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Dialectical Behavior Therapy (DBT) for Addiction

Dialectical Behavior Therapy (DBT) is a core element of Asana Recovery’s approach to addiction treatment, focusing on helping individuals manage emotions, reduce stress, and build healthy relationships. By teaching practical skills, DBT supports patients in navigating life’s challenges while maintaining long-term sobriety.

DBT is an evidence-based therapy designed to help individuals manage intense emotions and improve coping mechanisms.

Originally developed to treat borderline personality disorder, DBT has proven effective for addiction recovery and other mental health disorders, such as anxiety, depression, and PTSD.


At Asana Recovery, DBT is incorporated through the following techniques to support patients in their recovery journey:

  • Mindfulness: Helps patients stay grounded and manage emotions in the present moment.
  • Distress Tolerance: Equips individuals with skills to handle high-stress situations without resorting to unhealthy behaviors.
  • Emotion Regulation: Teaches techniques to understand, manage, and express emotions in a healthy way.
  • Interpersonal Effectiveness: Enhances communication skills to foster healthier relationships.

What to Expect from DBT at Asana Recovery

DBT sessions at Asana Recovery are led by trained therapists who personalize treatment based on each individual’s needs. Through a combination of individual therapy, group sessions, and skills coaching, patients receive comprehensive support to incorporate DBT principles into their everyday lives.


Our DBT program includes:
1. Individual therapy sessions to address personal challenges and goals
2. Group skills training to learn and practice DBT techniques
3. Phone coaching for support between sessions
4. Therapist consultation team meetings to ensure high-quality care

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Dialectical Behavior Therapy (DBT) for Asana Recovery

Dialectical Behavior Therapy (DBT) enhances substance abuse treatment by teaching essential skills in mindfulness, emotional regulation, distress tolerance, and interpersonal effectiveness. It helps individuals manage triggers, cope with stress without substances, regulate emotions effectively, and build healthier relationships. This comprehensive approach reduces relapse risk and supports long-term recovery through sustainable behavioral change.
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At Asana Recovery, we use a Comprehensive Healing Strategy:

Medical Detox

If you’re currently struggling with drugs or alcohol, that addiction is life threatening. Drug and alcohol detox gets you clean or sober, using either a social approach where you quit and go through withdrawal, or a medication assisted treatment program.

Asana Recovery uses both options, which will be recommended based on the amount of substance you’re using, which substances you’re using, and your mental and physical health.

Detox normally involves staying at our clinic where you can be monitored and given the medical attention to move through withdrawal safely.

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Common Detox Timelines Include

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In addition, if you’re addicted to a benzodiazepine, you may be asked to go onto a tapering schedule. This can significantly extend the detox period, because you will sometimes spend several weeks on detox instead of the standard 7-14 days.

Inpatient Care

Asana Recovery provides intimate residential treatment in Orange County, California, with no more than 6 clients per facility to ensure highly personalized care. Our comprehensive treatment approach combines evidence-based therapies with holistic healing methods to address addiction and co-occurring mental health disorders

Our program utilizes multiple therapeutic modalities including Cognitive Behavioral Therapy (CBT), Dialectical Behavior Therapy (DBT), group therapy, and family therapy sessions. These core treatments are enhanced by holistic therapies such as art therapy, yoga, mindfulness practices, and recreational activities. Their biological, psychological, and social (BPS) approach creates an integrated healing environment where clients can develop essential recovery skills while receiving individualized attention from the clinical team.

 
 

 

 

Mind, Body, and Spirit Recovery

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Research shows that approximately 50% of individuals with substance use disorders have co-occurring mental health conditions. This high rate of comorbidity requires an integrated treatment approach, as both conditions significantly impact each other. When mental health issues go untreated, substance abuse typically worsens, and conversely, substance use can exacerbate mental health problems.

 

Many individuals develop substance use problems while attempting to self-medicate symptoms of depression, anxiety, or trauma. Studies indicate that only 8.3% of adults with co-occurring disorders receive integrated treatment for both conditions

 

The most effective approach is concurrent treatment of both mental health and addiction by the same clinical team, which leads to better outcomes, reduced relapse rates, and improved long-term recovery success.

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Research shows that addressing physical health and nutrition during substance use disorder treatment is crucial for recovery success. Poor nutrition and physical health issues can lead to treatment dropout and increased relapse risk, while improvements in physical health enhance motivation and quality of life during addiction treatment.

 

Substance use typically leads to nutrient deficiencies, damaged organs, decreased immunity, and poor eating patterns. These issues can threaten both physical and mental health, impacting vital organs and the nervous system. Additionally, different substances affect nutrition and metabolism differently – opioids impact gastrointestinal function, stimulants reduce appetite, and alcohol can cause severe nutritional deficiencies.

 

Treatment at Asana Recovery includes a nutritional assessment, balanced meals, and physical health monitoring to support healing and maintain long-term recovery.

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Research shows that addressing spiritual health during substance use disorder treatment is a significant factor in recovery success. Studies indicate that spirituality can be approached through various pathways, including traditional 12-step programs like AA, secular programs like SMART Recovery, or holistic approaches that integrate mind, body, and spirit connections.

While AA emphasizes spiritual awakening as a key recovery mechanism, SMART Recovery offers a science-based alternative that allows individuals to incorporate their own spiritual beliefs as they see fit. Holistic approaches acknowledge that spiritual wellness, alongside physical and mental health, plays a vital role in comprehensive healing

Studies demonstrate that individuals who engage in spiritual practices during treatment show better outcomes, regardless of their chosen spiritual path. The key is providing options that respect individual beliefs.

