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Dialectical Behavioral Therapy (DBT)

Medically Reviewed By:

Dr. Vahid Osmanm, M.D.

Board-Certified Psychiatrist and Addictionologist
Clinically Reviewed By:

Josh Sprung, L.C.S.W.

Board Certified Clinical Social Worker

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If you’ve been trying to break free from addiction but the usual approaches haven’t worked, you’re not alone. For many people, substance use is tied to overwhelming emotions, impulsive behavior and difficult relationships. These deeper challenges often fuel relapse. That’s where Dialectical Behavioral Therapy (DBT) comes in.

DBT is a research-backed therapy designed to help you understand and manage intense emotions, navigate high-stress situations and develop lasting, practical skills for recovery. At Tulip Hill Healthcare, we offer DBT for addiction recovery in a supportive and personalized setting so you can heal at your own pace with the tools you need to move forward.

What Is Dialectical Behavioral Therapy?

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Dialectical Behavioral Therapy (DBT) is a type of cognitive-behavioral therapy that emphasizes the balance between acceptance and change. Originally developed to treat borderline personality disorder (BPD), DBT has since evolved into a highly effective treatment for a range of mental health issues, including substance use disorders.

The term “dialectical” refers to the therapy’s core philosophy of balancing acceptance and change. In DBT for addiction treatment, this means learning to accept your current situation and emotions while simultaneously working toward positive changes in your life. Through DBT, individuals learn how to manage painful emotions, build stronger relationships and reduce self-destructive behaviors, all of which are vital in DBT for addiction treatment.

How Does DBT Work?

DBT for addiction recovery works on the principle that addiction often results from difficulties in managing intense emotions and interpersonal relationships. When individuals lack effective coping skills, substances can become a way to escape overwhelming feelings or numb emotional pain. DBT addresses this by teaching specific, practical skills that serve as alternatives to substance use.

DBT helps individuals develop emotional awareness and understanding. Many people with substance use disorders have difficulty identifying and naming their emotions, which makes it challenging to address them appropriately. Through mindfulness practices, DBT teaches participants to observe their emotions without immediately reacting to them.

DBT for addiction treatment also focuses on building distress tolerance skills. These techniques help individuals survive crisis situations without making them worse through substance use. Rather than avoiding or escaping difficult emotions, participants learn to tolerate distress while it naturally decreases over time.

The therapy also emphasizes behavioral change through reinforcement and skill-building. In DBT sessions, therapists help individuals identify specific behaviors that contribute to their addiction and replace them with healthier alternatives. This might involve creating detailed behavioral chains to understand triggers and developing specific plans for managing high-risk situations.

DBT Skills Explained

DBT teaches four core skill sets, each playing a vital role in breaking the cycle of addiction:

Mindfulness Skills:

These form the cornerstone of DBT treatment. Mindfulness skills teach individuals to stay present in the moment rather than being overwhelmed by past regrets or future anxieties. For addiction recovery, mindfulness helps individuals recognize urges and cravings without automatically acting on them. 

Distress Tolerance Skills:

These provide alternatives to substance use during moments of crisis or intense emotional pain. Rather than teaching individuals to eliminate distress, these skills focus on surviving difficult situations without making them worse. 

Emotion Regulation Skills:

These address one of the most common underlying factors in addiction: difficulty managing intense emotions. Emotion regulation skills help individuals understand the function of emotions, identify and label emotional experiences accurately and reduce emotional vulnerability through lifestyle choices.

Interpersonal Effectiveness Skills:

These focus on building and maintaining healthy relationships while pursuing personal goals. Many individuals with substance use disorders have experienced damaged relationships due to their addiction, and these skills provide a roadmap for repair and growth.

Who Can Benefit from DBT?

DBT for addiction recovery is particularly effective for individuals who experience intense emotions, have difficulty with impulse control, or struggle with interpersonal relationships alongside their substance use. While originally developed for borderline personality disorder, research has shown that DBT benefits a wide range of individuals seeking addiction treatment.

  • People who have experienced trauma often find DBT especially helpful. The therapy’s emphasis on radical acceptance and distress tolerance provides tools for managing trauma-related symptoms without resorting to substances. DBT’s non-judgmental approach helps individuals process difficult experiences while building resilience for the future.

