Dialectical Behavior Therapy (DBT)
Dialectical Behavior Therapy (DBT) — Raleigh, NC
Sometimes CBT isn't enough. Sometimes you need more — more skills, more structure, more support for the moments when emotions feel completely overwhelming.
That's where DBT comes in.
Dialectical Behavior Therapy(DBT) was originally developed for people who experience emotions intensely and have difficulty regulating them. But its skills are genuinely useful for almost anyone dealing with stress, relationship conflict, anxiety, or the feeling that their emotions are running the show instead of them.
DBT is built on four core skill sets that work together to help you build a life worth living — on your terms.
The Four DBT Skill Areas
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Mindfulness: Learning to be present in the moment without judgment. The foundation of all other DBT skills.
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Distress Tolerance: Getting through a crisis without making it worse. Skills for surviving the moments when everything feels like too much.
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Emotional Regulation: Understanding your emotions, reducing vulnerability to intense emotional reactions, and increasing positive emotional experiences.
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Interpersonal Effectiveness: Navigating relationships while maintaining self respect. How to ask for what you need, say no, and keep relationships healthy.
What DBT Can Help With
Intense or overwhelming emotions Difficulty regulating emotional responses Relationship conflict and instability Impulsive behaviors Chronic feelings of emptiness Anxiety and depression when CBT alone hasn't been enough Self destructive patterns Difficulty tolerating uncertainty or discomfort
What a DBT Session Looks Like
Ashley uses DBT skills as a structured complement to other modalities. She introduces specific skills based on what you are working on and helps you practice applying them to real situations in your life. Like all of Ashley's work, DBT sessions include practical homework — because skills only work when you actually use them.
Why Ashley Uses DBT
DBT takes CBT a step further when more is needed. For clients who feel like their emotions are bigger than their ability to manage them, DBT provides concrete, practical tools that create real change. Ashley sees it as the next level — when you need more than insight, you need skills.
Ready to learn more? Book a free 15 minute consultation today.