Ana is a DBT Success Story in Miami

Name, age, city/town:

Ana, 33, Miami, Florida

What was the most rewarding thing about learning skills?

I have to admit that I didn’t understand the skills at first. I thought, “Okay. This is nice but I still hate myself. I still want to die.”

My therapist helped me to understand that I could see the skills as a choice or opportunities to help me heal and grow. I could take life one skill at a time. I was so hyper-focused on having all the answers but I didn’t have any skills to help me make it through the next hour or day.

So the most rewarding thing about learning the skills was realizing that I had a lot of choices—healthy choices—about how I could respond to my emotional pain and urges to destroy my life. I just didn’t get that until my therapist spelled it out for me.

What are your favorite skills to use?

I love mindfulness. The mindfulness skills help me to slow down, take control, and stay focused on what I need next.

Marsha Linehan has a lot of mindfulness skills in her book and those are great, however, I would sometimes make up a little mindfulness game and see how many things I could do mindfully each day.

Brush my teeth mindfully? Yep! Drive to the store mindfully? Yes! Talk to the cat mindfully? Definitely!

I played the game for about three months (99 days was my goal!) and then my therapist said, “You seem more relaxed now.” She was right; I was calmer most of the time. My mind wasn’t so busy. I stopped forgetting and losing things. I could let go of some little stuff. I think that a regular mindfulness practice made that much of a difference.

What advice would you give someone who is starting to learn DBT?

I think that practicing the skills every day is key. You’ve got to make the commitment. You don’t magically get better without hard work.

When I was younger, I went to a therapist and just talked. I thought that was how you got better—talking it out. That really didn’t help me. I needed practical steps to help myself and I got that when I started to practice the skills each day. DBT gives you those skills so use them.

How has your life changed since learning DBT?

I always felt different growing up. I hate the word “crazy” but I felt crazy—disconnected from the real world. I was different from my sister. I was different from my parents. I had few friends. I felt like I couldn’t understand myself. I didn’t know why I did the things I did. I wasn’t in control of my mind. Again, mindfulness gave me what I needed in order to have the emotional control that I think others have without trying.

I think that my life is also different because of the skill of radical acceptance. Once I learned how to accept myself, I could accept others. I’m less judgmental. I’m a healthier me because of acceptance.

How are you creating a life worth living today?

I’m a full-time caregiver for my aunt who has been disabled since birth. Family means a lot to me and it’s an honor to help care for her. It gives my life meaning.

I have a better relationship with my family right now because they got help too. I don’t mean that in a mean or judgmental way. We all needed help.

I had a lot of years where I couldn’t work because my life was so chaotic and I was in and out of the hospital. DBT has given me the tools I needed to see that I could have a future without suicidal thinking or suicide attempts.

I’m still a work in progress but I’m hopeful about the future.


Thank you, Ana! You are inspiring others by sharing your success. —Amanda

Ally is a DBT Success Story in Houston

Name, age, city/town:

Ally, 21, Houston, Texas

What was the most rewarding thing about learning skills?

The skills help me to help myself. They empower me.

I first started a DBT program when I was 16 and I hated it. I couldn’t understand why I needed skills and I didn’t get it. I thought that DBT was “stupid.” There was a missing piece for me. My parents and one of my teachers knew that I needed DBT but I didn’t know.

When I started college, my world began to fall apart and then I knew why my mom and dad wanted me to have good coping and communication skills before my freshman year began. I had no boundaries. I didn’t understand self-respect. I needed help so that I could get along with friends and not engulf people with my problems. Again, I just didn’t know what I didn’t know.

These 18 months in DBT have saved me. I have the best therapist. She’s always there for me—without judgment. She’s so accepting and therapy is a safe place for me.

What are your favorite skills to use?

STOP.

STOP is a distress tolerance skill that stands for stop, take a step back, observe what’s happening, and proceed with your Wise Mind.

