Dialectical Behavior (DBT) Psychiatrists in Darien, CT

Kasey Spoonamore
Psychiatrist, MD
Verified Verified
Darien, CT 06820
As a psychiatrist in Greenwich, Connecticut (CT), I specialize in treating an array of mental disorders and illnesses, including addiction disorders, ADHD, anxiety disorders, bipolar disorders and depressive disorders. My training is in Relational Therapy, Dialectical Behavioral Therapy and Cognitive Behavioral Therapy. Treatments consist of: Neuropsychopharmacology, certification in Buprenorphine (Suboxone), Naltrexone maintenance therapy and Psychotherapy. I am dedicated to providing my patients with the highest level of personalized, authentic and therapeutic care. My goal is to build collaborative relationships with patients that creates a platform for greater insight into ones self understanding, which in turn leads to goal achievement.
As a psychiatrist in Greenwich, Connecticut (CT), I specialize in treating an array of mental disorders and illnesses, including addiction disorders, ADHD, anxiety disorders, bipolar disorders and depressive disorders. My training is in Relational Therapy, Dialectical Behavioral Therapy and Cognitive Behavioral Therapy. Treatments consist of: Neuropsychopharmacology, certification in Buprenorphine (Suboxone), Naltrexone maintenance therapy and Psychotherapy. I am dedicated to providing my patients with the highest level of personalized, authentic and therapeutic care. My goal is to build collaborative relationships with patients that creates a platform for greater insight into ones self understanding, which in turn leads to goal achievement.
(203) 433-5469 View (203) 433-5469
Photo of Hong Kim, Psychiatric Nurse Practitioner in Darien, CT
Hong Kim
Psychiatric Nurse Practitioner, PMHNP, NP-P
Verified Verified
1 Endorsed
Darien, CT 06820  (Online Only)
I am a board-certified psychiatric NP, trained at New York University. I specialize in adults, children, adolescents, and geriatrics. My virtual and in-person practices are friendly and confidential spaces where I provide a thorough psychiatric evaluation and personalized medication management. My approach is to always see things from the client’s perspective. My mission is to support my clients while they create more meaningful progress in life. I use my expertise to help them find harmony between mind and body. I think mental health care can be a spiritual, and yet a scientific way for the client to look into their soul.
I am a board-certified psychiatric NP, trained at New York University. I specialize in adults, children, adolescents, and geriatrics. My virtual and in-person practices are friendly and confidential spaces where I provide a thorough psychiatric evaluation and personalized medication management. My approach is to always see things from the client’s perspective. My mission is to support my clients while they create more meaningful progress in life. I use my expertise to help them find harmony between mind and body. I think mental health care can be a spiritual, and yet a scientific way for the client to look into their soul.
(201) 969-5923 View (201) 969-5923

