Dialectical Behavior Therapy (DBT)

Overview – What is an DBT?

Dialectical Behavior Therapy (DBT) is a form of Cognitive Behavior Therapy designed by Dr. Marsha Linehan to treat a broad range of complicated symptoms and concerns. Our highly effective DBT treatment program was created to help individuals who struggle with regulating emotions. We offer a systematic, multi-pronged approach in a supportive environment that leads to success. Patients are taught an array of skills to cope with unhealthy thoughts and behaviors. The result is positive changes in daily life with improved relationships, emotion regulation, mindfulness, decision-making and self-esteem. With a cadre of expert DBT-trained therapists, we provide scientifically valid, updated treatments using a team approach to ensure that each patient has an optimal experience. Team members consult weekly with one another so that we can provide compassionate support to our patients as we all work together toward recovery and improvement.

Dialectical Behavior Therapy involves a targeted approach that embodies four main concepts:

Dialectical Behavior Therapy involves a targeted approach that embodies four main concepts:


Accept unpleasant events and stay in the moment

Distress Tolerance

Learn to tolerate emotionally distressful internal events

Emotion Regulation

Manage emotions such as fear, anxiety and panic with reduced sensitivity.

Interpersonal Effectiveness

Gain skills to develop more effective, consistent relationships

Who Can Benefit?

The Center for Anxiety’s DBT Program is ideal for individuals with complex symptoms of anxiety and depression, and those who struggle with emotion regulation and self-harm. The goal is to reduce life-interfering behaviors and improve one’s overall life experience.

DBT therapy is effective for treating a wide range of disorders, including individuals who experience:

DBT therapy is effective for treating a wide range of disorders, including individuals who experience:

  • Significant difficulty regulating emotions, thoughts and behavior
  • Problems with maintaining consistent relationships
  • Anger
  • Chronic suicidal thoughts
  • Self-injurious behavior
  • Behavioral impulsivity
  • Substance abuse
  • Eating disorders
  • Depression
  • Severe anxiety
  • Post-traumatic Stress Disorder (PTSD


Dialectical Behavior Therapy is offered in our confidential private offices in Manhattan, Brooklyn, and Rockland County. Treatment includes a combination of weekly individual therapy sessions, weekly group skill sessions, and telephone coaching so that patients can gain confidence in situations where they experience the most difficulty. This allows patients to practice new skills immediately and establishes the foundation for long-term improvement. Additionally, we offer family sessions for parents or spouses to help them understand the treatment process and offer strategies for supporting their loved one’s recovery.

Weekly skills training group sessions

These sessions are based on the key elements of DBT including Mindfulness, Distress Tolerance, Emotion Regulation, and Interpersonal Effectiveness. Groups offer the opportunity to practice skills in a safe, structured environment with other people. Group sessions run for 90 minutes and a specific set of skills is covered each week. Groups are separated by age, and separate groups are frequently held for men and women.

Weekly individual therapy sessions

Therapy sessions are scheduled with one of our DBT specialists. These sessions are customized to the needs of each individual, and are intended to enhance motivation and help patients apply skills to their own lives.

Ongoing telephone

For individuals who receive individual DBT sessions through our office, we also provide ongoing telephone support. This is a key factor in success, allowing patients to reach out when they are struggling and receive timely direction and support from a compassionate, understanding therapist.

Family and Outside Support

To further maximize patient care, we provide ongoing outreach and consultation with family members of patients in DBT. Parents, spouses, and loved ones, become familiar with the target skills and learn ways to help their loved ones implement new, more effective behaviors in their natural environment. Family sessions are held, on an as-needed basis, to further sustain patient improvement and recovery.

Our DBT team works closely with referring psychiatrists and other mental health professionals in order to provide continuity of care. A comprehensive course of DBT treatment is usually completed within one year.


