Let’s Talk Claim Your Free Profile

DBT for Substance Use Disorders (DBT-SUD)

An evidence-based adaptation of DBT that addresses addiction with compassion, accountability, and relapse prevention tools.

Explore Programs Near You

Quick Overview

Best for

Substance use disorders, dual diagnosis (mental health + addiction), relapse prevention.

Session format

 Individual + Group + Phone coaching + Family support, In person or Virtual

Typical cadence

Weekly individual sessions + weekly group sessions, Session length: 45–120 minutes

Duration

 6–12 months or longer

Often combined with

Detox, residential treatment, MAT (medication-assisted treatment), trauma therapy, sober living

Evidence base

Research-supported adaptation of DBT proven effective in reducing substance use and relapse risk

overview-figure

What Is DBT-SUD?

DBT for Substance Use Disorders (DBT-SUD) is a specialized form of Dialectical Behavior Therapy designed for individuals struggling with addiction. It integrates DBT’s core skills mindfulness, distress tolerance, emotion regulation, and interpersonal effectiveness with addiction-focused strategies that directly target cravings, triggers, and relapse cycles.

A key principle of DBT-SUD is dialectical abstinence: encouraging clients to fully commit to recovery while also recognizing that relapse may occur. Instead of shame, DBT-SUD teaches how to re-commit quickly, reduce harm, and continue progressing toward long-term stability.

How DBT-SUD Helps in Recovery

Blending proven DBT strategies with specialized addiction treatment

Supports abstinence and relapse prevention

Supports abstinence and relapse prevention

Builds accountability while reducing shame if setbacks happen

Strengthens coping skills

Strengthens coping skills

Teaches alternatives to using substances when emotions feel overwhelming

Reduces high-risk behaviors

Reduces high-risk behaviors

Focuses on safety planning and crisis management

Encourages long-term growth

Encourages long-term growth

Combines addiction recovery with emotional regulation and relationship skills

What to Expect in Sessions

DBT-SUD includes the full structure of Standard DBT plus addiction-focused strategies:

  • Individual therapy: Weekly sessions focused on addiction recovery goals
  • Group skills training: Learning DBT’s four modules with an emphasis on relapse prevention and cravings management
  • Phone coaching: Immediate support during cravings or high-risk situations
  • Therapist consultation teams: Clinicians meet to coordinate addiction-focused care
  • Addiction-specific skills: Targeting cravings, building sober routines, managing urges, and practicing dialectical abstinence
session image

Who Benefits from DBT-SUD?

Individuals struggling with both substance use and emotional regulation

Support for Addiction Recovery

Support for Addiction Recovery

Individuals struggling with alcohol, drugs, or behavioral addictions

Help for Dual Diagnosis

Help for Dual Diagnosis

People with dual diagnosis (addiction + mental health conditions like anxiety)

Relapse Prevention Support

Relapse Prevention Support

Those at risk of frequent relapse or unsafe coping behaviors

Guidance for Families

Guidance for Families

Families who want to support recovery with clear structure and skills

Compassionate Addiction Care

Compassionate Addiction Care

Why TruPaths Highlights DBT-SUD

Combining DBT skills with strategies to manage substance use

TruPaths highlights DBT-SUD because it bridges the gap between emotional healing and addiction recovery. It’s compassionate yet practical, helping people commit to sobriety while developing the tools to bounce back from setbacks without shame. Programs we feature integrate DBT-SUD with detox, MAT, residential rehab, and sober living for a full continuum of care.

FAQs about DBT-SUD

DBT-SUD uses the same structure but adds relapse prevention tools, dialectical abstinence, and addiction-focused coping strategies.
Yes. DBT-SUD works well alongside MAT, detox, and psychiatric support.
Yes. It balances the commitment to abstinence with compassionate harm reduction, so progress continues even if relapse occurs.
Often, yes. TruPaths providers list accepted insurance, self-pay rates, and financial options.
Most programs run 6–12 months, though duration depends on recovery needs.

Find Recovery Options Offering DBT-SUD

Recovery is possible. DBT-SUD offers structure, compassion, and practical tools for overcoming addiction. Explore programs that integrate DBT-SUD with detox, rehab, and sober living.

Explore Programs Near You Talk to a Care Guide

About TruPath's Recommendations

Recommendations are based on your location and recovery needs, including the programs you've explored, the services you've saved, and the filters you've used. We use this information to highlight similar treatment options so you never miss a trusted path forward.