a structured, evidence-based therapy that integrates cognitive-behavioral techniques with mindfulness and acceptance strategies. It was originally developed for borderline personality disorder and is now widely used for emotional dysregulation, self-harm, eating disorders, and chronic suicidal ideation.

DBT is typically delivered through a combination of individual therapy, skills training groups, and phone coaching. The four core skill modules — mindfulness, distress tolerance, emotion regulation, and interpersonal effectiveness — provide practical tools for managing intense emotions and improving relationships.