DBT-Informed Therapy in Tennessee & Nevada

What Is Dialectical Behavior Therapy?

Dialectical Behavior Therapy, or DBT, is an evidence based therapy that teaches practical skills for managing intense emotions, navigating stress, and improving relationships.

DBT is rooted in dialectics, the practice of holding two truths at once: your emotions make sense, and you can learn to respond to them with more steadiness, choice, and self-trust.

In DBT informed therapy, I help you apply these skills to the places where you actually feel stuck: anxious spirals, difficult conversations, conflict, shame, over apologizing, shutting down, people pleasing, or trying to keep everyone else okay while losing touch with yourself.

The goal is not perfect emotional control. The goal is creating enough space between what you feel and what you do next so you can make choices that are more grounded, honest, and aligned.

How DBT Therapy Can Help?

For many women, emotional overwhelm is often connected to years of adapting, staying alert, managing other people’s reactions, quieting your needs, or not having enough room for what you felt.

DBT therapy can help you:

  • Notice emotions without immediately judging, fixing, or escaping them
  • Calm your body when anxiety, panic, or emotional intensity rises
  • Get through difficult moments without making choices that create more pain
  • Understand the connection between thoughts, emotions, urges, and behaviors
  • Set boundaries without abandoning yourself or disconnecting from others
  • Communicate needs more clearly and directly
  • Respond from your values instead of fear, shame, or urgency

DBT includes four main skill areas:

  • Mindfulness
  • Distress tolerance
  • Emotion regulation
  • Interpersonal effectiveness

I use DBT skills in a grounded and practical way while also making space for the deeper story underneath your patterns. You will not be handed a worksheet and left to figure it out alone. I help you understand why these responses make sense, how they may have protected you, and how to begin choosing something different now.

The Four Core DBT Skills Modules

Mindfulness: Staying Present with Compassion

Mindfulness in DBT is about learning to be present with yourself your thoughts, feelings, and body without harsh judgment. You practice noticing what is happening in the moment so you can respond thoughtfully.

Distress Tolerance: Surviving Emotional Storms

Distress tolerance skills help you get through intense emotions and crises without making things worse. You learn concrete tools to ride out the wave like grounding techniques, sensory strategies, and ways to soothe yourself when everything feels like too much.

Emotion Regulation: Understanding & Balancing Your Feelings

Emotion regulation skills help you make sense of your feelings, reduce emotional ups and downs, and care for your body and mind in ways that support stability. You learn how to name and work with your emotions, instead of feeling controlled or overwhelmed by them.

Interpersonal Effectiveness: Honoring Yourself in Relationships

Interpersonal effectiveness skills focus on communication, boundaries, and self respect. You practice how to ask for what you need, say no when you need to, and stay true to yourself in relationships without losing connection with the people who matter to you.

Who Is a Good Fit for DBT?

DBT can be especially supportive if you identify as sensitive, high achieving, or the one who “holds it all together” for everyone else.

You may be a good fit for DBT if you are experiencing:

  • Anxiety that shows up as constant worry, overthinking, or a racing mind
  • Depression that leaves you feeling numb, disconnected, or hopeless
  • Trauma or painful experiences that still affect your body, emotions, and relationships
  • People pleasing, difficulty saying no, or feeling responsible for everyone else’s emotions
  • Emotional overwhelm, mood swings, or feeling “too much” for others
  • Struggles with self criticism, shame, or feeling like you’re never enough

What to Expect in DBT Sessions

Starting therapy can feel vulnerable, especially if you are used to being the one who takes care of everyone else. I aim to create a warm, grounded space where all parts of you are welcome.

Here’s what DBT sessions typically look like:

  • First sessions: You share what brings you to therapy, what you’re struggling with, and what you hope will be different. Together, you and I will clarify your goals and begin identifying patterns that show up in your thoughts, emotions, and relationships.
  • Ongoing sessions: You learn and practice DBT skills tailored to your needs. I will check in about how things are going between sessions, celebrate wins, and gently explore any barriers or setbacks without shame or blame.
  • Practical tools: You may leave sessions with simple practices to try during the week like a grounding exercise, a new way to respond in a tough conversation, or a different way of talking to yourself when you feel overwhelmed.
  • Collaborative pace: You and I will decide together when to slow down, when to go deeper, and when to focus on immediate coping versus long-term growth.

All sessions are held virtually, so you can attend from a private, comfortable space in your home or office anywhere in Tennessee or Nevada.

Begin DBT with Revelation Mental Health

I provide online DBT informed therapy for women in Tennessee and Nevada. If you are tired of feeling ruled by emotional intensity, anxiety, shame, or old survival patterns, DBT can offer practical tools for building more steadiness, self trust, and alignment in your daily life.