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Therapies · DBT · Phoenixville · Philadelphia · Avondale

Dialectical Behavior Therapy (DBT) Skills in Pennsylvania

DBT skills groups run inside our PHP and IOP at Phoenixville, Center City Philadelphia and Avondale, and in virtual IOP anywhere in Pennsylvania.

If emotions arrive at full volume and using is how you turn them down, DBT gives you a different set of tools — practiced in small groups and in two individual sessions a week.

What DBT is for

Dialectical behavior therapy was developed for people whose emotions escalate fast, land hard and take a long time to come back down. It teaches concrete skills in four areas: mindfulness, distress tolerance, emotion regulation and interpersonal effectiveness.[1]

The "dialectic" is the balance the whole model rests on: you are doing the best you can right now, and some things still have to change. Both are true.

For addiction, distress tolerance is usually the entry point. Cravings and emotional spikes are survivable events with a beginning and an end, and there are skills that get you through the twenty minutes that matter.

We deliver DBT as a skills curriculum inside our programs rather than as a standalone comprehensive DBT program — if you need full adherent DBT with phone coaching, we will say so during your assessment and help you find it.

Andrea Kiotis, MA, LPC, CAADC

Clinically reviewed by Andrea Kiotis, MA, LPC, CAADC Clinical Director.

Last updated:

The four DBT skill sets you will learn

Skills are taught in group, rehearsed with your individual therapist twice a week, and then tried out at home between sessions.

Mindfulness

Noticing what is happening without immediately acting on it — the skill everything else depends on, and the one our mindfulness interventions reinforce daily.

Distress tolerance

Getting through a craving, a fight or a panic wave without making it worse: paced breathing, cold water, intense exercise in our on-site gym, and a written crisis plan.

Emotion regulation

Naming emotions accurately, reducing vulnerability through sleep, food and movement, and acting opposite to an urge when the urge is not in your interest.

Interpersonal effectiveness

Asking for what you need and saying no without burning the relationship — critical with family, partners and employers in early recovery.

Diary cards

A simple daily log of urges, emotions and skills used, so patterns become visible instead of theoretical.

Chain analysis

Walking backwards through an incident link by link to find the point where a skill could have changed the outcome.

Want to know if DBT is right for you?

Call (610) 233-4342

Choose the right schedule

Levels of care for DBT treatment

Start with the support you need now, then step down as recovery becomes more stable.

About 6 hours a day · 5 days a week

Partial Hospitalization Program (PHP)

Our most structured outpatient level of care, with a full clinical day at our Phoenixville, Philadelphia or Avondale office while you continue living at home.

Explore our PHP program

9–15 hours a week · Day or evening

Intensive Outpatient Program (IOP)

A flexible in-person schedule for people who need substantial addiction treatment while balancing work, school, family or a step down from PHP.

Explore our IOP program

Secure online care · Statewide access

Virtual IOP across Pennsylvania

Clinically appropriate Pennsylvania residents can join structured groups and therapy from home without traveling to one of our three offices.

Explore our statewide virtual IOP

Who DBT skills help most

DBT skills are the right fit when the problem is not information but intensity — you know what you should do and the feeling wins anyway.

  • People who use alcohol, benzodiazepines or opioids to shut down emotion rather than to get high.
  • Clients with borderline personality traits, chronic self-harm urges or a history of suicidal thinking, treated alongside substance use.
  • Anyone whose relapses follow conflict — an argument, a breakup, a bad shift, a family holiday.
  • Clients with PTSD who need stabilization skills before or alongside trauma reprocessing such as EMDR or Seeking Safety.
  • People who have done CBT before and found that the plan made sense but fell apart under emotional pressure.

The evidence behind DBT

DBT has strong research support for reducing self-harm, suicidal behavior and emotional dysregulation, and adapted versions have been studied specifically for substance use disorders.[1][2]

It is listed by SAMHSA among the evidence-based approaches appropriate for people with co-occurring mental health and substance use conditions.[2]

In our program DBT skills sit alongside CBT, trauma therapy and psychiatric care, so the emotional side and the behavioral side get treated in the same building by people who talk to each other.

Because groups are capped at five to seven people, skills get practiced out loud rather than read off a slide.

Want to know if DBT is right for you?

Call (610) 233-4342

Therapy that we measure

We track every client from admission to discharge with the BARC-10 recovery capital scale and the PHQ-9 / GAD-7 mental health screens. These are our own program results.

53%

of clients complete our PHP and IOP programs — vs. a national average near 26% for similar outpatient programs.

+9

point average gain on the BARC-10 recovery capital scale from admission to discharge.

-5.95

point average drop in combined PHQ-9 / GAD-7 anxiety and depression scores during treatment.

Where you can start DBT — Phoenixville, Philadelphia & Avondale

Phoenixville

2215 Kimberton Road, Phoenixville, PA 19460

Serving Phoenixville, Kimberton, Royersford, Collegeville, Spring City, Pottstown, King of Prussia, Norristown, Malvern, Exton, Downingtown and West Chester.

Learn about our Phoenixville office →

(610) 233-4342

Center City Philadelphia

1026 Winter Street, Philadelphia, PA 19107

Serving Center City, Chinatown, Washington Square West, Rittenhouse, South Philadelphia, Fishtown, Northern Liberties, University City and the Main Line.

Learn about our Philadelphia office →

(610) 233-4342

Avondale

1284 Gap Newport Pike, Avondale, PA 19311

Serving Avondale, Kennett Square, West Grove, Oxford, Landenberg, Coatesville and the Route 41 corridor of southern Chester County.

Learn about our Avondale office →

(610) 233-4342

DBT skills across southeastern Pennsylvania

In person at Phoenixville, Center City Philadelphia and Avondale, and by virtual IOP for clinically appropriate clients anywhere in Pennsylvania.

Insurance accepted

Verify your benefits →

Don't see your plan? Call (610) 233-4342 — we'll check your benefits.

Need detox or inpatient first?

If you need medical detox or a residential stay before outpatient care, call us — we'll help coordinate placement with trusted partners and plan your step-down into our PHP or IOP when you're ready.

DBT questions we hear on the phone

Is this full DBT?

We deliver the DBT skills curriculum inside our PHP and IOP with individual therapy twice a week. Comprehensive adherent DBT — including 24/7 phone coaching and a consultation team — is a separate model, and we will tell you honestly at assessment if that is what you need.

What is the difference between CBT and DBT?

CBT focuses on the thoughts and behaviors in a chain. DBT adds a skills toolkit for surviving intense emotion and improving relationships. Most of our clients get both.

Do I need a borderline personality disorder diagnosis?

No. DBT skills help anyone whose emotions escalate quickly, regardless of diagnosis.

Can I do DBT skills virtually?

Yes — our virtual IOP includes skills groups and individual sessions for clinically appropriate Pennsylvania residents.

Is DBT covered by insurance?

It is delivered within our PHP and IOP levels of care, which most major plans cover. Call (610) 233-4342 to have your benefits checked.

Want to know if DBT is right for you?

Call (610) 233-4342

Sources & references

  1. [1]National Institute of Mental Health — Psychotherapies, including dialectical behavior therapy. View source ↗
  2. [2]SAMHSA — Substance Use Disorder Treatment for People With Co-Occurring Disorders (TIP 42). View source ↗

Citations link to the original government and research sources. This page is educational and is not medical advice.

Pennsylvania Recovery Center

When the feeling wins, skills change the outcome

Confidential assessment, insurance verified quickly, and small groups where skills are actually practiced. Our phones are answered 24/7.

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