Working through addiction can be tough, but when our habits are formed and compounded by low self-esteem and intense emotions, addiction can be even harder to leave behind. That is where dialectical behavior therapy, or DBT, comes into play.
DBT therapy – an offshoot of the well-known cognitive behavioral therapy (CBT) – seeks to help people struggling with their emotions and impulsive behaviors gain more control over the experience and actions. In other words, DBT techniques empower people with the ability to sit with and accept themselves and their emotions instead of using ineffective coping mechanisms that ultimately hurt them and those around them more.
With many people looking for holistic help addressing substance abuse and addiction, DBT is a cornerstone therapeutic technique that may be worth exploring if you struggle with heightened emotions and impulsivity. This article will explore DBT and how it can aid someone in their journey towards recovery.
Dialectical behavior therapy is a type of psychotherapy that focuses on helping individuals who struggle with cycles of intense emotional reactions and impulsive behaviors. DBT seeks to empower people struggling in these areas with the resilience, awareness, and self-assuredness to weather more emotionally turbulent moments and react thoughtfully, rather than impulsively and ineffectively.
Dialectical refers to taking action through opposing forces. In the case of dialectical behavior therapy, this refers to the opposing yet complementary principles of acceptance of self and the desire to change.
While these principles may seem at odds with each other, they speak to DBT’s dual focus of cultivating a space where people can accept that they are enough and worthy as they are, while also recognizing the value of changing current behaviors and reactions to cultivate a more balanced and joyful life.
Dialectical behavior therapy techniques were first formalized in the 1970s by Dr. Marsha Linehan. Dr. Linehan had been exploring available therapeutic programs to cultivate a more effective approach to relief for her patients struggling with borderline personality disorder (BPD).
BPD is a disorder characterized by intense waves of emotions and pain, often described in sensation as “walking through a world filled with knives.” In finding the rationale and cognition-based emphasis of CBT failed to help her patients, Dr. Linehan combined the principles of restructuring faulty thinking with core components of mindfulness to foster greater self-acceptance, love, and patience.
Together, these approaches work to provide individuals with the space to sit with and accept their emotions without reactivity and impulsivity, alongside the tools to enact more helpful and intentional behaviors.
DBT is based on the biosocial theory, which posits that personality and mental disorders are biologically based and that our environment either encourages or suppresses those predispositions. In other words, the biosocial theory says that mental health begins with biology but can be heavily impacted by our environment.
At its simplest, the difference between cognitive-behavioral therapy and dialectical behavior therapy comes from their philosophical approaches. Where CBT embraces an inside-out perspective, DBT takes an outside-in approach.
Cognitive-behavioral therapy embraces the philosophy that by addressing conditioned and often negative beliefs or thoughts, one can choose more effective actions that impact our emotions and make us feel better. As such, CBT tends to focus on identifying patterns of negative thoughts or beliefs (e.g., overgeneralizing, only focusing on negative experiences, jumping to conclusions, all-or-nothing thinking) so we can choose different behaviors that make us feel happier.
Dialectical behavior therapy skills help people in the throes of intense emotion who need an immediate solution. Instead of targeting logic, DBT skills focus on sitting with and accepting emotion so we can choose to act in a way that is not impulsive or destructive and instead aligns with our greater intentions and goals. DBT therapy is not as concerned with faulty premises and conditioned beliefs, but rather with giving people in states of heightened emotion the tools to help them to take control of their life.
In terms of treatment, DBT skills seem to be most impactful for those experiencing acute waves of intense emotion, like with BPD, suicidal thoughts, and impulsive behaviors like substance abuse and eating disorders. CBT tends to be used for cognition and appraisal-focused disorders, like anxiety disorders, depression, phobias, and substance abuse. The two approaches may be used in tandem, alongside medication, or individually – it all depends on the needs of the individual.
Dialectical behavior therapy skills incorporate five main functions and four core principles, regardless of group or individual session structure.
