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2,711 people sought dialectical behavior therapy (DBT) help in Texas 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

ACCEPTING NEW CLIENTS

Aetna, Ambetter by Superior Health Plan, APEX Memorial Hermann, +39 more
Coping Skills, Self Esteem, Stress, Women’s Issues, Life Transition, +3 more

I am honored to be able to work alongside you toward your therapy goals, whether for clarity, coping, or confidence.

96 more therapist available in Texas

Give us a call to schedule your next appointment, or browse through our full list of available providers.

Raquel Espino

Hear from Raquel Espino, Licensed Professional Counselor (LPC)

View Raquel Espino's profile

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

My go-to approach for helping people in dialectical behavior therapy is somatic regulation skill-building. I find the best benefit in building somatic calming strategies first because it helps reduce our stress response, making us better-able to apply other coping skills.

What tools do you teach in dialectical behavior therapy?

I teach the following tools in dialectical behavior therapy:

  • Emotion regulation: Being able to control emotions, rather than emotions being in control
  • Mindfulness: Focus on being aware of and engaged in the current environment
  • Distress tolerance: Being able to navigate and cope with difficult situations/circumstances

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 they display and report a decrease in emotional reactivity and an increase in mindfulness practices.

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

Clients can supplement their time in dialectical behavior therapy with mental health support groups and personal/group spaces for mindfulness practices.

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

To prepare for their first dialectical behavior therapy session, an individual can take inventory of current coping strategies and support systems they use.

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 San Antonio, TX 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 San Antonio therapists and counselors accept 42 insurance plans

  • APEX Memorial Hermann

  • ARIA | Covenant Management Systems

  • Aetna

  • Ambetter by Superior Health Plan

  • Auto Club Enterprises (Employers Health Network)

  • Blue Cross Blue Shield of Texas HMO

  • Blue Cross Blue Shield of Texas PPO

  • Blue Cross Blue Shield | Anthem (Blue Card)

  • Buist Byars and Taylor (Employers Health Network)

  • Carelon

  • Christus Health Plan Exchange

  • Christus Health Plan Medicare Advantage

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Self-pay costs at San Antonio
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

5.0 Learn about verified reviews
★★★★★
I would definitely recommend Thriveworks to my family and friends. My talk therapy with Nadia Hines has been very helpful. I look forward to our sessions and I leave each one with the belief that I will become better soon.
Read more I would definitely recommend Thriveworks to my family and friends. My talk therapy with Nadia Hines has been very helpful. I look forward to our sessions and I leave each one with the belief that I will become better soon.
LaWanda Jan 2024
Thriveworks.com verified review
★★★★★
Ms. Hines is as professional as they come. Her voice is calming, and her professionalism is top notch. She will not only tell you want you want to hear, but what you need to hear to help you work through your concerns and issues.
Read more Ms. Hines is as professional as they come. Her voice is calming, and her professionalism is top notch. She will not only tell you want you want to hear, but what you need to hear to help you work through your concerns and issues.
San Antonio Sep 2022
Review left on Thriveworks.com

Where to find us

Getting here

Thriveworks Counseling & Psychiatry San Antonio is located in the same building as University Medicine Associates Dominion Crossing, Behavioral Innovations, Juan Ferreris MD, Courtney Smith MD, Rafael Rosalez MD, Dinah S George MD, Christus Children’s Pediatric Medical Office, and many other doctors’ offices. In the same plaza is Club Pilates, and nearby is Baskin-Robbins, Dunkin Donuts, Rishi’s Beauty Salon, and Rock’s Discount Vitamins N More. Club Car Wash is also nearby.

Phone number

(726) 204-3834

Languages spoken by TX providers

  • English
  • Spanish
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

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

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