
Dialectical Behavior Therapy
in Houston, TX and Online
Dialectical Behavioral Therapy
Do these phrases sound familiar? If so, Dialectical Behavioral Therapy (DBT) may be right for you. This long-standing form of talk therapy has been used across the board to support everyday people like yourself to instill emotional perseverance and “distress tolerance”. The goal is to support a positive quality of life, while improving communication in relationships, work environments, and beyond! Let’s start with some commonly asked questions about DBT therapy. Similar to Cognitive Behavioral Therapy (CBT), DBT is a form of talk therapy specifically designed to help those who experience emotions more fiercely. In fact, DBT was modeled after the client-driven framework of CBT to create a specialized form of talk therapy geared towards regulating emotions. By learning to emote in a healthy and non-destructive way, we can support healthy relationships and prevent harm towards ourselves and others.
What is DBT Therapy?

Who Can Benefit from Dialectical Behavioral Therapy (DBT)?
DBT is commonly used to treat issues like:
- Borderline personality
- Self-harm
- Suicidal ideation
- Post-traumatic stress disorder (PTSD)
- Substance use disorders
- Anxiety
- Depression
- Eating disorders, such as binge eating and bulimia


Is DBT Right for Me?
Many people who benefit from Dialectical Behavioral Therapy are looking for better ways to cope with life. People are often surprised to find that DBT can be a source of support and validation.
Many people who start DBT have struggled with adverse coping mechanisms that weren’t working in their life.
One of the most foundational aspects of DBT is the idea that you are doing the best you can, and that’s enough. You may also need to make changes (build skills) and find healthy coping mechanisms to deal with the stress of life.
Here are some commonly shared experiences pre-therapy:
- Drinking alcohol to cope with anxiety and stress
- Emotional overeating
- Staying in bed for long periods of time / to avoid obligations
- Yelling at or withdrawing from other people
- Picking or pinching skin to soothe distress
- Feeling numb / staring into space
If you have experienced any of these common coping strategies, you aren’t alone. These common mechanisms are easy to pick up in the short term and may help to alleviate some of the pain of day-to-day life. However, you’re looking for a better way to soothe your pain.
That’s why DBT treatment can be so beneficial.


DBT Therapy is About Skill-Building
There are several aspects of Dialectical Behavioral Therapy that contribute to building a healthy strategy for emotional expression. While it may take time to build these skills, practice makes perfect.
DBT is structured to build foundational skills for emotional regulation by limiting harmful behaviors. By being brave and trying out new skills in your day-to-day life, you are practicing the skills that have the potential to build your future and change your life.
Moreover, emotional regulation allows you to feel emotions free of judgment. When we see our feelings as information rather than something we choose to experience, we can make better decisions free of the guilt or shame that comes with trying to change what is out of our control.
Radical Acceptance
A core value of DBT is the idea of radical acceptance: accepting ourselves and our experiences for what they are. To practice radical acceptance is to allow yourself to experience your world without judging your internal reactions.
Even though some feelings can be scary to get to know, they are there for a reason. We don’t need to punish ourselves for the emotions we experience. Rather, we can learn from them and discover what’s truly happening in our own internal experience.
DBT Teaches Distress Tolerance
When life gets hectic, sometimes it can be hard to see a light at the end of the tunnel. Instead, daily life bogs us down with worries, strained relationships, trouble at work, and emotional turmoil.
Sometimes, the internal voice inside can sound more like a menace, replaying both disappointments and fears. These messages can get stuck on a loop, playing internal thoughts like:
- “I don’t do anything right”
- “What did I do to deserve this?”
- “I’m the worst!”
- “No one cares about me / I’m not worth caring about”
- “I’m too much / not enough”
- “No one likes me”
These ‘all or nothing’ statements can get blown out of proportion, and we start to believe the lies that play in our mind.
That’s why distress tolerance is so important. By learning to identify these negative thought patterns, you can more easily identify the core emotion.
“I’m the worst” is a negative statement, but the emotion behind it could imply shame or guilt over an action. By identifying the feeling behind the thoughts, we can more easily understand what’s happening internally.
As a result, we’re better prepared to accept the things we cannot change. Without the overwhelming stress that builds when we feel pressured to accomplish goals outside of our influence, we can better change what we do have control over.
Self-soothing techniques, mindfulness skills, and other mental reframing tools can help you accept yourself and your own emotions, while also reminding yourself that it’s ok to feel.