I used to be so impulsive but now I STOP. STOP puts me in control of my behaviors. This one skill has changed my life.

What advice would you give someone who is starting to learn DBT?

A few things come to my mind. The first one is to show up. You have to show up to your appointments and then to the DBT group. It doesn’t have to be perfect but showing up matters. Just being open to new ideas and listening can be a first step. You don’t even have to use skills at first but focus on being present.

The next advice is to do the homework each week and that also means keeping a diary card. No one can do this for you. It doesn’t have to be right, it just has to get done. My therapist would say, “Messy homework counts.” Even if it’s messy, do it. Do the work and show your work. You can’t get better until you do the homework.

How has your life changed since learning DBT?

I’m calmer, more relaxed. I don’t self-sabotage like I used to. DBT has taught me that I can ask for help. I don’t have to suffer alone. I know that on a rough day, I can reach out to my friends, family, or my therapist. I don’t have to keep everything inside all the time until I explode.

I’m still dealing with a lot of social anxiety and my therapist and I are working on skills to help me cope better with that. No depression in over a year. I can’t believe it! Thank you, DBT and Marsha Linehan!

How are you creating a life worth living today?

I’m now a senior at Rice University. I’m still trying to figure out if I want to work after graduation or go right to graduate school.

School is academically and socially challenging but it’s worth it. My therapist also says, “I can do hard things.” She’s right.

I live in Houston and go to school in Houston so I have a lot of support here but I want to travel, too. I’ll continue to push myself. The DBT skills I’ve learned have equipped me to deal with whatever comes up next. I feel very blessed that I got DBT when I did. DBT has been a gift.


Yay Ally! Thank you for sharing your story with others. —Amanda

Daphnée is a DBT Success Story in Vancouver, Canada

Name, age, city/town:

Daphnée, 25, Vancouver

What was the most rewarding thing about learning skills?

For years, I struggled with feeling intense emotions, suicidal ideation, and other mental health problems, like anxiety and depression. When I started to learn skills, I realized that there was a way to lessen to my suffering. I felt empowered, but most importantly, I felt hopeful. As someone who has always loved school and learning, my DBT skills group was a therapeutic environment, and it was a key component of my path towards recovery.

Meeting other participants who were going through similar challenges made me feel less alone, and my group facilitators were always encouraging and genuine with us. Learning skills led me to the belief that I could build a life worth living despite struggling with mental health challenges. I remember always feeling giddy and excited the day before group, and I enjoyed every single minute of it.

The most rewarding part? Learning skills helped me build mastery, increased my confidence, allowed me to make better decisions, and made it possible for me to embrace the present moment.

As I like to say, the present is a present!

What are your favorite skills to use?

That’s an easy one to answer! My top 3 include Self-Validation, Wise Mind, and Mindfulness, and more specifically, the skills of Observing and Participating.

Growing up in an environment that sent me the message that my emotions weren’t important, I spent years feeling desperate for another person to validate my perspective and my experiences. When I constantly invalidate myself, it makes it hard to feel good about myself, and my trauma responses kick in, which makes everything difficult in the moment. When I validate myself, my distress goes down almost immediately. Usually, self-validation by itself isn’t enough, but it’s a key step in managing my emotion dysregulation. When I validate myself, I feel warm on the inside, and it’s the equivalent of giving myself a warm hug or applying balm on a painful wound.

I would also say that when I can access my Wise Mind, I’m sort of a badass! My Wise Mind knows what I need in the moment, and won’t hesitate to let me know, even if I don’t like it. In the spirits of dialectics, I’d say that my Wise Mind can be both gentle and assertive. Sometimes it’s a powerful force, and other times a gentle whisper.

I tend to minimize my life difficulties or deny what is going on in the moment, so my favorite way to access my Wise Mind is to take a deep breathe, focus inward, and ask myself, “Deep down, what do I know is true?” Usually, the answer will appear on its own, without me having to ruminate about it.

