Healing Approaches Explained

Dialectical Behavioral Therapy (DBT)

DBT is a skills-based therapy to give people the tools needed to become more mindful and aware of oneself both internally and externally in the world. It reduces emotional vulnerability and increases emotional stability, helping people navigate stressful situations in a healthier way. DBT also helps people build and maintain healthy relationships.

What is Dialectical Behavioral Therapy (DBT)?

  • Definition:
    • DBT is an evidence-based psychotherapy treatment focused on using easy-to-access skills to help practice mindfulness, regulate emotions, de-escalate crisis and high-risk behaviors, and support healthy relationships. 
    • “Dialectical” means combining opposite ideas. DBT focuses on helping people accept the reality of their lives and their behaviors, as well as helping them learn to change their lives, including their unhelpful behaviors.
  • How it Works:
    • In DBT-informed environments sessions include clients being taught healthy coping skills within the four modules of DBT (see below).
    • Clients are encouraged to use and practice these skills in between sessions while NOT in crisis so that they are more easily accessible when one is in crisis. 
    • The usage, or lack of usage, of these skills are then explored and discussed in sessions to help a client integrate them into their day to day life.
  • Focus:
    • Skills are taught in the following four modules:
    1. Mindfulness: Paying attention to the present moment without judgment.
    2. Emotional Regulation: Understanding and managing intense emotions.
    3. Distress Tolerance: Coping with difficult situations and reducing self-harm.
    4. Interpersonal Effectiveness: Improving relationships and assertiveness. 

What Does DBT Treat and What Are the Benefits?

  • Conditions Treated:
    • Self-harm
    • Suicidal Behavior
    • Post-Traumatic Stress Disorder
    • Anxiety
    • Depression
    • Borderline Personality Disorder
    • Substance Abuse Disorders
  • Benefits:
    • Builds more awareness of self and the thoughts and feelings that drive behavior.
    • Reduces impulsive risky behaviors such as self-harm, substance misuse, lashing out physically or verbally against others, etc. 
    • Helps people live a “life worth living” by having goals, focusing on one’s own values, overcoming challenges, having self-compassion, etc. 

Who is DBT Appropriate For?

  • Well Suited For:
    • Adolescents, young adults and adults.
    • Individuals experiencing stress, anxiety, depression, trauma, or low self-esteem.
  • Ideal for:
    • Those willing to actively participate in sessions and practice skills between appointments.
    • People who prefer a structured, goal-focused therapeutic approach.

Mind Body Therapy Collective Practitioners

Tonya Swartzendruber, LPC, LMHC

Tonya is a professional counselor, licensed in New York and New Jersey. Tonya draws from over a decade of experience treating OCD, anxiety, body focused repetitive behaviors and related problems. She brings expertise in acceptance and commitment therapy, cognitive behavior therapy, and the integration of exposure and response prevention. Tonya’s approach is warm, collaborative, and goal directed.

Tessa Vining

Tessa Vining, LCSW, LCADC, CCS

Tessa is co-founder of the Mind Body Therapy Collective and in the past 10 years, she has integrated innovative therapeutic approaches such as CBT, DBT, mindfulness, and EMDR, among others, to help her clients achieve meaningful change.

Join our Community!

Sign up for the latest news from the Mind Body Therapy Collective and get our FREE guide on how to calm your nervous system.