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Discover how starting therapy with a dialectical behavior therapy (DBT) can support your own journey toward a happier, more fulfilling life.

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Logan Spicer

Hear from Logan Spicer, Licensed Clinical Professional Counselor (LCPC)

View Logan Spicer's profile

What is your go-to approach for dialectical behavior therapy?

My go-to approach for helping people in dialectical behavior therapy is rooted in a combination of validation and skill-building techniques. I find that this integrated approach offers a holistic framework for addressing emotional dysregulation and interpersonal challenges. I prefer this approach because it acknowledges the individual's experiences and emotions without judgment, fostering a sense of acceptance and understanding. By validating their emotions, clients feel heard and supported, which is essential for building trust in the therapeutic relationship.Simultaneously, I emphasize skill-building exercises drawn from dialectical behavior therapy (DBT), such as mindfulness, distress tolerance, emotion regulation, and interpersonal effectiveness. These skills provide practical tools for managing intense emotions, navigating interpersonal conflicts, and coping with distressing situations. By integrating validation with skill-building, clients not only learn new coping strategies but also develop a deeper understanding of themselves and their emotional experiences. This approach promotes long-term growth and resilience, empowering clients to navigate life's challenges more effectively.In addition to these core components, I tailor my approach to each individual's unique needs and preferences, ensuring that therapy is personalized and effective. This flexibility allows me to meet clients where they are in their journey and empower them to make meaningful changes in their lives.

What tools do you teach in dialectical behavior therapy?

In dialectical behavior therapy (DBT), I teach the following tools:

  • Mindfulness: Mindfulness involves being fully present in the moment, observing and describing experiences without judgment. It helps individuals develop awareness of their thoughts, feelings, and sensations, promoting greater emotional regulation and clarity.
  • Distress tolerance: Distress tolerance skills help individuals cope with crises and overwhelming emotions without making the situation worse. Techniques include distraction, self-soothing, and radical acceptance, which involves fully accepting reality as it is without resistance.
  • Emotion regulation: Emotion regulation skills focus on understanding and managing intense emotions effectively. This includes identifying and labeling emotions, understanding the functions of emotions, and implementing strategies to reduce emotional vulnerability and increase positive emotional experiences.
  • Interpersonal effectiveness: Interpersonal effectiveness skills help individuals navigate relationships and communicate assertively while maintaining self-respect and healthy boundaries. Techniques include DEAR MAN (Describe, Express, Assert, Reinforce, stay Mindful, Appear confident, Negotiate).

How do you know when a client is making meaningful progress in dialectical behavior therapy?

I know a client is making meaningful progress in dialectical behavior therapy when they demonstrate increased awareness and acceptance of their thoughts, emotions, and behaviors in daily life. Additionally, they exhibit improved distress tolerance, coping more effectively with challenging situations without resorting to harmful behaviors or impulsivity. They also show enhanced emotion regulation skills, such as accurately identifying and labeling emotions, implementing strategies to reduce emotional intensity, and experiencing fewer instances of emotional dysregulation. Furthermore, they demonstrate greater interpersonal effectiveness, navigating relationships more assertively and skillfully while maintaining boundaries and self-respect. Ultimately, they report a higher quality of life, with reduced symptoms of mental health conditions, improved relationships, and increased overall satisfaction and fulfillment. This progress is evidenced by their consistency in applying DBT skills outside of therapy sessions and their willingness to continue practicing and integrating these skills into their daily routine.

What can clients do in their personal time to supplement dialectical behavior therapy?

Clients can supplement their time in dialectical behavior therapy with various activities and practices to enhance their progress and well-being. Consistent practice of mindfulness, distress tolerance, emotion regulation, and interpersonal effectiveness skills outside of therapy sessions reinforces learning and promotes skill mastery. Setting aside dedicated time each day to practice these skills can be highly beneficial. Additionally, writing down thoughts, feelings, and experiences through journaling can provide valuable insights and facilitate emotional processing. Engaging in self-care practices, such as exercise, relaxation techniques, hobbies, or spending time with supportive friends and family, can help clients recharge and manage stress more effectively. Reading books, articles, or watching videos related to DBT or mental health can deepen understanding and provide additional strategies for coping and personal growth. Participating in support groups or online communities with others who are also practicing DBT can offer validation, encouragement, and a sense of community. Integrating mindfulness exercises into daily routines, such as mindful breathing, body scans, or mindful eating, can cultivate present-moment awareness and enhance emotional regulation skills. Setting achievable goals related to therapy objectives and tracking progress can provide a sense of direction and accomplishment. Finally, seeking out additional therapy modalities or specialized support services, such as individual counseling, group therapy, or psychiatric care, can enhance the effectiveness of DBT. By actively engaging in these supplemental activities and practices, clients can reinforce their progress in dialectical behavior therapy and cultivate greater resilience and well-being in their daily lives.

