Dialectical Behavior Therapy (DBT)

If you’re facing intense emotional pain, persistent feelings that have become overwhelming, or an inability to manage your reactions, finding the right kind of support is critical. Fortunately, Dialectical Behavior Therapy (DBT) has emerged as a powerful, evidence-based treatment for people navigating complex mental health challenges. This structured, compassionate approach is designed to help you develop the skills needed to manage emotions, improve relationships, and build a life worth living.

At River House Wellness, DBT is the foundation of our treatment programs, thoughtfully integrated into our holistic approach to care. By combining DBT with other supportive practices, we provide individuals with the tools to understand their emotions, face challenges with confidence, and experience lasting growth and healing.

What Is Dialectical Behavior Therapy?

Dialectical Behavior Therapy is a type of cognitive-behavioral therapy that focuses on two key aspects of recovery: acceptance and change. The word “dialectical” reflects the balance DBT seeks to achieve, and helps individuals accept their current emotions and circumstances while working toward meaningful change in their lives.

DBT was originally developed to treat borderline personality disorder (BPD), but its practical tools and strategies have since proven effective for a wide range of conditions. These include anxiety, depression, PTSD, and more. At its core, DBT is about learning to navigate intense emotions without becoming overwhelmed or resorting to harmful behaviors.

The therapy consists of four key skill areas, which are taught and practiced in both individual and group settings:

1. Mindfulness: Learning to be present in the moment, observing thoughts and feelings without judgment.
2. Distress Tolerance: Developing strategies to cope with pain and crises without turning to harmful behaviors.
3. Emotion Regulation: Understanding and managing emotions to feel more in control and less reactive.
4. Interpersonal Effectiveness: Building healthier relationships by improving communication, setting boundaries, and addressing conflict constructively.

DBT is a highly collaborative approach, with therapists providing a supportive and nonjudgmental environment while guiding clients through these practical tools. The therapy focuses on real-world application, and empowers individuals to use their skills in everyday situations to create meaningful and lasting change.