More Psychiatrists Nearby

Photo of John S Tamerin, Psychiatrist in Darien, CT
John S Tamerin
Psychiatrist, MD
Verified Verified
Greenwich, CT 06831
I utilize a range of therapeutic strategies as needed from psychodynamic interventions to more pragmatic approaches like DBT and CBT.
My ideal client is someone who wants more out of life than symptom removal. I want to work with people who want to find meaning, purpose and passion in their lives. Certainly, I want to help people diminish suffering but a lasting approach must involve a determined commitment to living a fulfilling life.
I utilize a range of therapeutic strategies as needed from psychodynamic interventions to more pragmatic approaches like DBT and CBT.
My ideal client is someone who wants more out of life than symptom removal. I want to work with people who want to find meaning, purpose and passion in their lives. Certainly, I want to help people diminish suffering but a lasting approach must involve a determined commitment to living a fulfilling life.
(203) 941-6659 View (203) 941-6659
Photo of Randi Cohen, Psychiatrist in Darien, CT
Randi Cohen
Psychiatrist, MD, PhD
Verified Verified
Greenwich, CT 06830  (Online Only)
I have taught psychotherapy at Yale (DBT) and I've been called an "emotional phenomenologist", which I think is an apt description.
Do you struggle with anxiety, negativity, or a sense of worthlessness? Do you find yourself cut off from feelings or going in circles in your current relationship? Do you have trouble focusing and staying organized? Is it hard for you to get past things that bother you? I am extensively trained in cognitive, behavioral, mindfulness-based, and somatic awareness techniques to help you feel comfortable in your skin. I also offer an option for medications. I work with individuals or with couples. I specialize in addressing OCD, PTSD, Asperger's, ADHD, depression, anxiety, life issues, and relationship stressors.
I have taught psychotherapy at Yale (DBT) and I've been called an "emotional phenomenologist", which I think is an apt description.
Do you struggle with anxiety, negativity, or a sense of worthlessness? Do you find yourself cut off from feelings or going in circles in your current relationship? Do you have trouble focusing and staying organized? Is it hard for you to get past things that bother you? I am extensively trained in cognitive, behavioral, mindfulness-based, and somatic awareness techniques to help you feel comfortable in your skin. I also offer an option for medications. I work with individuals or with couples. I specialize in addressing OCD, PTSD, Asperger's, ADHD, depression, anxiety, life issues, and relationship stressors.
(203) 490-4503 View (203) 490-4503
Photo of Intensive Outpatient Program and Outpatient Detox, Psychiatrist in Darien, CT
Intensive Outpatient Program and Outpatient Detox
Psychiatrist, MD
Verified Verified
Westport, CT 06880
Topics covered include: Addiction and recovery, mindfulness, DBT, forgiveness, relationships, CBT, self-acceptance, trauma and seeking safety, emotional wellbeing & relapse prevention.
I've been working as a Board Certified Psychiatrist for over 15 years, and throughout that time I've been most interested in working with individuals who struggle with addiction or co-occurring illnesses. I am able to provide my clients with outpatient detoxification from alcohol and opioids as long as safety criteria are met. Evidence shows people are most likely to achieve recovery through a combination of medications and counseling. When you come to Elevate, you can have all of your needs met under one roof: Medication Management, Outpatient Detox, Individual Therapy, Group Therapy and IOP.
Topics covered include: Addiction and recovery, mindfulness, DBT, forgiveness, relationships, CBT, self-acceptance, trauma and seeking safety, emotional wellbeing & relapse prevention.
I've been working as a Board Certified Psychiatrist for over 15 years, and throughout that time I've been most interested in working with individuals who struggle with addiction or co-occurring illnesses. I am able to provide my clients with outpatient detoxification from alcohol and opioids as long as safety criteria are met. Evidence shows people are most likely to achieve recovery through a combination of medications and counseling. When you come to Elevate, you can have all of your needs met under one roof: Medication Management, Outpatient Detox, Individual Therapy, Group Therapy and IOP.
(203) 347-2484 View (203) 347-2484
Photo of Evelyn A Stephens MD PC, Psychiatrist in Darien, CT
Evelyn A Stephens MD PC
Psychiatrist
Verified Verified
1 Endorsed
Westport, CT 06880
Hi there, I have been trained to treat many psychiatric illnesses and issues, with both medication and therapy. The different types of therapy I use include DBT, CBT, supportive and psychodynamic therapy. My patient population ranges from children as young as 6 years old to adults. The majority of children I work with are struggling with anxiety or ADHD, often both. The adolescents and adults that I treat have a variety of issues, including anxiety, substance abuse, eating disorders and mood disorders, such as depression and bipolar disorder.
Hi there, I have been trained to treat many psychiatric illnesses and issues, with both medication and therapy. The different types of therapy I use include DBT, CBT, supportive and psychodynamic therapy. My patient population ranges from children as young as 6 years old to adults. The majority of children I work with are struggling with anxiety or ADHD, often both. The adolescents and adults that I treat have a variety of issues, including anxiety, substance abuse, eating disorders and mood disorders, such as depression and bipolar disorder.
(347) 508-8094 View (347) 508-8094
Photo of Caitlin Aguiar, Psychiatrist in Darien, CT
Caitlin Aguiar
Psychiatrist, MD
Verified Verified
Stamford, CT 06901  (Online Only)
Dr. Caitlin Aguiar is a board-certified adult psychiatrist. Her mental health care incorporates a holistic approach, while treating clients to facilitate healing and wellness. She incorporates non-pharmaceutical interventions to supplement medication-management including, but not limited to, mindfulness, breathwork, CBT, DBT and supportive therapy in 30min sessions.
