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Dialectical Behavior Therapy

What is DBT?

Dialectical Behavior Therapy (DBT) is an evidence based comprehensive treatment for individuals who struggle with emotional and behavioral dysregulation.
The DBT program serves individuals with severe mood disorders, PTSD, Borderline Personality Disorder, anger issues, relationship problems, addictions or who have suicidal/self-harming behaviors.

DBT is a skills-based program that replaces destructive behaviors with more effective responses (skills). Individuals are taught skills in a group setting that are then personalized in individual sessions to address specific needs. These skills are designed to decrease emotional suffering and increase positive coping. DBT promotes compassionate and non-judgmental ways of understanding emotional and behavioral issues. It promotes empowerment and recovery and demands hard work from both clients and clinicians involved in the program. 

You or your loved one might benefit from DBT if:

  • You feel empty inside or do not have a strong sense of who you are 

  • You have scattered, racing, or intrusive thoughts 

  • You have had conflict in your relationships and often feel “hot or cold” about people in your life 

  • Your mood drives your choices and your behaviors at times, or you feel out of control when you become emotional 

  • You have desperate, impulsive behaviors that lead you away from a happy future

Gender Affirming Care and DBT

Transgender, non-binary and gender non-conforming folx are at higher risk for suicide. This is understandable from a DBT perspective because chronic invalidation leads to suicidal ideation, and the world is often an extremely invalidating place for trans/non-binary/gender non-conforming folx. We have discovered in our practice that it’s easier for some clients to participate, discuss their struggles with invalidation and skills to cope with it in a group consisting of all transgender, non-binary and gender non-conforming folx. If you are transgender/non-binary/gender non-conforming, this group is catered toward your experience and is an option for you. There are transgender, non-binary and gender non-conforming folx in many of our DBT groups, so if you aren’t able to attend this DBT group you have other supportive options to consider.

Image by Alexander Grey

Bert Nash offers a full DBT program

The BNC DBT program includes:

  • DBT skills group (1 time weekly for 90 minutes) 

  • Individual therapy (weekly or bi-weekly depending on need) 

  • Phone coaching 

  • Medication management 

  • Peer Support 

  • Case management or crisis services as needed


How Long Does the DBT Process Take

Standard DBT lasts for approximately one year or as long as it takes for the client to learn and implement DBT skills, increase mental health stability and decrease behaviors that are inconsistent with a life worth living. Some clients may take more time in DBT depending on the level of severity or current acute stress they are experiencing. Treatment outcomes and length depend on a variety of issues but will be monitored and reviewed with the client at least every 90 days. We are committed to effective and efficient treatment, and our therapy team works in consultation with one another to provide the best possible evidence-based treatment for our clients. 

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