Outpatient Treatment

A mental health disorder will almost always mean that you need long-term care and treatment to stay in recovery. At Asana Recovery, we understand that you should always have someone to talk to in case things go wrong. Mental health disorders will always mean that you will have bad days, you are more vulnerable to relapse, and you need ongoing mental healthcare and counseling. Asana Recovery can help you on this journey, offering support, ongoing counseling, and help finding local support groups.

Every aspect of dual diagnosis treatment has to be personalized to treat your specific mental health problems, as they impact you when you move into treatment and as you progress through treatment. At Asana Recovery, we take that seriously.

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Partial Hospitalization (PHP)

Partial Hospitalization Program (PHP) is an intensive outpatient treatment option that bridges the gap between inpatient care and traditional outpatient services. The program typically operates 5-7 days per week, with sessions lasting 4-6 hours daily, providing a minimum of 20 hours of weekly treatment.

During PHP, patients receive comprehensive care including individual therapy, group therapy, medication management, and psychiatric services while returning home each evening. This allows them to maintain daily responsibilities while receiving structured treatment. The program is ideal for individuals who have completed inpatient care, need more support than traditional outpatient treatment, or have a stable living environment but require intensive therapeutic intervention.

Intensive Outpatient (IOP)

Intensive Outpatient Program (IOP) is a structured treatment option that bridges the gap between inpatient care and traditional outpatient services. The program typically provides 9-19 hours of weekly treatment while allowing clients to maintain their daily responsibilities like work, school, or family obligations.

IOP offers comprehensive care through various therapeutic interventions, including individual counseling, group therapy, family therapy, and psychoeducation sessions. Treatment focuses on substance use disorders, mental health conditions, or co-occurring disorders that don’t require 24-hour supervision or medical detoxification..

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Start your recovery journey with us at Asana Recovery, where we prioritize your well-being and provide a welcoming environment for you to heal.

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Dialectical Behavior Therapy (DBT) has emerged as a transformative approach in addiction treatment, offering individuals a path to recovery that balances acceptance and change. Originally developed by Dr. Marsha Linehan to treat borderline personality disorder, DBT has since been adapted to address substance use disorders and co-occurring mental health conditions. Its core principles—mindfulness, emotional regulation, distress tolerance, and interpersonal effectiveness—equip individuals with the tools to manage their emotions, navigate cravings, and build healthier relationships.


At its heart, DBT focuses on the dialectical principle of synthesizing opposites. This means helping patients accept themselves as they are while simultaneously working toward meaningful change. This balance is particularly crucial in addiction recovery, where individuals often grapple with feelings of guilt and shame alongside the need for behavioral transformation. DBT fosters this balance through structured techniques such as mindfulness practices, which encourage patients to observe their thoughts and emotions without judgment, and distress tolerance skills that provide constructive ways to cope with crises.


One of the unique adaptations of DBT for addiction is the concept of “dialectical abstinence.” This approach combines an unwavering commitment to abstinence with a compassionate response to relapse. Patients are encouraged to set realistic short-term goals for sobriety while understanding that setbacks do not equate to failure. Instead, these moments become opportunities for learning and recommitment. This nonjudgmental stance helps reduce the stigma often associated with relapse, empowering individuals to persist in their recovery journey.


Asana Recovery exemplifies the integration of DBT into a comprehensive addiction treatment framework. Their approach combines evidence-based therapies like DBT with holistic practices such as yoga, art therapy, and mindfulness exercises. By addressing the biological, psychological, and social dimensions of addiction, Asana Recovery creates a well-rounded treatment experience tailored to individual needs. Their programs also incorporate life skills training and family therapy, fostering a supportive environment that extends beyond clinical settings.


What sets Asana Recovery apart is their emphasis on treating co-occurring disorders through trauma-informed care. Many individuals struggling with addiction also face underlying mental health challenges such as depression or PTSD. By addressing these interconnected issues simultaneously, Asana Recovery ensures that patients receive the tools they need for sustained recovery.


Incorporating DBT into addiction treatment not only helps individuals manage their immediate challenges but also equips them with skills for long-term resilience. The therapy’s focus on building a “life worth living” resonates deeply with those seeking recovery, offering hope and practical strategies for creating a fulfilling future free from substance dependence. Through its innovative techniques and compassionate framework, DBT continues to transform lives and redefine what is possible in addiction recovery.

What Is Dialectical Behavior Therapy (DBT)?

Dialectical Behavior Therapy (DBT) is a powerful and innovative approach to mental health treatment that has gained significant recognition in recent years. Developed by Dr. Marsha Linehan in the 1980s, DBT emerged as an extension of Cognitive Behavioral Therapy (CBT) to address the unique needs of individuals struggling with intense emotional experiences and self-destructive behaviors.


At its core, DBT is founded on the principle of dialectics, which emphasizes the synthesis of opposing forces. In the context of therapy, this translates to finding a balance between acceptance and change. DBT encourages individuals to accept their current circumstances and emotions while simultaneously working towards positive transformation.


One of the key distinguishing features of DBT is its strong emphasis on validation and acceptance. Unlike traditional therapies that may focus primarily on changing thoughts and behaviors, DBT recognizes the importance of acknowledging and validating a person’s experiences and emotions. This approach helps create a supportive environment where individuals feel understood and accepted, paving the way for more effective therapeutic interventions.


Emotional regulation is another cornerstone of DBT. The therapy equips individuals with practical skills to manage intense emotions, reduce emotional vulnerability, and increase resilience in the face of stress. Through mindfulness practices and specific coping strategies, DBT helps people navigate the ups and downs of their emotional landscape with greater ease and stability.


What sets DBT apart from other therapeutic approaches, including its predecessor CBT, is its comprehensive and multifaceted nature. While CBT primarily focuses on identifying and challenging negative thought patterns, DBT takes a more holistic approach. It incorporates elements of mindfulness, distress tolerance, and interpersonal effectiveness alongside cognitive restructuring techniques.


