Dialectical Behavioral Therapy (DBT) in Massachusetts

Refresh Recovery offers dialectical behavior therapy (DBT) in Massachusetts to help you develop healthy emotional regulation skills and overcome substance use and mental health challenges. Learn more about DBT now.
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Counseling and therapeutic services promote personal wellness and lifelong recovery. Through guided internal processing and practical coping skill development, clients are empowered to overcome personal challenges and create for themselves the life they truly wish to lead.

At Refresh Recovery, we’ve seen clients safely navigate mental health and substance use disorders time and time again. Professional counseling and therapy are often the catalysts you need to sustain lasting recovery and personal renewal. Start here.

Achieve Self-Acceptance with Our DBT Therapy

Do you struggle with the will or desire to carry on? Are you stuck on the cycle of short-term recovery and relapse? Does the thought of living in freedom seem unimaginable and beyond your grasp? If so, we want to show you that a life of self-acceptance and real growth is possible. We believe it’s essential for your personal wellness and recovery.

At Refresh Recovery, we use evidence-based treatment to help our clients overcome mental health diagnoses and substance use disorders. It’s time to live life without the weight you’ve carried for far too long. If you seek to improve your overall well-being and learn the skills required for lasting change, you’re in the right place.


One of the most effective forms of behavioral health that we use at Refresh Recovery is what’s known as Dialectical Behavioral Therapy, or DBT. Professor Marsha Linehan originally developed this form of Cognitive Behavioral Therapy to help treat individuals with borderline personality disorder and suicidal tendencies[1].

Since then, psychotherapy professionals have found DBT is also highly effective in treating those with substance use disorders and decreasing the length and severity of relapses[2].

DBT gets its name from the word “dialectic,” meaning the combination of two opposites. With our dialectical behavior therapy program, participants are taught the strength of both change and acceptance.

This practice is broken into four stages:

  • Stage 1: Accepting where you are right now while addressing the immediate dangers to your life, such as suicidal tendencies and substance use. This is accomplished through consistent therapy sessions where you’re taught skills to control harmful behaviors.
  • Stage 2: Known as “Quiet Desperation,” this is the stage where the immediate danger is under control, but you’re still dealing with overwhelming emotions. Therapy is focused on how to manage those feelings and replace negative thought patterns.
  • Stage 3: You’ve moved past the stages of trauma and are now able to focus on setting goals for the future and mending relationships and self-esteem.
  • Stage 4: This is the final stage of recovery where you achieve true completion and joy and can focus on your spirituality and finding deeper meaning in life.

In each stage of DBT, you are accepting parts of your life and personality while also recognizing the need to change unhealthy or unfulfilling aspects. We believe this is what makes DBT so successful for those dealing with complex and life-altering disorders.

WHO Can Benefit from DBT Therapy?

As mentioned before, DBT was originally designed to help patients who were struggling with multiple-personality disorder and suicidal tendencies. However, once clinicians started to see success in those areas, they began to transfer those same practices to other mental health issues and achieved similar favorable outcomes for various diagnoses.

Currently, DBT is being successfully used to help individuals navigate difficult life transitions and those struggling with mental health issues such as:

  • Bi-Polar Disorder
  • Substance Use Disorder
  • Eating Disorders
  • Post-Traumatic Stress Disorder
  • OCD
  • Self-Harm

If you or a loved one are struggling with one or more of these disorders and challenges, or just need additional support to navigate challenging life transitions, reach out today. We can help. You’re In The Right Place.


If you’re tired of feeling stuck in the pattern of relapse and recovery, we’re here to show you how to make a recovery last for a lifetime with DBT. Our dedicated team will teach you skills that will empower you to live a life of freedom and enjoyment through our specialized DBT therapy in Massachusetts. There is hope and help for the future, and it’s just one click or call away.


DBT works by teaching you skills that you’ll use for the rest of your life to change the way you respond to triggers and negative circumstances. Our DBT therapy programs in Massachusetts ensure you develop these skills effectively.

These skills are divided into four modules[3]:

  1. Mindfulness
  2. Interpersonal Effectiveness
  3. Emotional Regulation
  4. Distress Tolerance

Two skills focus on the “change” value of DBT (interpersonal effectiveness and emotion regulation), while the other two (mindfulness and distress tolerance) focus on acceptance. At Refresh Recovery, our team of LICSWs and clinicians will help you work through each of these modules so you can develop the practical skills required for lasting recovery.

Practical DBT Skills Training

The DBT skills taught at Refresh Recovery, part of our dbt programs in Massachusetts, help you walk away with healthy coping strategies for the inevitable moments that life will bring your way. Instead of responding to these triggers with former unhealthy mechanisms such as substances or self-harm, you’ll now have a toolbox of strategies to choose from.

Practical DBT Skills Training

The DBT skills taught at Refresh Recovery, part of our dbt programs in Massachusetts, help you walk away with healthy coping strategies for the inevitable moments that life will bring your way. Instead of responding to these triggers with former unhealthy mechanisms such as substances or self-harm, you’ll now have a toolbox of strategies to choose from.

Increased Interpersonal Effectiveness

You’ll learn how to repair relationships that have been damaged through healthy relational behaviors and boundaries, a key focus of our DBT programs in Massachusetts. While some relationships will be rebuilt, others will be ended for your overall well-being. Our team will guide you in these decisions.

Mindfulness Training

One of the key components of DBT, mindfulness brings awareness to the moment and how it affects your thoughts, feelings, and emotions. This is a crucial part of our DBT therapy approach. You’ll learn how to master your internal reactions to external factors so you can take control of the moment rather than let it control you.

