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What is Dialectical Behavior Therapy (DBT)?

Dialectical Behavior Therapy (DBT) is an evidence-based treatment designed for people who have difficulty managing their emotions. The term “dialectical” means a synthesis or integration of opposites. The primary dialectic within DBT is found in the seemingly opposite strategies of acceptance and change. In DBT, we learn to accept ourselves as we are while acknowledging that change is necessary in order to accomplish our goals.

DBT includes four skills areas:

  • Mindfulness: The practice of maintaining awareness and being present in the current moment.

  • Distress Tolerance: Tolerating painful situations without trying to change them. In other words, “weathering the storm”.

  • Interpersonal Effectiveness: Asking for what you want and saying no while preserving self-respect and relationships with others.

  • Emotion Regulation: Decreasing vulnerability to painful emotions and changing emotions that are ineffective.

How Can DBT Help?
DBT is especially helpful if you:

  • Feel emotionally overwhelmed or reactive

  • Struggle with black-and-white thinking or impulsive behavior

  • Want to build stronger boundaries and healthier communication

  • Live with anxiety, frequent changes in mood, or chronic feelings of emptiness

DBT at Enrich Psychotherapy
Gab Rich, LCSW, is intensively trained in DBT through Behavioral Tech Institute and takes a client-centered, affirming, and collaborative approach. Sessions are designed to meet you where you are—whether you're brand new to therapy or looking to expand your emotional toolkit.

We currently offer:

  • DBT-informed Individual Therapy (50-minute virtual sessions)

  • DBT Skills Group (90-minute virtual skills training)
     

All services are available statewide in Georgia and Maine via secure telehealth.

Is DBT Right for You?
If you’ve tried other therapies and still feel stuck—or if you’re looking for a more practical, skills-based approach—DBT might be the right fit. Gab works with adults of all ages and genders, and specializes in working with clients navigating high emotional intensity who feel ready to put in the work for things to be different.

If you’re unsure whether DBT is right for you, reach out to schedule a free 15-minute consultation.

Trees in the forest with the sun coming through representing hope and growth
Woman in virtual therapy session learning DBT skills
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