Dialectical Behavior Therapy

in Seattle, WA and online across Washington state

Image of a female resolving an issue in a DBT session at the Equilibrium Therapy offices in Seattle, WA
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Our Approach

We specialize in providing individual and group Dialectical Behavioral Therapy (DBT). DBT is a skills-based therapy that has been shown to be effective in treating a wide variety of issues, such as personality disorders, addiction, eating disorders, and for those who struggle to regulate their emotions or maintain healthy relationships. 

DBT promotes both acceptance and change of thoughts, feelings, and behaviors to manage and reduce mental health problems. Mindfulness is a central part of this treatment approach. The fundamental concept in DBT is that opposites can coexist and be harmonized. In other words, DBT brings together two things that seem to be opposites—acceptance and change—to achieve better treatment results.

You can learn more about DBT and its origins here.

Equilibrium Wellness provides “Gold Standard DBT”. This means we provide individual DBT with phone coaching, DBT groups, and take part in weekly DBT consultation and supervision through NW DBT Seattle.

Skills Group—Adults

  • This is a six-month curriculum with four modules that last six weeks each. The modules are: Core Mindfulness, Emotion Regulation, Interpersonal Effectiveness, and Distress Tolerance. Clients must be in weekly individual therapy and make a commitment to participate weekly.

  • There are several separate group times available:

    Mondays from 4:30pm–6:00pm

    Tuesdays from 1:30pm–3:00pm (LGBTQIA+)

    Tuesdays from 6:30pm–8:00pm

    Wednesdays from 1:30pm–3:00pm

  • The rate for all groups is $75 per session. We do not accept insurance, but do provide monthly receipts to submit to your provider for potential reimbursement. We are honored to be able to offer sliding scale pricing if the cost of group is a burden. Group members must be in weekly individual DBT therapy.

Skills Group—Teens

  • This group targets the unique needs and experiences of teens as they navigate middle and high school and struggle with anxiety, depression, and at times risky or dangerous behavior. Teens learn the four modules listed above, plus an additional module called Walking to Middle Path, which focuses on understanding typical vs atypical adolescent behavior, balancing acceptance and change, and improving relationships between teens their caregivers. Parents are invited to group once a month to learn the skills with their teen.

  • There are two groups available:

    Wednesdays from 4:30pm–6:00pm

    Thursdays from 5:30pm–7:00pm

  • The rate is $75 per teen group, and $150 per session per family group (as many parents or caregivers that wish to attend may do so with no additional fee).

We also offer DBT sessions with horses! 

Practice skills in a fun, engaging way. Get in the moment feedback. In Equine Facilitated Dialectical Behavior Therapy, horses teach us some very important lessons in animal (including human) behavior. Having an opportunity to witness and practice skills like behavior modification, emotion regulation, mindfulness, interpersonal effectiveness, distress tolerance, and even patience and compassion, makes it more likely we will apply these same skills in other environments.

Find Your Balance

We can’t change how life keeps coming at us, but we can find balance, purpose, and meaning.