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Dialectical Behaviour Therapy (DBT)

Structured therapy for emotional dysregulation, impulsivity, and high-risk behaviours

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I offer DBT-informed therapy delivered within a comprehensive DBT framework for adolescents (16+) and adults who struggle with intense emotions, impulsive behaviours, and patterns that interfere with safety, relationships, or daily functioning.

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DBT is a structured, skills-based approach designed to help people build stability, reduce harmful behaviours, and create a life that feels more manageable and meaningful.

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Who DBT Is For

DBT may be a good fit if you experience:

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  • Intense or rapidly shifting emotions

  • Self-harm urges or high-risk behaviours

  • Impulsivity (substance use, reckless decisions, emotional outbursts)

  • Chronic relationship conflict or instability

  • Difficulty coping with distress without making things worse

  • Repeated therapy starts and stops that haven’t held

 

DBT works best for people who are willing to engage in structured, active treatment.

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How DBT Works Here

My DBT approach includes:

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  • Weekly individual therapy sessions

  • Skills teaching and practice tailored to your needs

  • Diary cards to track emotions, urges, behaviours, and skills

  • Text coaching, when appropriate, to support skill use in daily life

  • Ongoing DBT consultation to support treatment integrity and safety

 

This structure closely mirrors comprehensive DBT while remaining accessible within private practice.

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Treatment Focus and Priorities

DBT follows a clear hierarchy:

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  1. Life-threatening behaviours

  2. Therapy-interfering behaviours (such as missed sessions)

  3. Quality-of-life concerns (emotions, relationships, work, substance use, avoidance)

 

Skills are taught throughout treatment. The hierarchy guides what is prioritized, not whether support is provided.

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For some clients, stabilizing high-risk behaviours may be the primary goal of therapy. For others, DBT gradually expands into deeper quality-of-life work.

​DBT Skills Training Groups​

While DBT skills are taught in individual therapy, skills groups are the primary way to ensure full coverage of all DBT skills modules.

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When available, DBT skills groups are offered as an adjunct to individual therapy and are discussed separately.

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Commitment and Fit

DBT is not drop-in therapy. It requires:

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  • Weekly attendance

  • Active participation

  • Completion of diary cards

  • Willingness to work within a structured framework

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If life circumstances (medical, financial, or otherwise) prevent regular participation, DBT may not be the right fit at that time. This is not a failure — it is about finding the right level of care.

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Fees

Individual DBT sessions: $175 per session

Skills groups (when available): additional cost

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Interested in DBT?

If you’re considering DBT and want to know whether this approach is a good fit, I invite you to reach out to discuss next steps.

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