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2,711 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.

Meet with an Dialectical behavior therapy (DBT) therapists as soon as this week

1   available in  San Antonio

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Raquel Espino

Hear from Raquel Espino, Licensed Professional Counselor (LPC)

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

My go-to approach for helping people in dialectical behavior therapy is somatic regulation skill-building. I find the best benefit in building somatic calming strategies first because it helps reduce our stress response, making us better-able to apply other coping skills.

What tools do you teach in dialectical behavior therapy?

I teach the following tools in dialectical behavior therapy:

  • Emotion regulation: Being able to control emotions, rather than emotions being in control
  • Mindfulness: Focus on being aware of and engaged in the current environment
  • Distress tolerance: Being able to navigate and cope with difficult situations/circumstances

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 display and report a decrease in emotional reactivity and an increase in mindfulness practices.

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

Clients can supplement their time in dialectical behavior therapy with mental health support groups and personal/group spaces for mindfulness practices.

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

To prepare for their first dialectical behavior therapy session, an individual can take inventory of current coping strategies and support systems they use.

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 San Antonio, 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 insurances. We accept 585+ insurance plans, and offer self-pay options, too.
Learn more about pricing for therapy and counseling services at Thriveworks.

Our San Antonio therapists and counselors accept 43 insurance plans

  • Adventist Health Associates | Employee Health Program

  • Adventist Health Associates | Non-Employee Health Program

  • Aetna

  • Ambetter by Superior Health Plan

  • Auto Club Enterprises (Employers Health Network)

  • 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 | Anthem (Blue Card)

  • Buist Byars and Taylor (Employers Health Network)

  • Children's Medical Group (Employers Health Network)

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Self-pay costs at San Antonio
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

5.0 Learn about verified reviews
★★★★★
Unbiased and professional opinions and help. Highly recommended
Dylan Apr 2025
Thriveworks.com verified review
★★★★★
Welcoming experience
Sergio Apr 2025
Thriveworks.com verified review
★★★★★
Such an easy process to schedule and get a provide to meet my needs !
Monet Apr 2025
Thriveworks.com verified review
★★★★★
My therapist Deidre Rose Alder was very sweet and kind. Very intelligent and helpful in all the ways I needed.
Alex Apr 2025
Thriveworks.com verified review
★★★★★
He is very compassionate yet holds nothing back which I definitely need. He has helped with addiction and anxiety. I truly appreciate his help.
Amy Apr 2025
Thriveworks.com verified review
★★★★★
Great experience! No complaints at all! I'm feeling better everyday.
Jacy Apr 2025
Thriveworks.com verified review
★★★★★
My provider is amazing and I think the system is running pretty smoothly.
Alexandria Mar 2025
Thriveworks.com verified review
★★★★★
Im very happy,I appreciate everything,she is very nice and explain all very good,she have a big heart????
Laura Mar 2025
Thriveworks.com verified review

Where to find us

Getting here

Thriveworks Counseling & Psychiatry San Antonio is located in the same building as University Medicine Associates Dominion Crossing, Behavioral Innovations, Juan Ferreris MD, Courtney Smith MD, Rafael Rosalez MD, Dinah S George MD, Christus Children’s Pediatric Medical Office, and many other doctors’ offices. In the same plaza is Club Pilates, and nearby is Baskin-Robbins, Dunkin Donuts, Rishi’s Beauty Salon, and Rock’s Discount Vitamins N More. Club Car Wash is also nearby.

Phone number

(726) 204-3834

Languages spoken by TX providers

  • English
  • Spanish
Friday 8:00am - 9:00pm
Saturday 8:00am - 9:00pm
Sunday 8:00am - 9:00pm
Monday 8:00am - 9:00pm
Tuesday 8:00am - 9:00pm
Wednesday 8:00am - 9:00pm
Thursday 8:00am - 9:00pm

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

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