Question 1

What is Dialectical Behavior Therapy (DBT)?

Accepted Answer

DBT is an evidence-based therapy that teaches four core skill sets: mindfulness (staying present), distress tolerance (surviving crises without making things worse), emotion regulation (understanding and managing intense emotions), and interpersonal effectiveness (communicating needs and maintaining relationships). It balances acceptance and change.

Question 2

Who can benefit from DBT?

Accepted Answer

DBT was originally developed for borderline personality disorder but is now used effectively for many conditions including depression, anxiety, eating disorders, PTSD, substance use, self-harm, emotional dysregulation, and interpersonal difficulties. Anyone who struggles with intense emotions or impulsive behaviors can benefit from DBT skills.

Question 3

How is DBT different from regular talk therapy?

Accepted Answer

DBT is more structured and skills-focused than traditional talk therapy. You'll learn specific, practical techniques that you can apply in daily life. Sessions combine individual therapy with skills training, and you'll practice using these tools between sessions. DBT also uniquely balances validation (acceptance) with push for change.

Question 4

Is DBT therapy available in Spanish?

Accepted Answer

Yes. Thaimi Fina, LMHC, is a bilingual (English and Spanish) licensed mental health counselor who provides DBT therapy via telehealth throughout Florida. Sessions and skills training can be conducted entirely in Spanish or bilingually, depending on your preference.

Question 5

Can DBT be done via telehealth?

Accepted Answer

Yes. Telehealth DBT is equally effective as in-person treatment. Virtual sessions allow you to learn and practice DBT skills from the comfort of your own space. Many clients find that practicing skills in their real environment — rather than a therapist's office — helps with real-world application.