Emotional Regulation Reviewed by RehabHive Editorial Team • April 5, 2026

Dialectical Behavior Therapy (DBT)

Duration: 6-12 months
Cost: $150 - $300 per session
Insurance: Covered (may need pre-authorization)

Overview

Dialectical Behavior Therapy is an evidence-based treatment originally developed for borderline personality disorder that has proven highly effective for addiction, especially when emotional dysregulation drives substance use. DBT teaches four core skill sets: mindfulness, distress tolerance, emotion regulation, and interpersonal effectiveness.

Who Is It For?

DBT is particularly beneficial for individuals who struggle with intense emotions, have borderline personality traits, a history of self-harm, or trauma-related emotional dysregulation. It is effective for those whose substance use is primarily a coping mechanism for overwhelming feelings.

What Does It Include?

Individual therapy sessions
Group skills training
Mindfulness practice
Distress tolerance techniques
Emotion regulation skills
Interpersonal effectiveness training
Daily diary cards
Phone coaching between sessions

Frequently Asked Questions

What is dialectical behavior therapy (dbt)?
Dialectical Behavior Therapy is an evidence-based treatment originally developed for borderline personality disorder that has proven highly effective for addiction, especially when emotional dysregulation drives substance use. DBT teaches four core skill sets: mindfulness, distress tolerance, emotion regulation, and interpersonal effectiveness.
Who should consider dialectical behavior therapy (dbt)?
DBT is particularly beneficial for individuals who struggle with intense emotions, have borderline personality traits, a history of self-harm, or trauma-related emotional dysregulation. It is effective for those whose substance use is primarily a coping mechanism for overwhelming feelings.
How long does dialectical behavior therapy (dbt) last?
Typical duration is 6-12 months. Length should be individualized based on clinical assessment and progress.
How much does dialectical behavior therapy (dbt) cost?
Average cost is $150 - $300 per session. Covered (may need pre-authorization). Many facilities offer sliding-scale fees. Call (833) 546-3513 to verify coverage.
What is the success rate?
Success rates are approximately 45-55%. Success improves with longer treatment, aftercare, and addressing co-occurring disorders.

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