DBT Therapy in Akron & Medina, Ohio

Managing intense emotions, navigating difficult relationships, and coping with stressful situations can sometimes feel overwhelming. Dialectical Behavior Therapy (DBT) offers practical skills to help individuals better understand their emotions, respond to challenges, and develop healthier patterns of thinking and behavior.

At Avenues of Counseling and Mediation, our Akron and Medina counseling teams include clinicians who incorporate DBT skills and techniques into individual therapy. These approaches can help adolescents and adults strengthen emotional regulation, improve communication, and develop effective coping strategies.

Our intake team can help you connect with a counselor whose experience and therapeutic approach align with your needs.

What Is Dialectical Behavior Therapy (DBT)?

Dialectical Behavior Therapy, commonly called DBT, is an evidence-based therapeutic approach developed by psychologist Dr. Marsha Linehan.

Originally developed to help individuals experiencing intense emotional distress and chronic difficulties managing emotions and behaviors, DBT skills are now used to address a variety of mental health concerns.

DBT combines two important concepts: acceptance and change.

This means learning to acknowledge your emotions and experiences without judgment while also developing practical skills to respond differently to challenging situations.

Rather than focusing only on understanding why difficulties occur, DBT emphasizes learning and practicing strategies that can be applied in everyday life.

The Four Core Skills of DBT

DBT focuses on four primary skill areas that help individuals navigate emotions, relationships, and stressful experiences.

1. Mindfulness

Mindfulness involves learning to pay attention to the present moment without immediately judging or reacting to thoughts and feelings.

Mindfulness skills can help individuals recognize emotional responses, become more aware of their thoughts and behaviors, and make intentional choices rather than reacting automatically.

2. Emotional Regulation

Emotional regulation skills help individuals better understand their emotions and develop strategies for responding to them.

These skills may include identifying emotional triggers, recognizing patterns, reducing emotional vulnerability, and practicing healthier responses to intense feelings.

3. Distress Tolerance

Distress tolerance focuses on managing difficult situations and emotions without making circumstances worse.

These skills can be especially helpful when someone feels overwhelmed, frustrated, anxious, or unsure how to respond to a stressful experience.

The goal isn't to eliminate uncomfortable emotions, but to develop ways to tolerate and navigate them more effectively.

4. Interpersonal Effectiveness

Interpersonal effectiveness skills focus on communication, boundaries, relationships, and self-respect.

Individuals may learn strategies for expressing their needs, navigating disagreements, maintaining healthy boundaries, and improving communication with family members, partners, friends, or coworkers.

What Mental Health Concerns Can DBT Skills Help With?

DBT-informed counseling may be beneficial for individuals experiencing:

  • Difficulty managing intense emotions

  • Anxiety and chronic stress

  • Depression and mood-related concerns

  • Emotional outbursts or impulsive reactions

  • Relationship and communication difficulties

  • Difficulty establishing or maintaining boundaries

  • Challenges coping with stressful situations

  • Certain trauma-related emotional difficulties

  • Emotional and behavioral regulation challenges in adolescents

DBT was also originally developed for individuals with borderline personality disorder (BPD) and is an important treatment approach for some people experiencing self-harm or suicidal behaviors.

Individuals with more complex or higher-risk concerns may benefit from a comprehensive DBT program or another specialized level of care. Our counselors can help determine whether the outpatient services available at Avenues are appropriate for an individual's needs.


DBT-Informed Individual Counseling at Avenues

At Avenues, some of our counselors incorporate DBT principles and skills into individual counseling sessions.

Depending on your needs and treatment goals, your counselor may help you identify emotional patterns, practice coping strategies, improve communication, and apply DBT skills to real-life situations.

Sessions may include discussion, skills education, exercises, and opportunities to practice new responses to challenging circumstances.

DBT-informed individual counseling is different from a comprehensive DBT program, which may include structured skills training, between-session coaching, group sessions or a clinician consultation team in addition to individual therapy.

