Dialectical Behavior Therapy

Dialectical Behavior Therapy (DBT) was developed by Marsha M. Linehan, PhD, at the University of Washington. Early in her career, she treated many clients with problems related to impulsivity, unsatisfying relationships, and suicidal behavior. In an effort to better treat these common, but poorly understood problems, Dr. Linehan combined the proven principles of cognitive-behavior therapy with strategies to communicate and help clients cultivate acceptance. 

An important feature of DBT is its emphasis on behaviorism – the study of how behaviors are learned and maintained. In DBT, develop learn a range of skills to replace ineffective patterns of behavior. DBT is thus often referred to as a “doing” therapy, as opposed to a “talking” therapy. The treatment is oriented around helping clients solve problems, rather than simply providing a space in which to discuss them.

Dialectical Behavior Therapy by Dr. Caroline Fleck, a skilled psychologist in Los Gatos, the San Francisco Bay Area, CA

To read a NY Times article about Dr. Linehan, click on the image.

Dialectical Behavior Therapy (DBT)

Who Does Dialectical Behavior Therapy (DBT) Help?

The question of who should pursue DBT is one that continues to be explored in clinical research. Studies have consistently shown DBT to be effective in treating borderline personality disorder (BPD).

The latest findings suggests that DBT is effective for conditions such as substance abuse, suicidality, self-injurious behaviors, binge eating, as well as problems related to anger.

About DBT therapy

What DBT Entails

Standard DBT consists of individual therapy and a separate skills training class. This combined focus is designed to optimize opportunities for learning new skills, while providing the feedback, cheerleading, and problem-solving needed to hone them.

Individual DBT Sessions

  • Weekly, 45-60 minute individual therapy sessions
  • Define & monitor progress towards your specific therapy goals
  • Experiment with applying the skills you are learning in class to resolve actual problems & symptoms

Skills Class

  • Weekly sessions that are taught in a class like structure
  • Provided in a group format so you can practice and learn from others
  • Skills taught pertain to: emotion regulation, distress tolerance, interpersonal effectiveness, & mindfulness
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Additional Information About Dialectical Behavior Therapy (DBT)

Dr. Fleck carries a limited number of DBT clients at a time and meets weekly with a team of other DBT therapists for consultation as is required.