Finally, mindfulness has been incredibly helpful in lessening some of my emotional pain. I think the best part of practicing mindfulness is that I can savour all sorts of experiences using my five senses, and that’s powerful. I love walking around my neighbourhood and noticing the beautiful pink and purple flowers. I love observing ocean waves, focusing on the sound of the rain, and throwing myself in the moment, because 9 times out of 10, it intensifies my experience of being human. There’s beauty in appreciating the fact we live in world that owes us nothing, and yet can offer us so much.

What advice would you give someone who is starting to learn DBT?

My advice: don’t give up. I know that’s cliché, but learning DBT skills is so hard, and the treatment itself requires a fierce commitment, loads of efforts and a ton of energy. I personally did not feel like treatment was beneficial until about 6 months into it! I felt discouraged and hopeless a lot, but I was told to “just trust the process,” and eventually, I was able to do that. Then, one summer day, I was walking to work when I naturally noticed leaves falling off the trees around me and felt the warm sunshine on my face. I had a “God” moment when I realized that, for the first time in years, I had a life I experienced as worth living.

I would warn people ahead of time that DBT as a treatment can feel unfair at times. Sometimes it is structured in a way that people can feel unheard, like the 24-hour rule where you can’t have contact with your therapist after self-harming or making a suicide attempt.

I would say that you need to practice skills a hundred times before you can see the benefits. I had to practice mindfulness of current thought for an entire month before I saw a tiny bit of a difference. And even then, I was only able to notice my thoughts for less than 2 minutes. Without my therapist at my side, I would have given up, for sure.

I would also advise to have reasonable expectations. Sometimes, people get their hopes up when they are told that DBT is the gold standard treatment, and therefore assume that their life will change drastically. Of course, that can happen.

At the same time, the truth is that DBT gives you amazing tools, but it’s up to you to make use of them. There are so many factors that come into play – whether you have a good therapist, whether you have access to skills coaching, whether you are stuck in difficult circumstances – all of those can impact treatment outcomes. I speak with a lot of people who get disappointed when they realize that DBT will not make their emotional pain go away. There’s still pain, and you still have to go through it – but hopefully, you can do so without having to deal with negative consequences.

How has your life changed since learning DBT?

So many things have changed since I “graduated” from DBT. After almost a decade of suffering, I’m able to function, go to school, hold a job, have solid friendships, and so on. I had all those things before, but I was also in and out of hospital, burnt out from school stress, struggling to keep my friends around, and experiencing weekly, if not daily, mental health crisis. Above all, I was emotionally suffering. Nowadays, I’m able to go through life without being on the verge of a crisis each week. I can manage my emotional ups and downs better than before. I am also ready to do more therapeutic work in addressing my core issues. I wasn’t able to do that in the past, simply because I didn’t have the tools necessary to tolerate trauma treatment. My life has also changed because I’m experiencing more joy than I ever have in my life, and I’m insanely grateful for that.

How are you creating a life worth living today?

I’m in my final year at university, and my goal is to complete a BA in English literature and counselling psychology. I publish creative writing pieces to give hope to others, and partly because books played a big role in making me feel less alone as a teenager. I work as a Youth Peer Support worker alongside other mental health professionals, and my clients motivate me to stay well and in recovery every day.

I recently started going to the gym, I like to sing and dance, and I enjoy knitting and painting watercolor cards for my loved ones. I am adding to my quality of life by taking care of myself first, instead of people pleasing and allowing others to cross my boundaries. I’m recognizing some of my strengths for the first time in my life, and some of them include public speaking and empathizing with other humans. I work hard in therapy and I’m slowly starting to feel worthy of love and belonging. I’m making space for me in the world. I have fleeting moments when I accept myself for who I am, and that is enough.


Hooray! Way to go, Daphnée! These skills are life-changing. —Amanda

Kayla is a DBT Success Story in Los Angeles

Name, age, city/town:

Kayla, 26, Los Angeles, CA

What was the most rewarding thing about learning skills?

