Feeling out of Control
You struggle with your emotions and relationships. Sometimes, circumstances seem out of control. You might feel too deeply or not know how to get what you want from others. You’re constantly reviewing what happened or what could be. There are times that the mental noise is so disturbing that you check out by using alcohol or drugs, engaging in eating-disorder behavior, act compulsively, or even harm yourself.
Does this sound familiar?
It could be that you struggle with emotion regulation, having difficulty experiencing your emotions and knowing how to make them work for you. It’s possible that life’s stressors feel too much for you to cope with and that you’re often in distress. Maybe your interpersonal relationships are characterized by ups and downs or by you feeling ineffective and unheard.
DBT can help.
How DBT Works
DBT, or Dialectical-Behavior Therapy, was developed by Marsha Linehan, originally to treat individuals diagnosed with borderline personality disorder. However, research has shown this treatment to be effective in treating a wide range of problems, including substance use disorders, eating disorders, trauma/PTSD, depression (including treatment-resistant depression), bipolar disorder, ADHD, self-harm/suicidal behavior, and general difficulties around emotions, behavior, and relationships.
First and foremost, DBT involves a supportive, therapeutic relationship. You should feel like your therapist is someone who challenges you but is also your biggest fan, someone who accepts you for who you are and will also push you to grow into the person you want to be. In fact, balancing acceptance and change is a core element on this treatment.
In DBT, you will learn specific skills related to mindfulness, emotion regulation, distress tolerance, and interpersonal effectiveness. Simply, you will learn how to manage your emotions more effectively and how to negotiate relationship interactions in a way that gets you what you need.
What others are saying about dbt
“I utilize DBT because it combines the most effective strategies used in the field for years. It goes beyond talking about what needs to change to actually changing behavior, emotions, and other experiences. It is completely focused on getting the client where they want to be, while also approaching difficult experiences with kindness, understanding, and compassion.” Dr. Amy Long, Seed of Change Counseling and Neurotherapy Services
“I’ve been in a lot of therapy my whole life and when I learned DBT, it helped my life and me make more sense. I learned skills that have taught me how to manage both little and big issues.” Beth Mikesell, LMFT, Therapist in Private Practice
“DBT has taught my clients how to be effective when things are difficult; they learn skills for tolerating distress, managing emotions and how to ask for what they need. DBT has given my clients hope for the future and for a life worth living.” Lynn Waldman, LCSW, San Diego Divorce Counseling Center
DBT Treatment at Gatewell Therapy Center in Miami and ONline
Gatewell Therapy Center offers DBT-adherent treatment in Miami and online to clients in Florida, New York, and California. Our staff has been trained intensively by Behavioral Tech, the original training body for DBT and has led skills groups at various treatment centers and levels of care.
We offer individual therapy as well as skills training. You will learn skills from the four modules of DBT:
- Mindfulness: Mindfulness is the core of DBT. You’ll learn how to focus your attention and thinking. Mindfulness skills encourage you to observe, describe, and participate in life and to do so from a non-judgmental, focused, and effective stance.
- Emotion regulation: If you struggle to know what you’re feeling and why, or how to manage your feelings, emotion regulation skills can help. You’ll also learn how to manage strong emotions.
- Distress tolerance: When in the grips of a crisis or struggling with emotional overload, distress tolerance skills can help without making things worse. You’ll learn how to accept certain realities and how to weather life’s storms.
- Interpersonal effectiveness: These skills teach you how to interact with others more effectively. This might involve asking for what you need, saying no/setting boundaries, communicating more effectively, coping with difficult people, and making relationship repairs.
As part of your treatment, your therapist will be available to you between sessions for phone coaching. This means that you will have access to guidance and support outside of your weekly sessions. You don’t have to do this alone.
Finally, DBT includes therapist consultation with other providers. Your therapist has access to a team of providers who can offer additional consultation and support regarding your case. This helps your therapist make the most informed decisions regarding your care.
If you think that DBT is the right treatment for you, contact us to get started today.