Dialectical Behavior Therapy Skills in Boca Raton, Florida

DBT helps patients understand that they are not alone in their concerns and struggles.

Dr. Adam Friedman and Adriane Schmitt, LMHC, perform Dialectical Behavioral Therapy (DBT) sessions at our Boca Raton office.

Learn More About Dialectical Behavior Therapy

Dialectical Behavior Therapy (DBT) is a specific form of therapy that teaches skills which have been clinically proven to help people better handle overwhelming emotions, recurring thoughts/worries, and difficulties maintaining boundaries in their relationships. Created by Marsha Linehan, PhD, DBT makes life easier by teaching skills that help people avoid making the difficult situations that arise in life worse through our actions and emotions. In essence, DBT works on the “steam in the pipe”, the underlying causes that result in unhealthy behaviors.


DBT is divided into 4 sections (modules). The first module is mindfulness, which is the cornerstone of DBT. Skills taught in this module help us understand and learn not to place judgments on our thoughts and feelings, as well as stay in the moment. The concept of wise mind decision making is also taught in the mindfulness module. The skill of wise-mind helps patients avoid making quick decisions based on emotion.

"Your struggle doesn't have to be yours alone."

The second module is emotional regulation. In this module, DBT patients are taught skills designed to help them feel in control and better understand their emotions, as well as understand the role of self care in their emotional wellbeing. These skills help our clients contain their emotions before they reach their “point of no return”, and resort to unhealthy behaviors.

 

In the third module, interpersonal effectiveness, relationships are examined. Patients are taught specific ways to create and maintain boundaries, including asking for what they want in a healthy way and being assertive when turning down a request that might be unreasonable or unhealthy.

 

In the fourth and final module, distress tolerance, patients are taught radical acceptance, perhaps the most important DBT skill. Until a person can accept their current circumstances, emotions, and limitations, change is impossible. Also in distress tolerance, group members learn how to plan for unexpected events that occur in life so they aren’t overwhelmed and don’t make matters worse. 


DBT sessions are run according to the research based protocols, very specific guidelines created by Dr Linehan and proven to be effective in research studies. Sessions are run in 2 hour blocks, once a week. The sessions are 10 weeks in duration, and each patient receives a one of a kind book created out of Dr Linehan’s materials. Every week, patients will be given a specific assignment to help reinforce the skills taught that week. 

Adriane Schmitt, LMHC

Adriane is a Licensed Mental Health Counselor with a passion for providing the utmost quality of services to individuals struggling with mental health and substance use disorders.  Adriane has been practicing in South Florida for over 9 years and received her Master's of Science Degree in Mental Health Counseling from Nova Southeastern University. Adriane has specific expertise in Dialectical Behavior Therapy (DBT) and her extensive DBT training has been through Behavioral Tech, a training company founded by DBT’s creator, Dr. Marsha Linehan.

 

She has also been privileged to receive training by Dr. Marsha Linehan herself during an Intensive DBT workshop in Seattle, WA. Adriane is also responsible for teaching, developing, and supervising DBT programs affiliated with The Amy Winehouse Foundation both in the United States and the United Kingdom. 

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Adriane's style of therapy is an eclectic approach or "multi-modal'' to adapt to the individual needs of her patients. Adriane believes that therapy is not "one size fits all" and that there is a mutual and collaborative focus to the direction and goals of therapy. Some of the modalities she commonly uses are DBT, CBT, Person-Centered, Solution Focused, Interpersonal Psychotherapy, and Motivational Interviewing.

While Adriane has vast experience working with individuals suffering from anxiety and depression, she also has expertise working with people struggling with Borderline Personality Disorder, relationship issues, grief/loss, anger management, LGBTQIA related issues, life transitions, panic attacks and panic disorder, self-esteem, work stress, and women's issues.

Adriane believes and recognizes that the person in therapy is the expert on their own experience.  Her role as the therapist is to make interpretations, offer suggestions, and guide them to their best self!

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