


If you've ever felt like your emotions take over, your relationships keep falling into the same painful patterns, or you know what you "should" do but can't seem to do it in the moment, you're not alone.
Dialectical Behavior Therapy (DBT) is a structured, evidence-based treatment designed to help people build lives worth living. Originally developed for Borderline Personality Disorder (BPD), DBT is also highly effective for:
DBT provides concrete tools for navigating real-life situations—especially when your nervous system wants to shut down, explode, or escape.
Unlike traditional weekly therapy alone, Comprehensive DBT includes four interconnected components designed to support meaningful and lasting change:
You'll meet with your therapist (hey, that's me) once each week. This is where we apply DBT skills to your actual life, address barriers to progress, process difficult experiences, and work toward your individual goals.
DBT skills group isn't group therapy, it's more like a class. Together, we'll learn and practice skills for managing emotions, tolerating distress, improving relationships, and staying present in the moment.
Life doesn't only happen during therapy sessions. Phone coaching (primarily via text) provides brief, in-the-moment support when you need help applying your skills to a real-life situation. The goal isn't crisis management—it's helping you use your skills before a crisis takes over.
One of the things that makes Comprehensive DBT unique is that your therapist is never working in isolation. I participate in a weekly consultation team with other DBT-informed clinicians to ensure you receive thoughtful, effective, and well-supported care. This helps us stay accountable to the treatment model and continuously improve the care we provide.
Comprehensive DBT is offered through a six-month renewable commitment. While every person's journey is different, many clients participate in the program for 12–18 months. For those who may not require the full comprehensive model, shorter-term or skills-focused options may also be available.

Comprehensive DBT might be right for you if:

One of the things that makes Comprehensive DBT different from traditional therapy is access to Skills Coaching between sessions.
Learning a skill in therapy is one thing. Using it when you're overwhelmed, panicking, angry, impulsive, or struggling to cope is another.
DBT Skills Coaching provides brief, in-the-moment support to help you apply DBT skills to real-life situations as they happen. Rather than waiting until your next appointment to talk about what went wrong, you'll have support as you practice doing things differently.
The goal of coaching isn't additional therapy, it's helping you bridge the gap between understanding a skill and actually using it when it matters most.
To inquire about current availability, contact Hannah directly at hannahbarneslcsw@gmail.com.
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