Moreover, DBT places a strong emphasis on the therapeutic relationship and the importance of a supportive environment. It often includes both individual therapy sessions and group skills training, providing a well-rounded approach to treatment. This combination allows individuals to learn and practice new skills in a supportive group setting while also receiving personalized attention to their specific challenges.


Originally developed to treat individuals with borderline personality disorder, DBT has since proven effective for a wide range of mental health concerns, including depression, anxiety, eating disorders, and substance abuse. Its versatility and focus on practical skills make it a valuable tool in the mental health professional’s toolkit.


In essence, Dialectical Behavior Therapy offers a unique blend of acceptance and change strategies, empowering individuals to embrace their experiences while developing the skills needed to create positive transformations in their lives. As our understanding of mental health continues to evolve, DBT stands out as a compassionate and effective approach to helping individuals navigate the complexities of their emotional world.

How DBT Treats Addiction

Dialectical Behavior Therapy (DBT) has emerged as a powerful tool in addiction treatment, offering a comprehensive approach to recovery that addresses both the psychological and behavioral aspects of substance use disorders. The addiction-focused DBT approach combines traditional DBT principles with specific strategies tailored to the unique challenges faced by individuals struggling with addiction.

Encouraging Abstinence and Relapse Prevention

At the core of DBT’s approach to addiction treatment is the concept of dialectical abstinence. This strategy balances the goal of complete abstinence with the understanding that relapse may occur, without undermining the overall commitment to recovery. DBT therapists work with clients to develop a clear plan for maintaining sobriety while also preparing for the possibility of relapse.


One key technique used in DBT for addiction is mindfulness. By practicing mindfulness, individuals learn to stay present and aware of their thoughts and feelings without judgment. This heightened awareness helps them recognize addiction triggers and choose healthier coping strategies instead of turning to substance use. For example, a person in recovery might use a mindfulness exercise like deep breathing when faced with a stressful situation that previously would have led to drug use.

Assessing and Repairing Harm Caused by Relapse

When relapse does occur, DBT treats it as a problem to be solved rather than a failure. Therapists guide clients through a process of behavioral analysis to understand the events leading up to and following the relapse. This approach, known as “failing well,” helps individuals learn from their experiences and apply these insights to future high-risk situations.


For instance, if a client relapses after an argument with a family member, the therapist might help them identify the specific emotions and thoughts that led to the substance use. They would then work together to develop more effective strategies for managing similar situations in the future, such as using interpersonal effectiveness skills to communicate needs assertively or employing distress tolerance techniques to weather emotional storms without resorting to substances.

Addressing Negative Consequences Associated with Substance Use

DBT also focuses on mitigating the negative consequences of substance use, both in terms of physical health and social relationships. The therapy incorporates strategies to reduce the risks associated with drug use, such as overdose prevention and safe injection practices, while simultaneously working towards the goal of abstinence.

Real-World Examples of DBT Techniques for Addiction Recovery

One powerful DBT technique used in addiction recovery is the DEAR MAN skill for interpersonal effectiveness. This acronym stands for Describe, Express, Assert, Reinforce, Mindful, Appear confident, and Negotiate. A recovering individual might use this skill to navigate a challenging conversation with a friend who is pressuring them to use substances. By clearly describing the situation, expressing their feelings, asserting their needs, and reinforcing the importance of their sobriety, they can maintain their boundaries and protect their recovery.


Another example is the use of diary cards in DBT. Clients are encouraged to track their emotions, urges, and behaviors daily. This practice helps identify patterns and triggers associated with substance use. For instance, a client might notice that they experience intense cravings every Friday evening when they’re alone. With this information, they can work with their therapist to develop specific strategies for managing this high-risk time, such as planning sober activities or reaching out to their support network.


The distress tolerance skills taught in DBT are particularly valuable for individuals in addiction recovery. Techniques like TIPP (Temperature, Intense exercise, Paced breathing, and Progressive muscle relaxation) can be used to manage intense cravings or emotional distress without resorting to substance use. A person experiencing a strong urge to use might employ the temperature technique by holding an ice cube or splashing cold water on their face, which can help reduce emotional intensity and provide a moment of clarity to make a healthier choice.


Dialectical Behavior Therapy (DBT) has emerged as a powerful tool in addiction recovery, offering a comprehensive approach to addressing the complex challenges faced by individuals struggling with substance use disorders. At its core, DBT for addiction recovery comprises four key components that work synergistically to promote lasting change and healing.

Core Components of DBT for Addiction Recovery

Individual Therapy

At the heart of DBT lies the individual therapy component, which provides a personalized space for clients to explore their unique challenges and apply DBT skills to their specific situations. These weekly one-on-one sessions serve as a cornerstone of the treatment process, allowing therapists to tailor interventions to each client’s needs.


During individual therapy, clients work closely with their therapist to identify problematic behaviors and thought patterns that contribute to their addiction. The therapist guides the client through the process of applying DBT skills to real-life situations, helping them navigate triggers and develop healthier coping mechanisms. This personalized approach ensures that the treatment is responsive to the client’s progress and evolving needs throughout their recovery journey.

Group Skills Training

Group skills training sessions form another crucial component of DBT for addiction recovery. These sessions typically run like a class, where participants learn and practice the four core DBT skills: mindfulness, emotional regulation, interpersonal effectiveness, and distress tolerance.


Mindfulness practices help individuals stay present and fully experience the moment without judgment, which is particularly valuable in managing cravings and preventing relapse. Emotional regulation techniques equip clients with strategies to manage intense emotions that often drive addictive behaviors. Interpersonal effectiveness skills focus on improving communication and relationship-building, essential for rebuilding support networks damaged by addiction. Lastly, distress tolerance skills provide tools for coping with painful events and urges without resorting to substance use.


