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7,995 people sought dialectical behavior therapy (DBT) help in Virginia 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

10  therapists available in Richmond

"For lack of guidance a nation falls, but victory is won through many advisers." –Proverbs 11:14...

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I understand the issues and struggles that many of us face, and I have a gentle but direct approach for those seeking services....

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As a survivor of many different life experiences, I am able to work with clients and understand the challenges that life can often...

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My personal experience as a queer and trans individual combined with my professional experience gives me a unique understanding of...

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It is my honor to listen and guide you as you embark on your journey of self-discovery, change, and gaining new skills and perspec...

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My purpose is to support and guide you on your counseling journey and help you achieve your mental health goals....

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As a Black Christian woman, I understand the challenges of breaking through cognitive barriers to embrace your worth and feel empo...

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As a woman who has overcome multiple life challenges, I want to assist you with resiliency. I'm going to meet you wherever you are...

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As an African-American female, I understand the presenting issues of financial and racial disparity, cultural bias, and intergener...

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I am committed to offering a compassionate and nurturing space where clients feel safe to explore their feelings, heal from their ...

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Alexandra Cromer

Hear from Alexandra Cromer, Licensed Professional Counselor (LPC)

View Alexandra Cromer's profile

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

My go-to approach for helping people in dialectical behavior therapy is to orient them fully to the process, as DBT therapy is a very structured, routinized treatment that does not offer a lot of deviation and requires buy-in and constant commitment to change from the client. I like to provide a general overview of the core tenets of DBT as well as the expectations that it has of the client, the expectations of the therapist, and the expected outcomes. I find the best benefit is making sure clients can ask questions and explore the DBT process in its entirety prior to beginning because it increases buy-in. I also like to provide worksheets and a workbook for my clients to use and recommend homework as a great way for clients to practice as well as visually track their progress.

What tools do you teach in dialectical behavior therapy?

I teach the following tools in dialectical behavior therapy:

  • Interpersonal effectiveness skills: Interpersonal effectiveness skills focus on making you the most effective version of yourself within interpersonal relationships. These skills focus on helping you communicate in a clear, direct, objective way and also equip you with ways to establish and maintain boundaries that are healthy within interpersonal relationships and promote overall health and wellness in relationships with others.
  • Distress tolerance skills: Distress tolerance skills focus on raising your overall levels of resiliency and ability to effectively manage and regulate experienced moods and emotions through the use of mindfulness and grounding skills such as the use of your body. Distress tolerance skills are diverse and can be used in a wide variety of settings.
  • Mindfulness skills: Mindfulness skills training involves using your mind and body to be fully in the present moment in order to increase your ability to effectively regulate and manage experienced moods and emotions. It also includes a focus on the use of radical acceptance skills to be able to effectively accept life's unexpected challenges.

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 are regularly completing their homework, demonstrating mastery of the DBT skills, and using them regularly and with minimal prompting from the clinician. I also know that a client is progressing in DBT therapy when they are personalizing the techniques and making active attempts to incorporate them into their daily life, reporting an overall increase in life satisfaction and a decrease in the frequency and intensity of feelings of distress.

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

Clients can supplement their time in dialectical behavior therapy by participating in a DBT skills group. DBT skills training group therapy focuses on ways that group members are applying the skills learned in therapy in their daily lives. It can be a great way for others to learn new ideas and ways to personalize their therapeutic experience. Outside of group therapy, making sure that you are taking a proactive role/approach to your own self-care and wellness, as well as making sure that you are engaging in healthy and nourishing behaviors, is the best way to maintain steady progress in therapy.

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

To prepare for their first dialectical behavior therapy session, an individual can do some research ahead of time on DBT therapy and learn about its structure and tenets. Familiarize yourself with the therapeutic process ahead of time and perhaps come to therapy with a list of questions you have or any expectations that you have so that you can discuss them openly and freely with your therapist!

Starting Dialectical behavior therapy (DBT) in Richmond

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 Richmond, VA 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 insurances. We accept 360+ insurance plans, and offer self-pay options, too.
Learn more about pricing for therapy and counseling services at Thriveworks.

Our therapists and counselors in Richmond accept 30 insurance plans

  • Adventist Health Associates | Employee Health Plan

  • Adventist Health Associates | Non-Employee Health Plan

  • Aetna

  • Anthem Blue Cross and Blue Shield Virginia Medicare Advantage

  • Anthem Blue Cross and Blue Shield Virginia | BCBS HMO

  • Anthem Blue Cross and Blue Shield Virginia | BCBS PPO

  • Anthem Blue Cross and Blue Shield Virginia | Exchange

  • CareFirst Blue Cross and Blue Shield of Virginia | BCBS HMO

  • CareFirst Blue Cross and Blue Shield of Virginia | BCBS PPO

  • Carelon

  • Carelon | Medicare Advantage

  • Cigna | Evernorth

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Self-pay costs at Richmond
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
★★★★★
I feel seen and genuinely cared for
Faith Sep 2025
Thriveworks.com verified review
★★★★★
Alex is a great therapist.
Jackson Sep 2025
Thriveworks.com verified review
★★★★
I really like that my therapist provides me space for self examination and that they are supportive in the areas I'm trying to work on.
Amy Sep 2025
Thriveworks.com verified review
★★★★★
I truly enjoy my sessions with Miss Vanessa I leave feeling very encouraged
Missouri Sep 2025
Thriveworks.com verified review
★★★★★
It was incredibly easy to get started at Thriveworks. I enjoy coming and speaking with Vic! She's incredible helpful!
Jason Sep 2025
Thriveworks.com verified review
★★★★★
Heather is amazing. I feel so much better after every session. She gives me strength and hope to recover from the loss of my husband.
Angela Jun 2025
Thriveworks.com verified review
★★★★★
I feel like both my psychiatrist and therapist are well suited for my mental healthcare
Amanda Jun 2025
Thriveworks.com verified review
★★★★★
Lynkethia is a phenomenal provider! I am so glad I picked her! She's professional, helpful, honest, and remembers small and big details. I don't feel like a checkbox. She values our time together as much as I do. Lyn is highly recommended and I often promote Thriveworks because of my experience the last six months with her.
Read more Lynkethia is a phenomenal provider! I am so glad I picked her! She's professional, helpful, honest, and remembers small and big details. I don't feel like a checkbox. She values our time together as much as I do. Lyn is highly recommended and I often promote Thriveworks because of my experience the last six months with her.
Brittny Jun 2025
Thriveworks.com verified review

Where to find us

Getting here

Thriveworks Counseling & Psychiatry Richmond is conveniently located in Shockoe Bottom at the intersection of N. 19th St. and E. Franklin. We share a building with The Superior Production Exchange and Uni Shippers. Across from us, on the other side of E. Franklin is Shockoe Center.

Phone number

(804) 331-2570

Languages spoken by VA providers

  • English
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 - 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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