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 members of the DBT team:

     Erin Miga, PhD*

     Elizabeth LoTempio, PsyD*

     Dorian Hunter, PhD*

     Jared Michonski, PhD*

     Andrew Fleming, PhD*

* - 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 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

Tuesdays, 4:45pm-6:15pm

For the Monday group, please complete the web form for Dr. Andrew Fleming.

For the Tuesday group, please complete the web form for Dr. Elizabeth LoTempio.

Adult DBT Group

Wednesdays, 6pm-8pm

For the Wednesday evening Adult DBT group, please complete the web form for Dr. Dorian Hunter.

DBT Parenting Workshop

     for parents of teens (12-19)

12-hour weekend workshop (Sat-Sun)

next workshop dates TBD

If you would like to be contacted when the next workshop is scheduled, please complete the web form for Dr. Andrew Fleming, including your interest in the DBT Parenting Workshop.

Wednesdays, 8am-10am

For the Wednesday morning Adult DBT group, please complete the web form for Dr. Jared Michonski.


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