DBT in tennessee

PSYCHē is  the only outpatient practice in Tennessee permitted to be listed on the DBT founder's website and we are the only ones within 200 miles with a DBT-Linehan Board of Certification, Certified Clinician™


The effectiveness of DBT has been supported by research for treating a variety of issues. Originally developed by Marsha Linehan, PhD. in the 1980's to treat severe suicidality and self-injury, it is notorious for treating Borderline Personality Disorder in women.  

In recent years, DBT has since been validated for treating other issues such as depression, impulsivity, anger, and more. 

DBT focuses on balancing acceptance and change, teaching real-world skills, and providing support between sessions in order to meet treatment goals. DBT draws upon the extensive Cognitive-Behavioral Therapy (CBT) research, and was originally introduced as a specialized form of CBT. 


What to expect in DBT

indivudual therapy

DBT-to-Fidelity asks for a "gentleman's agreement" to 1-year of weekly therapy. Stage 1 of DBT treatment sessions focus on mood stabilization and behavior modification . A heavy emphasis on emotion identification and mindfulness assist with improving emotion regulation. Therapists and Clients collaborate on life-worth-living goals to guide the movement of treatment. 

Stage 2 of DBT includes processing of traumatic memories through exposure treatments or restructuring negative core-beliefs that are a result of traumatic invalidation. Subsequent stages of DBT include skills reinforcement to maintain life-worth-living goals and finding joy in everyday life. The stages are fluid depending on the client's needs and treatment targets. 

A typical therapy session includes a mindfulness practice, review of a daily diary card, behavioral chain analysis of target behaviors, and solution analysis for increasing adaptive behaviors.



dbt skills training groups

Weekly DBT-Skills Training Groups cover tactile skills to increase mindfulness, distress tolerance, emotion regulation, and interpersonal effectiveness. DBT Skills Training Groups are didactic in nature and do not involve processing emotion-focused content. Most clients anticipate not liking DBT group and are usually surprised by the effectiveness of the skills!

Standard DBT for Adults calls for 52 weeks of group so all the skills are reviewed twice. Material covered comes from Marsha Linehan's "DBT Skills Training Handouts and Worksheets." Members can join anytime. 

Click HERE to access our current skills training schedule


phone coaching and intersession support

Clients participating in the DBT program at PSYCHē receive intersession support through telephone, text, and email. Therapists assist clients with in-the-moment crisis management, task accountability, and case management. The main priority of intersession contact is to maintain active use of DBT Skills for effective coping. 

Therapists may assist with case management such as coordinating outside providers (Psychiatrists, Physicians, Dietitians) and ancillary services (12-Step Meetings, Social Clubs). Our Therapists are known to go above-and-beyond and will not leave you hanging. Our team approach ensures if one Therapist is unavailable, the client has access for support when necessary. 

PSYCHē participates in a weekly consultation group on staff to maintain DBT-to-Fidelity. 

More information about DBT

Behavioral Tech Resources for Clients and Families
HealthyNashville.org about DBT
More Information about DBT