  • Individuals with co-occurring mental health conditions frequently benefit from DBT for addiction treatment. The skills taught in DBT address multiple symptoms simultaneously, making it an efficient treatment approach for complex presentations. Whether someone struggles with depression, anxiety, eating disorders, or personality disorders alongside addiction, DBT provides a comprehensive framework for addressing interconnected challenges.

Dialectical Behavioral Therapy is also particularly valuable for individuals who have struggled with traditional addiction treatment approaches. Those who have experienced multiple relapses or have difficulty engaging in standard therapies often find DBT’s practical, skills-based approach more accessible and sustainable. The therapy’s focus on acceptance reduces resistance and shame, which can be barriers to treatment engagement.

What’s the Difference Between DBT and CBT?

While both Dialectical Behavioral Therapy and Cognitive Behavioral Therapy (CBT) are evidence-based treatments used in addiction recovery, they differ in their approach and emphasis. Understanding these differences can help individuals make informed decisions about their treatment options.

CBT primarily focuses on identifying and changing negative thought patterns and behaviors. In addiction treatment, CBT helps individuals recognize triggers, challenge addiction-related thinking, and develop coping strategies. The approach is more structured and problem-focused, emphasizing the connection between thoughts, feelings, and behaviors.

DBT, while incorporating some CBT techniques, places greater emphasis on acceptance and mindfulness alongside change strategies. This dialectical approach of balancing acceptance and change is particularly valuable for individuals who have struggled with the more direct, change-focused approach of traditional CBT.

For addiction recovery, both approaches have strong research support. Some individuals respond better to CBT’s structured, problem-solving approach, while others benefit more from DBT’s emphasis on acceptance and comprehensive skill-building. Many successful addiction treatment programs incorporate elements of both approaches, allowing for individualized treatment planning based on specific needs and preferences.

What to Expect in DBT Therapy Sessions

DBT for addiction recovery typically involves multiple components working together to provide comprehensive treatment. Understanding what to expect can help individuals prepare for and engage more fully in the therapeutic process.

Individual Therapy Sessions:These form the backbone of DBT treatment. Individual therapy sessions focus on reviewing the previous week, addressing any behaviors that interfered with treatment or safety, and working on specific DBT skills application. Your therapist will help you identify situations where substance use occurred or was considered, analyze what happened using DBT concepts, and develop alternative responses for similar future situations. 

Skills Training Groups: These are a crucial component of DBT for addiction treatment. Skull training groups, typically lasting 90 minutes to two hours, focus on learning and practicing the four core DBT skills modules. Groups are educational rather than processing-focused, meaning participants learn specific techniques rather than discussing personal details of their struggles. This format can feel safer for individuals who are uncomfortable with traditional group therapy approaches. 

Phone Coaching: This provides real-time support between sessions. When facing cravings, interpersonal conflicts, or other challenges, individuals can contact their therapist for brief coaching on using DBT skills in the moment. 

Therapist Consultation: This ensures that your treatment providers are receiving ongoing support and consultation to provide the most effective treatment possible. While you won’t directly participate in these meetings, knowing that your therapist is part of a team committed to evidence-based, compassionate care can provide additional confidence in your treatment.

Types of Addictions Treated at Tulip Hill Healthcare

Our addiction treatment programs in Tennessee and Kentucky address a wide range of substance use disorders, each requiring specialized approaches and medical considerations.

Alcohol

Alcohol Treatment Program

Alcohol use disorder affects millions of Americans and requires comprehensive treatment addressing both physical dependence and psychological addiction. Alcohol withdrawal can be medically dangerous, requiring professional detox supervision

Alcohol Detox

Medical alcohol detox involves careful monitoring as residents safely withdraw from alcohol. Healthcare providers may prescribe medications to prevent seizures and reduce withdrawal symptoms. The process typically takes 3-7 days, followed by transition to ongoing treatment.

Opioids

Opioid addiction, including prescription painkillers and illegal drugs like heroin, often requires medication-assisted treatment (MAT). Medications like methadone, buprenorphine, or naltrexone help reduce cravings and prevent relapse while clients engage in counseling and behavioral therapies.

