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DBT for Addiction Treatment at Purpose Healing

Regain Emotional Control: DBT for Addiction Treatment at Purpose Healings

Using Dialectical Behavioral Therapy (DBT) For Effective Substance Abuse Treatment

Dialectical behavior therapy (DBT) was originally developed to treat borderline personality disorder. It has been studied for over 40 years. Now, the therapy is used to target a range of other conditions. This includes substance use disorders.

How does DBT for addiction treatment work? DBT for substance abuse helps people break the cycle of addictive behaviors. For example, it provides skills you can use to tolerate cravings and stressful situations without using drugs and alcohol.

Dialectical behavior therapy is just one modality used at Purpose Healing Center. Providing trusted addiction treatment, we address substance use behaviors and their underlying causes from an individualized perspective.

How Does DBT for Addiction Treatment at Purpose Healing Center Help?

DBT aims to help you build skills in four areas. Here are some examples of how each can help you navigate addiction recovery

Mindfulness and Staying Present

Mindfulness is the practice of staying present. To use mindfulness, you must practice being aware of what’s going on right now. For example, being mindful of your surroundings (noticing what’s going on around you) to stay grounded.

This is where the 5-4-3-2-1 exercise, where you identify five things you can see, four you can touch, three you can hear, two you can smell, and one you can taste, comes from.

When it comes to addiction, mindfulness helps you focus on what you can control rather than what you can’t. It helps people navigate urges to use drugs and alcohol, as well as other daily life situations.

Many mindfulness exercises double as skills for emotional regulation.

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Emotion Regulation Skills

Gaining a better understanding of your emotional reactions and changing those that no longer serve you is often an important part of overcoming addiction. Mindfulness can be a key part of this. However, it’s just one example of a skill DBT therapists may teach you.

You may wonder what to do after you acknowledge your feelings and thoughts, especially if they’re hard to sit with. Emotion regulation skills, such as cognitive reframing, are designed to help you navigate these thoughts and feelings.

Cognitive reframing involves identifying maladaptive thoughts and replacing them with more realistic and beneficial thoughts. For example, if someone thinks, “I messed up. Should I just stop trying?” They can reframe it with a more helpful thought, like “Everyone messes up. What’s in my control is that I do something I’m proud of next.”

The goal of emotion regulation isn’t to “not feel pain at all.” Instead, it helps you avoid being controlled by intense mood swings and negative thought patterns. DBT skills can also curb overregulation (e.g., emotional suppression), which can be detrimental, too.

DBT for Interpersonal Effectiveness

Frequently, substance abuse causes challenges in interpersonal relationships. Interpersonal effectiveness refers to the skills you use to interact with others. Interpersonal effectiveness skills help people with addiction:

  • Build healthy relationships.
  • Repair existing relationships.
  • Communicate their needs.
  • Navigate conflict.

Interpersonal effectiveness skills can help you in romantic and familial relationships, friendships, the workplace, and any other situations involving other people.

Distress Tolerance Strategies

For many, distress is a trigger for substance use. When you experience painful or intense emotions, like loneliness, anger, nervousness, or sadness, it can be difficult to cope with them if you don’t have the skills you need.

DBT teaches you how to identify and mitigate distress. The first step is to notice how you feel without judging it (this is an example of how to apply mindfulness). Instead of saying “I shouldn’t be upset by this” or “I’m not upset enough to use my skills,” you instead acknowledge that you feel upset.

DBT therapists can provide a range of distress tolerance skills to use after you acknowledge how you feel. For example:

  • Slow, deep breaths.
  • Body movement (e.g., take a walk or run, wave arms by your side).
  • Healthy distractions and activities (e.g., reading, doing puzzles, cleaning).
  • Self-soothing (e.g., finding a way to soothe each of your five senses, positive self-talk).
  • Temperature (e.g., holding an ice cube).

When calm and working with a therapist, many benefit from creating a menu of distress tolerance strategies they can use later. This way, when difficult moments arise, they can see their options and choose the most helpful one(s).

Once you learn dialectical behavior therapy, you can use distress tolerance and related skills anytime and anywhere.

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Is DBT for Substance Use Disorders Effective?

Addiction counselor guiding a client in DBT session to manage impulses and build confidence during substance use recovery

Yes. Research on DBT for substance use disorders shows that it can reduce impulsivity. Lowering impulsivity can help people overcoming alcohol and drug abuse refrain from giving in to urges to use. DBT helps you use a wise mind rather than act on initial thoughts.

In addition to aiding behavioral change, dialectical behavior therapy can help you:

  • Create a positive environment for yourself.
  • Improve quality of life.
  • Feel confident.

Everyone in addiction recovery is different. Using dialectical behavior therapy and other treatments, our team will help you meet your unique goals.

DBT as Part of a Comprehensive Treatment Approach for Substance Dependence

Addiction is complex. The answer to why we drink or use drugs, especially if we know that it’s hurting us, the people around us, or our lives, tends to be multifaceted. Our recovery must be, too. Purpose uses DBT as part of a comprehensive approach.

