Dialectical Behavior Therapy (DBT)

Our goal is to help our clients find a life worth living.

We provide comprehensive, evidence-based DBT for adolescents and adults with emotion regulation difficulties, including self-harm, suicidality, substance use, eating disorders, and personality disorders.

We also offer Radically Open DBT (RO-DBT), an evidence-based treatment for overcontrolled coping styles. Learn more or take our quiz to see if it’s a good fit.

We are one of the few local providers offering the full DBT program: individual therapy, skills training, phone coaching, and therapist consultation.

Page Overview

What is Dialectical Behavior Therapy (DBT)?

Dialectical Behavior Therapy (DBT) is a structured, skills-based form of therapy that helps people manage intense emotions, reduce harmful behaviors, and improve relationships.

DBT was originally created in the late 1980s by Marsha Linehan, a psychologist who was working with people who experienced chronic suicidality and had not improved with traditional therapy. Dr. Linehan noticed that many clients were being told to “change” without first feeling understood or accepted. DBT was designed to balance acceptance (“you are doing the best you can”) with change (“and you can learn new skills to cope more effectively”).

DBT is now one of the most researched treatments for emotion regulation difficulties and is used worldwide.

Who benefits from DBT?

Research shows DBT helps reduce self-harm, suicide attempts, emotional outbursts, and repeated crisis situations, while improving overall functioning and quality of life. DBT is especially helpful for people who:

  • Feel emotions very strongly or very quickly
  • Struggle with impulsive or self-destructive behaviors
  • Have intense or unstable relationships
  • Feel stuck, overwhelmed, or emotionally exhausted
  • Have tried other therapies without much success

DBT may be a good fit if emotions feel overwhelming or hard to control, or if behaviors are getting in the way of school, work, relationships, or safety.

Because DBT is skills-based and structured, it can be especially helpful for people who want practical tools they can use in everyday life.

DBT is often recommended when:

  • Emotions feel “out of control” or painful most of the time
  • There are safety concerns like self-harm or suicidal thoughts
  • Family conflict is high and skills are needed at home
  • Previous therapy hasn’t helped enough

What concerns does DBT treat?

 DBT is commonly used to treat:

  • Self-injury and suicidal behaviors
  • Borderline personality disorder and other personality disorders
  • Chronic depression and anxiety
  • Substance use and compulsive behaviors
  • Eating disorders
  • Ongoing relationship difficulties
  • Severe emotion regulation problems

 

DBT has also been shown to reduce emergency room visits and psychiatric hospitalizations.

What is RO-DBT and how is it different from DBT?

Radically Open DBT (RO-DBT) is an evidence-based treatment for people who cope through over-control rather than impulsivity.

While standard DBT focuses on reducing undercontrolled behaviors (like emotional outbursts or self-harm), RO-DBT focuses on increasing openness, flexibility, and social connection.

RO-DBT is designed for people who:

  • Are highly controlled or perfectionistic
  • Suppress emotions
  • Feel socially isolated or disconnected
  • Struggle with rigidity and emotional openness

What ages do you work with?

In addition to DBT for adults, research supports DBT adaptations for children and adolescents, showing reductions in self-harm and suicidal ideation. At UCEBT, we offer DBT for:

  • Children ages 7–12 (DBT-C, with caregiver involvement)
  • Adolescents ages 12–18 (DBT-A, with family involvement)
  • Adults (Standard and Comprehensive DBT)

What is the goal of DBT treatment?

The overall goal of DBT is to help clients build a life worth living. This includes:

  • Reducing dangerous behaviors
  • Learning to manage emotions more effectively
  • Improving relationships
  • Increasing stability and quality of life

What programs do you offer (DBT-C, DBT-A, Adult DBT)?