To be considered as a comprehensive therapeutic program, DBT incorporates five main functions:
These functions serve as guiding requirements for the development of any comprehensive therapy or treatment program.
DBT therapy sessions are typically divided into four areas or skillsets: core mindfulness, distress tolerance, emotion regulation, and interpersonal effectiveness.
Core Mindfulness
These DBT skills aim to empower clients with the ability to recognize and identify their emotions. In mindfulness practices, the emphasis is not on changing oneself, but on learning to accept and be comfortable with what is. Becoming aware of the flow of emotions without seeking to change them is a critical first step in being better able to weather their waves.
Distress Tolerance
Many people who choose DBT struggle with an intensity to their Emotions regulation that can make them feel out of control and like they are being propelled into impulsive and destructive behaviors. Distress tolerance aims to help people feel more in control of their emotional experience and behaviors by learning how to sit with and soothe intense emotions, rather than reacting from overwhelm or desperation to escape their emotions.
Emotion Regulation
Emotional regulation weaves more of CBT’s techniques into the DBT skills and philosophies, seeking to empower clients with a greater understanding of their triggers, emotional reactions, and how to ride out strong emotions without acting on them.
Interpersonal Effectiveness
Interpersonal effectiveness seeks to take the dialectical behavior therapy skills learned in the previous three modules and apply them to the client’s specific situation. Here, people learn how to identify and communicate their wants healthily and respectfully. This section also helps individuals learn how to deal with difficult people, how to say no, and how to repair relationships.
Because of its emphasis on acceptance and mindfulness, DBT has proven helpful in treating a wide range of emotion and mood-based disorders. It may be combined with other therapeutic programs or medications, but has proven itself particularly effective in addressing people struggling with waves of acute emotional distress.
Studies have shown DBT treatment outperforms controls in:1
Because of DBT’s powerful potential to provide tools for people to feel relief here and now, DBT has been successfully used to treat a wide range of psychiatric disorders and symptoms, including:2,3
Many care providers are employing DBT for teenagers struggling with self-harm and suicidal behaviors and thoughts.4
Many cases of substance abuse arise from low self-esteem and self-worth paired with underdeveloped emotional coping skills that leave us reaching out to substances to quiet the internal emotional turmoil and pain. For this reason, DBT therapy can be very helpful in addressing self-esteem and emotional dysregulation issues underlying substance abuse. Moreover, DBT can make it easier to deal with the challenging emotions often encountered while developing sober living skills.
We’re committed to fostering unbroken recovery. We provide treatment for addiction and dual diagnosis that is both life-long and life-changing. At Stages of Recovery, our continuum of care helps individuals struggling with addiction become the people they were meant to be.
If you’re looking for a safe recovery program for yourself or someone you know, there is hope. Call us today.
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Cari has worn a variety of hats before coming to Stages of Recovery – in a past life, she was in advertising sales, association management, corporate event planning and property management. Hailing from West Texas, Cari grew up in Midland before attending Texas Tech University. Always creative and an over-achiever, she graduated magna cum laude with a BA in Advertising before moving to Florida for the next seven years. A true Texan at heart, Cari returned to the Lone Star State and pursued a career in property management where she earned national designations in leasing, apartment management and obtained her real estate license. In 2015, she met Stages of Recovery owner Stephen Medley by chance. Recognizing her style and resourcefulness, he challenged Cari to head up the renovation of the men’s Transitional Housing properties in Lubbock and Waco (check them out – they look pretty great if we say so ourselves!). Given her knack for organization and execution, the Stages family officially welcomed Cari in 2020 to assist behind the scenes in administration, operations and marketing – she’s here to make us look good! In her spare time, Cari’s pastimes include cooking, interior design and doting on her Scottish Folds – Birdie and Apollo.
Words to Live by:
“Why cope when you can eliminate?”