This means that we combine DBT with other treatments. Depending on your needs, these other therapies  may include:

  • Cognitive Behavioral Therapy (CBT): DBT is derived from CBT, a highly effective approach often used in substance use disorder (SUD) treatment. CBT and DBT are both very commonly used in addiction treatment programs.
  • Motivational Therapy: Feeling motivated to stop using alcohol and illicit drugs can be imperative for effective treatment, but not everyone starts their recovery program feeling as motivated as they could. Motivational therapies, such as motivational enhancement therapy (MET), can help spark the motivation to recover.
  • Medications for addiction. Medication-assisted treatment (MAT) involves combining effective therapies for addiction with medications for substance use disorders, such as opioid or alcohol use disorder.
  • Trauma-Focused Therapy: Many people affected by addiction have past trauma. In this case, it can be crucial to work through trauma and its effects. Various trauma-focused therapies have been shown to help trauma survivors, including those with addiction, reduce symptoms of conditions like post-traumatic stress disorder.
  • Family Sessions: Family therapy can help you and your family members understand one another, support each other, and communicate more harmoniously.
  • Experiential Therapies: Experiential therapies involve hands-on activities. These can act as emotional outlets and skill-building opportunities for people with substance use disorders.
  • 12-Step: 12-step approaches such as Alcoholics Anonymous and Narcotics Anonymous have been shown to improve substance use.

Our goal at Purpose Healing is to make sure that people overcoming drug and alcohol dependence have everything they need to heal and thrive. It’s important to us that you gain the skills you need to address addiction not just on the surface level, but holistically and long-term.

Addressing Co-Occurring Disorders via DBT

Therapist leading a DBT session helping a client manage co-occurring mental health and substance use disorders

One aspect of treating substance use disorders holistically is to address underlying causes or co-occurring concerns that make life harder when left untouched. Many people with addiction have one or more co-occurring disorders. These often include:

  • Mood disorders (e.g., bipolar disorder, depression).
  • Personality disorders.
  • Trauma disorders.
  • Eating disorders.
  • Anxiety disorders.

DBT skills can be highly beneficial for navigating conditions like these. DBT is effective for reducing addictive behavior, but it is also a research-backed treatment for a wide variety of other mental health concerns.

What Can You Expect When Starting DBT for Addiction?

When you first start addiction treatment, you will get an evaluation. This evaluation will help us understand your current symptoms and personal history (whether you’ve been to treatment before, what did and didn’t work, how long you’ve been using, etc.).

From there, we can work with you to choose the right initial level of care. Purpose offers structured inpatient and outpatient treatment programs. At our center, DBT skills training groups will be just one part of your therapy schedule.

Other types of therapy groups, such as weekly individual therapy and other activities, are used together for the best outcomes. This approach will help you gain a thorough understanding of yourself and continue to strengthen your recovery.

Call Purpose Healing Center for Dialectical Behavior Therapy in Arizona

Purpose Healing Center is a trusted drug and alcohol rehab center. Our multidisciplinary team uses evidence-based treatment like DBT alongside complementary approaches. Recovery plans are tailored to the needs of each person who walks through our doors.

With locations across Arizona, we make it possible for people from all walks of life to get the help they need. Even better? Our programs are covered by most insurances, including nearly all AHCCCS plans and many other insurances in-network as well.

Call our admissions line for effective addiction, mental health, or dual-diagnosis treatment in Arizona today. All calls are confidential, so please reach out for support in confidence now.

FAQs About DBT for Addiction Treatment

What is DEAR MAN in DBT?

In DBT sessions, you might hear acronyms like “DEAR MAN.” A mnemonic used for interpersonal effectiveness, DEAR MAN stands for:

  • Describe the situation.
  • Express your feelings.
  • Assert what you want.
  • Reinforce the other person.

While doing so:

  • Mindful (stay mindful).
  • Appear confident.
  • Negotiate.

The idea is that, if you remember “DEAR MAN” and what each letter means when expressing your needs to someone else, it can help you do so in a productive and respectful way.

Can DBT be used for addiction?

DBT therapist guiding a client through addiction recovery skills to manage emotions and reduce impulsive behaviors

Yes. Research supports the use of DBT for addiction. It’s valuable for helping people establish healthy behaviors, reduce impulsivity, work through emotions, and improve relationships, all of which can be important in the recovery process.

What therapy is most effective for addiction?

Behavioral therapies are highly effective and widely recommended for addiction treatment and recovery. Depending on the person and the substance(s) they are dependent on, therapy can be used alone or in conjunction with medication.

Who is DBT not recommended for?

DBT isn’t recommended for those in active crisis. Additionally, people with addiction who aren’t yet motivated to recover may benefit from completing short-term motivational therapies first. Once someone is out of an active crisis or has increased motivation, DBT may become appropriate.

References

  1. Yale Medicine. (2024, October 25). Dialectical behavior therapy (DBT). Yale Medicine.
  2. Al-Salehi, A. (2021, April 29). The Initial Efficacy of Stand-Alone DBT Skills Training for Treating Impulsivity Among Individuals With Alcohol and Other Substance Use Disorders. ResearchGate.
  3. U.S. Department of Health and Human Services. (2025b, January 8). Treatment and recovery. National Institutes of Health.

Written and Reviewed by

  • Medical Reviewer:

    Brent is staff writer and our Director of Operations at Purpose and enjoys organizing, problem-solving, and assisting clients in early recovery.

  • Clinical Reviewer (LCSW):

    Megan Stuart, LMHC, is our Utilization Director at Purpose Healing Center in Arizona. She assists in navigating coverage, authorization, and care coor...

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