  • DBT-C
    • For 7—12 year-old children and their parent(s) or caregiver(s) (sometimes siblings can also be included). The program begins with parent skill-building and goal-setting, then includes individual therapy with child and family skills training.
    • Goals: To decrease suicidal behavior in children, decrease disruptive behavior in the home, and to help parents and children prioritize goals to improve family relationships
  • DBT-A
    • For 12-18-year-old adolescents and their parent(s) or caregiver(s).
    • The program includes skills for the adolescent and their family to improve family relationships, reduce conflict, and help the adolescent to thrive.
  • DBT Standard
    • For adult clients who are looking for comprehensive and effective care for problems that have been difficult to treat.
    • This program is designed to help adults be more effective at work, school, and/or forming relationships.
  • DBT Comprehensive
    • Extra support for adult clients who in addition to the above also have addictive or compulsive behaviors that they would like to address in treatment.

What are the components of DBT?

A full DBT program (like what we offer at UCEBT) includes four critical components. Research shows DBT is most effective when all four components are included:

  • Individual therapy – for goal setting and tracking behaviors of concern.
  • Skills training (group, individual, or family setting) – for learning new ways of coping.
  • Phone coaching – for applying skills into everyday life outside of the therapy setting.
  • Consultation team – for other highly trained therapists to support you and your therapist in achieving your therapy goals.

What does DBT treatment involve?

The four components of DBT provide a structure that helps clients learn skills, practice them consistently, and apply them in real-life situations where they matter most:

Weekly individual therapy

Clients usually participate in weekly individual therapy, which focuses on setting goals, tracking behaviors, and applying DBT skills to real-life challenges. Individual sessions help prioritize safety, reduce behaviors that interfere with progress, and strengthen skill use.

Weekly skills training

Weekly skills training provides structured teaching and practice of DBT skills, helping clients build tools for managing emotions, tolerating distress, and improving relationships. Skills are practiced over time so they become easier to use under stress.

Phone coaching as needed

Phone coaching, offered as needed, helps clients apply skills in the moment when challenges arise outside of sessions. This support focuses on skill use rather than crisis processing and helps bridge therapy and daily life.

Ongoing therapist consultation

Ongoing therapist consultation ensures therapists receive support from other DBT-trained clinicians. This collaboration helps maintain high-quality, consistent, and evidence-based care.

What is skills training?

Skills training is a core part of Dialectical Behavior Therapy (DBT). It teaches practical tools that help people cope with strong emotions, stress, and relationship challenges.

Instead of focusing only on talking about problems, skills training helps clients learn what to do in the moment when emotions feel overwhelming or urges are strong.

DBT skills training focuses on four main areas:

Mindfulness

Mindfulness skills help people notice thoughts, emotions, and body sensations in the present moment without judgment. These skills support greater awareness, reduce automatic reactions, and help people make intentional choices.

Distress tolerance

Distress tolerance skills help people get through intense emotional moments without making the situation worse. They are used during crises or when problems cannot be solved right away and focus on staying safe and reducing impulsive behaviors.

Emotion regulation

Emotion regulation skills help people understand their emotions and reduce emotional vulnerability over time. These skills support emotional stability, increase positive experiences, and help people feel less controlled by their emotions.

Interpersonal effectiveness

Interpersonal effectiveness skills help people communicate clearly, set boundaries, and balance their needs with the needs of others. These skills reduce conflict and support healthier relationships.

Research shows that learning and practicing DBT skills is strongly linked to reduced self-harm, improved emotional control, and better overall functioning.

What makes UCEBT's DBT program different?

UCEBT was originally founded, in part, to provide a training program for doctoral students to receive clinical training using a full DBT model. At the time UCEBT was founded, we were one of the only centers in the state of Utah to offer a full DBT program with all 4 components. To this day, many mental health providers in Utah still offer only selected components of DBT and not the full program. For this reason, we often receive clients from other providers who recognize their clients’ need for the full DBT program.

Additionally, our DBT team has completed the Behavioral Tech Official DBT Intensive Training. Further, our DBT therapists make a commitment to ongoing education in DBT, other evidence-based treatments, suicide prevention, integrating trauma-based approaches with DBT, and ethics.

How long does the DBT program typically last?

DBT length varies based on individual needs and goals. Research suggests that longer treatment (often 6–12 months or more) allows time to learn, practice, and apply skills, leading to better long-term outcomes.

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