Currently, the fees for a DBT Skills Group in Brooklyn and Rockland County run at $80 a session; NYC DBT Groups run at $100 a session. Groups run on six-month intervals and the total cost of participation typically ranges from approximately $1900-$2400, depending on location.

Patients enrolled in our DBT Skills Group must also be seen in individual therapy. DBT Group members may be seen by their own individual therapists outside of the Center for Anxiety. Fees for individual DBT sessions with our clinicians begin at $250 for 50-minute sessions. DBT Senior clinicians are billed at higher rates. There is no additional cost for between-session telephone coaching for individuals who receive individual therapy through our office. All treatment fees are subject to change.


Patients who participate in our DBT program report improved relationships and a greater ability to self-manage difficult emotions. Our team-based, multi-modal approach to care provides the opportunity to work individually with expert DBT therapists to learn and practice important skills introduced in a systematic way, and to have ongoing telephone coaching, when necessary.

Participants are able to better define life goals, build self-respect, and find peace and happiness. Adolescents are able to improve family relationships and find greater success in school and with peer relationships.

You don’t have to suffer any longer – your quality of life CAN be improved. We teach people the skills needed to tolerate pain and manage behavior, with a balanced approach between acceptance and change.

To inquire further about the Dialectical Behavior Therapy Program, please call our toll-free number 888-837-7473.

DBT Skills Groups

Brooklyn group for Adults – Monday evenings,

6:00 pm – 7:30 pm

Brooklyn group for Adults – Thursday afternoons,
11:30 am – 1:00 pm

Manhattan group for Adults – Monday evenings,
7:00 pm – 8:30 pm

Manhattan group for Adults – Tuesday evenings,
7:00 pm – 8:30 pm

Manhattan group for Adults –
Wednesday evenings,
7:00 pm – 8:30 pm

Manhattan group for Adolescents –
Wednesday evenings,
6:00 pm – 7:30 pm

Rockland County Group for Adults –
Monday evenings,
6:30 pm – 8:00 pm

To register for a DBT Group please contact us by emailing 
info@cfa.wpmudev.host or calling 1-888-837-7473

Click here for more information about our DBT program.

Inspirational Message

The Way of Mastery is to break all the rules—but you have to know them perfectly before you can do this; otherwise you are not in a position to transcend them.


