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 leaders of the DBT program, Dr. Andrew Fleming and Dr. Julia Hitch, trained with Dr. Linehan for several years and have served as research therapists on clinical trials of DBT for adolescents and adults. Dr. Fleming is a certified as a DBT clinician by the DBT-Linehan Board of Certification.


DBT Skills Groups

The Seattle Clinic currently offers the following DBT skills groups: 

Clients who are receiving behaviorally-oriented individual therapy elsewhere may be eligible to join, space permitting.


Multi-Family Adolescent DBT Group

Mondays, 4:15pm-5:45pm

(next opening: November 13th, 2017)

DBT Parenting Group

     for parents of teens (12-19)

Tuesdays, 6pm-8:30pm

5 weekly sessions & 1 follow-up

(next group: early 2018)

Client Name *
Client Name
Phone *
Interested in the following program(s): *

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



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