Dr. Caitlin Aguiar is a board-certified adult psychiatrist. Her mental health care incorporates a holistic approach, while treating clients to facilitate healing and wellness. She incorporates non-pharmaceutical interventions to supplement medication-management including, but not limited to, mindfulness, breathwork, CBT, DBT and supportive therapy in 30min sessions.
(203) 541-0067 View (203) 541-0067
Photo of Evelyn Afif Stephens MD PC, Psychiatrist in Darien, CT
Evelyn Afif Stephens MD PC
Psychiatrist
Verified Verified
3 Endorsed
Westport, CT 06880
Hi there, I have been trained to treat many psychiatric illnesses and issues, with both medication and psychotherapy. The treatment I provide is often a unique combination which pulls from several different types of therapies, including interpersonal psychodynamic, supportive, DBT and CBT. My patient population ranges from children as young as 6 years old to adults. The majority of children I work with are struggling with anxiety or ADHD, often both. The adolescents and adults that I treat have a variety of issues, including anxiety, substance abuse, eating disorders and mood disorders, such as depression and bipolar disorder.
Hi there, I have been trained to treat many psychiatric illnesses and issues, with both medication and psychotherapy. The treatment I provide is often a unique combination which pulls from several different types of therapies, including interpersonal psychodynamic, supportive, DBT and CBT. My patient population ranges from children as young as 6 years old to adults. The majority of children I work with are struggling with anxiety or ADHD, often both. The adolescents and adults that I treat have a variety of issues, including anxiety, substance abuse, eating disorders and mood disorders, such as depression and bipolar disorder.
(347) 632-9626 View (347) 632-9626
Photo of Marsha Charlton, Psychiatric Nurse Practitioner in Darien, CT
Marsha Charlton
Psychiatric Nurse Practitioner, PMHNP, MSN
Verified Verified
Westport, CT 06880  (Online Only)
I am a compassionate and skilled PMHNP with dual-board certifications in Family Medicine and Psychiatry. I obtained my BSN from the University of Massachusetts Boston. I then received a MSN specializing in family medicine from Massachusetts College of Pharmacy. I earned a Post-Master’s Graduate Certificate in Psychiatric Mental Health from the University of Massachusetts Worcester Medical School. Throughout my career, I’ve worked in diverse healthcare settings, including primary care, surgical, psychiatric, and within the VA healthcare system, where I dedicated my services to veterans.
I am a compassionate and skilled PMHNP with dual-board certifications in Family Medicine and Psychiatry. I obtained my BSN from the University of Massachusetts Boston. I then received a MSN specializing in family medicine from Massachusetts College of Pharmacy. I earned a Post-Master’s Graduate Certificate in Psychiatric Mental Health from the University of Massachusetts Worcester Medical School. Throughout my career, I’ve worked in diverse healthcare settings, including primary care, surgical, psychiatric, and within the VA healthcare system, where I dedicated my services to veterans.
(475) 252-4435 View (475) 252-4435
Irene Topping
Psychiatric Nurse Practitioner, APRN
Verified Verified
Westport, CT 06881  (Online Only)
NOW Accepting New Patients! Have you been a victim of a traumatic event that has left you with symptoms of PTSD? Do you suffer from anxiety, depression, postpartum depression, school issues, grief, or even stress that impacts your sleep that results in insomnia? Whether you tried ignoring it, talking with friends & family, or even reading self-help books, nothing seems to be working. Maybe it’s time to get some professional help today. The first step towards making a change is to acknowledge that you need help. The next step is to continue reading so you can learn more about how you can get that help now.
NOW Accepting New Patients! Have you been a victim of a traumatic event that has left you with symptoms of PTSD? Do you suffer from anxiety, depression, postpartum depression, school issues, grief, or even stress that impacts your sleep that results in insomnia? Whether you tried ignoring it, talking with friends & family, or even reading self-help books, nothing seems to be working. Maybe it’s time to get some professional help today. The first step towards making a change is to acknowledge that you need help. The next step is to continue reading so you can learn more about how you can get that help now.
(475) 262-9657 View (475) 262-9657
Photo of Jill Ahluwalia, Psychiatric Nurse Practitioner in Darien, CT
Jill Ahluwalia
Psychiatric Nurse Practitioner, NP, MPH
Verified Verified
Greenwich, CT 06831  (Online Only)
I am a board-certified, Columbia University-trained psychiatric nurse practitioner (NP) specializing in psychiatric evaluation, medication management, psychotherapy, and alternative treatments to improve mental health. My holistic approach combines personalized medicine with my passion for listening deeply to your experience. By going beyond the symptoms that bring you into treatment, I will partner with you to help you achieve more joy and fulfillment in your life.
I am a board-certified, Columbia University-trained psychiatric nurse practitioner (NP) specializing in psychiatric evaluation, medication management, psychotherapy, and alternative treatments to improve mental health. My holistic approach combines personalized medicine with my passion for listening deeply to your experience. By going beyond the symptoms that bring you into treatment, I will partner with you to help you achieve more joy and fulfillment in your life.
(718) 690-7460 View (718) 690-7460
Photo of Kathleen Sullivan, Psychiatric Nurse Practitioner in Darien, CT
Kathleen Sullivan
Psychiatric Nurse Practitioner, APRN
Verified Verified
Stamford, CT 06901  (Online Only)
