DBT for Adults

What is Dialectical Behavior Therapy (DBT)?

Dialectical Behavior Therapy (DBT for Adults), is an evidence-based treatment created by Dr. Marsha Linehan. It was originally created for the treatment of borderline personality disorder – a disorder characterized by highly suicidal behaviors, self-harm, and intense, out of control emotions. DBT has now proven effective in treating a wide array of mental health disorders – personality disorders, chronic depression, and anxiety disorders, eating disorders, and addictions. DBT is a treatment designed for individuals who struggle to regulate their behaviors and emotions effectively. This can look like suicidal thinking, self-harm (cutting, etc.), addiction, difficulty with anger/rage, chronic depression and anxiety, eating disorders, intense shame, and unresolved trauma to name a few. Clients who would most benefit from DBT are those where “treatment as usual” (traditional psychotherapy) has not been effective and/or their behaviors and emotions cause severe impairment to their quality of life. DBT is an empirically-supported treatment – meaning it has been studied at length in clinical trials and has repeatedly proven effective.

What We Do

Our DBT Program is run by trained professionals with a passion to help clients create a life worth living.  The adult DBT program at Nystrom and Associates, Ltd. has been certified by the State of Minnesota Department of Human Services as an adherent, standard DBT program.  Our certified DBT program includes all of the components of treatment included in DBT: weekly individual therapy, weekly skills training group, access to after-hours DBT phone coaching, and a DBT consultation team of committed and trained DBT therapists.

Our DBT skills groups cover four main modules:


Mindfulness is the ability to be in the present moment.  Mindfulness skills help us to experience our current environment, sensations, feelings, and thoughts in a non-judgmental way. Mindfulness can help when distracted and overwhelmed.  Mindfulness helps to reduce misery and increase our capacity for joy and hope.

Interpersonal Effectiveness

Interpersonal effectiveness skills help to reduce painful and chaotic relationships.  Interpersonal effectiveness skills teach clients how to ask for what they want or need and say no to the unwanted requests — all while maintaining or improving the quality of their relationships and maintaining their self-respect.

Emotion Regulation

Emotion regulation skills help to reduce painful, un-wanted emotions.  Clients learn how to live more effectively with their emotions – how emotions work, how to manage them more effectively and how to reduce sensitivity to emotions.

Distress Tolerance

Distress tolerance skills help clients get through difficult and painful moments without making things worse. Distress tolerance skills include crisis survival skills as well as skills to help tolerate and accept pain in a more effective way.

Most health insurance plans, including Medical Assistance and pre-paid Medical Assistance plans, cover our services.

For more information on our programs and scheduling, please contact our intake coordinators.

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