DBT was originally developed by Dr. Marsha Linehan for borderline personality disorder, but its effectiveness for substance use disorders has been extensively validated. The therapy is built on four core skill modules: mindfulness (present-moment awareness without judgment), distress tolerance (surviving emotional crises without making things worse), emotional regulation (understanding and managing intense feelings), and interpersonal effectiveness (asking for what you need while maintaining relationships and self-respect).
At Virtue Recovery Killeen, DBT is delivered through a combination of individual therapy sessions and skills training groups. In individual sessions, your therapist helps you apply DBT skills to the specific situations triggering your substance use. In group skills training, you learn and practice each of the four modules in a structured, step-by-step format alongside peers.
A distinctive feature of DBT is the diary card — a daily tracking tool where you record emotions, urges, substance use behaviors, and skill usage. This card becomes a roadmap for your individual sessions, allowing your therapist to identify patterns and tailor interventions to your real-world experience rather than abstract concepts.
