Dialectical Behavior Therapy – DBT

Dialectical Behavior Therapy (DBT) is an innovative treatment method developed specifically to treat challenging clients in a way that preserves the morale of the therapist and the client. Research findings suggest that DBT is successful in reducing acting-out behavior, self-injury, and inpatient treatment time.

While it has been successful in treating adults, The Center was a pioneer in developing DBT therapy specifically for adolescents. And it’s working. Studies now demonstrate DBT’s effectiveness for treating youth with dual-diagnosis (mental health and substance abuse) needs. We’re also pleased to serve as a model for other treatment programs looking to employ the practices of DBT for their adolescent clients.

The treatment itself is founded in a bio-social theory: that certain severe emotional disorders are a consequence of the biology of an emotionally vulnerable individual transacting with certain social or environmental circumstances that are “invalidating.”

The treatment is comprised of coaching and therapist consultation, as well as individual and group therapy. Coaching is done throughout the entire treatment process to help clients apply what they learn to daily, real-world situations. The group therapy modules include skills training in:

  • Core Mindfulness
  • Interpersonal Effectiveness
  • Emotion Regulation
  • Distress Tolerance
  • Middle Path

In addition to client groups, DBT principles and skills (specifically the Middle Path and Interpersonal Effectiveness skills) are taught in a multifamily group format each week.

Individual therapy is structured in stages, and a hierarchy of targets is defined at each stage. The techniques used in DBT are extensive and varied, addressing essentially every aspect of therapy.

The techniques also are underpinned by a philosophy that recommends a balanced, flexible and systematic approach. Techniques for achieving change are balanced by techniques of acceptance; problem solving is rooted in validation; confrontation is blended with understanding. Clients are able to understand their problem behaviors and learn how to manage situations more effectively, while the therapist maintains a posture grounded in compassionate assumptions about clients.

For more information about DBT, please visit: https://behavioraltech.org/resources/faqs/dialectical-behavior-therapy-dbt/

What our clients say

For the better, forever

The Center changed our lives for the better, forever. It was a team effort – and nothing short of a miracle. The hard work from the dedicated team of counselors at TCSI -- along with the hard work that my daughter and I did, sometimes reluctantly, but continuously -- has paid off in every aspect of our lives. We’ll remain forever grateful.

~ Parent of a 15 year old girl at time of treatment