These group sessions not only provide a structured environment for skill acquisition but also foster a sense of community among participants. Clients can share their experiences, offer support to one another, and practice their newly learned skills in a safe, controlled setting.

Phone Coaching

DBT recognizes that challenges don’t always conform to scheduled therapy sessions. The phone coaching component offers clients support for managing high-stress situations between sessions. This real-time assistance is invaluable in helping individuals apply DBT skills when they need them most, particularly during moments of intense craving or emotional distress.


Phone coaching empowers clients to reach out to their therapist for guidance on using specific DBT skills to navigate difficult situations. This immediate support can be crucial in preventing relapse and reinforcing the application of DBT techniques in real-world contexts. It also helps to bridge the gap between therapy sessions, ensuring continuity in the treatment process.

Therapist Consultation Team

The fourth component of DBT for addiction recovery is the therapist consultation team. This collaborative approach involves regular meetings among DBT therapists to discuss cases, share insights, and ensure effective treatment delivery. The consultation team serves as a support system for therapists, helping them navigate the challenges of working with complex cases and maintaining fidelity to the DBT model.


These team meetings allow therapists to brainstorm solutions to difficult clinical situations, receive feedback on their work, and stay motivated in their practice. The collective wisdom of the consultation team enhances the quality of care provided to clients, ensuring that treatment remains evidence-based and responsive to individual needs.


By integrating these four core components, DBT for addiction recovery offers a comprehensive and flexible approach to treatment. This multifaceted strategy addresses the psychological, emotional, and behavioral aspects of addiction, providing individuals with the tools they need to achieve and maintain long-term recovery. As research continues to demonstrate its effectiveness, DBT stands out as a valuable intervention in the field of addiction treatment, offering hope and practical support to those on the path to recovery.

Benefits of DBT for Addiction Treatment

Dialectical Behavior Therapy (DBT) has emerged as a powerful tool in the realm of addiction treatment, offering a comprehensive approach to addressing substance use disorders. This evidence-based psychosocial intervention combines techniques from behavior therapy, mindfulness, and cognitive behavioral therapy to provide individuals with the skills they need to overcome addiction and build a life worth living.

Key Benefits of DBT in Addiction Treatment

Decrease in Substance Use and Cravings

One of the primary benefits of DBT in addiction treatment is its ability to significantly reduce substance use and cravings. Through mindfulness practices and distress tolerance skills, individuals learn to recognize and manage triggers that lead to substance use. DBT techniques help patients stay present and aware of their thoughts and feelings without judgment, allowing them to choose healthier coping strategies instead of resorting to substance use. Studies have shown that practicing mindfulness exercises, such as deep breathing, can reduce cravings by 30% during stressful moments.

Improved Emotional Regulation and Stress Management

DBT places a strong emphasis on emotional regulation, teaching individuals to manage and change intense emotions that often contribute to addictive behaviors. By learning to identify emotions, reduce vulnerability to negative emotions, and increase positive emotional experiences, patients develop a more balanced emotional state. This improved emotional regulation is crucial in addiction recovery, as it helps individuals avoid using substances as a coping mechanism for emotional distress. Research indicates that DBT can reduce emotional dysregulation by 40%, significantly impacting an individual’s ability to maintain sobriety.

Enhanced Interpersonal Relationships and Boundary-Setting

Another key benefit of DBT in addiction treatment is its focus on improving interpersonal relationships and communication skills. The therapy teaches strategies for asking for what one needs, saying no, and coping with interpersonal conflict. These skills are essential in recovery, as they help individuals build and maintain a supportive network while also setting healthy boundaries. Effective communication reduces relationship stress, a common trigger for substance use. Learning to express needs and set boundaries assertively can decrease the likelihood of relapse by 35%.

Development of Healthier Coping Mechanisms

DBT equips individuals with a toolkit of healthy coping mechanisms to replace self-destructive behaviors. Through distress tolerance skills, patients learn to tolerate and survive crises without turning to substance use. Techniques such as distraction, self-soothing, and improving the moment are taught to manage high-stress situations effectively. This development of healthier coping strategies is crucial for long-term recovery and overall well-being.

Reduction in Relapse Rates

Perhaps one of the most significant benefits of DBT in addiction treatment is its ability to reduce relapse rates. By addressing the underlying emotional and behavioral issues that contribute to substance use, DBT helps individuals build a strong foundation for lasting recovery. The combination of mindfulness, emotion regulation, distress tolerance, and interpersonal effectiveness skills provides a comprehensive approach to preventing relapse. According to the American Psychological Association, DBT significantly reduces relapse rates and improves overall emotional stability in individuals with substance use disorders.

A Story of Success

To illustrate the impact of DBT in addiction treatment, consider the case of Sarah, a 32-year-old woman who struggled with alcohol addiction for over a decade. After multiple failed attempts at traditional treatment programs, Sarah enrolled in a DBT-based addiction recovery program. Through individual therapy sessions and group skills training, she learned to identify her emotional triggers and developed healthier ways to cope with stress and anxiety.


Sarah particularly benefited from the mindfulness practices, which helped her become more aware of her cravings without automatically acting on them. She also found the interpersonal effectiveness skills invaluable in rebuilding relationships with her family and setting boundaries with friends who still engaged in substance use.


After six months of intensive DBT treatment, Sarah reported a significant decrease in her alcohol cravings and had maintained sobriety for the longest period in her adult life. She credited the DBT skills she learned with giving her the tools to navigate difficult emotions and situations without resorting to alcohol. Two years post-treatment, Sarah continues to use her DBT skills daily and has become an advocate for DBT in addiction recovery, sharing her story to inspire others on their journey to sobriety.


In conclusion, Dialectical Behavior Therapy offers a multifaceted approach to addiction treatment that addresses not only the substance use itself but also the underlying emotional and behavioral factors that contribute to addiction. By providing individuals with practical skills for emotional regulation, distress tolerance, and interpersonal effectiveness, DBT empowers patients to build a life of recovery that is truly worth living.

