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1,915 people sought dialectical behavior therapy (DBT) help in Pennsylvania 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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Marie MoriartyPuggi

Hear from Marie MoriartyPuggi, Counselor (Resident)

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

Dialectical behavior therapy (DBT) is a type of talk therapy (psychotherapy) adapted for people who experience emotions very intensely. “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.

What tools do you teach in dialectical behavior therapy?

Dialectical behavior therapy (DBT) strives to strike a balance between validation (acceptance) of who you are and your challenges and the benefits of change. In sessions, you will learn new skills to improve emotion regulation.

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

Signs of positive progress in DBT:

  • Decreased emotional outbursts
  • Improved ability to manage strong emotions
  • Greater understanding of one's emotional triggers

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

Four types of DBT are implemented, but they vary from therapist to therapist:

  • DBT pre-assessment.
  • Individual therapy.
  • Skills training in groups.
  • Telephone crisis coaching.
Other ways to supplement DBT during personal time:
  • Mindfulness: This is the practice of being fully aware and focused on the present instead of worrying about the past or future.
  • Distress tolerance: This involves understanding and managing your emotions in difficult or stressful situations without responding with harmful behaviors.
  • Interpersonal effectiveness: This means understanding how to ask for what you want and need and setting boundaries while maintaining respect for yourself and others.
  • Emotion regulation: This means understanding, being more aware of, and having more control over your emotions.

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

Here are some ways to prepare that may even be covered when starting DBT sessions: discussing the importance of regular attendance, active participation, and commitment to practicing skills outside therapy sessions.

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 Philadelphia, PA 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 Philadelphia therapists and counselors accept 29 insurance plans

  • Aetna

  • Blue Cross Blue Shield | Anthem (Blue Card)

  • Capital BlueCross of Pennsylvania | BCBS Medicare Advantage

  • Carelon

  • Cigna | Evernorth

  • Cigna | Evernorth EAP

  • Cigna | Evernorth Medicare Advantage

  • Compsych

  • First Health Network

  • Geisinger Health Plan

  • Geisinger Health Plan Medicare Advantage (HMO | PPO)

  • Highmark Blue Cross Blue Shield of Pennsylvania Exchange

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Self-pay costs at Philadelphia
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
★★★★★
Rob is great! Making progress.
Brian Dec 2023
Thriveworks.com verified review
★★★★★
I had the pleasure of working alongside Marie for years. Her work with her clients is unparalleled. She is clinically exceptional, while somehow maintaining an authenticity that makes working with her in any capacity a wonderfully positive experience. I would recommend Marie to anyone who is serious about helping themselves, and particularly those with a history of trauma.
Read more I had the pleasure of working alongside Marie for years. Her work with her clients is unparalleled. She is clinically exceptional, while somehow maintaining an authenticity that makes working with her in any capacity a wonderfully positive experience. I would recommend Marie to anyone who is serious about helping themselves, and particularly those with a history of trauma.
Philadelphia Aug 2022
Review left on Thriveworks.com
★★★★★
Marie is the best around. So knowledgeable and supportive with her clients. She helped me through many traumatic situations without judgment. If you are looking for an amazing therapist to help you, she is who you need.
Read more Marie is the best around. So knowledgeable and supportive with her clients. She helped me through many traumatic situations without judgment. If you are looking for an amazing therapist to help you, she is who you need.
Philadelphia Aug 2022
Review left on Thriveworks.com
★★★★★
Marie Moriarty Puggi is a fantastic clinician. She’s very person centered and empathetic. She goes above and beyond for her clients and their families. They have shown a great deal of appreciation for the efforts she makes with her clients. They want to talk with her and engage and do the work in order to heal. Highly recommended.
Read more Marie Moriarty Puggi is a fantastic clinician. She’s very person centered and empathetic. She goes above and beyond for her clients and their families. They have shown a great deal of appreciation for the efforts she makes with her clients. They want to talk with her and engage and do the work in order to heal. Highly recommended.
Philadelphia Aug 2022
Review left on Thriveworks.com
★★★★★
Marie is an excellent Therapist. She assisted me with various ways to change my perspective. Marie's assistant me with positive ways to view situations and how to be accountable for my behavior. Marie is very kind and personable. She made me feel important and that I should matter to me first.
Read more Marie is an excellent Therapist. She assisted me with various ways to change my perspective. Marie's assistant me with positive ways to view situations and how to be accountable for my behavior. Marie is very kind and personable. She made me feel important and that I should matter to me first.
Philadelphia Aug 2022
Review left on Thriveworks.com
★★★★★
Marie has an excellent communication skills. She displayed active listening skills when engaging with her clients and coworkers. Marie is dependable, accountable and reliable. Marie is a team player who goes beyond her expectations to meet the need of her consumer. Marie is non judgemental, observant and respectful. Marie is a very patient therapist.
Read more Marie has an excellent communication skills. She displayed active listening skills when engaging with her clients and coworkers. Marie is dependable, accountable and reliable. Marie is a team player who goes beyond her expectations to meet the need of her consumer. Marie is non judgemental, observant and respectful. Marie is a very patient therapist.
Philadelphia Aug 2022
Review left on Thriveworks.com
★★★★★
Marie is a compassionate, hard working, supportive, empathetic therapist that I would recommend to clients. She offers an environment conducive for a therapeutic relationship. She works well individually and is a great team member.
Read more Marie is a compassionate, hard working, supportive, empathetic therapist that I would recommend to clients. She offers an environment conducive for a therapeutic relationship. She works well individually and is a great team member.
Philadelphia Aug 2022
Review left on Thriveworks.com
★★★★★
Marie Moriarty-Puggi a clinician at the Walnut St site in Philadelphia is one of the most caring, dynamic, person centered therapists that I’ve ever had the pleasure of knowing and working with. Marie always goes the extra mile for her clients, going above and beyond to help her clients reach their maximum potential. I would recommend Marie without hesitation.
Read more Marie Moriarty-Puggi a clinician at the Walnut St site in Philadelphia is one of the most caring, dynamic, person centered therapists that I’ve ever had the pleasure of knowing and working with. Marie always goes the extra mile for her clients, going above and beyond to help her clients reach their maximum potential. I would recommend Marie without hesitation.
Philadelphia Aug 2022
Review left on Thriveworks.com

Where to find us

Getting here

Thriveworks Counseling Providence is located at 245 Waterman St Suite 504A, Providence, RI 02906, between Wayland Ave. and Butler Ave.

Phone number

(215) 642-8968

Languages spoken by PA providers

  • English
  • French
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
Wednesday 8:00am - 9:00pm

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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
Wednesday 7:00am - 9:30pm

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