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Offered in-person & online

Our therapists offer DBT / dialectical behavior therapy in Richmond, VA

Get in-person or online care, and cover the majority of the costs with your insurance.

Get in-person or online care, and cover the majority of the costs with your insurance. Scheduling is easy — call our team and they’ll help you find your perfect match.

Connect with a therapist, psychiatrist or counselor near you
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3,571 people sought dialectical behavior therapy (DBT) help in Virginia in the last year

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

Meet with a provider as soon as this week

Aetna, Anthem Blue Cross and Blue Shield Virginia | BCBS HMO, Anthem Blue Cross and Blue Shield Virginia | BCBS PPO, +6 more
Narcissism, LGBTQIA+, Anger, Coping Skills, Stress, +11 more

I collaborate with my clients to promote healing in a safe and affirming space.

Aetna, Anthem Blue Cross and Blue Shield Virginia | BCBS HMO, Anthem Blue Cross and Blue Shield Virginia | BCBS PPO, +6 more
LGBTQIA+, Coping Skills, Self Esteem, Stress, Women’s Issues, +7 more

As a clinician, I strive to cultivate a comfortable, empowering therapeutic relationship that recognizes the client as a whole person while highlighti... As a clinician, I strive to cultivate a comfortable, empowering therapeutic relationship that recognizes the client as a whole person while highlighting their inner strengths. Read more

Aetna, Anthem Blue Cross and Blue Shield Virginia | BCBS HMO, Anthem Blue Cross and Blue Shield Virginia | BCBS PPO, +21 more
LGBTQIA+, Anger, Coping Skills, Men’s Issues, Stress, +5 more

As someone who has worked on understanding my own identity and personal challenges with mental health, I understand the importance of seeking support ... As someone who has worked on understanding my own identity and personal challenges with mental health, I understand the importance of seeking support to help better one's quality of life. Read more

Aetna, Anthem Blue Cross and Blue Shield Virginia | BCBS HMO, Anthem Blue Cross and Blue Shield Virginia | BCBS PPO, +22 more
Coping Skills, Self Esteem, Stress, Career, Eating Disorder, +5 more

As a young professional woman, I understand the challenges of navigating through life's stressors, transitions, and relationships.

Aetna, Anthem Blue Cross and Blue Shield Virginia | BCBS HMO, Anthem Blue Cross and Blue Shield Virginia | BCBS PPO, +6 more
Domestic Abuse, LGBTQIA+, Anger, Behavioral Issues, Coping Skills, +14 more

As someone who has experienced the impact of mental health challenges, I provide a unique perspective, level of understanding, and empathy towards oth... As someone who has experienced the impact of mental health challenges, I provide a unique perspective, level of understanding, and empathy towards others. Read more

Aetna, Anthem Blue Cross and Blue Shield Virginia | BCBS HMO, Anthem Blue Cross and Blue Shield Virginia | BCBS PPO, +21 more
Coping Skills, Self Esteem, Stress, ADHD, Bipolar Disorder, +8 more

As a therapist who has worked extensively with clients experiencing stress related to depression, anxiety, and trauma, I recognize the need for person... As a therapist who has worked extensively with clients experiencing stress related to depression, anxiety, and trauma, I recognize the need for person-centered, solution-focused treatment that will help people deal with life's stressors and lead a life worth living. Read more

Look for a confirmation email in your inbox shortly. We'll help find you a provider and guide you through everything you should know about starting care at Thriveworks.

Brittany Spak

Hear from Brittany Spak, Licensed Professional Counselor (LPC)

View Brittany Spak's profile

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

My go-to approach for helping people in dialectical behavior therapy is the use of the wise mind. I find the best benefit in the wise mind because it helps balance the rational mind and emotional mind while meeting anyone where they currently are.

What tools do you teach in dialectical behavior therapy?

