DBT for Adolescents (DBT-A)

A family-centered therapy program that helps teens manage emotions, improve relationships, and build stability.

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Quick Overview

Best for

Teens (ages 12–18) with emotional dysregulation, self-harm, suicidal thoughts, substance use, or high conflict at home.

Session format

Individual therapy + Group skills training (with parents/caregivers), In person or Virtual.

Typical cadence

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

Duration

16–24 weeks (shorter than Standard DBT)

Often combined with

Family therapy, trauma-informed therapy, psychiatry, school-based support

Evidence base

Adapted from Standard DBT, proven effective for reducing self-harm and improving family relationships in teens

What Is DBT-A?

DBT for Adolescents (DBT-A) is a shorter, family-focused version of Dialectical Behavior Therapy. It was developed to help teens who struggle with intense emotions, impulsivity, self-harm, or conflict in relationships.

Unlike adult DBT, DBT-A strongly emphasizes caregiver involvement. Parents or guardians attend group skills sessions alongside their teen, learning the same tools. This shared experience helps families practice together, improve communication, and create a more supportive home environment.

How DBT-A Helps in Recovery

Building resilience, emotional regulation, and healthier coping skills for teens

Reduces self-harm and risky behaviors

Teaches safer coping strategies for overwhelming emotions

Improves family communication

Parents and teens learn skills together to reduce conflict

Supports school and social stability

Skills help teens navigate friendships and academics

Builds resilience

Encourages mindfulness and problem-solving into adulthood

What to Expect in Sessions

A typical DBT-A program includes:

Individual therapy for the teen (weekly): to set goals and build coping skills
Multi-family skills groups (weekly, 90–120 minutes): Teens and caregivers learn the four DBT skills modules together (mindfulness, distress tolerance, emotion regulation, interpersonal effectiveness)
Coaching support: Teens and parents can access coaching between sessions to apply skills during crises
Family collaboration: Therapists work directly with caregivers to support consistency at home

This format empowers both teens and families, creating a unified approach to recovery.

Who Benefits from DBT-A?

Adolescents facing challenges with self-esteem, relationships, or identity

Support for Self-Harm & Suicide Risk

Teens experiencing self-harm, suicidal thoughts, or risky behaviors

Help with Emotions & Mental Health

Adolescents with emotional dysregulation, depression, anxiety, or trauma

Guidance for Families in Conflict

Families struggling with constant conflict, stress, or communication breakdowns

Recovery from Substance Use

Teens in recovery from substance use or co-occurring disorders

Support for Parents & Caregiving

Parents seeking guidance and structure to better support their child

Why TruPaths Highlights DBT-A

Tailoring proven DBT methods to meet the needs of adolescents

TruPaths highlights DBT-A because adolescence is a critical period where emotional instability can escalate without intervention. Programs offering DBT-A give teens and families tools to prevent crisis, improve communication, and build healthier futures together.

FAQs about DBT-AFAQs about DBT-A

How is DBT-A different from adult DBT?

DBT-A is shorter (16–24 weeks) and strongly involves caregivers in group skills sessions.

Can DBT-A be done virtually?

Yes. Many providers offer family-based DBT groups online.

Do parents have to participate?

Yes. Caregiver involvement is essential to reinforce skills at home and reduce conflict.

Does insurance cover DBT-A?

Often, yes. It’s typically billed as family and group therapy. TruPaths providers share accepted plans and payment options.

Is DBT-A only for teens with self-harm?

No. It also supports teens with anxiety, depression, trauma, or general emotional instability.

Find Recovery Options Offering DBT-A

Stronger families, stronger teens. If your teen is struggling, DBT-A provides practical skills and shared support for lasting change.

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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.