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Trauma Therapy of Nashville

Trauma Therapy of Nashville

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You are here: Home / Methods / Dialectical Behavior Therapy (DBT)

Dialectical Behavior Therapy (DBT)

What is Dialectical Behavior Therapy (DBT)?

Dialectical behavioral therapy (DBT) is a type of cognitive behavioral therapy. Cognitive behavioral therapy tries to identify and change negative thinking patterns and pushes for positive behavioral changes.

DBT may be used to treat suicidal and other self-destructive behaviors. It teaches patients skills to cope with, and change, unhealthy behaviors.

How Does DBT Work?

  • Acceptance and change. You’ll learn strategies to accept and tolerate your life circumstances, emotions, and yourself. You will also develop skills that can help you make positive changes in your behaviors and interactions with others.
  • Behavioral. You’ll learn to analyze problems or destructive behavior patterns and replace them with more healthy and effective ones.
  • Cognitive. You’ll focus on changing thoughts, beliefs, behaviors, and actions that are not effective or helpful.
  • Collaboration. You’ll learn to communicate effectively and work together as a team (therapist, group therapist, psychiatrist).
  • Skill sets. You’ll learn new skills to enhance your capabilities.
  • Support. You’ll be encouraged to recognize your positive strengths and attributes and develop and use them.

What are DBT Skills?

People learning DBT are taught how to effectively change their behavior using four main strategies.

Core Mindfulness is perhaps the most important strategy is developing mindfulness skills. Mindfulness helps you focus on the present or “live in the moment.” This helps you pay attention to what is happening inside you (your thoughts, feelings, sensations, and impulses) as well as tune in to what’s happening around you (what you see, hear, smell, and touch) in nonjudgmental ways.

Mindfulness skills help you slow down and focus on using healthy coping skills when you are in the midst of emotional pain. The strategy can also help you stay calm and avoid engaging in automatic negative thought patterns and impulsive behavior.

Distress Tolerance help prepare you for intense emotions and empower you to cope with them with a more positive way, allowing you to accept yourself and your current situation.

 These skills often include:

  • Distraction
  • Improving the moment
  • Self-soothing
  • Thinking of the pros and cons of not tolerating distress

Interpersonal Effectiveness helps you to become more assertive in a relationship while still keeping a relationship positive and healthy. You will learn to listen and communicate more effectively, deal with challenging people and respect yourself and others.

Emotion Regulation lets you navigate powerful feelings in a more effective way. The skills you learn will help you to identify, name and change your experience of emotions.

Is DBT a Good Fit for Me?

DBT might be an effective treatment for those struggling with:

  • Attention-deficit/hyperactivity disorder (ADHD)
  • Bipolar disorder
  • Borderline Personality Disorder (BPD)
  • Eating disorders (such as anorexia nervosa, binge eating disorder, and bulimia nervosa)
  • Generalized anxiety disorder (GAD)
  • Major depressive disorder (including treatment-resistant major depression and chronic depression)
  • Obsessive-compulsive disorder (OCD)
  • Post-traumatic stress disorder (PTSD)
  • Substance use disorder

If you would like more information about DBT or would like to get connected with a therapist and/or skills group, we would love for you to connect with Gena Leone, LMSW.  You may email her at  Gena@IntegrativeTherapyNashville.com You may also check out our Groups listed under the “Services” tab at the top of the page.

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What Clients Are Saying

I feel as though she truly knows me and cares about me.

“Melanie is a wonderful therapist. Her insight, encouragement and support for the past 5 months has helped me tremendously. When I meet with her, I feel as though she truly knows me and cares about me. Melanie has taught me how to remain confident in the face of life’s difficulties, and I am thankful to have her in my life.”

~ Female. 22

Melanie has helped us restore our faith in one another.

“Through a lot of hurt and betrayal I lost faith and hope in my marriage. Over the last year, Melanie has helped us restore our faith in one another and believe in friendship with my husband again.”

~ Female. 39

Melanie is one of the best things that’s ever happened to me!

“I found Melanie after a long few years struggling with anxiety. I had been resistant to therapy my whole life thinking I didn’t need it, but I finally got to a place that I felt there was no other option. I’m so glad I did. Melanie is one of the best things that’s ever happened to me! Not only did she help me with my anxiety, she got me to address things I had been carrying around my whole life that I was unaware of or in denial of. I am a completely different person than I was when I first walked into her office and I am so proud of the work we did together. I can’t recommend her highly enough! Go see her.”

~ Female. 26

She gave her tools to help her work through her problems

“Melanie really connected with my daughter. She gave her tools to help her work through her problems and to make it easier to cope with being a pre-teen. The passion Melanie has for this work is evident and she is such a joy to be around.”

~ Mom to Pre-teen. 12

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1305 16th Ave S
Nashville, TN 37212
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on Music Row!

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Phone: 615.504.8337
Fax: 615.235.1140
info@integrativetherapynashville.com
Hours: M~Th, 9:30am-5:30pm


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