Dialectical Behavior Therapy (DBT)
DBT is a comprehensive evidence-based treatment that was designed and researched to treat adolescents and adults with a range of problem behaviors, typically related to difficulty regulating emotions. DBT has the strongest research support of any intervention for teens and adults with suicidal or self-harm behavior. DBT has also proven to be effective in treating addictive and eating disordered behaviors. Recently, DBT has been adapted and researched for treating children with difficulty regulating their emotions.
The Seattle Clinic offers comprehensive DBT as developed by Dr. Marsha Linehan. The following TSC providers are certified DBT clinician by the DBT-Linehan Board of Certification:
To inquire about individual or comprehensive DBT therapy with any of the providers above, please follow the links above to contact an individual provider, if currently available.
DBT Training
What is STAAR DBT?
Seattle Training in Adult, Adolescent & Relationship DBT: a collaboration between Dr. Miga(The Seattle Clinic, Balance Psychotherapy) & Dr. Michonski(Balance Psychotherapy Collaborative) that provides high touch training of students on the applications of DBT for teens/adults and families, couples and parents. Dr. Miga & Dr. Michonski have enjoyed collaborating in DBT training together for the past 6 years. We offer behaviorally precise and high-quality supervision, delivered with compassion, flexibility, humor and kindness. We offer a supportive environment to our trainees, during which we recognize our fellow’s strengths, shape necessary skills, and help fellows cultivate community and connectedness with their clients, and within the training program.
1) STAAR DBT Predoctoral Practicum 2024-25(12-18 months in length):
12-mo co-leading/leading with DBT experts in adult /adolescent skills group
1+ live-supervised DBT case with LTBS with Dr. Miga or Dr. Michonski
2-4 non-live DBT cases, of lower intensity
Attend weekly DBT consultation team
Fall didactic series-90 minutes for 16 weeks- Sept- Dec 2024
90 mins of DBT group supervision/week
2) STAAR DBT Post-doctoral fellowship offered again for the 2024-2025 academic year! The fellowship will offer a unique specialization in DBT applications to adolescent/adult, couples and family/parenting work.
We are currently seeking applications for a one-year fellowship which would begin Fall 2024.
This fellowship offers several unique advantages to other fellowships:
Autonomy for the fellow, freedom to create one’s own schedule as well as a hybrid of virtual and in-person treatment.
Opportunity to scale up their practice to maximize clinical impact and financial earnings.
Opportunity to apply to join The Seattle Clinic (TSC) during your fellowship year.
Potential to collaborate with other exceptionally skilled psychologists at our affiliate clinics (e.g. The Seattle Clinic & DBT Center of Tacoma), with opportunities to participate in conference and/or training dissemination collaborations, advanced DBT didactic series.
By end of fellowship year, you will have a full time private practice up and running!
If interested in applying to either predoctoral practicum or postdoctoral fellowship, please send CV and letter of interest to Dr. Erin Miga via email: erin@drerinmiga.com
Couples DBT Skills Group
If you are interested in the Couples DBT skills group, please complete the web form for Dr. Erin Miga to get in touch.
Empirical Support
Detailed listing of research studies on DBT by the Behavioral Research & Therapy Clinics (BRTC)
Review of the cost-effectiveness of DBT by the Behavioral Research & Therapy Clinics (BRTC)
popular press
New York Times: "No Longer Wanting to Die" by Will Lippincott - a powerful account of one individual's experience with DBT
Resources
8-minute video on "What is DBT?" by the Young Adult & Family Center at the University of California, San Francisco (UCSF)
DBT Overview by The Linehan Institute