Dialectical Behavior Therapy (DBT) Program Internships

Dialectical Behavioral Therapy (DBT) is a treatment designed specifically for individuals with self-harm behaviors, suicidal thoughts and actions, and other behaviors that get in the way of having a life worth living.  We serve clients with varied diagnoses including borderline personality disorder, other axis II disorders, depression, bipolar disorder, addictions, PTSD, and anxiety disorders.  Clients are seen in weekly 1:1 therapy and weekly 2-hour DBT skills training for a period of one year.  Clients come from varied backgrounds, socioeconomic status, and life circumstances.

Interns will learn and participate in the full scope of DBT practice including:

  • assessments
  • treatment planning
  • individual therapy
  • group facilitation
  • coordination with other health care providers
  • phone coaching
  • participating in a DBT consultation team

Interns will participate in several DBT skills training groups, both adult and adolescent, weekly. Initially, this will be in the observation role then will be co-facilitating mindfulness exercises, homework review, and teaching of skills.  Interns typically co-facilitate both an adolescent group (ages 12-18) and an adult group (ages 18+). Once interns have a grasp of DBT therapy as a treatment modality, they will carry a caseload of individual DBT clients.  Interns will participate in DBT team consultation as a member, weekly, and will have the opportunity to facilitate these meetings. Lastly, interns will learn how to provide DBT phone coaching and will practice coaching clients on DBT skills.

Interns are also able to take clients in the outpatient setting for individual therapy.

Interns are able to shadow other internships such as the co-occurring substance use disorder program, CTSS (in-home family program), ARMHS (adult in-home program), psychiatry, psychological testing, etc.

Length of internship & Schedule Requirements:

  • DBT internships are 9 months long, typically commencing in September and finishing in May. NAL requires that DBT interns be present at their internship site for 20 hours/week.
  • In those 20 hours weekly, interns will:
    • Attend weekly DBT staff case consultation meetings
    • Attend weekly supervision session with an assigned supervisor onsite (supervisor would be a licensed clinical mental health professional and is typically a board-approved supervisor)
    • Attend the alternate weekly Outpatient Staff meetings and Peer Consultations
    • Attend the monthly Internship Cohort Meeting from 12:00 pm – 1:30 pm on the third Tuesday of each month
    • Attend three one-hour long video Continuing Education Units (CEU’s) each month at Nystrom & Associates, Ltd.


  • Educational degree: students must be pursuing a master’s degree in either social work, marriage & family therapy, counseling, or psychology at an accredited university (with the eventual license as LPCC, LMFT, LICSW).
  • Prior experience in the mental health field, whether prior practicum, professional, or life experience.
    • Common examples: Prior work experience as an Independent Living Skills Worker, experience working on an inpatient mental health ward, residential experience.

Locations of Internship:

***Email recruiting@nystromcounseling.com to inquire regarding other sites if the above sites are not your preferred location.

Application Process:

  • We accept applications throughout the entire year on an ongoing basis. We are not able to guarantee every internship at every Nystrom site.
  • To apply to our clinical internships/practicum placements, please go to our employment opportunities page and apply to the listed “Internship Application” role.
  • If you have questions prior to applying, please direct them to recruiting@nystromcounseling.com.
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