What should someone do to prepare for starting dialectical behavior therapy?

To prepare for their first dialectical behavior therapy session, an individual can take several steps to ensure a smooth and productive start to their therapy journey. Firstly, they can familiarize themselves with the basic principles and concepts of DBT by reading introductory materials or watching educational videos online. This foundational understanding can help them feel more comfortable and informed as they begin their therapy. Additionally, it may be helpful for them to reflect on their reasons for seeking DBT and identify specific goals or areas of focus they would like to address in therapy. Writing down any questions or concerns they have about the process can also be beneficial, as it provides an opportunity to discuss them with their therapist during the initial session. Finally, taking time to mentally prepare for the emotional work involved in therapy and being open to exploring new ways of thinking and coping can contribute to a positive therapeutic experience. By proactively engaging in these preparatory steps, individuals can set themselves up for success as they embark on their DBT journey.

Starting Dialectical behavior therapy (DBT)

What is dialectical behavior therapy (DBT)?

At Thriveworks, Dialectical behavior therapy (DBT) primarily concentrates on assisting individuals in emotion regulation, enhancing interpersonal relationships, and acquiring effective coping strategies for managing stress and emotional difficulties.

How does DBT work?

Dialectical behavior therapy (DBT) targets your personal challenges. You may work with your DBT therapist to maintain diary cards to monitor progress, emphasizing validation and support in the therapeutic relationship. DBT follows a stage-based approach, prioritizing crisis reduction initially and life satisfaction.

What is DBT best used for?

DBT was initially developed to address the needs of individuals with borderline personality disorder (BPD). However, its versatile approach has enabled its application to a wide range of mental health conditions, including but not limited to, anxiety, depression, stress, and anger issues.

What are the 4 pillars of DBT?

The 4 pillars of DBT are mindfulness, emotion regulation, interpersonal effectiveness, and distress tolerance.

Is DBT better than EMDR?

Dialectical behavior therapy (DBT) and eye movement desensitization and reprocessing (EMDR) have distinct purposes and aren’t inherently superior or inferior to one another. DBT is most effective for managing emotional regulation, personality disorders, and interpersonal challenges, while EMDR is specifically tailored for individuals with trauma-related conditions like post-traumatic stress disorder (PTSD).

Is DBT conducted in person or online?

Dialectical behavior therapy (DBT) with therapists at Thriveworks in Chicago, IL is conducted both in person and online by video. We encourage you to choose the option that works best for you.

How many months is DBT?

The duration of a standard DBT program is typically around 24 weeks, which is roughly six months. The actual number of sessions will vary depending on the issues you wish to address.

Pricing & insurance

Our therapists accept most major insurances. We accept 585+ insurance plans, and offer self-pay options, too.
Learn more about pricing for therapy and counseling services at Thriveworks.

Our Chicago therapists and counselors accept 26 insurance plans

  • Aetna

  • Blue Cross Blue Shield | Anthem (Blue Card)

  • Blue Cross and Blue Shield of Illinois BCBS | HMO - Essential Health Partners IPA

  • Blue Cross and Blue Shield of Illinois BCBS | HMO - Essential Health Partners Kane County

  • Blue Cross and Blue Shield of Illinois BCBS | HMO - Essential Health Partners Silver Cross

  • Blue Cross and Blue Shield of Illinois BCBS | PPO

  • Blue Cross and Blue Shield of Illinois | BCBS Medicare Advantage (HMO | PPO)

  • Choice Care (Humana)

  • Cigna | Evernorth

  • Cigna | Evernorth EAP

  • Cigna | Evernorth Medicare Advantage

  • Compsych

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Self-pay costs at Chicago
Talk therapy

Talk therapy

Includes individual, couples, child/ teen, & family therapy

First session

$1

Ongoing sessions

$1

Talk therapy

Psychiatry

Includes reducing symptoms with medication & management

First session

$1

Ongoing sessions

$1

Hear from our clients

Thriveworks Chicago has no reviews yet, but check out these reviews from locations in Illinois.

4.5 Thriveworks Chicago reviews are collected through Thriveworks.com.
★★★★★
Thriveworks helped me realize that I do believe people can change. I’m not the person I was three months ago, broken and fearful. I’m healthy and happy and for the first time being kind to myself. Thank you for giving me my life back.
Read more Thriveworks helped me realize that I do believe people can change. I’m not the person I was three months ago, broken and fearful. I’m healthy and happy and for the first time being kind to myself. Thank you for giving me my life back.
Anonymous Thriveworks Client
Review left on Thriveworks.com

Where to find us

Getting here

Thriveworks Counseling & Psychiatry Chicago is at the corner of West Chicago Avenue and North Halsted. We are near City Church Chicago, and Jerk Jamaican Barbecue.

Phone number

(708) 394-7536

Languages spoken by IL providers

  • English
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