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2,711 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.

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Blaine Stephens

Hear from Blaine Stephens, Licensed Professional Counselor (LPC)

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

The go-to approach for dialectical behavior therapy is utilizing a combination of skills training, mindfulness techniques, and dialectical strategies. This approach is preferred because it addresses both acceptance and change, providing clients with practical tools to manage their emotions, improve interpersonal relationships, and build a life worth living. The best benefit is found in the balance between validation and encouragement for change, fostering a compassionate and collaborative therapeutic environment conducive to growth and healing.

What tools do you teach in dialectical behavior therapy?

In dialectical behavior therapy, the following tools are taught:

  • Mindfulness skills: Techniques to increase awareness of the present moment, such as mindfulness meditation and observing thoughts and emotions without judgment.
  • Distress tolerance skills: Strategies to tolerate and cope with distressing situations without making them worse, including distraction techniques, self-soothing activities, and crisis survival skills.
  • Emotion regulation skills: Methods to identify, understand, and manage intense emotions effectively, such as identifying triggers, increasing emotional awareness, and using opposite action to change emotional responses.
  • Interpersonal effectiveness skills: Techniques to navigate interpersonal interactions and relationships more effectively, including assertiveness training, setting boundaries, and problem-solving in relationships.
  • Core mindfulness skills: Practices to cultivate a nonjudgmental and accepting stance towards oneself and others, promoting self-compassion, acceptance, and tolerance of uncertainty.
  • Radical acceptance: Learning to accept reality as it is, without judgment or resistance, to reduce suffering and increase psychological flexibility.
  • Behavior chain analysis: Identifying and understanding the sequence of events and thoughts that lead to problematic behaviors, allowing for more effective problem-solving and behavior change.
  • Wise mind: Integrating rational and emotional thinking to make balanced and effective decisions, enhancing self-awareness and self-control in challenging situations.

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

A client is making meaningful progress in dialectical behavior therapy when:

  • They demonstrate increased use of DBT skills in managing distressing situations, such as effectively applying mindfulness techniques and utilizing distress tolerance strategies.
  • There is a noticeable reduction in impulsive or self-destructive behaviors, indicating improved emotion regulation and coping abilities.
  • They show greater awareness and understanding of their thoughts, emotions, and behaviors, as evidenced by improved self-reflection and introspection.
  • Clients report improvements in their interpersonal relationships, including enhanced communication skills, boundary setting, and conflict resolution.
  • They demonstrate a willingness and ability to apply DBT principles outside of therapy sessions, showing initiative and self-efficacy in using skills in their daily lives.
  • Progress is reflected in measurable outcomes, such as reduced frequency or intensity of symptoms, improved functioning, and an overall increase in quality of life.

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

Clients can supplement their time in dialectical behavior therapy with:

  • Regular practice of mindfulness meditation or other mindfulness exercises to increase present-moment awareness and emotional regulation skills.
  • Engaging in self-help resources such as workbooks, articles, or podcasts related to DBT principles and skills to reinforce learning and deepen understanding.
  • Keeping a diary card to track emotions, behaviors, and skill usage on a daily basis, providing valuable insights into patterns and progress over time.
  • Participating in DBT skills groups or workshops to enhance skill acquisition and receive additional support and guidance from peers.
  • Seeking out opportunities to apply DBT skills in real-life situations, such as using interpersonal effectiveness skills in challenging interactions or practicing distress tolerance techniques during stressful moments.
  • Consistently attending therapy sessions and actively engaging in the therapeutic process by completing homework assignments, participating in discussions, and providing feedback to the therapist.

