Dialectical Behaviour Therapy meaning (DBT) is a specialized, evidence-based therapy designed to help individuals manage intense emotions, improve relationships, and develop healthier coping mechanisms. Originally developed by Dr. Marsha Linehan for individuals with borderline personality disorder (BPD), DBT therapy techniques have since been widely used to treat anxiety, depression, PTSD, and other mood disorders.

Given its structured and skills-based approach, becoming a DBT therapist requires specific training, supervised practice, and certification. This article outlines the steps to becoming a DBT therapist, the training involved, and why this specialization is in high demand in the mental health field.

What is DBT?

DBT combines elements of Cognitive Behavioral Therapy (CBT), mindfulness, distress tolerance, emotional regulation, and interpersonal effectiveness. It helps individuals develop strategies to cope with distress, manage emotions, and improve relationships.

DBT therapy is structured into:

• Individual therapy – One-on-one sessions focused on personal goals
• Skills training groups – Teaching patients DBT skills in a classroom setting
• Phone coaching – Crisis support between sessions
• Consultation teams – Support for DBT therapists to ensure treatment effectiveness

Because DBT requires a high level of skill to be implemented correctly, therapists must undergo specialized training.

Steps to Becoming a DBT Therapist

1. Obtain a Relevant Degree in Mental Health

To become a DBT therapist, you must have a background in mental health. This typically includes earning a degree in one of the following fields:

• Psychology (Bachelor’s, Master’s, or Doctorate)
• Social Work (MSW)
• Counselling (LPC, LMHC, or equivalent license)
• Psychiatry (MD or DO with psychiatric training)

DBT therapists are typically licensed mental health professionals who have experience in psychotherapy and behavioural therapies.

2. Gain Clinical Experience in Psychotherapy

Before specializing in DBT, most therapists gain experience in general psychotherapy, particularly in Cognitive Behavioral Therapy (CBT), as DBT is based on CBT principles.

Common clinical experience includes:

• Working in mental health clinics, hospitals, or private practice
• Providing therapy for individuals with mood disorders, anxiety, or personality disorders
• Learning behavioural therapy techniques

3. Complete DBT Training

Formal DBT training is essential for providing structured, evidence-based therapy. Several organizations offer DBT training programs that include coursework, workshops, and supervised practice.

Core DBT Training Options:

• Behavioral Tech Training – Founded by Dr. Marsha Linehan, this is the most well-known DBT training organization. They offer both introductory and advanced DBT training.
• DBT Foundational Training – A five-day intensive training for therapists working in DBT programs.
• DBT Intensive Training – A more in-depth program requiring team participation.
• Online DBT Training – Many universities and private organizations offer DBT certification courses that can be completed remotely.

4. Participate in Supervised DBT Practice

DBT therapists must practice under supervision before they can work independently. Supervised practice includes:

• Working with a DBT consultation team
• Running DBT skills training groups
• Receiving feedback from experienced DBT therapists

Most DBT training programs require clinicians to complete one to two years of supervised DBT practice before becoming certified.

5. Get DBT Certification

Although not legally required, DBT certification is highly recommended. It ensures that a therapist is fully trained and competent in DBT principles.

The DBT-Linehan Board of Certification (DBT-LBC) is the most recognized certifying body. The process includes:

• Completing a DBT training program
• Submitting case studies and treatment records
• Passing an exam to demonstrate DBT knowledge
• Undergoing a clinical review by DBT experts

Once certified, a DBT therapist is recognized as a DBT-LBC Certified Clinician.

6. Continue Education and Training

DBT is an evolving field, and therapists must continue their education to stay updated on new research and techniques. Many DBT practitioners attend:

• Advanced DBT workshops and conferences
• Supervision and peer consultation meetings
• Online DBT training courses

Some therapists also specialize in DBT adaptations, such as DBT for adolescents (DBT-A) or DBT for substance use disorders (DBT-SUD).

Why Specialize in DBT?

DBT is in high demand because it effectively treats individuals with emotional dysregulation and high-risk behaviors. Many mental health clinics, hospitals, and private practices seek trained DBT therapists to provide structured, skills-based treatment.

Benefits of Becoming a DBT Therapist:

• Helps clients develop life-changing coping skills
• Provides a structured, evidence-based approach to therapy
• Opens career opportunities in hospitals, mental health clinics, and private practice
• Offers a high level of job satisfaction by making a tangible impact

Conclusion

Becoming a DBT therapist requires specialized training, supervised experience, and certification, but it is a highly rewarding career path. DBT is one of the most effective therapies for individuals struggling with emotional dysregulation, anxiety, and mood disorders. By following the proper training steps, mental health professionals can develop the skills necessary to guide clients toward lasting emotional well-being.