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3,571 people sought dialectical behavior therapy (DBT) help in Virginia in the last year

Discover how starting therapy with a dialectical behavior therapy (DBT) can support your own journey toward a happier, more fulfilling life.

Meet with a provider as soon as this week

Good news! We have 64 therapists in Virginia available for an online or in-person session.
Brittany Spak

Hear from Brittany Spak, Licensed Professional Counselor (LPC)

View Brittany Spak's profile

What is your go-to approach for dialectical behavior therapy?

My go-to approach for helping people in dialectical behavior therapy is the use of the wise mind. I find the best benefit in the wise mind because it helps balance the rational mind and emotional mind while meeting anyone where they currently are.

What tools do you teach in dialectical behavior therapy?

I teach the following tools in dialectical behavior therapy:

  • Wise Mind: Helping to find the balance between emotional thoughts and rational thoughts.
  • TIPP: Strategies to help change your body chemistry to help reduce extreme emotion.
  • DEARMAN: An outline to help you more effectively communicate by saying “no” or asking for something from someone.

How do you know when a client is making meaningful progress in dialectical behavior therapy?

I know a client is making meaningful progress in dialectical behavior therapy when the client is able to see and accept two opposing thoughts existing at the same time, such as “I am doing my best, and I can do better,” regularly utilizes therapy skills without thinking about using them, and expresses an improvement in emotion regulation.

What can clients do in their personal time to supplement dialectical behavior therapy?

Clients can supplement their time in dialectical behavior therapy with various DBT workbooks available to buy online, such as the one by Matthew McKay, PhD!

What should someone do to prepare for starting dialectical behavior therapy?

To prepare for their first dialectical behavior therapy session, an individual can remind themselves that they are doing the best that they can, therapy will help them do better, and change takes time, consistency, and accepting change.

Starting Dialectical behavior therapy (DBT)

What is dialectical behavior therapy (DBT)?

At Thriveworks, Dialectical behavior therapy (DBT) primarily concentrates on assisting individuals in emotion regulation, enhancing interpersonal relationships, and acquiring effective coping strategies for managing stress and emotional difficulties.

How does DBT work?

Dialectical behavior therapy (DBT) targets your personal challenges. You may work with your DBT therapist to maintain diary cards to monitor progress, emphasizing validation and support in the therapeutic relationship. DBT follows a stage-based approach, prioritizing crisis reduction initially and life satisfaction.

What is DBT best used for?

DBT was initially developed to address the needs of individuals with borderline personality disorder (BPD). However, its versatile approach has enabled its application to a wide range of mental health conditions, including but not limited to, anxiety, depression, stress, and anger issues.

What are the 4 pillars of DBT?

The 4 pillars of DBT are mindfulness, emotion regulation, interpersonal effectiveness, and distress tolerance.

Is DBT better than EMDR?

Dialectical behavior therapy (DBT) and eye movement desensitization and reprocessing (EMDR) have distinct purposes and aren’t inherently superior or inferior to one another. DBT is most effective for managing emotional regulation, personality disorders, and interpersonal challenges, while EMDR is specifically tailored for individuals with trauma-related conditions like post-traumatic stress disorder (PTSD).

What\'s better: CBT or DBT?

The selection between Cognitive behavioral therapy (CBT) and dialectical behavior therapy (DBT) hinges on an individual’s distinct requirements and the specific nature of their concerns. CBT is commonly preferred for a broad spectrum of conditions like anxiety and depression, whereas DBT stands out in aiding individuals dealing with borderline personality disorder and challenges associated with emotional regulation.

Is DBT conducted in person or online?

Dialectical behavior therapy (DBT) with therapists at Thriveworks in Richmond, VA is conducted both in person and online by video. We encourage you to choose the option that works best for you.

How many months is DBT?

The duration of a standard DBT program is typically around 24 weeks, which is roughly six months. The actual number of sessions will vary depending on the issues you wish to address.

Pricing & insurance

Our therapists accept most major insurances. We accept 585+ insurance plans, and offer self-pay options, too.
Learn more about pricing for therapy and counseling services at Thriveworks.

