Are you looking for DBT therapy in Bethesda, Maryland?
If you’re dealing with overwhelming emotions, relationship challenges, or trauma, you’re not alone. Many people in Bethesda and throughout Maryland are discovering how Dialectical Behavior Therapy (DBT) can transform their lives. While finding specialized DBT therapy locally can be challenging, virtual care offers a powerful solution that brings expert support directly to you. Groundbreaker Therapy is a counseling center specializing in DBT, dedicated to providing a comprehensive range of mental health services.
At Groundbreaker Therapy, Dr. Matthew Mandelbaum provides comprehensive DBT therapy to Maryland residents, including those in Bethesda. With extensive training in Dialectical Behavior Therapy and over 20 years of experience, Dr. Mandelbaum is a skilled therapist who combines DBT with trauma-informed care to help highly sensitive, intelligent individuals develop the skills they need to thrive.
The comprehensive DBT treatment approach at Groundbreaker Therapy includes individual therapy, group skills training, and phone coaching to ensure clients receive integrated, multi-modal support.
Clients benefit from a supportive environment and a holistic therapeutic approach that fosters emotional growth, trust, and long-term behavioral change.
What Is Dialectical Behavior Therapy (DBT)?
Dialectical Behavior Therapy (also known as dialectal behavior therapy and dialectical behavioral therapy) is an evidence-based treatment developed by Dr. Marsha Linehan in the 1980s. Originally created for individuals with Borderline Personality Disorder, DBT has proven effective for a wide range of mental health challenges involving emotional dysregulation. Acceptance strategies are essential techniques used in DBT to help clients acknowledge and validate their emotional experiences.
The therapy focuses on four core skill modules that work together to help you build emotional stability. DBT focuses on emotional regulation, interpersonal effectiveness, mindfulness, and distress tolerance as its core components. A key principle of DBT is balancing acceptance of current feelings and experiences with efforts to make positive behavioral changes.
Mindfulness
Learning to be present in the moment through mindfulness practices is foundational to DBT. Focusing on the present moment helps you observe your thoughts and emotions without being overwhelmed by them, supporting emotional regulation.
Distress Tolerance
Developing coping strategies to manage crisis situations without making them worse is essential for handling emotional distress. These skills help you survive difficult moments without turning to harmful behaviors.
Emotion Regulation
Understanding and managing your emotions effectively by developing self-regulation. You’ll learn to identify emotional triggers, including intense emotional states, reduce vulnerability to negative emotions, and increase positive emotional experiences.
Interpersonal Effectiveness
Building healthier interpersonal relationships and communication skills. These techniques help you get your needs met while maintaining respect for yourself and others and are specifically designed to address interpersonal challenges.