Our intake team can help you understand the services available at Avenues and explore whether they may be a good fit.

DBT Skills for Teens and Adults

DBT Skills for Adolescents

Adolescence can bring intense emotions, changing relationships, academic pressures, and increasing independence.

DBT-informed counseling may help teens develop skills for recognizing emotions, managing frustration, communicating effectively, and navigating stressful situations.

Depending on the adolescent's needs, counseling may also involve parents or caregivers to support communication and reinforce healthy coping strategies.

DBT Skills for Adults

Adults may benefit from DBT skills when navigating relationship conflicts, workplace stress, emotional overwhelm, life transitions, or difficulty managing reactions to stressful situations.

Counseling can help individuals build greater emotional awareness, strengthen coping skills, and develop more effective ways to respond to challenges.

DBT vs. CBT: What's the Difference?

Dialectical Behavior Therapy (DBT) and Cognitive Behavioral Therapy (CBT) are related approaches, but they emphasize different skills.

CBT commonly focuses on identifying and changing unhelpful patterns of thinking and behavior.

Learn more about CBT


DBT incorporates behavioral and cognitive strategies while placing additional emphasis on acceptance, mindfulness, emotional regulation, distress tolerance, and interpersonal effectiveness.

Both approaches can be helpful, depending on an individual's concerns and treatment goals.

A counselor may incorporate elements of one or both approaches when clinically appropriate.

DBT Therapy in Akron, Ohio


Avenues of Counseling and Mediation offers individual counseling incorporating DBT skills and techniques at our Akron office, serving Akron, Fairlawn, Bath Township, and surrounding communities.

Our team includes counselors who use DBT-informed strategies to help adolescents and adults strengthen coping skills, manage emotions, and navigate relationship challenges.


Meet Our Akron Counselors

DBT Therapy in Medina, Ohio

At our Medina office, individuals can access counseling that incorporates DBT skills and techniques for emotional regulation, stress management, communication, and related mental health concerns.

Our intake team can help identify counselors with relevant training and experience based on your individual needs and scheduling preferences.

Meet Our Medina Counselors

Frequently Asked Questions About DBT

Do I need a specific diagnosis to benefit from DBT skills?

No. DBT skills can be helpful for people experiencing emotional regulation difficulties, stress, relationship challenges, or other concerns, even without a particular mental health diagnosis.


 Is DBT only for borderline personality disorder?

No. Although DBT was originally developed for people with borderline personality disorder, its skills and techniques are now used in treatment for a broader range of emotional and behavioral concerns.

 Does Avenues offer comprehensive DBT programs?

Avenues offers individual counseling that may incorporate DBT principles and skills. Comprehensive DBT is a more structured treatment model that includes several coordinated components. Our intake team can clarify the services currently available and help you explore appropriate options.


Can teenagers benefit from DBT skills?

Yes. DBT-informed approaches may help adolescents strengthen emotional awareness, distress tolerance, communication, and coping skills. The appropriate approach depends on the teen's individual needs and the counselor's experience.


How long does DBT-informed counseling take?

The duration of counseling depends on the individual's concerns, treatment goals, and progress. Your counselor can discuss an appropriate treatment plan based on your needs.

Are DBT skills groups available at Avenues?

Avenues has offered DBT skills groups in the past. Group availability varies, check our group offerings page to see what DBT groups are currently running. Individual counseling incorporating DBT skills is always available.

View current group offerings

Begin DBT-Informed Counseling at Avenues

Learning to manage difficult emotions and respond more effectively to stressful situations takes practice, but you don't have to develop those skills alone.

At Avenues of Counseling and Mediation, our counselors provide individualized mental health support for adolescents and adults in Akron and Medina, Ohio.

Whether you're interested in developing emotional regulation skills, improving relationships, or learning healthier coping strategies, our intake team can help you explore available counseling options.


Contact our intake team to find a counselor whose experience and therapeutic approach align with your needs.