Dialectical Behavior Therapy (DBT) in Scottsdale, AZ

Skills for the hardest moments.

DBT-informed therapy in Scottsdale and online across Arizona.
The modality

Dialectical Behavior Therapy

Both can be true

Dialectical Behavior Therapy combines acceptance with practical skills for emotion, distress, and relationships.

It can offer steadiness that supports deeper trauma work.

DBT was first developed to support people living with borderline personality disorder (BPD). Today it is also used for trauma and PTSD, anxiety, depression, and relationship difficulties.

Acceptance and change

The balance at the heart of DBT.

Dialectical Behavior Therapy is built on a simple tension: accepting yourself exactly as you are, while also working to change what is not working. Neither side is enough on its own.

For people who feel emotions intensely, this balance matters. Pure acceptance can feel like giving up; pure change can feel like criticism. DBT holds both, and that holding is often the first thing that brings relief.

The approach is practical and skills-based — concrete tools you can use in the middle of a hard moment, not only insights to think about afterward.

Dialectical Behavior Therapy (DBT)
“Two things can be true at once: you are doing your best, and there is more to learn.”
Dialectical Behavior Therapy
Skills in daily life

What you actually practice.

Mindfulness skills help you notice what is happening inside without being swept away by it. Distress tolerance offers ways to get through crisis moments without making them worse.

Emotion regulation skills support you in understanding what you feel and bringing the intensity down to a workable level. Interpersonal effectiveness helps you ask for what you need and hold boundaries while protecting the relationships that matter.

In our practice, DBT skills are woven into individual therapy and adapted to your life — often as the steady ground that makes deeper trauma processing with EMDR, DBR, or IFS possible.

What it can help with

Acceptance and change, together.

Overwhelming emotion

Feelings that are hard to manage in the moment.

Crisis moments

Needing tools to get through intense distress.

Relationship strain

Difficulty asking for needs or holding boundaries.
A gentle next step

Curious whether Dialectical Behavior Therapy is the right fit for you?

You do not need to know which approach you need. A free consultation is simply a conversation — we listen, and together we consider what might help.
What a session can include

Practical and grounded.

Skills are woven into sessions and adapted to your life.
Mindfulness
Noticing the present with less judgment.
Distress tolerance & regulation
Tools for intense moments and emotional waves.
Interpersonal effectiveness
Asking for what you need while protecting relationships.
Common questions

Frequently asked questions.

Related support
Do you offer in-person and online sessions?
Yes. Sessions are available in person at the Scottsdale office and by telehealth for clients across Arizona.
Expanding Horizons Counseling is a private-pay, out-of-network practice and does not bill insurance directly. A superbill can be provided for possible reimbursement.
Individual sessions are 50 minutes. Extended sessions and EMDR, DBR, and IFS intensives are available upon request.
A free consultation offers space to share what brings you here, ask questions, and consider whether the therapist and approach feel aligned.
Prefer to talk first?
Call us at 480-359-6126 — or send a note and we will reply as soon as we can.