Dialectical Behavior Therapy (DBT) FAQ's
A DBT skills group provides an opportunity to learn the core skills of DBT.
These groups are meant to show you that you are not alone in your struggle.
DBT skills groups are one component of DBT therapy and are part of a comprehensive DBTtreatment plan.
We offer the following DBT Skills Groups:
Our DBT therapists offer individual DBT therapy and DBT skills groups online and in person.
The length of therapy will vary depending on your specialized therapy plan. Typically, 6 months – 1 year of DBT treatment is a general rule of care. However, it is important to have positive expectations for yourself post-therapy.
You may not be symptom-free following your one year follow-up, and that’s normal. Emotional regulation is a unique and very personalized process.
Inherently, learning emotional regulation skills through DBT is a subjective experience, and the time it takes to complete therapy will vary from person to person.
Consider Dialectical Behavior Therapy
Help is available, and our goal is to provide you with a better quality of life as you build confidence in your own abilities and strengths.
We’re here to help you live your best life possible. Schedule an appointment with us or learn more about how DBT works, and continue your radical acceptance journey.
Remember, you are not alone.
Be brave. Be you.
Join a DBT Group

Get Help From a Specialist in Dialectical Behavior Therapy
Alexandra Marshall
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BOOK AN APPOINTMENTGreta Bellinger
Greta’s passion is to help individuals live an authentic and meaningful life through self-acceptance and compassion. She provides a space of emp…
BOOK AN APPOINTMENTHolly Lark
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BOOK AN APPOINTMENTKathy Crumpler
It’s time for you to put yourself first. Kathy specializes in trauma, anxiety, and depression and is here to help individuals and couples.
BOOK AN APPOINTMENTKatie Osgood
Katie enjoys working with adolescents and adults around a variety of challenges, including anxiety, depression, disordered eating, body-image co…
BOOK AN APPOINTMENTKristen Ameli Matthews
I am here to help you regain a sense of control over your life, build coping skills, and assist you in making the changes you desire.
BOOK AN APPOINTMENTMaggie Burkett
Maggie enjoys working with children, teens, and adults experiencing trauma, anxiety, depression, abuse, PTSD, self-harm, etc. Maggie is also a c…
BOOK AN APPOINTMENTMarcie Dinkin
Marcie works with parents, young adults, and teens, together or individually, to assess what the major issues and roadblocks are, address any hu…
BOOK AN APPOINTMENTMariela Zavala
Mariela has a great interest in working with young mothers and adults from various backgrounds. Mariela can serve clients from diverse socioecon…
BOOK AN APPOINTMENTRebecca Burke
I work with clients experiencing a variety of symptoms including depression, anxiety, disordered eating, major life transitions, and marital or…
BOOK AN APPOINTMENTSamantha Birnbaum
Sam specializes in working with teens, adults, and families that are struggling with depression, anxiety, body image & eating disorders, addicti…
BOOK AN APPOINTMENTSarah Soto
Sarah’s specialties and professional interests include helping people through life changes, trauma, PTSD, abuse, anxiety, stress, depression, AD…
BOOK AN APPOINTMENTTiara Runyon
Tiara offers a collaborative approach, fit to suit your individual needs. Her experience includes working with those facing life transitions and…
BOOK AN APPOINTMENTVanessa Guidry
Vanessa works with children, teens, young adults and families. She helps with behavioral concerns, emotional stress such as anxiety, anger and d…
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I have recently begun working with a counselor at Eddins Counseling Group and I have been so grateful for the experience. My counselor has been very empathetic, a great listener, and has helped me have insight into my current situation. I find myself thinking about our conversations throughout the week and always look forward to speaking with her.
