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DBT for Addiction

Evidence-based therapy that builds emotion regulation, distress tolerance, and healthier coping for recovery.

About DBT

Dialectical Behavior Therapy (DBT) is a skills-based psychotherapy that teaches you two things simultaneously: to accept what’s happening and to make healthy changes. [1] Created by Dr. Marsha Linehan, DBT is often compared with cognitive behavioral therapy.

Where CBT focuses on changing thoughts and behaviors, DBT blends that change work with acceptance, mindfulness, and distress-tolerance skills. At New Leaf, DBT for addiction is built into our Intensive Outpatient (IOP) and Virtual IOP, so you can join in person or securely online.

Care is provided in small groups with individualized treatment plans, led by licensed clinicians and supported by Advanced Practice Nurses (APNs) with psychiatric expertise. Everything is paced and trauma-informed to keep you safe while you practice real-life coping skills.

How DBT Works at New Leaf

Dialectical Behavior Therapy (DBT) for addiction at New Leaf is led by licensed clinicians, with psychiatric APN support when needed. Core DBT skills include emotion regulation, distress tolerance, mindfulness, and interpersonal effectiveness. [2]

We teach practical coping strategies you can apply immediately — such as identifying emotions, resisting urges, setting boundaries, and staying present. Care is delivered in a trauma-informed environment that feels calm, predictable, and supportive. The goals are clear: reduce cravings, prevent relapse, and improve quality of life with evidence-based treatment in a welcoming, second-home atmosphere.

DBT skills and addiction recovery: [3]

  • Emotion regulation: Learn to identify, track, and balance intense emotions so urges don’t control your day.
  • Distress tolerance skills: Build short, effective tools to survive urges without relapse — including TIPP, paced breathing, sensory grounding, and self-soothing.
  • Mindfulness: Practice present-moment awareness to notice cravings and thoughts without acting on them, reducing relapse risk.
  • Interpersonal effectiveness: Strengthen boundaries, communication, and repair skills to support healthy family and social relationships in recovery.

Skills training happens in both group and individual therapy. Clinicians tailor each step to your unique needs, addressing substance use disorders and high-risk patterns such as self-harm or strong urges. DBT also supports co-occurring conditions like borderline personality disorder (BPD), PTSD, and eating disorders. [4] All work is paced to your readiness and integrated within your IOP or Virtual IOP plan so progress carries into daily life.

Benefits of DBT for Addiction

DBT reduces emotional dysregulation and cravings while teaching safer coping strategies for withdrawal symptoms and stress. As communication and boundaries improve, relationships and family dynamics stabilize.

DBT also complements other evidence-based modalities at New Leaf — including CBT, EMDR, and family therapy — ensuring your care works together effectively. Over time, daily practice builds confidence and relapse-prevention habits that support long-term recovery in everyday life.

What to Expect in DBT Sessions

DBT sessions include brief check-ins, skills training, mindfulness exercises, and practical coping strategies for managing urges. Expect group role-plays and real-life scenarios, along with supportive feedback from licensed clinicians and peers.

You’ll leave with simple homework, daily skills logs, and short mindfulness or coping practices to repeat between sessions. Progress is reviewed in individual therapy, where new skills are integrated into your relapse prevention plan to ensure lasting results.

Who It Helps

DBT helps individuals with substance use disorders, including alcohol and drug addiction. It’s also highly effective for co-occurring conditions such as borderline personality disorder (BPD), PTSD, depression, and eating disorders.

We serve both adolescents and adults, involving families and loved ones whenever it supports recovery. DBT is a strong fit for people managing emotional dysregulation, self-harm, or other high-risk relapse triggers—providing structure, accountability, and practical tools to navigate daily life with stability and confidence.

Ready to take the first step to recovery?

Reach out now, we’re looking forward to speaking with you and beginning the healing process.

FAQs About DBT for Addiction

What is DBT therapy, and how does it help with substance abuse?

Dialectical Behavior Therapy (DBT) is a skills-based psychotherapy that blends acceptance and change. At New Leaf, DBT is offered within IOP and Virtual IOP to help you manage emotions, tolerate distress, and practice healthier coping in real life, which are key supports for substance abuse treatment.

What’s the difference between DBT vs CBT?

CBT focuses mainly on changing thoughts and behaviors. [5] DBT incorporates change tools and acceptance strategies, such as mindfulness, validation, and distress tolerance, enabling you to manage urges without acting on them. Both are evidence-based and available at New Leaf, often used in conjunction with each other in a coordinated plan.

What DBT skills help with emotion regulation?

DBT teaches four core skill sets: emotion regulation (naming and balancing feelings), distress tolerance (surviving crises/urges safely), mindfulness (staying present), and interpersonal effectiveness (clear communication and boundaries). [6] We teach and practice these skills in small groups and individual sessions, both in-person and via secure telehealth.

Can DBT help with borderline personality disorder and co-occurring disorders?

Yes. New Leaf treats substance use alongside common co-occurring conditions (e.g., BPD, PTSD, depression, OCD, ADHD), using DBT with other therapies when appropriate. Care is provided in a paced and trauma-informed manner to prioritize safety and long-term stability.

How does DBT support relapse prevention and long-term recovery?

DBT provides a straightforward playbook for navigating challenging moments. You’ll learn urge surfing, quick mindful pauses, skills logging, and clear boundary plans so cravings don’t run the show. We pair those skills with relapse prevention groups, medication support (when it’s the right fit), and a step-down aftercare plan. The result: steadier weeks, fewer surprises, and tools you can use every day.

Start DBT for Addiction Today

Anyone, at any time, can start over at New Leaf Recovery. If you or a loved one is struggling, we’re here 24/7. One simple call. We’ll verify insurance, answer your questions, and get you started often on the same day. We offer DBT for addiction in person at our Monmouth County center and through Virtual IOP. Same clinicians. Evidence-based care. Flexible schedules.
Don’t wait. Call our 24/7 admissions team or verify insurance today to begin DBT for addiction with New Leaf Recovery.

Sources

[1][6] Professional, C. C. M. (2025b, September 10). Dialectical Behavior Therapy (DBT). Cleveland Clinic. https://my.clevelandclinic.org/health/treatments/22838-dialectical-behavior-therapy-dbt

[2][3] Dialectical Behavior Therapy (DBT). (2024, October 25). Yale Medicine. https://www.yalemedicine.org/conditions/dialectical-behavior-therapy-dbt

[4] Flynn, D., Joyce, M., Spillane, A., Wrigley, C., Corcoran, P., Hayes, A., Flynn, M., Wyse, D., Corkery, B., & Mooney, B. (2019). Does an adapted Dialectical Behaviour Therapy skills training programme result in positive outcomes for participants with a dual diagnosis? A mixed methods study. Addiction Science & Clinical Practice, 14(1). https://doi.org/10.1186/s13722-019-0156-2

[5] Cognitive behavioral therapy – Mayo Clinic. (n.d.). https://www.mayoclinic.org/tests-procedures/cognitive-behavioral-therapy/about/pac-20384610