AFFORDABLE CARE FROM THE PRIVACY OF YOUR HOME: APRN board certified for mental health services specializing in medication management and therapy services, 13 years old through the life span. Licensed for private practice in the states of Connecticut and Rhode Island working in Telepsychiatry 7 YRS. I offer a unique opportunity for clients to be seen from the comfort and privacy of their home on a Hippa Compliant computer platform. Telepsychiatry is proven to help people reach expert providers, while protecting your personal information, family situation, and/or career. Telepsychiatry saves your personal time and reduces stress.
AFFORDABLE CARE FROM THE PRIVACY OF YOUR HOME: APRN board certified for mental health services specializing in medication management and therapy services, 13 years old through the life span. Licensed for private practice in the states of Connecticut and Rhode Island working in Telepsychiatry 7 YRS. I offer a unique opportunity for clients to be seen from the comfort and privacy of their home on a Hippa Compliant computer platform. Telepsychiatry is proven to help people reach expert providers, while protecting your personal information, family situation, and/or career. Telepsychiatry saves your personal time and reduces stress.
(860) 460-1211 View (860) 460-1211
Photo of Sarah Phillips, Psychiatric Nurse Practitioner in Darien, CT
Sarah Phillips
Psychiatric Nurse Practitioner
Verified Verified
Norwalk, CT 06851  (Online Only)
NOW Accepting New Patients! Have you been a victim of a traumatic event that has left you with symptoms of PTSD? Do you suffer from anxiety, depression, postpartum depression, school issues, bipolar disorder, grief, or even stress that impacts your sleep that results in insomnia? Whether you tried ignoring it, talking with friends & family, or even reading self-help books, nothing seems to be working. Maybe it’s time to get some professional help today. The first step towards making a change is to acknowledge that you need help. The next step is to continue reading so you can learn more about how you can get that help now.
NOW Accepting New Patients! Have you been a victim of a traumatic event that has left you with symptoms of PTSD? Do you suffer from anxiety, depression, postpartum depression, school issues, bipolar disorder, grief, or even stress that impacts your sleep that results in insomnia? Whether you tried ignoring it, talking with friends & family, or even reading self-help books, nothing seems to be working. Maybe it’s time to get some professional help today. The first step towards making a change is to acknowledge that you need help. The next step is to continue reading so you can learn more about how you can get that help now.
(860) 898-9216 View (860) 898-9216
Photo of Dr. Gabriela Hayes, Psychiatrist in Darien, CT
Dr. Gabriela Hayes
Psychiatrist, MD
Verified Verified
Wilton, CT 06897
Dr. Gabriela Hayes is a board-certified psychiatrist specializing in holistic psychopharmacology. She has expertise in all major mental health illnesses, with an emphasis on female and maternal wellness. During the consultation, she will conduct psychiatric and medical evaluations, and explore your unique developmental and environmental histories, to create an individualized treatment plan. Dr. Gabriela Hayes uses a multidimensional and comprehensive therapeutic model that includes medication management, psychotherapy, as well as behavioral and holistic modalities. She is licensed to practice medicine in CT, NY, PA , FL and CA.
Dr. Gabriela Hayes is a board-certified psychiatrist specializing in holistic psychopharmacology. She has expertise in all major mental health illnesses, with an emphasis on female and maternal wellness. During the consultation, she will conduct psychiatric and medical evaluations, and explore your unique developmental and environmental histories, to create an individualized treatment plan. Dr. Gabriela Hayes uses a multidimensional and comprehensive therapeutic model that includes medication management, psychotherapy, as well as behavioral and holistic modalities. She is licensed to practice medicine in CT, NY, PA , FL and CA.
(475) 243-7167 View (475) 243-7167
Photo of Dr. Patricia Hardy, Psychiatric Nurse Practitioner in Darien, CT
Dr. Patricia Hardy
Psychiatric Nurse Practitioner, MSN, APRN, PMHNP-B, DNP
Verified Verified
1 Endorsed
Westport, CT 06880
I work with children, teens, women, and families, focusing on how behavioral changes (sometimes coupled with medication) can improve their psychological & physical well-being. When addressing the concerns of a child, I include the whole family system. I am a board-certified psychiatric and mental health nurse practitioner who has a special interest in working with adolescents and young adults. My practice focuses include emergency psychiatry, ADHD, depression, anxiety, and PTSD.
I work with children, teens, women, and families, focusing on how behavioral changes (sometimes coupled with medication) can improve their psychological & physical well-being. When addressing the concerns of a child, I include the whole family system. I am a board-certified psychiatric and mental health nurse practitioner who has a special interest in working with adolescents and young adults. My practice focuses include emergency psychiatry, ADHD, depression, anxiety, and PTSD.
(475) 897-5611 View (475) 897-5611
Photo of Alexander H. Sheppe, Psychiatrist in Darien, CT
Alexander H. Sheppe
Psychiatrist, MD
Verified Verified
Greenwich, CT 06830
The world can be a difficult place, and my calling is to help by getting to know you as a human being with a story. I specialize in child, adolescent, and adult psychiatry — I treat a wide range of ages and difficulties. There are times when the careful use of medication may be helpful and even life-saving — and medication may not always address the needs of the whole person. I can also help you write and rewrite your story with an integration of compassion, common sense, and years of experience in a variety of evidence-based psychotherapies. I am licensed in NY, CA, NJ, and CT.
