Image of a female resolving an issue in a DBT session at the Equilibrium Therapy offices in Seattle, WA

Dialectical Behavior Therapy (DBT) in Seattle and across Washington State

For people who feel overwhelmed, reactive, or stuck in patterns that are hard to change.

DBT at Equilibrium Therapy Group provides a clear, step-by-step approach to help you manage emotions, reduce reactivity, and build more stable patterns in your life and relationships.

Many people come to DBT after trying to manage things on their own and realizing they need something more consistent and practical. This work is especially helpful if you’ve tried to “figure it out” on your own and want something more structured and effective.

We offer in-person DBT in West Seattle and virtual sessions across Washington State.

You can learn more about DBT and its origins here.

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Who DBT is for

DBT may be helpful if you:

  • Feel overwhelmed by your emotions or reactions

  • Struggle with anxiety, depression, or mood swings

  • Have difficulty managing stress or conflict

  • Feel stuck in patterns that repeat in relationships

  • Experience intense emotions that feel hard to manage in the moment

  • Want practical strategies, not just insight

DBT is designed for people who want structured support and real tools they can use outside of sessions. Many people come to DBT after trying to manage things on their own.

The four core DBT skills

DBT is taught through a structured set of skills that build on each other over time.

Mindfulness

Learning to notice and stay present without judgment.

Emotion regulation

Understanding emotions and building stratigies to manage them effectively.

Interpersonal Effectiveness

Improving communication, boundaries, and relationships.

Distress tolerance

Handling difficult situations without making them worse.

DBT Skill Groups

Adult DBT skills group

A structured group focused on learning and practicing DBT skills in a supportive environment.

Format includes:

  • Weekly skills training

  • Guided practice and discussion

  • Real-life application

Teen DBT skills group

Designed for teens and families who need support with managing strong emotions, communication, and stability.

Focus includes:

  • Managing emotions and stress

  • Improving communication

  • Building structure and stability

Where we offer DBT

In-Person (West Seattle)

3614 California Avenue SW
Seattle, WA 98116

In-person sessions are available in West Seattle, serving Alki, Admiral District, The Junction, and surrounding areas.

Virtual (Washington State)

We offer secure telehealth DBT sessions for clients across Washington State.

What makes our DBT program different

  • Structured, evidence-based approach

  • Focus on patterns and real-life application, not just theory

  • Support for emotional and relational patterns

  • Combination of individual and group work

  • Practical tools you can use immediately

FAQs

Do you offer DBT sessions in Seattle?
Yes. We offer in-person DBT in West Seattle and virtual sessions across Washington.

How does DBT work?
DBT combines structured skills training with therapy to help you manage emotions, improve relationships, and handle stress more effectively. Check out our blogs on DBT.

Do I need experience to join a DBT group?
No. DBT is designed to be learned step-by-step in a supportive environment.

Is DBT only for certain diagnoses?
No. DBT can be helpful for anyone who wants better emotional regulation and more stable patterns.

Can I do DBT individually?
Yes. Many clients combine individual therapy with DBT skills training.

Build skills that actually change how you feel and respond

If you’re looking for DBT in Seattle or anywhere in Washington State, we can help you get started with a structured, practical approach that actually works