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

To prepare for their first dialectical behavior therapy session, an individual can:

  • Familiarize themselves with the basic principles and concepts of DBT, such as mindfulness, distress tolerance, emotion regulation, and interpersonal effectiveness.
  • Reflect on their current challenges, goals, and motivations for seeking therapy, as well as any previous experiences with therapy or mental health treatment.
  • Consider what specific skills or areas they would like to work on in therapy, and be prepared to discuss these with their therapist.
  • Take note of any questions or concerns they have about the therapy process or what to expect in DBT sessions, and feel free to bring these up during the first session.
  • Keep an open mind and be willing to actively participate in the therapeutic process, including trying out new skills and techniques outside of therapy sessions.
  • Arrive on time for the session and be prepared to complete any necessary paperwork or assessments requested by the therapist.
  • Approach the session with a sense of curiosity, readiness to learn, and commitment to their own personal growth and well-being.

Starting Dialectical behavior therapy (DBT)

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).

What's better: CBT or DBT?

The selection between Cognitive behavioral therapy (CBT) and dialectical behavior therapy (DBT) hinges on an individual's distinct requirements and the specific nature of their concerns. CBT is commonly preferred for a broad spectrum of conditions like anxiety and depression, whereas DBT stands out in aiding individuals dealing with borderline personality disorder and challenges associated with emotional regulation.

Is DBT conducted in person or online?

Dialectical behavior therapy (DBT) with therapists at Thriveworks in McKinney, 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 actualnumber of sessions will vary depending on the issues you wish to address.

Pricing & insurance

Our therapists accept most major insurances. We accept 585+ insurance plans, and offer self-pay options, too.
Learn more about pricing for therapy and counseling services at Thriveworks.

Our McKinney therapists and counselors accept 39 insurance plans

  • Aetna

  • Ambetter by Superior Health Plan

  • APEX Memorial Hermann

  • ARIA | Covenant Management Systems

  • Auto Club Enterprises (Employers Health Network)

  • Blue Cross Blue Shield | Anthem (Blue Card)

  • Blue Cross Blue Shield of Texas HMO

  • Blue Cross Blue Shield of Texas PPO

  • Buist Byars and Taylor (Employers Health Network)

  • Carelon

  • Cigna | Evernorth

  • Cigna | Evernorth EAP

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Self-pay costs at McKinney
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

Thriveworks McKinney has no reviews yet, but check out these reviews from locations in Texas.

4.5 Thriveworks McKinney reviews are collected through Thriveworks.com.
★★★★★
Thriveworks helped me realize that I do believe people can change. I’m not the person I was three months ago, broken and fearful. I’m healthy and happy and for the first time being kind to myself. Thank you for giving me my life back.
Read more Thriveworks helped me realize that I do believe people can change. I’m not the person I was three months ago, broken and fearful. I’m healthy and happy and for the first time being kind to myself. Thank you for giving me my life back.
Anonymous Thriveworks Client
Review left on Thriveworks.com

Where to find us

Getting here

Thriveworks Counseling & Psychiatry McKinney is located in the same building as Center of Pelvic Excellence, Genesis Back & Neck, Landry Odom of Allstate Insurance, and Peggy S, Breeding CPA PLLC Tax Services. We are near the intersection of S Stonebridge Drive and Cascades Drive. We are also near the intersection of S Stonebridge Drive and S Custer Road, and near this intersection is a plaza which contains Texas Pediatric Dentistry, Play Street Museum McKinney, Sweet Art Bakery and Cafe, All About U hair Salon, Stonebridge Cleaners, and Stonebridge Ranch Dentistry.

Phone number

(469) 949-3896

Languages spoken by TX providers

  • English
  • Spanish
Wednesday 8:00am - 9:00pm
Thursday 8:00am - 9:00pm
Friday 8:00am - 9:00pm
Saturday 8:00am - 9:00pm
Sunday 8:00am - 9:00pm
Monday 8:00am - 9:00pm
Tuesday 8:00am - 9:00pm

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Wednesday 7:00am - 9:30pm
Thursday 7:00am - 9:30pm
Friday 7:00am - 9:30pm
Saturday 7:00am - 6:00pm
Sunday 8:00am - 5:00pm
Monday 7:00am - 9:30pm
Tuesday 7:00am - 9:30pm

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