Dialectical behavior therapy program

Dialectical Behavior Therapy (DBT) is an evidence-based treatment designed to help individuals build a life worth living—one grounded in emotional stability, meaningful relationships, healthy coping skills, and increased self-awareness. DBT blends acceptance with change-based strategies, helping clients understand their experiences while developing practical tools that create meaningful, long-term improvement.

At West Knox Behavioral Health, our DBT program includes individual therapy and structured skills training groups for adults, adolescents, and parents. Our approach is warm, supportive, and clinically grounded, allowing clients and families to learn skills gradually and effectively.

DBT helps individuals who experience intense emotions, impulsive behaviors, anxiety, depression, or difficulty navigating relationships. The treatment focuses on teaching four essential sets of skills that strengthen emotional and relational well-being.

Mindfulness is the foundation of all DBT skills. It teaches clients how to:

• Stay present rather than being overwhelmed by past regrets or future worries
• Observe thoughts, sensations, and emotions without judgment
• Respond intentionally instead of reacting automatically
• Build greater self-awareness and grounding

Mindfulness strengthens clarity, calmness, and the ability to make wise decisions during difficult moments.

Distress tolerance skills help individuals navigate crisis moments without making the situation worse. Clients learn how to:

• Use healthy coping tools during emotional surges or acute stress
• Apply soothing and grounding strategies to calm the mind and body
• “Ride the wave” of strong emotions rather than acting impulsively

Use acceptance-based skills for situations that cannot be changed immediately. These skills reduce reactivity and help clients maintain safety and emotional stability during high-intensity moments. 

Emotion regulation skills help clients understand and work with their emotions more effectively. Clients learn how to:

• Identify and label emotions accurately
• Understand factors that influence emotional intensity
• Reduce emotional vulnerability through habits supporting sleep, nutrition, routine, and self-care
• Increase positive emotions by engaging in meaningful, enjoyable activities
• Use structured tools to decrease the intensity of difficult emotions
      

This module empowers clients to feel more balanced, resilient, and in control of their emotional experiences.

Interpersonal effectiveness skills strengthen communication and relationship patterns. Clients learn how to:

• Ask for what they need clearly and respectfully
• Set healthy boundaries without guilt
• Resolve conflict with confidence
• Maintain self-respect while sustaining meaningful relationships

Use DBT tools like DEAR MAN, GIVE, and FAST to communicate effectively. These skills support healthier connections in families, friendships, and professional settings.