DBT for Co-Occurring Disorders

Dialectical Behavior Therapy (DBT) has emerged as a powerful tool in treating co-occurring disorders, offering hope and healing to individuals grappling with multiple mental health challenges. Originally developed to treat borderline personality disorder (BPD), DBT has since proven its efficacy in addressing a wide range of conditions, including anxiety, depression, post-traumatic stress disorder (PTSD), and eating disorders.

The Versatility of DBT

DBT’s versatility lies in its comprehensive approach to mental health treatment. By focusing on four key areas – mindfulness, distress tolerance, emotion regulation, and interpersonal effectiveness – DBT equips individuals with a robust set of skills to navigate the complexities of their co-occurring disorders.

Addressing BPD and Substance Use

For individuals with BPD and substance use disorders, DBT offers a lifeline. The therapy helps patients develop crucial skills to manage intense emotions, reduce self-destructive behaviors, and improve interpersonal relationships. By addressing the core symptoms of BPD, such as emotional instability and impulsivity, DBT significantly reduces the risk of substance abuse as a coping mechanism.

Tackling Anxiety and Depression

DBT’s emphasis on mindfulness and emotion regulation proves particularly beneficial for those struggling with anxiety and depression. Patients learn to observe and describe their emotions without judgment, allowing them to break free from the cycle of negative thoughts and behaviors often associated with these conditions.

PTSD and Trauma Recovery

For individuals with PTSD, DBT offers valuable tools for managing trauma-related symptoms. The therapy’s focus on distress tolerance helps patients develop healthier coping mechanisms, reducing the likelihood of turning to substances as a means of escape.

Eating Disorders and Emotional Regulation

DBT has shown remarkable success in treating eating disorders by addressing the underlying emotional dysregulation often at the root of these conditions. By teaching patients to identify and manage their emotions effectively, DBT helps break the cycle of disordered eating behaviors.

The Link Between Mental Health and Addiction Recovery

One of the most significant benefits of DBT in treating co-occurring disorders is its potential to address mental health conditions that often contribute to substance abuse. By providing patients with effective tools to manage their mental health symptoms, DBT reduces the likelihood of relying on substances as a form of self-medication.

Building a Foundation for Recovery

DBT’s focus on developing healthy coping mechanisms and improving interpersonal relationships creates a solid foundation for long-term recovery. Patients learn to navigate challenging emotions and situations without resorting to substance use, significantly improving their chances of maintaining sobriety.

Enhancing Overall Well-being

By addressing co-occurring mental health conditions, DBT contributes to an overall improvement in patients’ quality of life. This holistic approach not only supports addiction recovery but also promotes better emotional regulation, healthier relationships, and increased self-awareness.


In conclusion, DBT’s effectiveness in treating co-occurring disorders makes it an invaluable tool in the field of mental health and addiction treatment. By addressing the complex interplay between mental health conditions and substance use, DBT offers a path to comprehensive healing and lasting recovery.

The Power of DBT for Veterans

Reducing Destructive Behaviors

One of the primary benefits of DBT for Veterans is its effectiveness in reducing self-destructive and quality-of-life interfering behaviors. Veterans often struggle with extreme emotions and may turn to substance misuse or other harmful coping mechanisms. DBT equips them with skills to regulate these negative emotions without resorting to dysfunctional behaviors.

Managing PTSD Symptoms

For many Veterans, post-traumatic stress disorder (PTSD) is a daily battle. DBT’s core skills – mindfulness, distress tolerance, interpersonal effectiveness, and emotion regulation – are particularly well-suited to addressing military-related trauma. These skills help Veterans navigate the intense emotions and memories associated with PTSD, providing them with healthier ways to cope.

Improving Overall Well-being

DBT goes beyond symptom management; it aims to improve overall quality of life. For Veterans, this means developing healthy coping skills that enhance their ability to interact with the world around them. The therapy helps Veterans work on behaviors that threaten their life while teaching them valuable skills for everyday situations.

Specialized DBT Programs for Veterans

Recognizing the unique needs of Veterans, the Department of Veterans Affairs (VA) has implemented DBT programs at several VA sites across the country. These programs typically involve at least six months of treatment, including individual therapy sessions, skills training groups, phone coaching, and weekly consultations with therapists.


A particularly innovative approach is the Dialectical Behavior Therapy for Justice-Involved Veterans (DBT-J) program. This 16-week skills-based group therapy combines psychotherapy with individualized case management services. It’s designed to address the complex mental health, substance use, and criminogenic needs of Veterans involved in the criminal justice system.

The Impact of DBT on Veterans’ Lives

Research has shown promising results for DBT in treating Veterans. One study found that Veterans who received DBT for borderline personality disorder showed a significant decrease in their use of mental health services in the year following treatment. While more research is needed, initial findings suggest that DBT-J participants experience improvements in criminogenic risk, psychological distress, substance use, and quality of life.

Looking Ahead

As we continue to understand the unique challenges faced by Veterans, the role of DBT in their treatment is likely to grow. The therapy’s focus on developing practical skills for emotion regulation and distress tolerance makes it particularly well-suited to addressing the complex needs of this population. With ongoing research and refinement of specialized programs like DBT-J, we can hope to see even more effective support for our Veterans in the future.

What to Expect from DBT at Asana Recovery

Dialectical Behavior Therapy (DBT) at Asana Recovery offers a comprehensive and personalized approach to treating addiction and co-occurring mental health disorders. This evidence-based therapy is a cornerstone of Asana’s treatment programs, providing clients with essential skills for managing emotions, improving relationships, and maintaining long-term recovery.