Recovery from substance abuse has been part of Dawn’s journey since surrendering to her higher power and getting sober June 21, 2018. With multiple convictions, 5 years of consequences to own up to with the justice system and suitcases of past trauma to unpack, she’s never let it stop her from loving herself and others. Dawn is the proud momma of two amazing girls and her fur baby Chloe.
She’s on fire to be of service to others and smash antiquated stigmas surrounding addiction and mental health. When asked, “why do you do what you do?”, her response is “to pay forward the grace that’s been extended to me and provide a voice to those that haven’t found theirs…yet!”
Dawn recovers out loud and is a huge believer in health, fitness and wellness being a pathway to recovery. She has obtained her CrossFit Level 1 Trainer credential and is currently training to obtain her RSPS certification.
“There are two ways of spreading light: to be the candle or the mirror that reflects it.” – Edith Wharton
Jacob graduated with his M.Ed. in Clinical Mental Health Counseling from Texas Tech
University in May of 2021 and has been working towards his Ph.D. in Counselor Education from Texas Tech University. As a counselor, Jacob operates from a Humanistic perspective, utilizing Existential and Person-Centered techniques.
Since beginning his journey in becoming a counselor, Jacob has strived to help people find the meaning in their lives by helping them overcome addiction and embrace a life of recovery.
Check back soon to learn more about Tony!
Matt obtained his bachelor’s degree in Addiction Counseling in 2017 and his master’s in 2020 in the same area of study. In 2020 Stages of Recovery welcomed him as an intern which quickly turned into a part-time then full-time position, assisting with groups and transitional housing at the men’s properties in Lubbock. Matt began his journey in counseling because he wanted to help people struggling with the disease of addiction, by being a role model and helping them realize the potential they have in recovery.
Seeing people succeed in recovery and change their lives for the better fuels Matt to continually offer support and leadership to the recovery community here at Stages.
“I have experienced the joy and peace that comes with sobriety and want to share that and show others that there is a way out of the darkness that is addiction.”
Favorite quotes:
“Pain is certain, Suffering is optional.” Gautama Buddha
“Don’t compare yourself with other people; compare yourself with who you were yesterday.” Jordan Peterson
Dustin is in long-term recovery and has been sober since May of 2011. He is from San Antonio, TX and is married to his lovely wife, Emma. They moved to Lubbock, TX where Dustin attended The Center for Collegiate Recovery Communities at Texas Tech University. Upon Emma’s graduation from Texas Tech in May of 2018, they relocated to Moore, OK, where Dustin graduated in 2020 with his bachelor’s degree in Social Work and recently achieved his master’s degree in Social Work from The University of Oklahoma. Dustin is also the recipient of the National Collegiate Recovery Student of the year award in 2019 for his tireless work building a recovery space on campus for students. Dustin was also the BSW student of the year in 2019 as well as a two-time recipient of the Anne and Henry Zarrow Social Justice Award for 2020-2021. Dustin has sat on numerous boards of directors in the Oklahoma community. His passion, education and ability to help others gain a life of purpose and meaning are just a few reasons why we are excited to have him on our team!
Mechie went through Stages of Recovery 10 years ago with the dream of one day obtaining a degree and providing for his daughter. He had his daughter at five months sober and started working as a janitor at Texas Tech University in 2011. After discharging from Stages of Recovery, Mechie received a scholarship at Texas Tech and The Center for the Study of Addiction and Recovery. Not only did he receive his Bachelor’s degree from Texas Tech, he pursued his Masters in 2014. Mechie has committed his life to helping others and lives by the motto that he doesn’t care about their feelings, he cares about their lives. His humble roots, passion to help others, and commitment to being his best self is what we at Stages of Recovery embody! We are ready to make shock waves in recovery with this guy!
