Care without the wait

151 licensed therapists & providers in Texas—4 in Little Elm. Available as soon as today, in person and online

Therapy for every life stage

Our providers work with individuals, couples, families, & teens for anxiety, depression, grief, & more

#1 for in-network coverage †

We accept UnitedHealthcare, Cigna, BCBS Plans, Humana, Aetna, & many more. Self-pay options available, no membership fees

Patients who get better

94% of patients feel truly understood by their provider. 3 out of 4 see improvement in depression & anxiety symptoms within 3 months

http://Verywell%20mind%2013%20Best%20online%20Therapy%20Services%20of%202024
http://Thriveworks%20Choosing%20Therapy%20Award%20Logo%20for%20Best%20Online%20Therapy%20Options%20with%20Insurance%20for%202023

7,295 people sought dialectical behavior therapy (DBT) help in Texas in the last year

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

Start DBT with a licensed therapist as soon as this week

Little Elm, TX

As a woman of color who has experienced trauma, I deeply understand how life can sometimes hand you situations that feel overwhelm...

Read more
Little Elm, TX

I provide a safe and comfortable environment to support clients on their journey towards healing and personal growth....

Read more
Little Elm, TX

I believe each person is an expert in their own life, and I enjoy a holistic, person-centered approach with an eclectic style to p...

Read more
Little Elm, TX

My name is Alicia Solomon and I am a counseling and behavioral therapist that specializes in marriage and family therapy. My goal ...

Read more

We don’t have any providers with availability. Our schedules change daily. We’ll reach out as soon as a spot opens up.
Bianca Milliern

Hear from Bianca Milliern, Licensed Professional Counselor (LPC)

View Bianca Milliern's profile

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

My go-to approach for helping people in dialectical behavior therapy is to combine validation of emotions with skills training. This is the core mission of DBT. We allow emotions to exist as they come, and we also become empowered to choose coping skills.

What tools do you teach in dialectical behavior therapy?

I teach and walk through the four modules of DBT:

  • Mindfulness Skills
  • Emotion Regulation Skills
  • Interpersonal Effectiveness Skills
  • Distress Tolerance Skills
Each client will move through the modules at their own pace, and I will allow for shifts in the depth and breadth appropriate for each client.

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 report a win in choosing a skill to manage an intense emotion, outside of therapy. This shows the beginning of an ability to self-soothe, which is often a struggle zone for clients.

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

Clients can supplement their time in dialectical behavior therapy by investing in the workbooks that are part of the DBT experience. Working the program at home is a key component of a successful DBT program.

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

To prepare for their first dialectical behavior therapy session, an individual can purchase a mindfulness journal, colored pencils, and prepare a writing space at home that feels safe and comforting. They can also look at their schedule and be sure there are at least 30 minutes a day to be blocked off for DBT homework.

Dialectical behavior therapy (DBT) FAQs

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).

Is DBT conducted in person or online?

Dialectical behavior therapy (DBT) with therapists at Thriveworks in Little Elm, 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 insurance and we offer self-pay options too.
Learn more about pricing for therapy and counseling at Thriveworks.

Our therapists and counselors in Little Elm accept 58 insurance plans

  • Adventist Health Associates | Employee Health Plan

  • Adventist Health Associates | Non-Employee Health Plan

  • Aetna

  • Aetna Medicare Advantage

  • Ambetter by Superior Health Plan

  • Baylor Scott and White Health Plan

  • Baylor Scott and White Health Plan Medicare Advantage

  • Blue Cross Blue Shield of Texas HMO

  • Blue Cross Blue Shield of Texas PPO

  • Blue Cross Blue Shield of Texas | Blue Advantage HMO (BAV)

  • Blue Cross Blue Shield of Texas | Medicare Advantage

  • Blue Cross Blue Shield of Texas | MyBlue (BFT)

View more
Self-pay costs at Little Elm
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

4.9 Learn about verified reviews
★★★★★
My provider is thoughtful and kind. She also isn’t afraid to refer me to someone else if she feels I would be better served by another provider. I have been seeing her for almost 5 years and couldn’t be more thankful for the way therapy has changed my life!
Read more
Olivia Aug 2026Thriveworks.com verified review
★★★★★
Ms. Hollinsworth has a very conversational style. You feel like you’re just having a talk with a friend, but you’re getting real work done. It’s interesting and effective.
Emi Aug 2026Thriveworks.com verified review
★★★★★
Linda is very professional and listens to my rambling like nobody I have known. She listens and then provides feedback in ways I can understand and appreciate. So overall it's a very positive and helpful experience when I go for my appointment.
Read more
Elijah Jul 2026Thriveworks.com verified review
★★★★★
I liked the safety plan
Kinsley Jul 2026Thriveworks.com verified review
★★★★★
I feel heard and that is most important to me.
Ella Jul 2026Thriveworks.com verified review
★★★★★
Love Heather, she is amazing! You are blessed to have her. I do not like getting billed from you before you bill my secondary insurance. It’s very inappropriate and it has happened twice now!
Rylee Jul 2026Thriveworks.com verified review
★★★★★
Heather is a great listener. She provides many tools and resources each session. She has great compassion, excellent skills, and always creates a judgement free zone. Her insight and guidance have made such a meaningful difference. I always feel heard and supported, and she truly has made such a great difference.
Read more
Nora Jul 2026Thriveworks.com verified review
★★★★★
Ariel Burns created a space where I felt safe to be honest. She challenges me to think and I love that. I’m grateful to be working with her. I look forward to all the other sessions I have with her.
Quinn Jul 2026Thriveworks.com verified review
8 of 17 reviews

Where to find us

map-pin-blue

Address

2601 Little Elm Parkway #103
Little Elm, TX 75068

Getting here

Thriveworks Counseling & Psychiatry Little Elm is located near Little Elm Parkway and FM 423, off the Eldorado Parkway. It is close to the Woodlake and right by McCord Park

device-mobile-blue

Phone number

(972) 362-9713
globe-blue

Languages spoken by TX providers

  • ASL
  • English
clock-blue

Hours

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

Shown in CT

Thursday 8:00am - 11:00pm
Friday 8:00am - 11:00pm
Saturday 8:00am - 6:00pm
Sunday 8:00am - 6:00pm
Monday 8:00am - 11:00pm
Tuesday 8:00am - 11:00pm
Wednesday 8:00am - 11:00pm

Shown in CT

10 photos

Find a provider ...