How Long Will Dialectical Behavior Therapy (DBT) Take?

Last updated on: September 21, 2026

Therapy always seems like a lengthy affair to many people. In reality, it even is. Just take the example of DBT (Dialectical Behavior Therapy). It involves both individual and group sessions, making it lengthier than other traditional therapeutic approaches.

Typical DBT structured programs can last from 6 months to a year. Most programs have a 24-week planned protocol, which gets repeated another 24 weeks to cover the entire year. However, some programs can stretch much further.

At Growth thru Change, we have our own well-structured DBT program that is led by Meghan Lederman, Gwenn Prinbeck, and Amy Gillaspie. We will explain to you about DBT programs in detail, how long they take, and how far along you can expect to see a change. We will also explain to you about our DBT program so you can make the right choice.

How Long Will My DBT Program Take?

As we said, a typical program lasts 24 weeks + 24 more if it is a commitment of a whole year. However, here is a further breakdown of how it works:

DBT Mode Frequency & Duration Length of Treatment Purpose
Individual Therapy Weekly sessions, 45 to 60 minutes Typically 6–12+ months Private space to work on personal challenges, apply DBT skills, and stay motivated
Group Skills Training Weekly sessions, 90 minutes to 2.5 hours 24 weeks per cycle (often repeated → 6–12 months) Classroom-style learning of DBT skill modules (mindfulness, distress tolerance, emotion regulation, interpersonal effectiveness) with peer support
Phone Coaching As needed between sessions, brief 5–15 minutes calls Ongoing during the 6 to 12 months Real-time coaching to apply DBT skills during crises or emotional overwhelm

Individual Therapy

In a standard DBT program, individual therapy is the foundation. You’ll meet with your therapist one-on-one for 45 to 60 minutes each week. These sessions provide a private space to work through your personal challenges while learning how to apply DBT skills in daily life.

Individual therapy keeps you motivated, focused, and accountable as you progress toward your goals. Most clients engage in this mode for at least six months, with many continuing for a year or more, depending on their needs.

Group Skills Training

Alongside individual therapy, you’ll participate in a weekly DBT skills group, typically 90 minutes to two and a half hours. Unlike traditional group therapy, these sessions function like a classroom where clients learn and practice the four DBT skill modules: mindfulness, distress tolerance, emotion regulation, and interpersonal effectiveness.

A full cycle of modules takes about 24 weeks to complete, and many programs recommend repeating it. Most participants spend six to twelve months in skills training, benefiting from peer support, practical strategies, and confidence in using DBT tools.

Phone Coaching

DBT also offers support outside of sessions through brief phone coaching. These focused check-ins last 5 to 15 minutes and are available when overwhelming emotions or crisis situations arise. Phone coaching helps clients apply DBT skills in real time, bridging the gap between learning and practice. This support is available for the duration of treatment, usually 6 to 12 months, helping prevent harmful behaviors while reinforcing healthier coping strategies.

Worth Reading: 6 Main Points of DBT (Dialectical Behavior Therapy)

Growth Thru Change DBT Program for Adults

We provide one of the most comprehensive DBT programs in Philadelphia, Pennsylvania. Our DBT programs are different than what’s offered by most therapy providers. Here is a brief of what we offer:

  • Virtual DBT Skills Group (mindfulness, distress tolerance, emotion regulation, interpersonal effectiveness).
  • Homework practice to strengthen skills in daily life.
  • Optional individual counseling sessions with a DBT therapist.
  • Available virtually in PA with weekly sessions arranged in the evening.

Now here is what our DBT therapists offer exclusively:

  • Co-facilitated groups led by a relationally focused DBT therapist and a PhD-trained philosopher, a unique blend of clinical expertise and philosophical perspective.
  • Free consultation and personalized intake to ensure the program is the right fit.
  • Specific support for complex conditions, including BPD, PTSD, impulse control, and trauma recovery.
  • Emphasis on long-term growth, not just symptom relief; helping you achieve emotional stability, healthier relationships, and lasting behavioral change.