Tommy was raised in Tulia, Texas and is married to his first love, Rosalind. They are volunteers for the state of Texas’ program called “Twogether in Texas”, where engaged couples undergo an eight hour workshop. They dedicate their time as a couple to marriage ministry and outreach in the community. Together they have six children and twelve grandchildren. Tommy has been with Stages of Recovery since 2018. He has a Master’s in Addictions Counseling. He is currently in the process of obtaining his LPC Associate and LCDC licenses. Tommy began his recovery in December 2001. He’s driven to give back to the recovery community after seeing so many friends and family who suffered from addiction lose their lives. His journey hasn’t been easy and if he can help the next man, woman, boy or girl choose a different path than he did, it fills his heart with joy.
Favorite Quote
“The true test of a man’s character is what he does when no one is watching.” John Wooden
Check back soon to learn more about Kayli!
Steve Richardson is a husband, father, and grandfather. He is also a man in long-term recovery and has a son in recovery as well. Through this journey, few would find it difficult to relate to Steve, making him especially adept at developing relationships with clients and their families. Recovery is so central to his life, that at the age of 52, Steve closed a successful consulting firm and returned to school to become a licensed clinical social worker, as well as a licensed chemical dependency counselor. His education includes a BA in Literature from Texas Tech University, a BS in Psychology at Tarleton State University and a MA in Social Work at the University of Southern California. Along with his extensive education, degrees and training, he brings 50+ years of life experience to every individual, family and group session. Steve believes that no one’s illness should dictate the quality of their future and that their pain and struggle are real. Every addict’s life matters and there is always hope. In other words, no one’s future is carved in stone. His certainly wasn’t.
Favorite Quote
“There are only two ways to live your life. One is as though nothing is a miracle. The other is as though everything is a miracle.” Albert Einstein
Stephanie moved from her hometown of San Antonio to Lubbock, TX in 2011 to begin a long journey toward self-growth and healing. She graduated from Texas Tech University with Bachelor degrees in Psychology, and Science in Human Development and Family Studies. After a year of work in the chemical dependency field, Stephanie went on to graduate with a Masters in Couple, Marriage and Family Therapy (with a focus in Addiction in the Family) in 2018. After receiving support from countless loving individuals during her struggle with mental illness, it has been Stephanie’s mission to extend the same level of compassion and care to her clients. She believes counseling is a way for individuals, couples and families to share their experiences and pain, and find ways to transform their darkness into light. Stephanie is especially interested in working with adolescents and adults struggling with addiction and substance abuse, at-risk populations, and couples/families. She works from a systemic perspective with all clients; meaning she gathers information about all areas of an individual’s life to assess needs and the effects that each area may have on the others. Looking through a systemic lens offers the ability for individuals to create lasting transformations through self-awareness about their unmet needs in multiple areas. In her personal life, Stephanie spends most of her time with my husband and their five goofball dogs. She’s a PokemonGo, Disney, and Taylor Swift enthusiast and she enjoys creative outlets including make-up artistry, painting and interior design.
“Mel” is originally from Angeles City, Philippines. He graduated from Lubbock Christian University with a degree in Social Work. He joined Stages of Recovery in 2020. Mel has over 20 years in Residential inpatient services and is known for his willingness to go above and beyond for others. He is skilled in Mindfulness and serves with a true heart of service. Like many, Mel has had many experiences and challenges in his life that have equipped him to keep pushing forward. These experiences allow him to make deep and meaningful connections with those he helps. When working with clients, he champions the mindset that every human needs three things: TO BE HEARD, TO BE SEEN, AND TO HAVE A SENSE OF PURPOSE. Mel’s motto in life is simply to “Be you” and to not allow anyone or anything to deter you from this.
Favorite Quote
“Be like water making its way through cracks. Do not be assertive, but adjust to the object, and you shall find a way around or through it. If nothing within you stays rigid, outward things will disclose themselves. Empty your mind, be formless. shapeless, like water. If you put water into a cup, it becomes the cup. You put water into a bottle and it becomes the bottle. You put it in a teapot, it becomes the teapot. Now, water can flow or it can crash. Be water, my friend.” Bruce Lee
Averie is a graduate from Texas Tech University with her Bachelors of Social Work in 2018 then in 2020 with her Masters of Social Work. Averie has been working within the area of addiction and recovery since August of 2018 when she started her Bachelor of Social Work field practicum with Stages of Recovery. Averie decided to work with addiction and recovery because of her passion for seeing people better themselves. Averie believes everyone can change, and she shows a clear love for being part of the process and empowering individuals along the way. Averie has been in recovery herself since October of 2017. She has two adorable dogs, Rockie and Chewie. In Averie’s free moments, you can catch her spending time with her partner, watching reality TV, or playing video games.