The world can be a difficult place, and my calling is to help by getting to know you as a human being with a story. I specialize in child, adolescent, and adult psychiatry — I treat a wide range of ages and difficulties. There are times when the careful use of medication may be helpful and even life-saving — and medication may not always address the needs of the whole person. I can also help you write and rewrite your story with an integration of compassion, common sense, and years of experience in a variety of evidence-based psychotherapies. I am licensed in NY, CA, NJ, and CT.
(917) 473-8936 View (917) 473-8936
Photo of Dr. Sofia Noori, Psychiatrist in Darien, CT
Dr. Sofia Noori
Psychiatrist, MD, MPH
Verified Verified
4 Endorsed
Greenwich, CT 06830  (Online Only)
I'm passionate about helping survivors recover from trauma, and absolutely love caring for patients. I take a relational, warm, and supportive approach to your treatment. Also, I am a board-certified, UCSF and Yale trained adult psychiatrist with expertise in the treatment of trauma. I’m the Co-founder of Nema Health, a telehealth practice that offers effective and research-backed care for trauma survivors. We currently offer Cognitive Processing Therapy (CPT), a first-line treatment endorsed by the National Center for PTSD. 90% of our patients experience clinical improvement in their trauma symptoms.
I'm passionate about helping survivors recover from trauma, and absolutely love caring for patients. I take a relational, warm, and supportive approach to your treatment. Also, I am a board-certified, UCSF and Yale trained adult psychiatrist with expertise in the treatment of trauma. I’m the Co-founder of Nema Health, a telehealth practice that offers effective and research-backed care for trauma survivors. We currently offer Cognitive Processing Therapy (CPT), a first-line treatment endorsed by the National Center for PTSD. 90% of our patients experience clinical improvement in their trauma symptoms.
(203) 208-8228 View (203) 208-8228
Photo of Kristine Callender, Psychiatric Nurse Practitioner in Darien, CT
Kristine Callender
Psychiatric Nurse Practitioner, APRN
Verified Verified
1 Endorsed
Stamford, CT 06901  (Online Only)
NOW Accepting New Patients! Have you been a victim of a traumatic event that has left you with symptoms of PTSD? Do you suffer from anxiety, depression, postpartum depression, school issues, OCD, grief, or even stress that impacts your sleep that results in insomnia? Whether you tried ignoring it, talking with friends & family, or even reading self-help books, nothing seems to be working. Maybe it’s time to get some professional help today. The first step towards making a change is to acknowledge that you need help. The next step is to continue reading so you can learn more about how you can get that help now.
NOW Accepting New Patients! Have you been a victim of a traumatic event that has left you with symptoms of PTSD? Do you suffer from anxiety, depression, postpartum depression, school issues, OCD, grief, or even stress that impacts your sleep that results in insomnia? Whether you tried ignoring it, talking with friends & family, or even reading self-help books, nothing seems to be working. Maybe it’s time to get some professional help today. The first step towards making a change is to acknowledge that you need help. The next step is to continue reading so you can learn more about how you can get that help now.
(860) 782-4814 View (860) 782-4814
Photo of George Philip Kelly, Psychiatrist in Darien, CT
George Philip Kelly
Psychiatrist, MD
Verified Verified
Norwalk, CT 06851
I became a doctor because I wanted to help people, and I found a home in Psychiatry. I believe a patient and a therapist together can change lives. This requires trust, motivation and an experienced therapist. Medication can be an enormously helpful part of this treatment. Many people, in this day-and-age, walk around feeling stressed, anxious, and depressed, and don't know that they can be helped. Modern treatment, including medication, can help with these symptoms.
I became a doctor because I wanted to help people, and I found a home in Psychiatry. I believe a patient and a therapist together can change lives. This requires trust, motivation and an experienced therapist. Medication can be an enormously helpful part of this treatment. Many people, in this day-and-age, walk around feeling stressed, anxious, and depressed, and don't know that they can be helped. Modern treatment, including medication, can help with these symptoms.
(203) 767-7799 View (203) 767-7799
Photo of Dr. Sandy Engel - -Open June 2024, Psychiatric Nurse Practitioner in Darien, CT
Dr. Sandy Engel - -Open June 2024
Psychiatric Nurse Practitioner, PhD, PMHNP
Verified Verified
Wilton, CT 06897
I believe in nurturing mental wellness and empowering individuals to lead fulfilling lives. As a board-certified psychiatric nurse practitioner passionate about holistic care, I bring over 25 years of experience providing empathetic and evidence-based services. I am dedicated to creating a safe and supportive environment where clients can explore their challenges, discover their strengths, and embark on a journey towards healing and growth. With a deep understanding of the complex interplay between biological, psychological, and social factors, we will take a comprehensive and individualized approach to your treatment.
I believe in nurturing mental wellness and empowering individuals to lead fulfilling lives. As a board-certified psychiatric nurse practitioner passionate about holistic care, I bring over 25 years of experience providing empathetic and evidence-based services. I am dedicated to creating a safe and supportive environment where clients can explore their challenges, discover their strengths, and embark on a journey towards healing and growth. With a deep understanding of the complex interplay between biological, psychological, and social factors, we will take a comprehensive and individualized approach to your treatment.
(203) 689-3363 View (203) 689-3363
Dialectical Behavior (DBT) Psychiatrists

