Standard (Comprehensive) Dialectical Behavior Therapy (DBT)

The full, evidence-based DBT program combining individual therapy, group skills training, coaching, and coordinated team support.

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Heal and Stabilize with Dialectical Behavior Therapy

An intensive, evidence-based approach that helps individuals build resilience, manage overwhelming emotions, and improve relationships.

Best for

Borderline Personality Disorder, emotional dysregulation, trauma, substance use, self-harm.

Session format

Individual + Group + Phone coaching + Therapist team support.

Typical cadence

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

Duration

6–12 months or longer.

Often combined with

Medication management, trauma therapy, holistic wellness practices.

Evidence base

Considered the most effective and comprehensive DBT model with decades of research.

What Is Standard Dialectical Behavior Therapy (DBT)?

Standard, or Comprehensive Dialectical Behavior Therapy (DBT), is the original full-model treatment created by Dr. Marsha Linehan. It was developed for people experiencing severe emotional distress, high relapse risk, or unsafe coping behaviors. Unlike skills-only formats, Standard DBT includes four coordinated components that work together to support long-term healing:

Individual therapy

One-on-one sessions to address personal challenges and goals

Group skills training

Weekly groups teaching the four DBT skill modules (mindfulness, distress tolerance, emotion regulation)

Phone coaching

Real-time therapist support to apply skills during crises or high-stress situations

Therapist consultation teams

Clinicians meet regularly to maintain consistency, effectiveness, and quality of care

How Standard Dialectical Behaviour Therapy Helps in Recovery

A structured approach to building emotional resilience and healthier coping skills

Reduces unsafe behaviors

Provides consistent accountability and skills for relapse or suicidal thoughts

Improves emotion regulation

Teaches step-by-step tools for calming overwhelming feelings

Strengthens daily functioning

Builds coping strategies for work, school, and relationships

Promotes long-term stability

Combines multiple therapeutic supports to sustain recovery over time

What to Expect in Standard DBT

Standard DBT is a highly structured program lasting 6–12 months or longer. A typical week may include:

One individual therapy session (45–60 minutes)
One group skills session (90–120 minutes)
Access to phone coaching between sessions for real-time support
Therapist consultation team meetings (behind the scenes to ensure effective care)

The combination ensures therapy is both personalized and consistent, offering multiple layers of support for complex needs.

Who Benefits from Standard Dialectical Behavior Therapy? (DBT)

Designed for Individuals Seeking Effective Strategies to Manage Intense Emotions

Standard Dialectical Behavior Therapy is ideal for people who experience strong emotions, impulsive behaviors, self-harm urges, or patterns that feel overwhelming or hard to control. It provides structured skills that help individuals regulate emotions, navigate conflict, tolerate distress, and build healthier, more stable relationships.

Borderline Personality Disorder

Individuals with Borderline Personality Disorder

Emotional Dysregulation

People experiencing intense emotional dysregulation

Self-Harm or Suicide Risk

Those at risk of self-harm or suicidal behaviors

Substance Use & Emotional Struggles

Individuals with substance use disorders alongside emotional struggles

Full-Program Support Needed

Adults and teens needing structured, full-program support rather than partial

Why TruPaths Highlights Standard Dialectical Behavior Therapy (DBT)

Emphasizing proven methods that empower long-term recovery

TruPaths highlights Standard DBT because it represents the gold standard of DBT care. It provides individuals with the most robust framework to build safety, stability, and resilience. Programs we feature integrate Standard DBT with trauma care, holistic practices, and addiction treatment to create a complete continuum of recovery.

FAQs About Standard Dialectical Behavior Therapy (DBT)

How is Standard DBT different from DBT Skills Training only?

Standard DBT includes individual therapy, coaching, and therapist consultation, offering deeper support than skills groups alone.

Can Standard DBT be done virtually?

Yes. Many programs now offer the full DBT model online.

How long does Standard DBT last?

Typically 6–12 months, though some clients continue longer depending on progress and needs.

Does insurance cover Standard DBT?

Often, yes. Standard DBT is covered as a psychotherapy service. TruPaths providers list accepted plans and financial options.

Is Standard DBT difficult to commit to?

It is structured and intensive, but most participants find the level of support invaluable for recovery

Who benefits most from Standard DBT?

People dealing with emotion regulation issues, self-harm, or chronic relationship conflicts benefit most from Standard DBT.

Find Recovery Options Offering Standard DBT

Comprehensive support, real change. If you or a loved one needs structured care, Standard DBT offers the most complete path to safety and recovery.