“I love to get in the trenches with the people that I work with, fight with them for their change. I believe anyone, no matter what they have been through, has the ability to overcome.”
Ashley Loveless, Licensed Master Social Worker, earned her Bachelor of Arts and Sciences in Social Work and Spanish from Texas Tech University in 2014. Ashley proceeded to obtain a Master of Social Work from Our Lady of the Lake University in 2017. Ashley has been a licensed and practicing LMSW since 2014 and has worked in many private and non-profit sectors including administrative roles, hospice roles, sexual assault counseling, sex-trafficking rescue/counseling, and mental health. She began her career as a Correctional Mental Health Social Worker at Montford State Psychiatric Prison/Hospital in Lubbock, TX in 2014. She has been employed part-time with Stages of Recovery since February 2019 as a Mental Health Counselor, co-leading early recovery groups and taking on individual clients. Ashley works full-time at Hospice of Lubbock as a medical social worker. Ashley and her husband Paul, have four daughters, Sophie, Harper, Sawyer, and Bowen and a dog named Lincoln. Ashley enjoys traveling, yoga, baking, and adventure.
Lynn has been an LPC for nearly eight years. By volunteering at the Greater Dallas Council on Alcohol and Drug Abuse, she became interested in addiction and recovery. Her practicum in graduate school included working with veterans and women in recovery through art therapy techniques. Lynn is a member of the National Association of Alcoholism and Drug Abuse Counselors and the West Texas Counseling Association. Along with her Marriage and Family Master’s degree, she holds a Master’s degree in art therapy. Lynn’s unique background allows Stage’s clients to introduce and foster creativity throughout their personal recovery. Lynn is a former classroom teacher, grades 1-8. She is certified in all-level art and counseling.
Favorite Quote
“Imagination rules the world.” Napoleon.
Melissa currently works as a Licensed Chemical Dependency Counselor-Intern and as the Administrative Director at Stages of Recovery. Along with working at Stages of Recovery, she works with adolescents in the Parent Empowerment Project. She has worked in the recovery field since 2015, with a focus on substance use disorder and helping families heal. She pursued work in addiction because of her academic, professional, and community involvement, as well as her personal experiences. Melissa’s work has allowed her to dive deeper into the field of addiction and recovery and to expose her genuine love for the betterment of other’s lives. Currently, she is a doctoral student at Northcentral University and pursues her degree as a Doctor of Philosophy in Marriage and Family Therapy. Melissa received her bachelor’s degree in Community, Family, and Addiction Sciences at Texas Tech University and her master’s degree in Couple, Marriage, and Family Therapy at Texas Tech Tech. She was a member of The Center for Collegiate Recovery Communities at Texas Tech University.
“It takes one person to believe in you.”
A Pennsylvania native, Anthony left home when he was 21 during an active addiction – he thought he had it all figured out. Anthony moved from Wyoming to Montana to Colorado. His addiction progressed, causing him to neglect priorities like relationships, rent, and job opportunities. Eventually, Anthony found himself homeless and broken spiritually, emotionally, and physically. Anthony researched a treatment center in the Dallas area that was able to fly him down to Texas. He was a client there for 57 days. While at treatment, Anthony heard of The Door Sober Living and the recovery that Lubbock had to offer. Anthony took a greyhound to Lubbock and in 2012, Anthony stayed at The Door for six months before moving out. Without The Door’s accountability and structure, he fell back into addictive behavior for several months. Anthony checked into the Ranch at Dove Tree, where he stayed for 30 days. Upon successful completion, Anthony returned to The Door Sober Living on May 19, 2013. This time, Anthony signed a one-year agreement and expressed great willingness to maintain sobriety. In July 2014, when a previous house manager moved in with his fiancé, Anthony was asked to step up and take on his duties. This then, Anthony has grown into the Client Relations House Manager. His continued dedication to recovery and belief in the Stages of Recovery program as a whole led to an opportunity in 2017 to become the fourth owner of Stages.