Our Richmond therapists and counselors accept 26 insurance plans

  • Aetna

  • Anthem Blue Cross and Blue Shield Virginia Medicare Advantage

  • Anthem Blue Cross and Blue Shield Virginia | BCBS

  • Blue Cross Blue Shield | Anthem (Blue Card)

  • CareFirst Blue Cross and Blue Shield of Virginia | BCBS PPO

  • Carelon

  • Cigna | Evernorth

  • Cigna | Evernorth EAP

  • Cigna | Evernorth Medicare Advantage

  • Compsych

  • First Health Network

  • Humana Exchange

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Self-pay costs at Richmond
Talk therapy

Talk therapy

Includes individual, couples, child/ teen, & family therapy

First session

$1

Ongoing sessions

$1

Talk therapy

Psychiatry

Includes reducing symptoms with medication & management

First session

$1

Ongoing sessions

$1

Hear from our clients

4.7 Learn about verified reviews
★★★★★
I have looked so long for a new counselor and finally found a wonderful therapist through thrive works… Rhiannon Price has been working with me and has helped me so much
Read more I have looked so long for a new counselor and finally found a wonderful therapist through thrive works… Rhiannon Price has been working with me and has helped me so much
Michelle Feb 2024
Thriveworks.com verified review
★★☆☆☆
My experience has been somewhat less desiring. My ongoing sessions with the counselor is not as expected. It’s not engaging and oftentimes we are sitting in silence. I even asked if there was an ending game plan so we know where we are working towards and I didn’t get an answer.
Read more My experience has been somewhat less desiring. My ongoing sessions with the counselor is not as expected. It’s not engaging and oftentimes we are sitting in silence. I even asked if there was an ending game plan so we know where we are working towards and I didn’t get an answer.
Chris Jan 2024
Thriveworks.com verified review
★★★★★
I have known Scott Beach personally and professionally for almost 15 years. He is a caring and compassionate individual and an outstanding clinician. I highly recommend him to anyone seeking to engage with an ethical and skilled counselor who will meet you where you are without judgment and work with you to achieve your counseling goals!
Read more I have known Scott Beach personally and professionally for almost 15 years. He is a caring and compassionate individual and an outstanding clinician. I highly recommend him to anyone seeking to engage with an ethical and skilled counselor who will meet you where you are without judgment and work with you to achieve your counseling goals!
Richmond Jul 2020
Review left on Thriveworks.com
★★★★★
Ashley Crouch has been been a blessing to me over the past year. I cannot begin to thank her enough for how she has impacted my life. She is very effective, professional, and respectful. My quality of life has improved by leaps and bounds and I'm forever grateful. I live in a rural area with few counseling options, so online counseling was a Godsend, and so was Ashley!
Read more Ashley Crouch has been been a blessing to me over the past year. I cannot begin to thank her enough for how she has impacted my life. She is very effective, professional, and respectful. My quality of life has improved by leaps and bounds and I'm forever grateful. I live in a rural area with few counseling options, so online counseling was a Godsend, and so was Ashley!
Richmond Dec 2019
Review left on Thriveworks.com
★★★★★
Exceptional service.
Richmond Jan 2019
Review left on Thriveworks.com
★★★★★
I’ve been seeing Ashley for about a month now at Thriveworks and I couldn’t be happier. She really helped me get back to person I use to be. I’ve had a rough couple years and she has me well on my way to a better me.
Read more I’ve been seeing Ashley for about a month now at Thriveworks and I couldn’t be happier. She really helped me get back to person I use to be. I’ve had a rough couple years and she has me well on my way to a better me.
Richmond Jan 2019
Review left on Thriveworks.com
★★★★★
Great scheduling service. Emma Denat is fantastic as a counselor. Highly recommend this practice.
Read more Great scheduling service. Emma Denat is fantastic as a counselor. Highly recommend this practice.
Richmond Jan 2019
Review left on Thriveworks.com
★★★★★
So far, everything with Thriveworks has been great - easy to schedule, easy to meet, and really finding great help all around.
Read more So far, everything with Thriveworks has been great - easy to schedule, easy to meet, and really finding great help all around.
Richmond Jan 2019
Review left on Thriveworks.com

Where to find us

Getting here

Thriveworks Counseling & Psychiatry Richmond is located off of Markel Rd, just south of Libbie Place Shopping Center. Our building is across the street from the Faison Center and next to Pandora’s Lashes and Coates and Davenport, P.C. Our office is in the Enterprise Center, which we share with Liquid Talent Agency and SIL Insurance, among other businesses.

Phone number

(804) 312-5498

Languages spoken by VA providers

  • Polish
  • English
Thursday 8:00am - 9:00pm
Friday 8:00am - 9:00pm
Saturday 8:00am - 9:00pm
Sunday 8:00am - 9:00pm
Monday 8:00am - 9:00pm
Tuesday 8:00am - 9:00pm
Wednesday 8:00am - 9:00pm

Shown in ET

Thursday 7:00am - 9:30pm
Friday 7:00am - 9:30pm
Saturday 7:00am - 6:00pm
Sunday 8:00am - 5:00pm
Monday 7:00am - 9:30pm
Tuesday 7:00am - 9:30pm
Wednesday 7:00am - 9:30pm

Shown in ET

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