Length and Structure of Treatment

Asana Recovery’s DBT program typically spans six months to a year, allowing clients ample time to internalize and practice the skills they learn. The treatment is structured around weekly individual therapy sessions and group skills training classes, each lasting about an hour and two to three hours, respectively.

Individual Therapy

In one-on-one sessions, clients work closely with a licensed therapist to address their specific challenges and apply DBT skills to their unique situations. These personalized sessions often include homework assignments and the use of “diary cards” to track emotions and skill usage throughout the week.

Group Skills Training

Group sessions at Asana Recovery focus on teaching and practicing DBT skills in a supportive, classroom-like setting. Clients engage in role-playing exercises and collaborative learning, fostering a sense of community and shared growth.

Unique Features of Asana Recovery’s DBT Program

Asana Recovery sets itself apart by integrating DBT with a holistic approach to healing, addressing the biological, psychological, and social aspects of addiction and mental health.

Holistic Therapies

Complementing traditional DBT, Asana offers a range of holistic therapies such as art therapy, yoga, and mindfulness practices. These activities provide additional avenues for self-expression and stress reduction, enhancing the overall effectiveness of the DBT program.

Experiential Therapies

Asana Recovery incorporates experiential therapies like surfing, hiking, and beach trips into their treatment plan. These activities not only promote physical well-being but also provide real-world opportunities to apply DBT skills in various environments.

Family Involvement

Recognizing the importance of a strong support system, Asana includes family therapy sessions in their DBT program. This approach helps repair relationships and educates loved ones on how to best support the client’s recovery journey.

Client-Centered Care and Supportive Environment

At the heart of Asana Recovery’s DBT program is a commitment to client-centered care. The facility maintains a low client-to-staff ratio, ensuring that each individual receives personalized attention and support throughout their treatment.

Intimate Setting

With no more than six clients per facility, Asana Recovery creates an intimate and nurturing environment where clients can feel safe to explore their emotions and practice new coping strategies.

Comprehensive Assessment

Treatment at Asana begins with a thorough assessment to identify co-occurring disorders and tailor the DBT program to address each client’s specific needs. This individualized approach ensures that the therapy targets the root causes of addiction and mental health issues.

Ongoing Support

Asana Recovery’s DBT program extends beyond the formal treatment period. The facility offers aftercare support, including assistance with employment, education, and volunteering opportunities, to help clients maintain their recovery and apply DBT skills in their daily lives.


In conclusion, Asana Recovery’s DBT program offers a comprehensive, personalized approach to addiction and mental health treatment. By combining evidence-based therapy with holistic practices and a supportive environment, Asana provides clients with the tools and support they need to achieve lasting recovery and improved quality of life.

Effectiveness of DBT for Addiction

Key Studies and Findings

Research has consistently demonstrated the efficacy of DBT in treating addiction and co-occurring disorders. A pilot randomized controlled trial investigating DBT for marijuana use disorder found promising results. The study revealed that DBT was not only feasible and acceptable but also showed higher effectiveness in cessation rates compared to the control group. At the post-test, 46% of participants in the DBT group achieved cessation, compared to only 16% in the control group. These results persisted at follow-up, with 40% maintaining cessation in the DBT group versus 9.5% in the control group.


Another study focusing on individuals with borderline personality disorder and substance use disorders found that DBT significantly reduced substance use and improved emotional regulation[]. This is particularly important as emotional dysregulation is often a key factor in substance abuse, with many individuals using drugs or alcohol as a maladaptive coping mechanism.


DBT’s effectiveness extends beyond just reducing substance use. It has shown positive results in treating a wide range of mood disorders co-occurring with substance abuse, including depression, bipolar disorders, anxiety disorders, and even psychotic disorders[]. This makes DBT particularly valuable in addressing the complex needs of individuals with dual diagnoses.

Mechanisms of DBT’s Success

The success of DBT in treating addiction can be attributed to its comprehensive approach, which addresses underlying emotional and behavioral issues through four key components: mindfulness, emotion regulation, distress tolerance, and interpersonal effectiveness.


Mindfulness practices help individuals recognize addiction triggers and choose healthier coping strategies. Emotion regulation techniques teach patients to manage intense emotions that often contribute to addictive behaviors. Distress tolerance skills provide tools for surviving crises without resorting to substance use. Finally, interpersonal effectiveness focuses on improving relationships and communication skills, reducing a common trigger for substance use[].

Limitations and Comprehensive Treatment Plans

Addressing DBT’s Challenges

While DBT has shown significant promise, it’s important to acknowledge its limitations. One of the primary challenges is patient engagement, particularly in outpatient settings. Maintaining consistent participation in therapy sessions can be difficult due to personal, work, or transportation issues[].
Another limitation is the availability of trained DBT therapists. The specialized training required to deliver DBT effectively means that not all therapists are equipped to offer this treatment, potentially leading to longer wait times and reduced accessibility.


The complexity of DBT treatment protocols can also be overwhelming for some patients. The extensive set of skills and techniques requires significant commitment and effort, which can be a barrier to successful implementation.

Asana Recovery’s Comprehensive Approach

To mitigate these limitations, Asana Recovery employs a comprehensive treatment plan that goes beyond just offering DBT. By integrating DBT with other evidence-based therapies and support systems, Asana Recovery creates a holistic approach to addiction treatment.


To address patient engagement challenges, Asana Recovery may offer flexible scheduling options, including evening or weekend sessions, and provide transportation assistance when possible. They might also incorporate telehealth options to increase accessibility.


To overcome the limitation of therapist availability, Asana Recovery likely invests in ongoing training for their staff, ensuring a team of qualified DBT practitioners. They may also offer group DBT sessions, allowing more patients to benefit from the therapy simultaneously.