 

Our program is designed for individuals who want to build practical skills for managing emotions, strengthening relationships, and finding stability in daily life. With a weekly 90-minute skills group and practice between sessions, you’ll combine structured learning with personalized support for lasting change. The cost is also manageable for individuals at:

  • DBT Skills Group Package: $380/month (includes weekly skills group, $75/session value).
  • Individual DBT Coaching Calls: Two calls, included each month.
  • Weekly Mindfulness Group: Access included at no extra cost.
  • Free Consultation: Schedule a call to explore whether DBT is the right fit for you.

 

Learn more about our Dialectical Behavior Therapy in Philadelphia →

Factors That Define the Length of a DBT Program

We have just mentioned to you that an average DBT program can last from 6 months to 12 months. But some factors decide whether this time will be more than a year or even repeated for people who may suffer from severe BPD (Borderline Personality Disorder) or other psychological illnesses. But here are the factors that will determine the absolute length of your DBT program:

  • Severity and complexity of symptoms (e.g., self-harm, chronic emotional instability)
  • Patient’s commitment and regular practice of skills
  • Underlying diagnoses and individual treatment goals
  • Type of DBT program (outpatient, IOP, intensive, etc.)
  • Number of cycles completed and availability of graduation or advanced groups
  • Resource constraints (therapist availability, insurance, program funding)
  • Individual progress tracking and feedback

 

Some of these factors and criteria are negligible (like resource constraints). However, others can contribute to making your commitment longer, or sometimes the base standard of 6 months.

When Will I Start to See Results of My DBT Program?

You may begin noticing initial changes within just a few weeks of starting DBT. Early improvements typically occur in emotional awareness and coping; clients report feeling a bit more in control or grounded after a few sessions.

  • By 8 to 12 weeks, many experience initial relief from distress and enhanced use of coping strategies.
  • At 3 to 6 months, more noticeable shifts often emerge, better emotional regulation, improved relationships fewer crises.
  • Between 6 to 12 months, clients commonly experience a major transformation in how they manage stress and respond to challenges.

 

One misconception about DBT is that people think it works instantly. Think of it as learning a new language; you’ll gain useful skills quickly, but fluency and deep change come with time, consistent practice, and dedication.

What Happens After I Complete My DBT Program?

DBT is a lifelong journey, essentially where a person learns to understand their emotions, dialectics (opposite thoughts), and other behavioral aspects about them better. But what happens after you have completed your DBT program?

Firstly, people who are done with DBT often use the tools they learned to handle future situations. Some people report that during conflicts, they practiced mindfulness and other DBT skills to keep themselves calm and to resolve the situation.

Secondly, some people try and continue with “booster sessions”. It’s not considered “bad” if you feel like you miss out on the previous learning; you can schedule additional individual therapy or extended group skills training.

Also, if you join specialized DBT groups, they offer peer-supported sessions. These are process-oriented and help people integrate DBT skills even more regularly in life.

Lastly, self-practicing and fully adapting DBT is a continuous process. Many use DBT strategies until later stages of their life. This just proves that DBT programs are not just a one-and-done thing. For many individuals, it is the only thing that works and that helps them manage their anxiety and depression symptoms.

Final Rundown: Is a DBT Program the Commitment You Might Need?

DBT is a group collaboration with additional focus on individual problems. This combination is true only to this type of therapy and may help many get out of very serious and debilitating problems like BPD, PTSD, mood disorders, self-harm, and suicidal behaviors.

You can contact our DBT therapists and coordinate an intake that helps you make a better treatment plan, according to your needs.

Book a Consult with a Therapist →

Growth thru Change offers in-person therapy in Center City, Philadelphia with virtual sessions across Pennsylvania & New Jersey.

Contact Us

Meet Our Therapists

Katharine Berg

Licensed Clinical Social Work

Dr. Sophia Brandstetter

LCSW, PSYD

Charlie Burditt

Licensed Associate Counselor

Elizabeth Purdy

Licensed Clinical Social Worker

Megan Lederman

Licensed Professional Counselor

Sarah Lobb

Licensed Clinical Social Worker
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At Growth thru Change, our expert therapists provide mental health support to help you heal from anxiety, depression, or trauma-related experiences.
How Long Will Dialectical Behavior Therapy (DBT) Take