I think that the skills have put me back in control. For many years, I was using alcohol and marijuana to manage my emotions. When I got sober, I understood that I needed a way to cope. AA meetings helped but I needed something more. The skills (like Wise Mind and STOP) helped me so that I could make decisions that helped me to remain sober but also take that next step so that I could do something more with my life. Today I take life one day at a time (thanks AA!) but also one skill at a time (thanks Marsha Linehan!).

What are your favorite skills to use?

Wise Mind was the first skill that I learned and that made sense to me. Do what is wise—not what your emotions are telling you to do. For years, I was led by my emotions. I didn’t know of any other way and it got me into a lot of trouble. I destroyed a lot of relationships because of my alcohol use. I didn’t know if I could really live without alcohol but the word “wise” made sense to me. I was like, “Yep. I can do this ‘wise’ thing.”

I also love the distress tolerance skills. It was another “a ha” moment for me when I began to learn them. Like IMPROVE the moment. I can make the moment better. As I learned how to track my skills, it made sense. I got it.

I wish that I had learned these skills when I was younger. That’s a big regret.

What advice would you give someone who is starting to learn DBT?

The skills are easy but they are tough. DBT is hard work. Don’t let anyone tell you this isn’t a big deal. Using the skills day after day is hard when you’ve been self-destructing.

My advice is to stick with it. You can’t quit when it gets hard. Life is hard. DBT is hard. My therapist said, “You can do hard things,” and she was right. Don’t quit!

How has your life changed since learning DBT?

I’ve been sober for almost three years and I began to learn the skills when I was free from alcohol about 90 days and could think clearly. I can’t believe it but this is my new life. I don’t have to use alcohol to manage my emotions. I can do this with the help of my DBT skills, my therapist, my sponsor, and my husband. I thought that I couldn’t have this life. I didn’t believe in myself. I couldn’t even get through the day because I didn’t know how to cope with life. I thought this reality was for other people.

Today I’m an MSW student and I want to work with people who are challenged with addictions and substance use. I know that my story and my experience can help others who are hurting.

How are you creating a life worth living today?

I use a lot of skills when I study and that’s a part of my life worth living.

I’m using them all the time in my classes and they help me to manage my social anxiety. It’s amazing how the skills translate to the real world of school and work. I’m convinced that you can use these skills to do almost anything. Graduating is my next goal but I’ll find a way to use the skills tomorrow and the day after that. These skills are for life.


Go Kayla! I loved learning about your life worth living. You’ll make a terrific social worker. —Amanda

Mary is a DBT Success Story in Portland, Oregon

Name, age, city/town:

Mary, 29, Portland, OR

What was the most rewarding thing about learning skills?

Not always feeling like I am in a crisis and/or suicidal. Having feelings like this can be very lonely and it always felt like I was constantly in a crisis. I also thought that my feelings couldn’t change. I was afraid that one day I would go too far and that my self-harm would result in me accidentally dying, as I was overdosing on my medication frequently in impulsive attempts to self harm. Now that I have control over my suicidal thoughts and rarely feel suicidal anymore, I don’t fear my own impulsivity, and that is very freeing. I also feel less depressed and don’t cry multiple times a day like I used to, and I generally just feel a lot happier knowing that if something unpredictable happens in my life I won’t turn into a sad, emotional mess. I have the tools and coping skills to be able to handle a bad day or week. I also have the skills to have better relationships and not push people away with strong emotions.

What are your favorite skills to use?

My most favorite skill to use is “riding the wave.” It reminds me that feeling suicidal is only temporary and if I wait a few hours for the feeling to go away, and not act on it, it will go away on its own. I read a book called How I Stayed Alive When My Brain Was Trying to Kill Me by Susan Rose Blauner that describes suicide prevention as a muscle; if you keep fighting the urge to try and commit suicide/engage in self harm, eventually that urge will lessen. And I saw huge results while exercising my muscle of “riding the urge”. You imagine the urge to self-harm as a wave you simply need to ride out. I also use it for panic attacks and remind myself that a panic attack will go away and not last forever. By using this technique I went from being suicidal almost daily to only feeling suicidal occasionally.

