Dialectical Behavior Therapy for
Couples (DBT)

An adaptation of Dialectical Behavior Therapy (DBT) that helps partners improve communication, regulate emotions, and break destructive cycles in relationships.

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Dialectical Behavior Therapy for High-Conflict and Recovery Couples

Evidence-based tools for emotional regulation, boundaries, and rebuilding trust in relationships impacted by trauma or addiction.

Best for

High-conflict couples, addiction, trauma-impacted relationships, emotional dysregulation, borderline personality disorder (BPD) dynamics.

Session format

Couples sessions · In person or Virtual.

Typical cadence

Weekly or biweekly · Often 12-24 sessions.

Session length

60-90 minutes.

Often combined with

Individual DBT, Family Therapy, Trauma Therapy, Addiction Recovery Programs.

Evidence base

Developed from DBT principles (by Dr. Marsha Linehan) · Research supports effectiveness in reducing relationship conflict and improving stability.

What Is Dialectical Behavior Therapy for Couples (DBT for Couples)?

DBT for Couples adapts the skills of Dialectical Behavior Therapy to romantic partnerships. It provides structure and tools for managing conflict, reducing reactivity, and building healthier ways of relating.

Couples learn to:

Mindful Control

Practice mindfulness and self-regulation in the movement

Validate, Don't Criticize

Replace criticism or defensiveness with validation

Stay Calm

Use distress tolerance skills to prevent escalation

Empathy & Teamwork

Build a relationship rooted in empathy, balance, and teamwork

How Dialectical Behavior Therapy for
Couples Helps in Recovery

Builds balance, communication, and emotional connection in recovery

Supports trauma survivors

Offers grounding and validation in emotionally charged moments

Improves communication

Partners learn structured ways to talk through conflict

Break destructive cycles

Replaces blame and withdrawal with teamwork

Reduce relapse risk

Provides tools for managing stress without using substances

What to Expect in Dialectical Behavior Therapy for Couples Sessions

Learn practical skills together to manage emotions, reduce conflict, and strengthen connection.

Assessment Phase

Exploring conflict patterns, triggers, and goals.

Skill teaching

learning DBT-based tools for regulation and communication.

Role-play practice

Practicing new skills in real-life scenarios.

Integration

Building long-term relationship habits for stability and growth.

Who Benefits from Dialectical Behavior Therapy
for Couples?

Helping Couples Communicate, Regulate, and Reconnect

TruPaths highlights DBT for Couples because it gives partners practical skills to manage conflict, regulate emotions, and strengthen connection. This approach supports couples facing stress, recovery challenges, or communication breakdowns by offering simple, effective tools for healing together.

Emotional Dysregulation

Couples where one or both partners struggle with emotional dysregulation

Addiction or Trauma Impact

Partners impacted by addiction, relapse, or trauma

High-Conflict Patterns

High-conflict couples experiencing frequent escalation or volatility

Mental Health Challenges

Couples where BPD, PTSD, or mood disorders affect the relationship

Practical Conflict Tools

Partners wanting practical tools to prevent and de-escalate conflict

Why TruPaths Highlights Dialectical Behavior Therapy for Couples

Promotes balance, communication, and lasting connection

TruPaths highlights this approach because it offers practical, evidence-based tools for couples who struggles with intense emotions. DBT for couples who struggle with intense emotions. DBT for Couples turns high-conflict dynamics into opportunities for growth, stability, and deeper connection.

FAQs about Dialectical Behavior Therapy for Couples

Do we both need to have DBT experience?

No. Skills are taught together, even if neither partner has done DBT before.

How long does it take?

The duration varies by each couple’s needs, but many start to notice improvements within a few months of consistent sessions.

Is this only for high-conflict couples?

No, DBT can benefit any couple looking to improve communication, emotional regulation, and connection — not just those in high conflict.

Is it covered by insurance?

Coverage depends on your insurance provider and plan. It’s best to confirm with your therapist or insurance company.

Can it help if only one partner struggles with addiction?

Yes, DBT can support both partners by improving emotional awareness and coping skills, even if only one partner faces addiction challenges.

Can DBT help if we struggle with communication or shutdowns?

Yes. Dialectical Behavior Therapy (DBT) is specifically designed to help with communication challenges, emotional shutdowns, and difficulties expressing needs. DBT teaches practical, step-by-step skills that make it easier to stay regulated and communicate effectively, even in stressful situations.

Find Recovery Options Offering Dialectical Behavior Therapy for Couples

Conflict doesn’t have to mean chaos. DBT for Couples gives partners the tools to manage emotions, prevent relapse, and rebuild trust together.