DBT for Couples

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

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Quick Overview

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 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 DBT for couples Helps in recovery

Build 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 DBT 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.

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