Dialectical Behavior Therapy (DBT) at Every Heart Dreams Counseling

Transform Your Life with Dialectical Behavior Therapy

Dialectical Behavior Therapy (DBT) is a powerful, evidence-based approach that helps individuals develop effective skills for managing intense emotions, improving relationships, and creating a more balanced life. At Every Heart Dreams Counseling in El Dorado Hills, our group practice specializes in delivering high-quality dialectical behavior therapy to teens, young adults, and adults throughout Sacramento County and El Dorado County.

Originally developed for treating borderline personality disorder, dialectical behavior therapy has proven effective for many mental health conditions, including mood disorders, post-traumatic stress disorder, eating disorders, and challenges with self-harm or emotional regulation. Our compassionate therapists are extensively trained in providing comprehensive DBT that can transform your relationship with yourself and others.

The Four Core Skills of Dialectical Behavior Therapy

Dialectical Behavior Therapy DBT focuses on developing four essential skill sets that work together to create lasting positive change:


1. Mindfulness Skills

Mindfulness forms the foundation of all dialectical behavior therapy work. These skills help you:

  • Stay fully present in the moment rather than dwelling on the past or worrying about the future

  • Observe your thoughts and emotions without judgment

  • Make conscious choices rather than reacting automatically

  • Develop a deeper connection with yourself and others

  • Find calm amid life's chaos

Our DBT therapists incorporate mindfulness techniques throughout therapy, teaching you practical ways to ground yourself during moments of distress and build awareness of your emotional patterns.

4. Interpersonal Effectiveness Skills

Relationship difficulties often contribute significantly to emotional distress. Interpersonal effectiveness skills focus on:

  • Communicating your needs clearly and respectfully

  • Setting and maintaining healthy boundaries

  • Preserving self-respect during conflicts

  • Strengthening important relationships

  • Balancing your priorities with others' expectations

These skills help you build and maintain healthier relationships at home, work, and in your social life, leading to greater connection and support.

2. Distress Tolerance Skills

Life inevitably brings challenging situations that trigger intense emotions. Distress tolerance skills help you:

  • Navigate crises without making them worse

  • Accept reality as it is, even when painful

  • Self-soothe during times of emotional intensity

  • Distract effectively when needed

  • Build resilience to life's challenges

Distress tolerance skills are particularly valuable for those who tend to engage in impulsive behaviors or self-harm when overwhelmed. These practical strategies provide alternatives that help you manage painful emotions while maintaining your wellbeing.

3. Emotion Regulation Skills

For many clients, emotional intensity feels overwhelming and unmanageable. Emotion regulation skills teach you to:

  • Identify and label your emotions accurately

  • Reduce vulnerability to emotional reactivity

  • Increase positive emotions in your daily life

  • Change emotional responses that aren't serving you

  • Build confidence in your ability to handle emotional challenges

Our dialectical behavior therapy approach helps you understand the function of emotions while developing concrete strategies for managing intense emotions more effectively.

Our Comprehensive Dialectical Behavior Therapy Approach

At Every Heart Dreams Counseling, we provide a thorough approach to dialectical behavior therapy that includes:


Individual Therapy Sessions

One-on-one sessions with a trained DBT therapist help you apply dialectical behavior skills to your specific challenges. Your therapist provides personalized guidance, helps you track progress, and works with you to overcome obstacles in implementing new skills.

Skills Training

Whether delivered in individual sessions or small groups, our structured DBT skills training follows the established skills training manual to ensure you receive comprehensive instruction in mindfulness, distress tolerance, emotion regulation, and interpersonal effectiveness.

Phone Coaching

Some clients benefit from brief between-session support when facing particularly challenging situations. This component helps you apply DBT skills in the moment when emotions are most intense.

Therapist Consultation Team

Behind the scenes, our DBT therapists participate in a consultation team to ensure they're providing the highest quality dialectical behavior therapy. This standard component of comprehensive DBT allows our therapists to receive support and feedback to enhance your care.

Who Benefits from Dialectical Behavior Therapy?

Teens and Young Adults

Adolescence and young adulthood bring unique emotional challenges. Our dialectical behavior therapy services help young people:

  • Develop healthy ways to manage intense emotions

  • Navigate peer relationships effectively

  • Communicate better with family members

  • Build a stronger sense of identity

  • Create stability during a time of significant change

Our therapists adapt DBT skills training to be age-appropriate and relevant to the specific challenges facing young people today.


Adults Struggling with Emotional Regulation

Many adults find themselves overwhelmed by intense emotions that impact their relationships, work, and overall wellbeing. Dialectical behavior therapy helps adults:

  • Recognize emotional triggers and patterns

  • Develop effective responses to challenging situations

  • Improve focus and productivity

  • Build more satisfying relationships

  • Create a life aligned with personal values

Our DBT therapists work with adults from all walks of life who are seeking greater emotional balance and fulfillment.


Individuals with Specific Mental Health Conditions

Research has demonstrated dialectical behavior therapy's effectiveness for many mental health conditions, including:

  • Borderline personality disorder, for which DBT was originally developed

  • Post-traumatic stress disorder and trauma responses

  • Eating disorders, including binge eating disorder

  • Mood disorders involving emotional dysregulation

  • Substance use disorders and addictive behaviors

  • Challenges with self-harm or suicidal behaviors

While originally designed for treating borderline personality disorder, the skills taught in dialectical behavior therapy benefit people with various challenges related to emotional regulation and interpersonal effectiveness.


