Dialectical Behavior Therapy (DBT)

Life can feel overwhelming at times—whether it’s intense emotions, difficult relationships, or patterns of behavior that seem impossible to break. If you’ve found yourself stuck in cycles of self-criticism, conflict, or unhealthy coping, you’re not alone. Many people reach a point where “just pushing through” isn’t working anymore, and that’s where therapy can make a difference.

Dialectical Behavior Therapy (DBT) is a highly effective, evidence-based approach to improving emotional regulation, relationships, and overall well-being. Built on the foundation of Cognitive Behavior Therapy (CBT), DBT emphasizes the balance of acceptance and change—two things that may seem opposite but are both necessary for growth. At its core, DBT helps people move toward what psychologist Marsha Linehan described as “a life worth living.”

DBT isn’t just about what happens in a therapy session—it’s about giving you practical tools you can use every day. You might notice DBT skills showing up when you pause and take a mindful breath before reacting in anger, navigate a tough conversation with clarity and respect, or recognize and accept your feelings without letting them control you. They may also help you cope with distress in healthy ways instead of turning to old habits, and strengthen your relationships by balancing your needs with the needs of others.

Many people seek DBT when they’re feeling “too much” or “not enough”—too emotional, too impulsive, too disconnected, or not in control of their lives. You might benefit from DBT if you:

• Struggle with regulating emotions or mood swings.
• Experience frequent conflict in relationships.
• Use unhealthy coping strategies such as self-harm, substance use, or withdrawal.
• Feel stuck in cycles of shame, guilt, or self-blame.
• Have difficulty tolerating stress or uncertainty.

DBT can also be a good fit if you’ve tried other therapies but found yourself needing more structure, more practical skills, or a balance between compassion and accountability.

While DBT was originally developed to support individuals with borderline personality disorder, research has shown it to be effective for many other challenges, including:

• Post-Traumatic Stress Disorder (PTSD) and trauma recovery
• Anxiety and panic disorders
• Depression
• Eating disorders
• Substance use struggles
• Impulse control difficulties

At its core, DBT helps people who feel emotions deeply or struggle with patterns that keep them stuck, regardless of diagnosis.

At our Kansas City therapy practice, we utilize DBT not just as a set of skills, but as a framework for real change. Our therapists work with you to identify patterns that no longer serve you, while also acknowledging the resilience and strengths you already have. We believe healing happens at the intersection of acceptance and change—and we’ll guide you through both.

With DBT, you can expect to:

• Learn tools that make everyday challenges more manageable.
• Build stronger, healthier relationships.
• Develop greater self-understanding and compassion.
• Move toward a more stable, meaningful life.

Is DBT the same as CBT?
Not exactly. DBT grew out of CBT but adds mindfulness and the balance of acceptance and change.

Do I need a specific diagnosis to benefit from DBT?
No—DBT is useful for anyone struggling with intense emotions, relationship conflict, or unhelpful coping strategies.

How long does DBT take?
It depends on your goals and needs. Some clients find short-term work helpful, while others benefit from a longer process.

Will I have homework or skills practice outside of sessions?
Yes, DBT is most effective when you practice skills between sessions. We’ll support you in making these tools part of your daily life.

If you’ve been searching for a way to feel more balanced, supported, and in control, DBT may be the right path for you. Our Kansas City therapists are here to walk alongside you as you learn new skills and create lasting change.

You don’t have to do this alone—reach out today to schedule an appointment and take the first step toward a life worth living.