Cocaine

Cocaine addiction treatment utilizes behavioral therapies, counseling, and support groups. While no specific medications treat cocaine addiction, healthcare providers may prescribe medications to address co-occurring mental health conditions.

Methamphetamine

Methamphetamine addiction treatment focuses primarily on behavioral therapies, as no FDA-approved medications currently exist for meth addiction. Treatment addresses the severe psychological effects of meth use and helps clients rebuild healthy lifestyle patterns.

Prescription medications

Prescription drug addiction requires careful assessment to determine appropriate alternatives for legitimate medical conditions. Treatment may involve medication adjustments, pain management alternatives, and therapy to address the underlying issues that led to misuse.

Other controlled substances

Fentanyl Heroin
Fentanyl addiction presents particular dangers due to the drug’s potency and high overdose risk. Treatment requires specialized medical management during detox and intensive ongoing support due to the severe nature of fentanyl addiction. Heroin addiction treatment combines medical detox, medication-assisted treatment, and intensive therapy. Due to heroin’s illegal status, clients often face additional challenges including legal issues and social stigma that must be addressed in treatment.

Why Choose Tulip Hill Healthcare?

With so many alcohol treatment centers Nashville TN and KY offer, choosing the right one can feel overwhelming. Here’s why Tulip Hill Healthcare’s network of rehab centers should be your top choice.

Holistic Care

Tulip Hill Healthcare addresses both the physical and emotional aspects of addiction, ensuring comprehensive recovery. At all of our alcohol rehab centers Nashville TN and KY have, patients receive personalized care plans tailored to their unique needs.

Compassionate Support

Addiction can be a difficult journey for both the individual struggling with it and their loved ones. When it comes to alcohol addiction, we know the road to recovery is rarely a straight line. At each of our rehab centers, we understand the importance of providing compassionate support throughout this journey.

Convenient Locations

Located in Tennessee and Kentucky, Tulip Hill Healthcare enables access to care close to home for individuals in the Southeast region. Whether you’re looking for alcohol treatment Nashville TN offers, alcohol PHP in Louisville, or medical detox in Murfreesboro, there’s a facility near you that can accommodate you and your recovery goals.

Focus on Long-Term Recovery

Through aftercare and relapse prevention programs, our team supports individuals long after completing their primary treatment course. By creating a safe, supportive environment for healing, Tulip Hill Healthcare stands out as a leader in alcohol addiction treatment. You’ll notice walking into our drug and alcohol rehab centers means walking into a world of luxury, serenity, and recovery in TN and KY.

Take the Next Step Toward Healing

Addiction can feel isolating, but recovery doesn’t have to be. Through DBT for addiction recovery, you can build the tools to live a more balanced, connected, and fulfilling life. At Tulip Hill Healthcare, our caring team is here to support you every step of the way. Contact us today to begin your journey toward lasting wellness.

Have Questions?

Ask Our Expert Doctors.

What is Dialectical Behavior Therapy (DBT)?
Dialectical Behavioral Therapy (DBT) is an evidence-based form of therapy that helps individuals manage intense emotions, improve relationships, and reduce self-destructive behaviors. It’s especially effective in treating mental health conditions like BPD and substance use disorders.
How does DBT help in addiction treatment?
DBT for addiction treatment focuses on developing practical skills to manage emotional distress and avoid impulsive behaviors like substance use. It teaches mindfulness, distress tolerance, and emotion regulation, which are key to long-term recovery.
What are the core components of DBT?
DBT includes individual therapy, group skills training, phone coaching, and therapist consultation teams. These elements work together to provide comprehensive support.
Who is DBT for?
DBT is suitable for individuals with a wide range of emotional and behavioral issues, including those struggling with addiction, BPD, anxiety, depression, PTSD, and more.
How is DBT used in addiction treatment programs?
In addiction treatment programs, DBT is used to help clients identify triggers, regulate emotions, build healthy coping mechanisms, and prevent relapse.
What makes DBT different from other therapies?
Unlike traditional therapies, DBT combines acceptance and change strategies. It offers a highly structured skill-building approach tailored to individuals who struggle with emotional regulation.
How long does DBT last in addiction treatment?
Programs vary, but DBT is typically offered in 6-month to 12-month cycles. The duration may depend on individual needs and treatment goals.
Is DBT effective for addiction recovery?
Yes, DBT for addiction recovery has been shown to significantly reduce relapse rates, improve emotional well-being and help individuals maintain long-term sobriety.
Is DBT available in virtual or outpatient programs?
Yes, many treatment centers, including Tulip Hill Healthcare, offer DBT in both virtual and outpatient formats, making it accessible and flexible for those with busy lives.
How can I start DBT for addiction recovery?
Getting started is simple. Reach out to Tulip Hill Healthcare today for a confidential consultation. We’ll guide you through the process and develop a personalized plan that aligns with your goals and needs.