Families Seeking Better Communication

Family systems benefit greatly from dialectical behavior therapy principles. Our therapists help family members:

  • Develop more effective communication strategies

  • Reduce conflict and emotional reactivity

  • Build stronger bonds through improved understanding

  • Establish healthy boundaries

  • Create a more supportive home environment

Dialectical Behavior Therapy Integrated with Other Approaches

At Every Heart Dreams Counseling, we recognize that combining therapeutic approaches often provides the most comprehensive care. We specialize in integrating dialectical behavior therapy with:


EMDR Therapy and Brainspotting

For clients with trauma histories, combining dialectical behavior therapy with EMDR or Brainspotting allows for processing traumatic experiences while developing skills to manage the emotional intensity that often accompanies trauma work.

Trauma-Informed Yoga

Our unique integration of dialectical behavior therapy with trauma-informed yoga creates a mind-body approach to emotional regulation. This combination is particularly effective for clients who experience emotions physically and benefit from movement-based interventions.

Family Systems Therapy

When working with families or individuals experiencing relationship challenges, we integrate dialectical behavior skills with family systems approaches to address both individual emotional regulation and broader patterns of interaction.

The Dialectical Behavior Therapy Process at Every Heart Dreams Counseling

Initial Assessment and Treatment Planning

Your DBT journey begins with a thorough assessment to understand your unique needs and challenges. Together, we'll develop a personalized treatment plan focusing on the dialectical behavior therapy skills most relevant to your situation.

Skills Acquisition

Through individual therapy sessions or skills groups, you'll learn specific DBT skills for mindfulness, distress tolerance, emotion regulation, and interpersonal effectiveness. This educational component includes demonstrations, practice exercises, and homework assignments.

Skills Strengthening

As you become familiar with the basic concepts, we'll focus on strengthening your skills through continued practice and application to increasingly challenging situations. This phase helps you develop confidence in your ability to use DBT skills effectively.

Skills Generalization

The final phase focuses on generalizing your dialectical behavior therapy skills to all areas of your life. We'll work together to ensure you can apply these skills in various contexts and situations, creating lasting positive change.

Why Choose Every Heart Dreams Counseling for Dialectical Behavior Therapy?

Specialized Training and Experience

Our therapists have received extensive training in dialectical behavior therapy through reputable organizations like Behavioral Tech. We maintain current knowledge of the latest developments in DBT research and practice as published by the American Psychiatric Press and other authoritative sources.

Convenient Location Serving Multiple Communities

Located in El Dorado Hills, our practice is accessible to clients from Cameron Park, Placerville, Folsom, and Sacramento. We're committed to making high-quality mental health care available throughout our community.

Comprehensive Mental Health Services

Beyond dialectical behavior therapy, our group practice offers complementary services including EMDR, Brainspotting, and trauma-informed yoga. This allows us to provide truly integrated care addressing all aspects of your emotional and relational wellbeing.

Individualized Approach

While dialectical behavior therapy has structured components, we recognize that each client is unique. Our approach emphasizes personalizing DBT to address your specific challenges, strengths, and goals, ensuring that therapy is relevant and effective for your particular situation.

Common Questions About Dialectical Behavior Therapy

  • Dialectical behavior therapy distinguishes itself by balancing acceptance and change strategies, emphasizing skills training, and incorporating mindfulness practices. Unlike some approaches that focus primarily on insight or behavioral change, DBT addresses both, teaching concrete skills while also helping you understand and accept your emotions.

  • The duration varies based on individual needs. Some clients achieve their goals in a few months, while others benefit from longer-term work. Traditional comprehensive DBT often runs for 6-12 months, but we offer flexible options including stand-alone treatment modules for specific challenges.

  • While traditional dialectical behavior therapy includes both individual and group components, at Every Heart Dreams Counseling, we offer flexible options. Many clients receive DBT skills training in individual sessions, while others may benefit from small skills groups when available. Your treatment plan will be designed around what works best for you.

  • No. While dialectical behavior therapy was originally developed for treating borderline personality disorder, it has been adapted and proven effective for many mental health conditions. Today, DBT helps people with a wide range of challenges related to emotional regulation, interpersonal difficulties, and distress tolerance.

  • Throughout the DBT process, we'll work together to identify and track specific markers of progress. These might include reduced frequency or intensity of distressing emotions, improved relationships, better ability to handle challenging situations, and progress toward your personal goals.

Begin Your Dialectical Behavior Therapy Journey Today

If you're struggling with managing intense emotions, relationship challenges, or finding balance in your life, dialectical behavior therapy at Every Heart Dreams Counseling may provide the structured yet flexible approach you need to create lasting positive change.

Our compassionate team of licensed mental health professionals in El Dorado Hills is committed to helping teens, young adults, adults, and families throughout Cameron Park, Placerville, Folsom, and Sacramento develop the skills needed for greater emotional well-being and more fulfilling relationships.

We invite you to take the first step toward transformation by reaching out to learn more about our dialectical behavior therapy services and how they might benefit you specifically. Contact us today to schedule an initial consultation and discover how DBT can help you build a more balanced, connected, and fulfilling life.