Introduction to Techniques Used in DBT Couples Therapy

Dialectical behavior therapy (DBT) is a third-wave evidence-based treatment that has been proven to be effective for individuals with borderline personality disorder and a range of mental health difficulties with underlying emotion dysregulation. DBT has recently been adapted to improve evidence-based behaviorist approaches to couples therapy, primarily by Dr. Alan Fruzzetti, professor of psychology and … Read more

Let’s Talk about Eating 

*Content Warning: This blog contains information related to eating disorder behaviors. Please take care of yourself when reading.*   “I can skip lunch again.”  “If I eat this meal, I’ll go run 5 miles.” “Let me weigh myself one more time.” “Just one more bag of chips and then I’ll stop.”   At different times … Read more

Individual Sessions in DBT

DBT Linehan Board Certified DBT Clinician, Nikki Winchester, providing evidence based DBT using a DBT diary card

What to Expect from Individual DBT Sessions If you’re considering starting the comprehensive DBT program at the Cincinnati Center for DBT (CCDBT), you probably have a few questions about what you can expect. Pre-treatment orientation The first 4-5 sessions in the DBT program are set up to orient you to DBT. While this can be … Read more

What is Radical Acceptance?

Leaves changing colors on a timeline

Radical acceptance stands as the most challenging and most freeing DBT skill I have ever learned.  Radical acceptance is fully and truly affirming reality, just as it is. This means letting of resisting things you cannot change.  In religious circles, the serenity prayer captures radical acceptance; “grant me the serenity to accept the things I … Read more

How to Handle Invalidation

Validation communicates that a person’s beliefs, feelings, and/or actions make sense.  It is vital in safe relationships because it helps us feel respected and heard.  Having someone express that feelings make sense brings immense feelings of relief, melts away defensiveness, and boosts effectiveness.  On the flip side, being invalidated leads to strong feelings of anger … Read more

Self-Invalidation

boy sad walking by fence

“Calm down!”  “Stop overreacting!” “You’re always upset about something, try being happy for a change.” These statements are examples of invalidation.  Dr. Marsha Linehan, the developer of DBT, broke invalidation down into two characteristics: 1. Telling a person they are wrong in how they describe their emotions and their understanding of their emotions, especially if … Read more

The Impact of Anxiety on Physical Health

Before I became a therapist, I had no clue how emotions worked. To me, emotions were this huge, abstract idea, something that just happened to me that I didn’t have much control over. In becoming a DBT clinician, though, the model of emotions thoroughly explained how emotions are a full system experience. Think about the … Read more

TikTok Trends: Relationship Advice with Taylor Swift

Welcome back to our series, TikTok Trends! We’re looking at popular trends on TikTok that can positively and effectively benefit our mental health. Remember: no social media account, even a licensed professional, replaces actual therapy and should only be used for entertainment purposes.  … It’s me, hi, I’m the problem, it’s me.  There is no … Read more

Validate AND parent your child

Closed off teen and parent on couch

Parenting is hard! The various responsibilities a parent juggles throughout their child’s life feels endless at times. This can make ensuring your child feels heard and understood while maintaining your rules and limits seem almost impossible. Luckily, there is something that you can do that helps you achieve all these goals – validation. Validation: What … Read more

What Are Emotions and Why They’re Actually Pretty Cool

Girl in front of colorful wall holding emoticon balloons

Despite their reputation as complicated and often inconvenient, emotions are as common, and as essential, to the human experience as breathing. But what are they? Despite psychologists’ many attempts, developing a clear and comprehensive definition of emotion has proved challenging.  Dr. Marsha Linehan, the founder and developer of DBT, describes emotions as “brief, involuntary, full-system, … Read more