Dialectical Behavioral Therapy (DBT)2025-07-10T11:53:35+00:00

DBT For Substance Abuse In St. Louis

Dialectical Behavior Therapy For Substance Use Disorder & Holistic Emotional Recovery

Dialectical Behavioral Therapy For Substance Use and Mood Disorders

Recovery goes so much deeper than maintaining sobriety. There are mental, psychological, and emotional factors that influence your everyday life and can impact how you move through treatment. Part of a true holistic healing journey is addressing the underlying emotional needs and mental health conditions. Engage Wellness offers holistic and evidence-based interventions to address the whole-person experience of healing and recovery.

What is DBT Therapy?

Dialectical Behavioral Therapy (DBT) is an effective and evidence-based form of talk therapy with substantial benefits for both psychosocial disorders and substance use disorders. DBT was initially developed for Borderline Personality Disorder (BPD) and shares some core components with Cognitive Behavioral Therapy (CBT).

DBT sessions are administered by a trained DBT therapist in a series of therapy sessions as part of an overarching treatment protocol. At Engage Wellness, DBT therapy is a strong evidence-based behavioral health treatment that blends emotional well-being with the recovery process.

How (and Why) DBT For Substance Abuse Works

Dialectical Behavioral Therapy (DBT) promotes mindfulness and helps clients develop critical coping skills, including improving distress tolerance, elevating emotional regulation, and improving interpersonal effectiveness.[1] Equipped with these holistic DBT skills, clients can restore healthy functioning, improve self-esteem, identify emotional triggers, focus on sobriety and recovery, improve decision making, and build a life worth living.

At Engage Wellness, we offer DBT for substance abuse and co-occurring disorders to support 360-degree recovery. Other evidence-based treatments include 12-step facilitation therapy, cognitive behavioral therapy, medication-assisted treatment, group therapy, and more.

Efficacy of Dialectical Behavior Therapy For Substance Use Disorder and Co-Occurring Disorders

DBT therapy was initially developed for borderline personality disorder (BPD), but the application was extended to incorporate substance use disorder, as many of those with BPD suffer from a co-occurring disorder. This approach incorporates concepts and techniques designed to promote sobriety and to decrease the impact of relapse.[2] The study revealed that with a “clear mind” and by implementing attachment strategies, clients decreased substance use.

Additionally, DBT for substance abuse has shown positive outcomes by reducing emotion-based forms of impulsivity. At the end of DBT treatment protocols, impulsivity levels were significantly reduced, and improvements were observed in distress tolerance, mindfulness, and emotion regulation.[3] These benefits and lifestyle changes cannot be overstated for someone navigating recovery and addiction treatment, as they naturally lead to an improved quality of life in every area.

What to Expect from DBT For Substance Abuse In St. Louis

DBT sessions vary from person to person, but will typically follow a format that focuses on four client-focused core functions of treatment:[4]

  • Enhancing Essential Capabilities: Clients learn and practice essential life skills and the core DBT skills (mindfulness, distress tolerance, emotional regulation, interpersonal effectiveness).
  • Generalizing Essential Capabilities: Learning to apply essential life skills to everyday situations (academic, work, family, treatment, etc.) in real-time and in preparation for crisis.

  • Increasing Intrinsic Motivation and Reducing Dysfunctional Behaviors: Clients and DBT therapists will track behaviors and their alignment with treatment goals.

  • Structuring the Environment: Creating a safe space and environment that promotes active participation and treatment progress.

DBT and Addiction Treatment at Engage Wellness

Dialectical Behavioral Therapy sessions are offered as part of each of our treatment programs here at Engage Wellness. DBT’s evidence-based practices can be included in individual or group therapy sessions. Each client will receive an individualized treatment plan that outlines the best approach to treatment based on individual needs. DBT therapy modalities can be prescribed as part of the following treatment options:

Although we do not offer detoxification treatment at Engage Wellness Missouri, our detox placement services connect clients with essential care by referring them to trusted local partners. This offers the support you need as your body eliminates harmful toxins.

Intensive outpatient treatment is a part-time program with day and evening sessions designed for flexible treatment. Participants receive daily treatment and support without disrupting school, work, and home life rhythms.

The outpatient program is best for long-term care after completing the IOP program. Clients receive weekly therapy sessions and individual support or medication management as needed.

Some medications can counteract the effects of some drugs, some help reduce cravings, and others alleviate uncomfortable withdrawal symptoms, making it easier to focus on treatment and recovery.

Frequently Asked Questions about DBT For Substance Abuse In St. Louis

What are the benefits of using dialectical behavior therapy for substance use disorder in St. Louis?2025-06-10T17:49:40+00:00

Benefits of DBT include decreased substance abuse, increased emotional regulation, improved distress tolerance, and better interpersonal effectiveness. These critical DBT outcomes significantly improve quality of life and help you design a life worth living.

Who can benefit from DBT Therapy?2025-06-10T17:48:46+00:00

Many of those who struggle with mood disorders, borderline personality disorder, substance use disorder, and other co-occurring disorders.

Does insurance cover DBT therapy?2025-06-10T17:47:32+00:00

In most cases, yes, insurance will cover some or all of DBT treatment. Mental health and addiction care are protected services classified as Essential Health Benefits under the Affordable Care Act. Engage Wellness Missouri works with all commercial insurance carriers and is an in-network provider with TriCare Insurance.

‌What is the 24-hour rule in DBT?2025-06-10T17:46:55+00:00

The 24-hour rule that is unofficially associated with DBT therapy refers to the window of time during which clients and therapists cannot interact following a negative event like self-harm, relapse, or a suicide attempt. The purpose of the 24-hour rule is to encourage and empower clients to rely on their DBT skills to navigate challenging situations.

Does DBT work for substance abuse?2025-06-10T17:45:55+00:00

Yes, DBT has promising applications for alcohol and substance use disorders. It should be part of a greater overall treatment plan that incorporates interventions for both mental health and addiction struggles.

[1]Corliss, J. (2024, January 22). Dialectical behavior therapy: What is it and who can it help?. Harvard Health. https://www.health.harvard.edu/blog/dialectical-behavior-therapy-what-is-it-and-who-can-it-help-202401223009 

[2]MM;, D. L. (n.d.). Dialectical behavior therapy for substance abusers. Addiction science & clinical practice. https://pubmed.ncbi.nlm.nih.gov/18497717/ 

[3]Author links open overlay panelNicholas L. Salsman, & Abstract This chapter reviews 8 randomized controlled trials (RCTs). (2020, May 27). Dialectical behavior therapy for individuals with substance use problems: Theoretical adaptations and empirical evidence. The Handbook of Dialectical Behavior Therapy. https://www.sciencedirect.com/science/article/abs/pii/B9780128163849000075 

[4]Chapman, A. L. (2006, September). Dialectical behavior therapy: Current indications and unique elements. Psychiatry (Edgmont (Pa. : Township)). https://pmc.ncbi.nlm.nih.gov/articles/PMC2963469/ 

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