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What are DBT skills?

Concrete, learnable skills for intense emotion and difficult moments — woven into therapy where they fit.

Dialectical Behaviour Therapy was built around a simple recognition: some people feel things faster, harder, and longer — and willpower is not a skill. DBT answers with actual skills, organized into four areas.

Mindfulness: noticing what is happening inside and around you without immediately reacting. Distress tolerance: getting through crisis moments without making them worse. Emotion regulation: understanding, naming, and shifting emotional states. Interpersonal effectiveness: asking, refusing, and holding boundaries while keeping self-respect and relationships intact.

I offer DBT skills as part of individual therapy rather than as a full DBT program — practical tools brought in where your particular life needs them.

How it works

  1. Learn the skill

    Each skill is concrete and teachable — not advice, but a specific thing to do.

  2. Practise it where it is needed

    Skills are rehearsed against your real situations, not hypothetical ones.

  3. Make it automatic

    With repetition, the skill becomes what you reach for before the old reaction does.

DBT skills can help with

  • Emotional intensity
  • Impulsive reactions under stress
  • Conflict and boundary difficulties
  • Crisis moments
  • Urges that follow strong emotion

DBT skills show up in my work wherever emotion outpaces coping — including in eating disorder treatment, where urges and emotional intensity are so often intertwined.

Would practical skills help right now?

Book a free consult