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Benefits of DBT Skills
Dialectical behavior therapy (DBT) skills offer life-changing benefits for anyone facing emotional dysregulation, borderline personality disorder, or other mental health challenges.
By learning DBT skills, you gain practical tools to improve emotional regulation, develop effective coping strategies, and navigate intense emotions with greater ease. These skills empower you to break free from cycles of emotional reactivity and self-destructive behaviors, helping you build healthier relationships and a more balanced life.
DBT skills training goes beyond symptom management—it fosters emotional balance, boosts self-esteem, and encourages self-acceptance. As you practice these skills, you’ll notice a greater sense of control over your emotional experiences and a deeper, more compassionate relationship with yourself.
Whether you’re struggling with overwhelming feelings, relationship difficulties, or the effects of borderline personality disorder, DBT skills can help you create lasting positive change and move toward a more fulfilling, satisfying life.
Who Benefits from DBT Therapy? | Is it only for Borderline Personality Disorder?
DBT therapy in Bethesda can be particularly helpful for individuals experiencing:
- Borderline Personality Disorder (BPD) and other personality disorders
- Anxiety and depression that feels overwhelming
- PTSD and trauma recovery needs
- Emotional outbursts or intense mood swings
- Self-harm behaviors or suicidal ideation
- Impulsivity that impacts relationships or work
- Chronic feelings of emptiness or instability
- Eating disorders and related disordered eating or body image issues
- Impulsive actions resulting from emotional dysregulation
DBT skills training is suitable for teens, adults, and families navigating emotional regulation challenges. The therapy is especially effective for highly sensitive individuals who feel emotions more intensely than others. DBT is also effective for young adults facing mental health challenges such as anxiety, depression, and life transitions.
Individual treatment plans are tailored to each client’s unique needs, ensuring a personalized approach to therapy. DBT supports personal growth and increases life satisfaction by helping clients develop emotional regulation, mindfulness, and interpersonal effectiveness skills.
DBT Skills Training Program
A comprehensive DBT skills training program is designed to help you master essential skills for emotional regulation, distress tolerance, and interpersonal effectiveness. Typically, the program combines individual therapy, group skills training, and phone coaching, creating a supportive and non-judgmental environment where you can learn and grow at your own pace.
In a DBT skills training group, you’ll connect with peers facing similar challenges, share experiences, and receive valuable feedback. These groups offer a safe space to practice new skills, gain a deeper understanding of yourself, and build confidence in managing overwhelming emotions.
The program covers a wide range of topics, including mindfulness, emotional regulation, distress tolerance, and interpersonal effectiveness—equipping you with the tools you need to handle life’s ups and downs.
By participating in a DBT skills training program, clients learn to apply these strategies in real-world situations, leading to improved relationships, greater emotional stability, and a more fulfilling life. The combination of group support, individual therapy, and phone coaching ensures you have the guidance and encouragement needed to make meaningful progress on your mental health journey.

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DBT Therapy in Bethesda: Virtual Care That Works
While Bethesda has local mental health providers, finding specialized DBT therapy with a trauma-informed approach can be difficult. Long waitlists and limited availability often leave people without the support they need.
Virtual DBT therapy bridges this gap by providing:
- Immediate access to specialized care without long waiting periods
- Flexible scheduling that accommodates busy professionals and students
- Consistent support from the comfort of your own space
- Expert guidance from licensed psychologists with extensive DBT training
Virtual care also provides access to comprehensive DBT treatment, including all core components such as individual therapy, group skills training, and phone coaching, ensuring a holistic and structured approach to emotional regulation and long-term behavioral change.
For busy professionals, parents, and students in the Bethesda area, virtual therapy eliminates travel time and provides a safe, private environment for healing.

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Working with DBT Therapists
Partnering with a skilled DBT therapist can make a significant difference in your mental health and overall well-being. DBT therapists are intensively trained to provide a comprehensive DBT program that includes weekly individual therapy, phone coaching, and a customized treatment plan tailored to your unique needs. In this supportive, non-judgmental environment, you’ll feel empowered to explore your thoughts and emotions, develop new skills, and address emotional difficulties head-on.
Your DBT therapist will work closely with you to help regulate emotions, overcome mental health challenges, and build a more satisfying life. Through regular individual therapy sessions, you’ll receive personalized guidance and practical strategies for managing stress, improving relationships, and achieving your goals. Phone coaching offers additional support between sessions, helping you apply DBT skills in real-life situations when you need them most.
With the right support and a comprehensive DBT program, you can gain the confidence and tools necessary to lead a more balanced, fulfilling life. Working with an experienced DBT therapist ensures you’re not alone on your journey—together, you’ll create a path toward greater emotional health, resilience, and well-being.
The Groundbreaker Therapy Approach to DBT
Dr. Mandelbaum’s approach to DBT therapy combines evidence-based techniques with compassionate, individualized care. His treatment philosophy emphasizes:
- Trauma-Informed Care: Understanding how past experiences impact present behaviors and emotions, creating a safe therapeutic environment for healing.
- Personalized Treatment: Tailoring DBT skills to your specific needs and life circumstances, ensuring practical application in your daily life.
- DBT Individual Therapy: Incorporating DBT individual therapy as a core component, focusing on tracking emotions and behaviors, identifying patterns, and applying skills learned in group sessions to manage intense emotions and behaviors effectively.
- Cultural Sensitivity: Providing inclusive, affirming care that respects your identity and background.
- Holistic Support: Addressing not just symptoms but helping you build a meaningful, fulfilling life aligned with your values.
Each session focuses on developing practical skills you can use immediately, whether you’re dealing with workplace stress, relationship challenges, or personal emotional struggles. The approach is also aimed at fostering healthier relationships by building effective communication, interpersonal skills, and emotional regulation techniques that lead to stronger social connections and improved relationship satisfaction.