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Real Stories of Hope and Transformation

Testimonials from Patients

These inspiring testimonials highlight the positive experiences and life-changing transformations made possible through our compassionate care and evidence-based programs.

Adam Matulevich
14:29 08 Jul 25
I can't say enough good things about Tulip Hill Healthcare. The staff are incredibly compassionate, attentive, and professional — they treat every patient with dignity and kindness. The care team communicated regularly with us, keeping us informed and involved in every step. I would highly recommend to anyone looking for care
Alison Campbell
20:07 01 Jul 25
I cannot say enough about the incredible care and support offered by Tulip Hill. From the moment I walked through the doors, I was met with warmth and understanding. The staff are truly compassionate professionals who are deeply dedicated to their clients’ recovery.

The treatment programs are comprehensive and evidence-based, offering a perfect blend of one-on-one therapy, group counseling, and holistic services like mindfulness. What stood out most was how individualized the care was. The environment is clean, peaceful, and designed to help clients feel safe and supported.

If you or someone you love is struggling with addiction, I wholeheartedly recommend Tulip Hill Healthcre. They don’t just help you get sober — they help you rebuild your life.
Amy Kalber
20:05 01 Jul 25
Tulip Hill Healthcare is truly a hidden gem in Tennessee. From the moment you walk through the doors, you’re met with warmth, compassion, and professionalism. The entire staff — from the front desk to the clinical team — goes above and beyond to make patients feel seen, heard, and genuinely cared for.

The level of individualized attention and support is unmatched. They take the time to really understand each person’s needs and tailor care accordingly, whether it’s for mental health, addiction recovery, or dual diagnosis treatment. The environment is clean, peaceful, and thoughtfully designed to promote healing and personal growth.

What really sets Tulip Hill apart is their dedication to holistic wellness — they don’t just treat symptoms, they help people rebuild their lives. The therapists and counselors are incredibly skilled, compassionate, and invested in their patients' success. You can tell they care deeply.

If you’re looking for a place that treats you with dignity, encourages transformation, and supports your healing journey every step of the way, I can’t recommend Tulip Hill Healthcare enough. They truly change lives.
Shiann Clephane
21:06 04 Apr 25
The team and staff at Tulip Hill are amazing to work with and provide top notch care. They are locally owned and operated by some of the best people I know. I’ve not personally been here, but I have sent family here and would do it again in a heartbeat!
Hailey Williams
15:23 26 Nov 24
Tulip Hill Healthcare has an exceptional team of caring and compassionate professionals who truly go above and beyond for their patients. The staff is knowledgeable, attentive, and always willing to answer questions or provide support. You can tell they genuinely care about the well-being of everyone who walks through their doors!
Miles Neal
23:03 22 Nov 24
Tulip Hill saved my cousins life. When he got there he was broken and lost. Now his life is rejuvenated. The amount of one on one therapy he got, mixed with his process group was exactly the combination he needed to walk out a new man. Now he’s helping others and a productive member of society. Everything from our first call with Jake was top notch. God Bless Tulip Hill
Gage Myers
18:10 22 Oct 24
Tulip Hill Healthcare is a highly reputable, and experienced team of passionate professionals who continuously strive to provide the highest level of care for their clients. I would highly recommend their facilities to anyone in need.