Healthy Distress Tolerance
With this skill, you’ll learn how to “sit” with discomfort and accept the feelings that uncomfortable situations may bring. By accepting that times of crisis and distress will inevitably happen, you can learn healthy ways to self-soothe and cope.
Consistent Emotional Regulation

The final skill deals with identifying, naming, and changing emotional responses that aren’t favorable or desirable for a healthy life, which is emphasized in our DBT programs in Massachusetts. By recognizing these thoughts and your typical emotional response to them, you can then learn how to have the opposite reaction.

Refresh Recover & Wellness

DBT Treatment Options For Substance Use Or Mental Health Recovery

The DBT treatment program at Refresh Recovery utilizes various formats of therapy, allowing our clients to work directly with our providers through individual and group sessions in multiple outpatient options. We offer flexible programs so you can get the help you need while continuing your normal routine as much as possible.

Options include our Partial Hospitalization Program (PHP), our day program operating from 9 am – 3 pm daily, and our Intensive Outpatient Program (IOP), offered throughout the day and evening to work with your schedule


Average DBT Timeline

Every person entering the doors at Refresh Recovery is unique, that’s why our clinical staff will conduct a thorough survey with you before determining the length and intensity of your treatment program. While we don’t like to set a timeline for a typical program length, we do want you to know that we’re committed to helping you every step of the way from the start of your recovery onward. We believe that true recovery is a lifelong process, and that’s how long we’ll be there for you.


While DBT is a subset of Cognitive Behavior Therapy, it varies in one important way. CBT is a treatment plan focusing more on avoiding certain triggers and your typical responses to them. DBT accepts that uncomfortable situations will occur in life, and instead of trying to avoid them, you should learn how to change your response to them.

At Refresh Recovery, we believe both therapy forms are beneficial, and therefore we use both in our treatment programs. The particular form of therapy that would be most beneficial will depend on your background and your current situation. Our team will work directly with you to determine the best path for your recovery process.

WHY CHOOSE REFRESH RECOVERY for DBT Therapy in Massachusetts?


Each client receives a care plan designed to meet their individual treatment needs and goals with the support of qualified and trained clinicians, therapists, and staff.


By using evidence-based methods, therapies, and programs, we help you build the foundation for lasting health and wellbeing.


Our team has the knowledge, experience, and ongoing training to treat a range of disorders, including AUD, OUD, and co-occurring disorders.


Many of our supportive staff have been right where you are and know the strength it takes to maintain a lasting recovery, and they’re here to help in every step.


Is DBT better than CBT for BPD?
DBT is a form of CBT that was specifically designed to help those suffering from BPD and therefore is a highly effective way of treating it. However, a combination of both therapies may be helpful depending on the individual’s background and goals.
What does DBT involve?
DBT is a combination of many therapy modalities, which may include individual therapy, group therapy, phone coaching, and family therapy. Participants learn communication skills, coping skills, mindfulness, and much more.
What is the cost of DBT therapy in Massachusetts? Does insurance cover therapy in Massachusetts?
Many insurance providers cover mental health treatment. Our administrative team will help you determine if your treatment is covered, and if not, we can discuss potential private pay options. The investment for your individual treatment will depend on your long-term goals and the length of your customized plan.

Experience Comprehensive Healing with Our Evidence-Based Therapies at Refresh Recovery

At Refresh Recovery, we offer evidence-based therapies that can help you heal from substance use and mental health issues.

Dialectical Behavioral Therapy (DBT) in Massachusetts


Cognitive Behavioral Therapy is a form of talk therapy that focuses on identifying the underlying causes of unhealthy behavior. By uncovering undesirable internal thought patterns and emotional habits, you will be equipped to address your challenges at the root cause. You will learn practical coping skills and create a sustainable path to healthier habits.


Dialectical Behavioral Therapy (DBT) in Massachusetts


Dialectical Behavioral Therapy is a talk therapy similar to CBT. However, DBT goes a layer deeper and focuses more on client safety and self-acceptance. This process helps establish greater emotional control and equips you to regulate the internal harmful or unhealthy patterns that lead to undesirable behaviors.


Dialectical Behavioral Therapy (DBT) in Massachusetts


Beginning to pursue recovery from Substance Use Disorders often comes with uncomfortable withdrawal symptoms making the journey even more challenging. Medication-Assisted Therapy alleviates the symptoms of withdrawal and allows the client to taper off harmful substances safely and with less discomfort.



Dialectical Behavioral Therapy (DBT) in Massachusetts


One of our counseling methods is Motivational Interviewing. MI is a client-focused approach to generate a change in actions. The process activates your core values and increases your personal motivation to do, be, and live healthier.



Dialectical Behavioral Therapy (DBT) in Massachusetts


Some alcohol or substance addiction challenges can stem from or agitate past and present trauma. By implementing trauma-informed treatment, you’re empowered to safely process traumatic experiences under the guidance of professional help in a safe space.


Dialectical Behavioral Therapy (DBT) in Massachusetts


Working closely with a group of like-minded and goal-oriented individuals is a critical recovery component. It allows each client to share safely, learn from their peers, and practice their coping skills. Each session is guided by a qualified and experienced moderator.





At Refresh Recovery, we’re committed to seeing each client as a unique individual. This requires a customized approach to therapeutic interventions for each client.

Through psychotherapy or talk therapy, our goal is to help individuals better understand themselves and how they process experiences and to increase their ability to cope with their internal processes.