Discover how starting dialectical behavior therapy (DBT) therapy can support your own journey toward a happier, more fulfilling life.
3 therapists available in Westborough
The world can feel very loud and overwhelming, and I am here to help guide you through the difficult times that life can bring and...
About
The world can feel very loud and overwhelming, and I am here to help guide you through the difficult times that life can bring and help you work toward being the healthiest version of yourself.
Hannah Fishman is a Licensed Independent Clinical Social Worker (LICSW). Hannah has been working in the mental health field for five years. Hannah is passionate about working with adults (18+) who are struggling with a wide variety of mental health issues and looking for guidance and support. Hannah specializes in anxiety, depression, personality disorders, stress, and anger issues, as well as those battling co-occurring disorders, including mental health diagnoses and substance abuse disorders.
Hannah holds a master's in social work from Our Lady of the Lake University. Hannah utilizes cognitive-behavioral therapy, mindfulness-based therapy, client-centered therapy, and motivational interviewing to help her clients learn healthier ways to cope, grow, and work toward their personal goals.
Hannah believes that individuals are able to learn from difficult situations they have experienced or are dealing with by addressing debilitating thoughts and emotions. She is confident she can help you feel heard and accepted in a safe and therapeutic space. If you are ready to become the best version of you, book an appointment with her today!
Education and training
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I meet clients where they are, offering compassion and understanding as I support them in achieving their goals and overcoming lif...
I meet clients where they are, offering compassion and understanding as I support them in achieving their goals and overcoming life’s barriers.
Ken Burke is a dedicated mental health professional with 9 years of experience supporting individuals and families through life’s toughest challenges. He has helped parents build nurturing homes, guided teens through anxiety and behavioral struggles, and empowered clients to navigate trauma and major life transitions. Ken creates a warm, safe space where clients are met with respect, empathy, and a clear path toward healing and growth.
Ken holds a Master’s in Social Work and specializes in trauma-informed care, crisis intervention, and clinical case management. His client-centered and culturally responsive approach focuses on meeting people where they are and helping them move toward their goals with compassion and practical guidance.
Ken is here to help you. Tackling life’s challenges can be overwhelming, but it doesn’t have to be done alone. With the right support and guidance, healing is possible. If you take the first step to meet with Ken, he’ll walk with you every step of the way in your therapeutic journey.
Clients often share that they feel truly heard and supported with me, and that together we’re able to bring clarity, balance, and ...
Clients often share that they feel truly heard and supported with me, and that together we’re able to bring clarity, balance, and a deeper mind-body connection to their wellness journey.
Pamela Piliero is a Mental Health Clinician seeking licensure who brings decades of experience working with young adults in university settings and adults in the non-profit sector to her clinical practice. Pamela transitioned into the counseling field two years ago, working closely with clients in inpatient and PHP/IOP settings to provide support during times of heightened need. She is passionate about guiding individuals through challenges such as stress, anxiety, life transitions, and trauma. Pamela is dedicated to creating a supportive space where clients can discover resilience, clarity, and meaningful growth.
Pamela earned her Master’s in Counseling from Salem State University. She integrates evidence-based approaches with mindfulness and trauma-sensitive practices, tailoring her care to meet the unique needs of each client. Through compassionate listening and practical tools, she helps clients build coping skills and emotional balance.
Pamela understands that seeking support can feel overwhelming, and she strives to create a warm, nonjudgmental environment where clients feel heard and supported. She welcomes the opportunity to walk alongside clients as they explore new pathways toward healing, balance, and a more fulfilling life.
You deserve dedicated time with a mental health professional — it can be life-changing.
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Dialectical behavior therapy focuses on helping people accept their lives and behaviors while helping them learn to change their lives, including any unhelpful behaviors that they may engage in. It's a type of talk therapy for people who experience very intense emotions.
DBT has a number of tools that are regularly used to help improve emotional regulation. These include naming and understanding emotions, decreasing the frequency of unpleasant emotions, and decreasing vulnerability to strong emotions in order to decrease emotional suffering.
When a client is making progress in dialectical behavioral therapy, there is often improvement in the ability to regulate emotional swings, identify automatic negative thoughts, and use the tools that this approach teaches.
Clients can supplement their time in dialectical behavioral therapy by practicing, practicing, practicing. Allowing emotions to be what they are, focusing on the present moment, and using tools such as building mastery can help supplement therapy sessions.
To prepare for the first DBT session, an individual can ask themselves the following questions:
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.
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.
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.
The 4 pillars of DBT are mindfulness, emotion regulation, interpersonal effectiveness, and distress tolerance.
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).
Dialectical behavior therapy (DBT) with therapists at Thriveworks in Westborough, MA is conducted both in person and online by video. We encourage you to choose the option that works best for you.
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.
Includes individual, couples, child/ teen, & family therapy
Includes reducing symptoms with medication & management
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