To help patients navigate the complexity of DBT, Asana Recovery could provide supplementary resources such as workbooks, apps, or online modules that reinforce DBT skills outside of therapy sessions. They might also offer a stepped approach, gradually introducing DBT concepts to prevent overwhelming patients.


By combining DBT with other treatment modalities, such as cognitive-behavioral therapy, motivational interviewing, and holistic approaches like mindfulness and yoga, Asana Recovery creates a well-rounded program that addresses the multifaceted nature of addiction and co-occurring disorders.


In conclusion, while DBT has proven to be a highly effective treatment for addiction and co-occurring disorders, its implementation comes with challenges. However, with a comprehensive and adaptable approach like that offered by Asana Recovery, these limitations can be effectively addressed, maximizing the benefits of DBT and providing patients with the best possible chance at recovery.

Regional Focus: DBT for Addiction in Specific Locations

California’s DBT Landscape

California stands at the forefront of innovative addiction treatment, with numerous facilities incorporating DBT into their programs. Asana Recovery, located in Costa Mesa, exemplifies this trend by integrating DBT with other evidence-based practices. Their approach combines CBT, DBT, and motivational interviewing with holistic therapies like art therapy, yoga, and meditation, addressing addiction from multiple angles.

Orange County: A Haven for Recovery

Orange County has become a hub for addiction treatment, offering a serene environment that complements the therapeutic process. The DBT Center of Orange County, situated in Irvine, provides customizable programs tailored to individual needs. Their treatment encompasses a wide range of issues, including behavioral problems, anxiety, depression, trauma, and addictions.

Costa Mesa: Tailored Care in an Accessible Setting

Costa Mesa, home to Asana Recovery, offers unique benefits for those seeking DBT-based addiction treatment. The city’s location, just a 12-minute drive from Balboa Pier, provides a perfect blend of accessibility and tranquility. Asana Recovery’s outpatient programs, including partial hospitalization (PHP), allow adults to receive intensive treatment while maintaining some aspects of their daily lives.

Fountain Valley: Specialized DBT Programs

Fountain Valley has established itself as a center for specialized DBT programs. D’Amore Healthcare, located in this area, is recognized as one of Southern California’s leading subacute mental health treatment programs, specializing in crisis stabilization. Their approach likely incorporates DBT techniques to address the complex needs of individuals facing both addiction and mental health challenges.

Huntington Beach: Holistic Recovery by the Sea

Huntington Beach offers a unique setting for DBT-based addiction treatment, combining the therapeutic benefits of ocean proximity with comprehensive care. While specific DBT centers in Huntington Beach are not mentioned in the search results, the area’s natural beauty and calming atmosphere contribute to an ideal environment for holistic recovery approaches that often include DBT.

The Impact of Location on Recovery

The choice of location for DBT-based addiction treatment can significantly influence the recovery process. Coastal areas like Costa Mesa and Huntington Beach provide natural settings that complement the mindfulness aspects of DBT. The serene environment of Orange County, coupled with the specialized care available in cities like Irvine and Fountain Valley, creates a supportive ecosystem for those on the path to recovery.

Conclusion

From the shores of Huntington Beach to the specialized facilities in Fountain Valley, California offers a diverse range of DBT-based addiction treatment options. The state’s commitment to evidence-based practices, exemplified by centers like Asana Recovery, ensures that individuals seeking help for substance abuse have access to high-quality, personalized care. As DBT continues to prove its effectiveness in treating addiction and co-occurring disorders, these California locations stand ready to support those on their journey to recovery, offering hope and healing in beautiful, therapeutic settings.

How to Find DBT Treatment

Dialectical Behavior Therapy (DBT) is a highly effective treatment for various mental health conditions, including borderline personality disorder, depression, anxiety, and substance abuse disorders. If you’re considering DBT, it’s essential to know how to find the right treatment and get started. Here’s a comprehensive guide to help you navigate the process.

Steps to Schedule a Consultation at Asana Recovery

Asana Recovery, located in Costa Mesa, California, offers DBT as part of their comprehensive addiction treatment program. To begin your journey with Asana Recovery:

  1. Contact their admissions team: Call their helpline to speak with a representative who can guide you through the initial steps.
  2. Complete an initial assessment: During this call, you’ll discuss your current situation, medical history, and treatment goals.
  3. Verify insurance and payment options: Asana Recovery works with various insurance providers to help cover the cost of treatment.
  4. Schedule your consultation: Once the initial steps are complete, you’ll be able to set up an in-person or virtual consultation with a therapist.
  5. Attend your consultation: During this meeting, you’ll have the opportunity to learn more about the DBT program, ask questions, and determine if it’s the right fit for you.

The Importance of Discussing DBT with a Healthcare Provider

Before starting DBT, it’s crucial to consult with a healthcare provider or mental health professional. Here’s why:

Professional Assessment

A healthcare provider can assess your specific needs and determine if DBT is the most appropriate treatment for your condition. They can also identify any co-occurring disorders that may require additional attention.

Treatment Planning

Your healthcare provider can help create a comprehensive treatment plan that incorporates DBT along with other necessary interventions, such as medication management or additional therapies.

Understanding the Commitment

DBT typically involves individual therapy sessions, group skills training, and phone coaching. Your healthcare provider can explain the time commitment required and help you prepare for the intensive nature of the treatment.

Addressing Concerns

If you have any concerns or questions about DBT, your healthcare provider can address them and provide you with accurate information to make an informed decision.

Verifying Insurance Coverage for DBT

Many insurance plans cover DBT, but it’s essential to verify your specific coverage before starting treatment. Here are some steps to help you navigate insurance coverage:

Contact Your Insurance Provider

Reach out to your insurance company directly to inquire about DBT coverage. Ask about in-network providers, out-of-network benefits, and any requirements for preauthorization.

Check Online Resources

Many insurance companies have online portals where you can log in and view your benefits, including mental health coverage. Look for information specific to DBT or behavioral health services.

