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What is
Dialectical Behavior Therapy?

What Is Adherent DBT Programming?
A comprehensive, evidence-based treatment for people who feel emotions deeply and want real change.
Dialectical Behavior Therapy (DBT) is a structured therapy model originally developed to treat chronic emotional dysregulation, self-harm, suicidal thoughts, and relationship instability. Today, it is also used effectively for anxiety, depression, trauma, ADHD, and high-intensity stress.


- Adherent DBT means the program follows the full, research-supported DBT model.

- “DBT-informed” therapy is where DBT skills are implemented in a less structured or intensive way in therapy sessions. 


What Makes a Program 'Adherent'?
• Weekly Individual DBT Therapy – Focus on motivation, behavior change, and applying skills to real life.
• Weekly DBT Skills Group (2 hours) – Structured curriculum teaching Mindfulness, Distress Tolerance, Emotion Regulation, and Interpersonal Effectiveness.
• Between-Session Coaching – Brief phone/text support to help use skills in the moment.
• DBT Consultation Team (For Providers) – Therapist participation in consultation team to maintain fidelity and high-quality care.
When all four elements are present, research shows the strongest outcomes.


How Is This Different From 'DBT-Informed' Therapy?
• Follows a structured treatment hierarchy
• Tracks behaviors weekly
• Uses diary cards
• Targets life-threatening and therapy-interfering behaviors first
• Includes coaching to prevent crises
• Requires therapist consultation for accountability
Who Is Adherent DBT For?
• People overwhelmed by intense emotions
• Individuals experiencing impulsive behaviors
• Those struggling with self-harm or suicidal thoughts
• People with patterns of unstable relationships
• Individuals feeling stuck in shame cycles
• Those wanting structure, accountability, and practical tools


What to Expect
• A commitment of approximately 6–12 months
• Weekly attendance required
• Homework and skills practice
• Honest, direct, compassionate feedback
• Active behavioral change work


The Goal
• Build a life worth living
• Increase emotional stability
• Strengthen self-respect
• Develop healthy boundaries
• Gain confidence managing crises
• Improve relationship effectiveness

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Ready to Learn More?

Schedule a consultation call to determine if DBT is the right fit for you

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© 2025 by Grounded Heart Therapy, LLC

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