What is Dialectical Behavioural Therapy (DBT Counselling)?


DBT Counselling is type of talking therapy, based on the more traditional CBT, in that it similarly emphasises the thinking-feeling-behaviour connection. However, DBT has been specifically developed for people who experience emotions very intensely and may consequently struggle to behave in a helpful way. Whilst CBT focuses on changing the way you feel and behave, DBT does all of this with the addition of a real focus on accepting who you are.

The aim of DBT counselling is allow you to recognise your negative feelings and accept them, followed by learning new behaviours to manage these thoughts and therefore make positive changes to your life.

‘Dialectical’ means working toward understanding how two things that seem opposite could both be true. For example, accepting yourself and changing your behaviour might seem contradictory, but it is possible!

Here at Counselling Psychology Online, we are based in Surrey, Somerset, Kent and Stoke, and offer online DBT Therapy remotely to individuals across the UK.


DBT usually covers 4 key modules, each with their own skill set:



Mindfulness involves training yourself to pay attention to what’s happening right now, and without judgement. This includes whatever you may be thinking or feeling in any given moment. The idea is that when we are thinking about the future a lot (especially what may go wrong), we tend to experience high levels of anxiety. Equally, thinking a lot about the past (especially what you think should or should not have happened), can lead to us feeling sad, guilty, regretful and angry. Mindfulness encourages us to learn to focus on the present in an accepting manner to improve your wellbeing.

Distress Tolerance

This component aims to provide you a with a series of techniques to use when you are experiencing difficult emotions. They are particularly helpful short-term ways of coping with strong and overwhelming feelings.

Emotion Regulation

These strategies are designed to help you deal with difficult situations, thoughts and feelings in the longer term, such as problem solving, identifying and challenging unhelpful thoughts.

Interpersonal Effectiveness

This module is focused on developing skills for social interactions. It includes learning how to ask for help and say no to others, as well as other assertiveness skills.

Do you have questions?

It's not unusual to have questions about what type(s) of therapy may be suitable for you.

We're here to help. Please don't hesitate to get in touch so we can discuss what might help you.


We frequently receive questions regarding DBT counselling, so we thought we would answer a few of these below. For any other questions, or to book in your DBT, please feel free to call or email us.

How do I know if DBT is the right counselling for me?

DBT counselling is the effective psychological treatment for many people, but due to its nature of focussing on individuals with a intense emotions, the therapy is not suited to everyone. Before you commit to any therapy sessions with Counselling Psychology Online, there will be a free 15-minute consultation where we will be able to offer advice as to if we believe DBT is the best counselling for you.

How do I begin my Dialectical Behavioural Therapy?

Firstly, please get in touch by calling or emailing us. We will then book you in for an initial telephone consultation. This should last 15-minutes. After this session with a trained psychologist, we will let you know if DBT is the right counselling for you or if not, suggest some of the other therapies which we are experienced in. The sessions can then be booked in.

What do I need to do online DBT?

You will need a computer, laptop, tablet or mobile phone which has access to the internet and the ability to use one of the following video calling programs: Zoom, Microsoft Teams, Skype or Vsee. Nothing else, apart from a quiet room where you feel safe, is required. Whilst we believe that video chatting is the most effective means of offering counselling, you can choose whether to have your video on or off.

What problems can DBT help with?

We would always recommend a therapist determining which therapy is right as everyone’s situation is individual. DBT can help with a multitude of different problems including self-harming, suicide attempts and depression.

Does DBT work?

DBT has been proven to be extremely helpful is tackling a huge number of problems. The effectiveness of DBT really relies on the individual receiving treatment. For the counselling to work, it will take time, commitment, and hard work – those receiving the therapy also must want it to work and be willing to focus on wanting to change your future behaviour.

DBT Counselling with Counselling Psychology Online

Counselling Psychology Online provide tailored DBT Counselling for children, adolescent, adults, couples and families.

For additional answers to our most commonly asked questions, you will find then on our FAQ page. For further information, please do contact us.

Counselling Psychology Online is group of skilled and friendly Counselling Psychologists, CBT Therapists and Counsellors. Find out more about Our Therapists.