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What to Expect in Virtual DBT Sessions
Virtual DBT therapy sessions are structured yet flexible, designed to help you learn and practice essential skills as part of a personalized individual treatment plan:
- Weekly individual sessions lasting 50 minutes, each tailored to your unique needs as part of your individual treatment
- Skills development through practical exercises and real-world applications
- Between-session support to help you implement new techniques
- Progress tracking to monitor your emotional growth and skill development
The virtual format uses secure, HIPAA-compliant technology that ensures your privacy while providing seamless access to care. Many clients find the virtual environment less intimidating and more conducive to open communication.
Common Questions About DBT Therapy
How much does DBT therapy cost?
DBT therapy costs vary based on session frequency and individual needs. Many health insurance plans offer 50-80% reimbursement for out-of-network therapy services. Groundbreaker Therapy provides documentation to help you seek reimbursement from your insurance provider.
Who is DBT not recommended for?
DBT may not be suitable for individuals with severe cognitive impairments, active psychosis, or those unwilling to commit to learning new skills. A thorough assessment helps determine if DBT is the right fit for your specific situation.
What is the 24-hour rule in DBT therapy?
The 24-hour rule refers to a guideline where clients agree to wait 24 hours before acting on urges to engage in harmful behaviors. This creates space for emotions to settle and allows time to use coping strategies effectively.
Does insurance pay for DBT therapy?
Many insurance plans cover DBT therapy, though coverage varies. Even when working with out-of-network providers, many clients receive significant reimbursement. It’s worth checking with your insurance provider about your specific benefits.

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Why Choose Groundbreaker Therapy for DBT in Bethesda?
Dr. Mandelbaum brings unique qualifications to DBT therapy:
- Over 20 years of experience in psychology and psychotherapy
- Specialized training in DBT and trauma-informed care
- Proven track record with highly sensitive, intelligent individuals
- Virtual accessibility across 43 states, including Maryland
- Personalized approach tailored to your specific needs and goals
Client testimonials consistently highlight his empathetic approach and effective techniques. As one client shared: “Dr. Mandelbaum has helped me immensely. He has given me a variety of tools to help rebuild my life; encouragement to have the strength to be who I am, and the confidence to live well within my limitations.”

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Getting Started with DBT Therapy
Taking the first step toward emotional healing can feel overwhelming, but you don’t have to do it alone. Whether you’re in Bethesda or anywhere else in Maryland, you can access quality DBT care without long waitlists or extensive travel.
The process begins with a simple consultation where you’ll discuss your goals, challenges, and how DBT might help. Dr. Mandelbaum will work with you to create a personalized treatment plan that addresses your specific needs and circumstances.
Resources for Continued Learning
Your journey with DBT extends beyond therapy sessions. These resources can support your ongoing growth:
- DBT Self-Help – Comprehensive skills practice and exercises
- Behavioral Tech – Evidence-based DBT information and research
- National Education Alliance for BPD – Education and support resources
- NAMI Maryland – Local mental health advocacy and support
- Maryland Behavioral Health Administration – State mental health resources
- Montgomery County Mental Health Services – Local community support

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Take the Next Step Toward Emotional Freedom
You deserve to live a life free from emotional chaos and relationship struggles. DBT therapy offers proven tools and techniques that can help you regulate your emotions, build healthier relationships, and create the fulfilling life you want.
Don’t let geography or long waitlists prevent you from getting the help you need. Virtual DBT therapy makes expert care accessible right from your home in Bethesda or anywhere in Maryland.
Schedule a consultation today and discover how DBT can transform your relationship with your emotions and help you build the life you truly want. Your journey toward emotional freedom starts with a single step—and that step is available to you right now.