Dialectical Behavior Therapy

What Is Dialectical Behavioral Therapy (DBT)?

Dialectical Behavioral Therapy (DBT) combines strategies from behavioral, cognitive, and other supportive psychotherapies. It was created by Dr. Marsha Linehan specifically to treat borderline personality disorder, and over time it has shown to be effective with many other mental health issues. By design, DBT helps people who have difficulty regulating their emotions, handling relationships, and tolerating distress.

Comprehensive DBT services include:

Individual DBT Sessions
Weekly one-hour DBT individual therapy sessions are specifically aimed at changing problem behaviors and learning to use skills in all areas of life. To promote change, you complete a daily diary card and participate in behavior chain analysis. 

DBT Skills Training Group
DBT skills training group is a weekly 2-hour educational group. It is essentially a class where you learn skills to help increase distress tolerance, emotion regulation, and interpersonal effectiveness in a framework of mindfulness.

Phone Coaching
The phone coaching component of DBT helps you use skills in real life situations and avoid unwanted behaviors. You are encouraged to contact your individual therapist by text or phone for a short interaction to collaborate on a plan to act skillfully.

Consultation Team
The DBT therapists attend a weekly consultation to help them provide the best care to their DBT clients. Clients do not participate in this meeting.

“There is hope to change behaviors, to have greater control over your emotions, and to be more effective in your relationships.”

In DBT therapy, you and your therapist work together to set meaningful goals to create a life you feel is worth living. Often, this means working to decrease harmful behaviors and replacing them with effective, life-enhancing behaviors.

How can DBT help you?

Often people look into DBT when other treatments have not worked for them or when their lives have become intolerable.

Do you struggle with any of the following issues?

  • Relational conflicts
  • Intense emotional expression
  • Rapid mood changes
  • Inability to relax
  • Addiction
  • Anger issues
  • Overeating
  • Over spending
  • Self-harm
  • Feeling overwhelmed
  • Avoiding responsibilities, people, or events
  • Numbing in response to fear, anger, pain etc.
  • Low tolerance for stress

Whether you would like to increase your ability to manage your emotions, whether you struggle with interpersonal relationships, or whether you find yourself in crisis after crisis, working with a DBT therapist to integrate the skills into every area of your life can be life-changing.

What Will You Learn?

We all want to decrease our suffering and to live happy, meaningful lives. Dialectical Behavior Therapy recognizes the power of learning and practicing skills to bring about desired change. The skills training component of DBT provides the structure to learn, practice, and master skills. These skills are intended to increase your ability to meet your goals, while enhancing relationships and increasing your self-respect, and include:

  • Mindfulness Skills
  • Distress Tolerance Skills
  • Emotion Regulation Skills
  • Interpersonal Effectiveness Skills

Who would benefit from DBT at Gladstone?

Gladstone provides comprehensive DBT services for adults, children and adolescents starting at age 11.

Adolescent DBT

Adolescent DBT works to provide a strong relationship with the therapist and the adolescent referred to as “consultation to the client” to bring about change and meet the adolescent’s goals.

The treatment also involves collaboration between the parents/caregivers and the adolescent. DBT is most effective for the adolescent when the entire family learns the skills. For this reason, in addition to the adolescent attending individual DBT therapy and the Skills Training Group, the parents/caregivers attend a 4-week Multifamily Skills Training Group. After completion of the multifamily group, we offer family skills coaching.

Where are the groups held?

DBT groups are held at our Hunt Valley location:
11350 McCormick Rd., Building 3, Suite 600, Hunt Valley, MD 21301.

When are the groups held?

Adult DBT Groups
Tuesdays, 10 AM-12 PM
Tuesdays, 6:30-8:30 PM
Wednesdays, 6:30-8:30 PM

Adolescent DBT Group (14-18)
Tuesdays, 4-6 PM
Thursdays, 6:30-8:30 PM

Young Adolescent DBT Group (11-14)
Wednesdays, 5-6:30 PM

Multifamily Group (8-week curriculum for caregivers of adolescents in the DBT program)
Thursdays, 6:30-8:30 PM 

Is this covered by insurance?

The Gladstone DBT program is in network with most CareFirst/BlueCross BlueShield insurance plans. At this time, we are out of network for other private insurances.

How can I learn more?

For more information or to sign up for a DBT intake, please contact us at DBT@gladstonepsych.com or call 443-247-3287. If a member of the DBT team is not available, please leave your information, and we will return your call.

Krista Mitchell, DBT Coordinator: 443-247-3621
Kristine Mekins, DBT Administrative Assistant: 443-267-4138

Meet Our DBT Team

The Gladstone DBT Team is committed to providing DBT therapy adherent to the research evidence-based model designed by Dr. Marsha Linehan. Our therapists are committed to being intensively trained and continually increasing their DBT knowledge.

Rebecca Blake

Catherine Griffiths

Nicole Roder

Christina White

Laura Williams