What Clients Say

In a recent survey of our patients, 94% would recommend our practice to a friend.
Calmer in the Face of Hardship
I came to the Center for Anxiety for help in dealing with a family member who suffered from extreme anxiety. But I ended up getting a serious illness two months later and started having my own sessions. With the help of my therapist I got through my illness, learned to understand my habits that were making my major life stresses worse, learned to communicate better, taper my anger, and surprisingly I became more calmer even though my hardships in life worsened. Therapy is a lot of work and not easy, but nothing in life comes easy! I became a better and softer mom and (when I practice what I learned) and my kids and home are calmer and happier. I am still a work in progress and have more to work on, but I know I am on the right path. I wish I knew before how my communication style and anger were really impacting my life, how being softer you can accomplish way more then being harsh. I have been to other therapists in the past and I can hands down say that the Center for Anxiety’s approach is really effective. I have even referred a bunch of people to the Center and they have been really happy with the therapists and how much they really care for their patients.
I Tackled a Long List of Fears
When I first came to the Center for Anxiety, my list of anxieties/fears was long! I was scared of getting sick, getting stranded, driving, flying and more. With the help of my therapist, I immediately got to work and tackled every one of my fears. Now the world is open to me and I feel free! I can dream big and accomplish whatever I set my mind to! I am especially grateful that I was able to do all this without having to rely on medication. It was hard work – grueling at times! – but now I have the coping tools within me for life. In fact a family member recently said to me “You are awesome. You can accomplish anything you set your mind to because you don’t let fear stop you! ” Thank you Dr. Rosmarin and the Center for Anxiety staff for helping me get here. My fears no longer limit me and I love my life. Try it, it might turn your life around too!
Highly Skilled and Professional Treatment
When I sought treatment at the Center for Anxiety, the clinic was is in its incipient stages. However, by the time I successfully finished treatment, the Center for Anxiety grew and flourished into a world-class treatment center, offering cutting-edge, evidence-based treatment to countless individuals. The continued success of the Center for Anxiety comes as no surprise to me, with a team that contains such highly skilled professionals who display clinical acumen, empathy, and compassion. When I first entered treatment I was concerned that therapy would be similar to the experiences with past psychologists: a seemingly bottomless pit with no reductions in my anxiety symptoms, but was so relieved when I started to feel less anxious after only a handful of sessions. My therapist created a treatment plan that was tailored exactly to my needs and taught me practical skills to help me work through my anxiety that I still use and practice to this very day.
No More Panic
When I first came in, I was struggling with panic disorder and didn’t even know it, which only made dealing with it that much more difficult. After my first time sitting down with my therapist, however, I instantly started to gain perspective and look at the difficult situation in a different light. Our meetings helped me conquer the issue step by step and get my life back on track. I’d strongly recommend that anyone dealing with anxiety in a way that impacts their day to day life should visit the Center for Anxiety! I know it helped me tremendously.
Free of Obsessions
When I woke up one morning last June and didn’t want to get out of bed, I knew I needed help. The thought of getting through another day with all my anxieties, obsessions and rituals was just too overwhelming. After feeling stuck for years, I just couldn’t anymore. Thankfully, that’s when I found the Center for Anxiety. Dr. Rosmarin and his staff are experts at what they do, kind and professional. After just several weeks I accomplished my initial targets. The change I experienced in such a short amount of time was astounding that I stayed on for a while longer to work on more complex goals. I soon achieved those too. Now, I am free of my obsessions, know how to manage my anxiety, and love my life. My only regret: not having done this sooner. I wish I had known that you don’t have to wait to hit rock bottom to get help.
Depression Lifted
I’m 26 years old and I’ve been suffering from terrible depression for 7 years. In the throws of my sadness I literally wanted to die. Soon after starting therapy at the Center for Anxiety, my depression lifted. My suicidal thoughts began to dissipate. I remember the feeling that came over me as soon as the dark cloud above me left. It was the most liberating feeling I have ever experienced. I actually shouted to my friends, family and anyone nearby me “I’m Happy! I am Happy!” I felt free.
Over the course of four years I developed anxiety-like symptoms (tightness in chest, gut, back) that slowly but surely increased in duration and severity. The EXTREMELY uncomfortable nature of the symptoms notwithstanding, I still continued and managed to function. The effort required to do so, however, left me utterly drained. Having always been a very spiritual person I strongly felt that a course of therapy incorporating a spiritual component could potentially work well for me and decided to give the Center for Anxiety a try. Happily, I have achieved significant symptom reduction, tremendously improved emotional/mental health, and above all, Connection. Medication free. I’m no longer just existing, I’m LIVING. I’ve been given a second chance to become the unique human being that I was meant to be.
No More worries
I have wormed in healthcare for 36 years in many different settings, and I have been overwhelmingly satisfied with the Center for Anxiety. When staff says they are going to call, I get a call. From the first contact, I have been very impressed with the professionalism and efficiency. I had a situation and needed to have sessions more than once per week, and my clinicians worked out a schedule to accommodate my needs. I was astounded that they attended to me so quickly and effectively - they made my priority their priority. My clinicians were also excellent at what they do - they have a plan for me each session, and it's clear that they have thought in advance about each session, and that they are listening to what I say and observing what I do, even though our sessions have been conducted via Telehealth. Compassion is a quality that I have all too often found to be lacking in my experiences as a healthcare professional and patient, and this is not the case with the Center for Anxiety. Of all the websites I found on Google, I am so thankful that God guided my hand to yours.

Speak with a Patient Care Manager

  • Date Format: MM slash DD slash YYYY

Our Locations