Care without the wait

175 licensed therapists & providers in Texas—14 in Houston. Available as soon as today, in person and online

Therapy for every life stage

Our providers work with individuals, couples, families, & teens for anxiety, depression, grief, & more

#1 for in-network coverage †

We accept UnitedHealthcare, Cigna, BCBS Plans, Humana, Aetna, & many more. Self-pay options available, no membership fees

Patients who get better

94% of patients feel truly understood by their provider. 3 out of 4 see improvement in depression & anxiety symptoms within 3 months

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7,295 people sought dialectical behavior therapy (DBT) help in Texas in the last year

Discover how starting dialectical behavior therapy (DBT) therapy can support your own journey toward a happier, more fulfilling life.

Start DBT with a licensed therapist as soon as this week

Houston, TX

With experience caring for adolescents and adults across diverse backgrounds, I believe that healing begins with a strong therapeu...

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Houston, TX

Compassionate Mental Health Care Rooted in Listening, Understanding, and Partnership...

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Houston, TX

Sometimes you just need a break from doing ALL. THE. THINGS. If you’re the type of person that feels like you're drowning and gets...

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Houston, TX

As a military veteran, I have experienced many challenges that give me a true understanding of how trauma affects the mind and bes...

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Houston, TX

In our first session, I will introduce myself, listen to your concerns, evaluate your needs, and develop a diagnosis and an indivi...

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Houston, TX

I chose this career because I want to be the professional advocate who helps patients believe in their potential again. My goal is...

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Houston, TX

As a mother, daughter, and friend who has experienced personal trauma and loss, I have a genuine understanding of how we are impac...

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Houston, TX

As a counselor, I strive to provide a space where my clients feel heard and supported....

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Houston, TX

I believe healing begins when we feel truly seen and understood, and my goal as a therapist is to create a space where you can sho...

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We don’t have any providers with availability. Our schedules change daily. We’ll reach out as soon as a spot opens up.
Alejandra Hayden

Hear from Alejandra Hayden, Licensed Marriage & Family Therapist (LMFT)

View Alejandra Hayden's profile

What is your go-to approach for dialectical behavior therapy?

My go-to approach for helping people in dialectical behavior therapy (DBT) is an eclectic approach. I find the best benefit of an eclectic approach is the flexibility it provides me to adjust to each individual client’s needs. Each person has a unique experience and upbringing, which can impact the level of depression a person is experiencing. I pull tools from CBT, DBT, TF-CBT, positive psychology, art therapy, music therapy, trauma-informed care, accelerated resolution therapy, and solution-focused therapy to help clients navigate their mental health concerns and achieve their goals.

What tools do you teach in dialectical behavior therapy?

I teach the following tools in dialectical behavior therapy:

  • Emotion regulation and distress tolerance via mindfulness practice, videos, and worksheets. I work with clients to attune to their bodies physically, emotionally, and mentally so they can build insight and confidence in being able to redirect symptoms.
  • Self-harm and suicidal ideation prevention plans.
  • Self-care tools to reinforce emotion regulation skills.
  • Cognitive challenging/reframing/refocusing via the use of cognitive triangles and understanding unhelpful thinking patterns. I encourage clients to use worksheets/handouts to practice their skills daily and build new habits.
  • Exploration of personal values, where they come from, and how they impact their daily lives.
  • Healthy communication skills to create positive/supportive relationships and how to advocate for needs/reach out to healthy support systems.
  • Healthy boundary-setting skills that fit within the client’s personal values to gain confidence in navigating anxiety.
  • Positive self-affirmation to improve self-worth and confidence.

How do you know when a client is making meaningful progress in dialectical behavior therapy?

I know a client is making meaningful progress in dialectical behavior therapy when they can report reduced symptoms and express confidence in navigating unhelpful thinking patterns and reactions/behaviors during times of distress. I also look for a client’s understanding and knowledge of the skills being used. If a client can demonstrate and teach the skill in a session and report feeling personal balance or achievement in relation to their goals, the client is making meaningful progress. A client can also make meaningful progress by demonstrating vulnerability and openness in exploring their own life (history, personal reactions, etc.) and how it relates to their relationships or goals. Reduced urges to self-harm or reduction in suicidal ideation can also be a measurement of progress.

What can clients do in their personal time to supplement dialectical behavior therapy?

Clients can supplement their time in dialectical behavior therapy with daily skills practice, mini-projects, or reflections. I try to make a habit of giving my clients small, manageable tasks to practice each week. I spend time with my clients to build these tasks into their current habits or routines to help establish a new pattern of healthy habits in their relationships/daily lives.

What should someone do to prepare for starting dialectical behavior therapy?

A first session can come with so many different emotions. In the first session, I will ask about a lot of different areas in a person’s life to get to know them and understand how they view the world and others around them. It’s important to share as much information as honestly as possible, but my first priority will always be my client’s safety and comfort level. If I ask a tough question, I don’t expect anyone to share every detail—just what they are willing and able to share. I encourage my clients to always ask me questions in return because I want my clients to get to know me and feel safe/comfortable. Therapy is most effective when a person can connect with their therapist. You can prepare for therapy further by thinking about your top 2-3 goals, or what it is that you hope to gain from therapy, and by having a therapy journal/notebook to take notes or complete assignments. This helps me to create a more effective approach that fits your needs.