Stephen “Medley” is the founding owner of Stages of Recovery, Inc. and The Door Sober Living Community. A visionary with a passion to help those in recovery, he saw a need in the community and decided to take matters into his own hands. Medley has over twenty years of recovery time. After getting clean at the age of nineteen, he knows firsthand how to show many of our younger clients that it is still possible to have fun in recovery. Medley graduated from Texas Tech University as a member of the Collegiate Recovery Community at the Center for the Study of Addiction and Recovery with a bachelor’s degree in Business Administration. Medley is the leader of the company and an inspiration to all staff members. Medley understands the power of knowing why; why we made poor decisions and the importance of knowing and remembering why we don’t want to make them again.
“I’m passionate about helping individuals realize and reach their dreams by focusing on their WHY.”
Stephen O’Dell has been with Stages of Recovery for over 12 years. He has served in many roles as the company has continued to grow. He is currently one of the owners and the CFO. He also does direct business development and admissions for those in need of services. Stephen’s time with Stages began when he was a client learning how to live his new life in Recovery. He began his journey at the young age of 18 with big dreams and goals. Stages of Recovery provided him with the tools, guidance, and community needed to build a life worth living. Stephen later achieved his bachelor’s and master’s degree in Personal Financial Planning in 2016 and 2017 from Texas Tech University, with the help of a scholarship from the Center for Collegiate Recovery Communities (CRC). He went on to get his CFP® Mark (Certified Financial Planner) in 2018. Stephen’s unique personal and his extensive professional experience makes him a great fit to help you and your family navigate the complicated process of finding help for your loved one in need.
Many people think of Wealth as a monetary value. O’Dell defines Wealth as “The relentless pursuit of a desired lifestyle, and the strategic maintenance of that lifestyle”- Stephen O’Dell. With the help of Stages you and your family can begin to define what your goals are and begin the process of healing together.
Cole and Medley founded The Door Sober Living Community together. Cole is the details behind the program. As Program Director, he conceived and implemented The Door concept and has written multiple grants for this program and others. He is talented at blending the nature of business practices into the field of social services. Cole was born and raised in Lubbock and has been in recovery for over ten years, proving that you can get clean in the same town you live in. He is a proud graduate of the Lubbock County Drug Court program and advocates that Drug Courts work. He holds a Bachelor’s and Master’s Degrees in social work from Texas Tech University. Cole has an inspirational wife, Veronica, and two beautiful children, Eliana and Wyatt. His focus in the company is to make sure that the activities stay true to the spirit of recovery and the mission and vision of the company.
“I’m passionate about guiding people out of their mental sense of lack and into freedom.”
Stephen “Medley” is the founding owner of Stages of Recovery, Inc. and The Door Sober Living Community. A visionary with a passion to help those in recovery, he saw a need in the community and decided to take matters into his own hands. Medley has over twenty years of recovery time. After getting clean at the age of nineteen, he knows firsthand how to show many of our younger clients that it is still possible to have fun in recovery. Medley graduated from Texas Tech University as a member of the Collegiate Recovery Community at the Center for the Study of Addiction and Recovery with a bachelor’s degree in Business Administration. Medley is the leader of the company and an inspiration to all staff members. Medley understands the power of knowing why; why we made poor decisions and the importance of knowing and remembering why we don’t want to make them again.
“I’m passionate about helping individuals realize and reach their dreams by focusing on their WHY.”
