Dialectical Behavior Therapy (DBT)

It seems like you, or your child is always in crisis.

You, or your child, swings between high highs and low lows.

Sometimes, the coping strategies you’ve been taught make things worse in the long run.

You’re feeling hopeless and overwhelmed by emotions.

Regular therapy just isn’t working for you.

Dialectical behavior therapy, or DBT, is a perfect treatment for people who are:

  1. more sensitive to emotions
  2. more reactive to emotions
  3. have a slower return to baseline

If any of these things sound familiar for you or your loved one then DBT is probably the answer!


Who Does Dialectical Behavior Therapy (DBT) Work For?

  • Adolescents and adults
  • Individuals with substance use disorders
  • Teens who refuse to go to or participate in school or have other chronic avoidance issues
  • Young adults experiencing failure to launch
  • Individuals experiencing symptom swapping (one thing goes away, another thing comes up)
  • Behavioral concerns
  • Self-harm behaviors and suicidal ideation
  • Difficult-to-treat anxiety and depression
  • Persistent relationship struggles
  • Eating disorders

What does Dialectical Behavior Therapy (DBT) Mean?

DIALECTICAL means the ability to hold two opposites as true. In DBT we often talk about finding common ground between opposing concepts. Common opposites we discuss in DBT are:

BEHAVIOR means changing what we DO. Similar to CBT*, we know that emotions, thoughts, and behaviors all impact each other. But the easiest thing to change is our behavior.

CBT emotions behaviors and thoughts triangle. You can get DBT treatment in Rockville, MD to help with trauma and more.

TRY THIS: Compare how long it takes to snap your fingers vs how long it takes to THINK about what you wore yesterday. Then, THINK about how long it takes you to snap vs how long it takes to actually FEEL the anger from being cut-off in traffic. The snap (behavior) happens is the quickest, right?!

So, when you use new behaviors to get through difficult thoughts or emotions, we can experience change. You can start to feel better quicker AND stop the maladaptive coping habits that get in the way of our goals!

* The difference between CBT and DBT is that DBT focuses more on relationshipsRelationships trigger the most intense emotions. AND, relationships are also typically most impacted by displays of intense emotion!


The MCCC Way of Dialectical Behavior Therapy

Comprehensive DBT treatment combines skills training groups and individual therapy. At MCCC we do not currently offer DBT skills training groups. So, we are not considered a Comprehensive DBT Program. Actually, what our approach to DBT is much more flexible! First, we’ll start with an assessment and then move into treatment if you are a good fit for DBT at MCCC!

Chart to explain DBT, or dialectical behavioral therapy, in Rockville, MD. This four-square grid helps with dbt assessment of level of care and how appropriate is DBT for you.

  1. Mindfulness
  2. Distress Tolerance
  3. Emotion Regulation
  4. Interpersonal Effectiveness

In DBT individual therapy, we track emotions and behaviors in order to identify patterns and correlations. We will identify the chain of events between emotions thoughts and actions. Then, we help you apply the new skills to the chain, so you can reduce the unwanted emotions or behaviors and help you meet your goals!

We use the DBT Hierarchy of Targets to guide our thinking throughout each session and the overall process of therapy. You can read more about this on our blog post here!

DBT Hierarchy Of treatment Targets with life threatening behaviors at the top, treatment interfering behaviors in the middle and quality of life interfering behaviors at the bottom. Through Dialectical behavioral therapy in Rockville, MD you can get the counseling and healing you need. You can also get help with family therapy in rockville, md


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