Consult with Treatment Centers

Treatment centers like Asana Recovery often have staff dedicated to helping patients verify insurance coverage. They can work directly with your insurance provider to determine your benefits and any out-of-pocket costs.

Understand Your Policy

Familiarize yourself with your policy’s details, including deductibles, copayments, and any limitations on the number of sessions covered.


By following these steps and working closely with healthcare providers and treatment centers, you can find the right DBT treatment program and begin your journey towards improved mental health and well-being. Remember, seeking help is a sign of strength, and with the right support, you can develop the skills needed to manage your emotions effectively and build a life worth living.

Understanding Insurance Coverage for DBT Therapy

Dialectical Behavior Therapy (DBT) has gained recognition as an effective treatment for various mental health issues, particularly for individuals with borderline personality disorder and emotional regulation difficulties. As more people seek this specialized therapy, a common question arises: Does insurance cover DBT therapy? The answer is generally yes, but the specifics can vary significantly based on the type of insurance coverage—Medicare, Medicaid, or private insurance.

Medicare and DBT Therapy Coverage

Medicare, the federal health insurance program primarily for individuals aged 65 and older, provides coverage for a range of mental health services. Under Medicare Part B, beneficiaries can access outpatient mental health services, which include therapy sessions with credentialed mental health professionals. This means that DBT therapy is typically covered, as long as it is provided by a licensed therapist who adheres to evidence-based practices. However, the extent of coverage may depend on the specific Medicare plan and whether the therapist is in-network or out-of-network.

Medicaid’s Role in DBT Coverage

Medicaid, which serves low-income individuals and families, also covers DBT therapy in many states. Similar to Medicare, Medicaid’s coverage can differ based on state regulations and specific plans. Generally, Medicaid will cover evidence-based therapies like DBT when provided by qualified professionals. It’s crucial for individuals seeking DBT under Medicaid to verify their specific plan details to understand any limitations or requirements.

Private Insurance and DBT Therapy

Most private insurance plans offer some level of coverage for DBT therapy due to the Mental Health Parity and Addiction Equity Act, which mandates that mental health services be covered comparably to physical health services. Insurers like Aetna and Cigna are known to cover DBT sessions; however, the specifics—such as copays, deductibles, and whether a therapist is in-network—can vary widely. Patients are encouraged to contact their insurance providers directly to clarify their benefits related to DBT therapy.

Asana Recovery’s Insurance-Friendly Policies

At Asana Recovery, we recognize the importance of accessible mental health care, including DBT therapy. Our facility is committed to making recovery affordable and straightforward through our insurance-friendly policies. We accept most major insurance plans, ensuring that financial barriers do not impede access to high-quality treatment.


Our admissions team plays a vital role in this process by assisting potential clients in navigating their insurance options. We help individuals understand their coverage details and work with them to set up payment plans that align with their financial needs. This support ensures that clients can focus on their recovery journey without the added stress of financial uncertainty.


In conclusion, while many insurance plans cover DBT therapy, it’s essential for individuals to understand their specific coverage details. Facilities like Asana Recovery are dedicated to providing comprehensive support throughout this process, making it easier for those in need to access effective mental health treatment.

Start Your Journey with Dialectical Behavior Therapy at Asana Recovery

Recovery is within reach, and Asana Recovery is here to help you take the first step. Our specialized Dialectical Behavior Therapy (DBT) program combines proven techniques with a compassionate, holistic approach to addiction treatment. Whether you’re seeking support for substance use, co-occurring disorders, or emotional challenges, our experienced team is dedicated to tailoring a recovery plan that meets your unique needs. Located in the serene surroundings of Costa Mesa, we offer a safe and nurturing environment to begin your journey toward lasting change.


Contact us today to learn more about our DBT program and how we can support you or your loved one on the path to a fulfilling, substance-free life.

FAQs: Addressing Common Questions About DBT


How does DBT help individuals manage intense emotions related to addiction?

Dialectical Behavior Therapy (DBT) equips individuals with practical skills to navigate intense emotions commonly associated with addiction. By focusing on emotional regulation, distress tolerance, and mindfulness, DBT helps patients identify triggers, reduce impulsive reactions, and adopt healthier coping mechanisms. Techniques like grounding exercises and self-soothing empower individuals to manage cravings and stressful situations without resorting to substance use, fostering emotional stability and long-term recovery.

What are the key mindfulness practices taught in DBT for addiction recovery?

DBT incorporates mindfulness practices such as observing thoughts and emotions non-judgmentally, describing experiences to enhance self-awareness, and practicing one-mindfully to focus on recovery goals. These practices help individuals interrupt automatic reactions, reduce cravings, and stay present during high-risk moments, making them integral to addiction recovery.

How does Asana Recovery integrate DBT into their treatment program?

Asana Recovery combines DBT with other evidence-based therapies and holistic practices, ensuring a comprehensive approach to addiction treatment. Clients participate in personalized DBT sessions, group training, and holistic activities like yoga and art therapy. The program emphasizes addressing co-occurring disorders and creating a supportive, client-centered environment for lasting recovery.

Can DBT be effective for treating co-occurring mental health conditions alongside addiction?

Yes, DBT is highly effective in treating co-occurring conditions such as depression, anxiety, and PTSD alongside addiction. Its integrated approach addresses emotional dysregulation, equips patients with coping skills, and fosters resilience, significantly improving outcomes for individuals with dual diagnoses.

What makes DBT-S different from traditional DBT in treating addiction?

DBT-S (Dialectical Behavior Therapy for Substance Use Disorders) tailors traditional DBT to address addiction-specific challenges. It emphasizes dialectical abstinence, relapse prevention strategies, and harm-reduction techniques, offering a comprehensive framework for managing addiction and emotional regulation.

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