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3,571 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.

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Aetna, Anthem Blue Cross and Blue Shield Virginia | BCBS, Anthem Blue Cross and Blue Shield Virginia Medicare Advantage, +22 more
Military / Veteran, Medical / Health Issues, Coping Skills, Self Esteem, Stress, +8 more

I believe there is not a one-size-fits-all approach to therapy, so I meet each client where they are while working to improve their strengths and addr... I believe there is not a one-size-fits-all approach to therapy, so I meet each client where they are while working to improve their strengths and address weaknesses. Read more

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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)

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 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 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 Richmond therapists and counselors accept 25 insurance plans

  • Aetna

  • Anthem Blue Cross and Blue Shield Virginia | BCBS

  • Anthem Blue Cross and Blue Shield Virginia Medicare Advantage

  • Blue Cross Blue Shield | Anthem (Blue Card)

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

  • Carelon

  • Cigna | Evernorth

  • Cigna | Evernorth EAP

  • Cigna | Evernorth Medicare Advantage

  • Compsych

  • First Health Network

  • Humana Exchange

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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 had reached out to several therapists to find one that would fit. My therapist Noel, reached out and explained on what methods she uses to help with certain issues. She is a great fit for me and I am looking forward with working with her.
Read more I had reached out to several therapists to find one that would fit. My therapist Noel, reached out and explained on what methods she uses to help with certain issues. She is a great fit for me and I am looking forward with working with her.
Lynn Feb 2024
Thriveworks.com verified review
★★★★★
She is absolutely the best and she makes my life so much better thank you very much!
Robert Jan 2024
Thriveworks.com verified review
★★★★★
Ms Gooden is an excellent clinician, always very helpful and punctual. The office staff are always helpful and professional. I will recommend them to my family and friends
Read more Ms Gooden is an excellent clinician, always very helpful and punctual. The office staff are always helpful and professional. I will recommend them to my family and friends
Maria Jan 2024
Thriveworks.com verified review
★★★★★
My husband and I are very pleased with our therapist, and she's not only Christian, but she is also knowledgeable, honest, direct, and committed to assist us in any way she possible can. She's introduced us to written and verbal exercises that have helped us better understand each other and ourselves. I whole Heartly recommend her and Thrivesworks.
Read more My husband and I are very pleased with our therapist, and she's not only Christian, but she is also knowledgeable, honest, direct, and committed to assist us in any way she possible can. She's introduced us to written and verbal exercises that have helped us better understand each other and ourselves. I whole Heartly recommend her and Thrivesworks.
Maria Dec 2023
Thriveworks.com verified review
★★★★★
Natalie is an incredibly compassionate therapist who really takes the time and effort to help you towards healing and recovery. The help and guidance that she has provided for me has changed my life. She is truly great at what she does.
Read more Natalie is an incredibly compassionate therapist who really takes the time and effort to help you towards healing and recovery. The help and guidance that she has provided for me has changed my life. She is truly great at what she does.
Richmond Feb 2022
Review left on Thriveworks.com
★★★★★
Natalie makes me feel comfortable and is easy to talk to. She has helped me work through multiple triggers and highly recommend her if you need a trustworthy therapist.
Read more Natalie makes me feel comfortable and is easy to talk to. She has helped me work through multiple triggers and highly recommend her if you need a trustworthy therapist.
Richmond Feb 2022
Review left on Thriveworks.com
★★★★★
Ms. Shamika Pender has a great love for people and is full of knowledge and wisdom. She has assisted me on many occasions with locating resources for church and family members in need. She is a strong advocate for the community.
Read more Ms. Shamika Pender has a great love for people and is full of knowledge and wisdom. She has assisted me on many occasions with locating resources for church and family members in need. She is a strong advocate for the community.
Richmond Sep 2021
Review left on Thriveworks.com
★★★★★
Shamika Pender is an experienced Clinician who administers services with empathy and professionalism. There is no doubt that she will be an incredible asset to your agency.
Read more Shamika Pender is an experienced Clinician who administers services with empathy and professionalism. There is no doubt that she will be an incredible asset to your agency.
Richmond Sep 2021
Review left on Thriveworks.com

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
  • Spanish
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
Thursday 8:00am - 9:00pm
Friday 8:00am - 9:00pm

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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
Thursday 7:00am - 9:30pm
Friday 7:00am - 9:30pm

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