Dialectical behavior therapy (DBT) FAQs

What is dialectical behavior therapy (DBT)?

At Thriveworks, Dialectical behavior therapy (DBT) primarily concentrates on assisting individuals in emotion regulation, enhancing interpersonal relationships, and acquiring effective coping strategies for managing stress and emotional difficulties.

How does DBT work?

Dialectical behavior therapy (DBT) targets your personal challenges. You may work with your DBT therapist to maintain diary cards to monitor progress, emphasizing validation and support in the therapeutic relationship. DBT follows a stage-based approach, prioritizing crisis reduction initially and life satisfaction.

What is DBT best used for?

DBT was initially developed to address the needs of individuals with borderline personality disorder (BPD). However, its versatile approach has enabled its application to a wide range of mental health conditions, including but not limited to, anxiety, depression, stress, and anger issues.

What are the 4 pillars of DBT?

The 4 pillars of DBT are mindfulness, emotion regulation, interpersonal effectiveness, and distress tolerance.

Is DBT better than EMDR?

Dialectical behavior therapy (DBT) and eye movement desensitization and reprocessing (EMDR) have distinct purposes and aren’t inherently superior or inferior to one another. DBT is most effective for managing emotional regulation, personality disorders, and interpersonal challenges, while EMDR is specifically tailored for individuals with trauma-related conditions like post-traumatic stress disorder (PTSD).

Is DBT conducted in person or online?

Dialectical behavior therapy (DBT) with therapists at Thriveworks in Houston, TX is conducted both in person and online by video. We encourage you to choose the option that works best for you.

How many months is DBT?

The duration of a standard DBT program is typically around 24 weeks, which is roughly six months. The actual number of sessions will vary depending on the issues you wish to address.

Pricing & insurance

Our therapists accept most major insurance and we offer self-pay options too.
Learn more about pricing for therapy and counseling at Thriveworks.

Our therapists and counselors in Houston accept 58 insurance plans

  • Adventist Health Associates | Employee Health Plan

  • Adventist Health Associates | Non-Employee Health Plan

  • Aetna

  • Aetna Medicare Advantage

  • Ambetter by Superior Health Plan

  • Baylor Scott and White Health Plan

  • Baylor Scott and White Health Plan Medicare Advantage

  • Blue Cross Blue Shield of Texas HMO

  • Blue Cross Blue Shield of Texas PPO

  • Blue Cross Blue Shield of Texas | Blue Advantage HMO (BAV)

  • Blue Cross Blue Shield of Texas | Medicare Advantage

  • Blue Cross Blue Shield of Texas | MyBlue (BFT)

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Self-pay costs at Houston
Talk therapy

Talk therapy

Includes individual, couples, child/ teen, & family therapy

First session

$1

Ongoing sessions

$1

Talk therapy

Psychiatry

Includes reducing symptoms with medication & management

First session

$1

Ongoing sessions

$1

Hear from our clients

5.0 Learn about verified reviews
★★★★★
Jennifer truly listens to me and figures out the best method to help me!
Noah Aug 2026Thriveworks.com verified review
★★★★★
I felt comfortable talking with her
Piper Aug 2026Thriveworks.com verified review
★★★★★
My experience was very positive. He was extremely thorough, helpful, friendly, and professional throughout the entire process.
Adriana Aug 2026Thriveworks.com verified review
★★★★★
Once I found my provider, my sessions have been very beneficial! I am learning a lot about myself and how to navigate feelings.
Sergio Aug 2026Thriveworks.com verified review
★★★★★
He’s a wonderful Dr.
Ofelia Aug 2026Thriveworks.com verified review
★★★★★
I love my therapist. She’s one of the better ones I’ve come across that I can be real with and she honest with me.
Anna Aug 2026Thriveworks.com verified review
★★★★★
I feel so much more mentally healthy since working with Symone. She’s very skilled in what she does.
Piper Aug 2026Thriveworks.com verified review
★★★★★
I like the fact that I have access to a someone to monitor my medications and a therapist Both of my 1st sessions went well and I am looking forward to continuing my journey
Cesar Aug 2026Thriveworks.com verified review
8 of 33 reviews

Where to find us

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Address

3201 Allen Pkwy Suite E250
Houston, TX 77019

Getting here

Thriveworks Counseling & Psychiatry Houston is located in the Stages Repertory Theatre building and near Allen Parkway and Dunlavy Street, off Waugh Drive. It is right by KLA Schools of River Oaks, and close to the Eleanor Tinsley Park.

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Phone number

(281) 789-6829
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Languages spoken by TX providers

  • English
  • Spanish
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Hours

Saturday 8:00am - 9:30pm
Sunday 8:00am - 9:30pm
Monday 8:00am - 9:30pm
Tuesday 8:00am - 9:30pm
Wednesday 8:00am - 9:30pm
Thursday 8:00am - 9:30pm
Friday 8:00am - 9:30pm

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Saturday 8:00am - 6:00pm
Sunday 8:00am - 6:00pm
Monday 8:00am - 11:00pm
Tuesday 8:00am - 11:00pm
Wednesday 8:00am - 11:00pm
Thursday 8:00am - 11:00pm
Friday 8:00am - 11:00pm

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