Who is DBT for?

Dialectical Behavior Therapy (DBT) is designed for people who experience extreme emotional suffering because they lack the skills of emotion regulation and distress tolerance. The basic affliction can underlie a wide range of conditions, from borderline and other personality disorders to PTSD and treatment-resistant anxiety and depression. The therapy is helpful to those whose emotional reactivity is so intense it is disruptive to everyday functioning and leads to frequent crises.

Why do people need DBT?

The ability to regulate emotions is a core psychological skill that enables people to function in life and pay attention to the world outside themselves; it is consistently associated with well-being. DBT is designed to help people learn how to manage and regulate their emotions. Originally developed to treat people with borderline personality disorder whose extreme emotional suffering led to self-harming behavior and suicide attempts, the therapy is now applied to other conditions involving emotion dysregulation, particularly when other treatments have failed.

What happens in DBT?

Individuals meet weekly with their therapist to discuss their experiences relating to moods, behavior, and skills. Using checklists they maintain, they review emotional experiences and positive practices they engage in. The diaries help individuals discern what led up to a specific problem encountered, this is followed by discussion of the consequences of their actions. In addition, individuals may meet in class-like small groups to learn skills such as mindfulness, emotion regulation and distress tolerance.

How long does DBT last?

Because it is intended to establish long-lasting behavioral change among those with persistent problems, DBT is designed to last six months to a year. DBT includes both weekly sessions of individual therapy and weekly skills-training sessions conducted in small groups. Studies of DBT have documented improvement within a year of treatment, particularly in controlling self-harmful behavior; nevertheless, individuals may require therapy for several years.