I teach the following tools in dialectical behavior therapy:

  • Wise Mind: Helping to find the balance between emotional thoughts and rational thoughts.
  • TIPP: Strategies to help change your body chemistry to help reduce extreme emotion.
  • DEARMAN: An outline to help you more effectively communicate by saying “no” or asking for something from someone.

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 the client is able to see and accept two opposing thoughts existing at the same time, such as “I am doing my best, and I can do better,” regularly utilizes therapy skills without thinking about using them, and expresses an improvement in emotion regulation.

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

Clients can supplement their time in dialectical behavior therapy with various DBT workbooks available to buy online, such as the one by Matthew McKay, PhD!

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

To prepare for their first dialectical behavior therapy session, an individual can remind themselves that they are doing the best that they can, therapy will help them do better, and change takes time, consistency, and accepting change.

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).

Is DBT conducted in person or online?

Dialectical behavior therapy (DBT) with therapists at Thriveworks in Richmond, VA 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 Richmond therapists and counselors accept 24 insurance plans

  • Aetna

  • Anthem Blue Cross and Blue Shield Virginia Medicare Advantage

  • Anthem Blue Cross and Blue Shield Virginia | BCBS HMO

  • Anthem Blue Cross and Blue Shield Virginia | BCBS PPO

  • Anthem Blue Cross and Blue Shield Virginia | Exchange

  • CareFirst Blue Cross and Blue Shield of Virginia | BCBS HMO

  • CareFirst Blue Cross and Blue Shield of Virginia | BCBS PPO

  • Carelon

  • Carelon | Medicare Advantage

  • Cigna | Evernorth

  • Cigna | Evernorth Medicare Advantage

  • Compsych

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Self-pay costs at Richmond
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

4.8 Learn about verified reviews
★★★★★
I appreciate how easy it is to schedule sessions with a therapist or psychiatrist. Also, I like how I was able to know my counselor's specialties and experience from their profile prior to meeting her.
Ashley Mar 2025
Thriveworks.com verified review
★★★★★
I had a great first visit and felt very connected, safe and heard. Sharon is wonderful! A keeper for sure!
Tasha Mar 2025
Thriveworks.com verified review
★★★★★
Christin is wonderful, the Thriveworks team is responsive, and it is easy to book and rebook appointments.
Samantha Mar 2025
Thriveworks.com verified review
★★★★★
Sarajayne is amazing!!
Brianna Mar 2025
Thriveworks.com verified review
★★★★★
It has been work. It has been painful. I have grown
Matthew Mar 2025
Thriveworks.com verified review
★★★★★
Meredith is great!. Getting emails/texts to complete anxiety and depression assessments before _every_ session is a bit much
Megan Mar 2025
Thriveworks.com verified review
★★★★★
Ashley has been through it with me, she cares and gives great feedback and advice to think things through differently.
Evan Mar 2025
Thriveworks.com verified review
★★★★★
My therapist relates to me through her own experiences, which helps me feel that she genuinely understands what I'm saying. Additionally, the feedback my therapist offers has been tremendously helpful.
Kirsten Mar 2025
Thriveworks.com verified review

Where to find us

Getting here

Thriveworks Counseling & Psychiatry Richmond is located off of Markel Rd, just south of Libbie Place Shopping Center. Our building is across the street from the Faison Center and next to Pandora’s Lashes and Coates and Davenport, P.C. Our office is in the Enterprise Center, which we share with Liquid Talent Agency and SIL Insurance, among other businesses.

Phone number

(804) 312-5498

Languages spoken by VA providers

  • Polish
  • English
Tuesday 8:00am - 9:00pm
Wednesday 8:00am - 9:00pm
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

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Tuesday 8:00am - 9:30pm
Wednesday 8:00am - 9:30pm
Thursday 8:00am - 9:30pm
Friday 8:00am - 9:30pm
Saturday 8:00am - 6:00pm
Sunday 8:00am - 6:00pm
Monday 8:00am - 9:30pm

Shown in ET

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