This isn’t a skill per se but one quote I really liked from that book was, “suicidal is not a feeling. You are not feeling suicidal; you are feeling something else underneath your feelings of suicide such as anger, loneliness, depression, abandonment, etc.” So I stopped labeling myself as “suicidal” and came to learn that beneath those feelings, I was actually feeling lonely. Additionally, I was sabotaging my relationships by trying to commit suicide so often because it put my friends into a state of panic and they didn’t like feeling like that. So when I start to feel lonely, such as over holidays or long weekends, I take a long walk, distract myself, or sometimes talk to a friend.

What advice would you give someone who is starting to learn DBT?

It took me a few weeks to digest a lot of what DBT was trying to teach me. At first I didn’t believe I had a life worth living. I thought, “of course that’s easy for Amanda to say! She doesn’t live with debilitating injuries that leave her in bed most of the day, or a toxic workplace, or family that rejects her.” But after reading some books on DBT, I learned it isn’t about what situation you’re in, it’s how you cope with it. Anyone can be in a dire situation and through DBT skills learn that we have the strength to go through whatever we are going through. Before learning DBT I always thought other people were just born naturally resilient and that I was more sensitive than others, but I’ve realized I am just as strong as anyone else going through life difficulties, and life will always have difficulties, it’s how we view things and handle what life gives us.

How has your life changed since learning DBT?

I feel my emotions are less chaotic and my relationships are more stable. Before I started learning DBT skills I thought I was just more sensitive than other people and that others were more resilient than I was. For example, being stood up for a date would make me cry for hours, and so would having a coworker make a comment about something that would hurt my feelings. I cried almost every day at work. People were confused by my strong emotions inside and outside of work and some people even labeled me as “manipulative” because they saw my strong emotions as my way of trying to make them feel bad about themselves. People didn’t believe that I was just sensitive and thought I was purposely trying to provoke them. Now I have learned that it is ok to feel hurt but I can do things to change my emotions and feel less pain by using distress tolerance skills. This makes it easier to interact with people because I’ve learned that if I get stood up for a date it doesn’t reflect on me as a person, and I don’t have to spend hours fuming, I can just enjoy my cup of coffee wherever my date was supposed to be and move on with my day. I don’t cry anymore at work and it makes my relationship with my coworkers less chaotic. Finally, not being suicidal multiple times a week puts less stress on my relationships, since calling my friends all the time when I was suicidal made them stressed and worried about me and distanced a lot of people from me because they didn’t know how to cope with my strong emotions. Learning how to deal with suicidal thoughts on my own has allowed me to continue my friendships with less strain and more joy.

How are you creating a life worth living today?

Today I was productive after work and baked an oatmeal banana bread, washed my dishes from breakfast this morning, and lit a candle in my bedroom while I relaxed. I left on time for work, did not get to work late, and did not cry at work. I also got all my online trainings done before the deadline, and I think the last time I actually met a deadline at work was over a year ago. That is all a huge difference from only a few months ago where I was so depressed I went weeks without showering, could never wake up or get to work on time, cried multiple times a day including at work, and left dishes in my sink for weeks. I have learned that a life worth living means taking care of myself and not giving into my depression. I am grateful I found Amanda because she is empathetic, genuine, and feels true joy when others are utilizing their DBT skills.


Way to go, Mary! I love how you are using these skills and ideas to create a life worth living! :) —Amanda

Catelyn is a DBT Success Story in Vancouver

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Name, age, city/town:

Catelyn, 32, Vancouver, British Columbia

What was the most rewarding thing about learning skills?

The most rewarding thing about learning skills was realizing there was hope. There is something I can do, or way of being, in this moment, that will enable me to tolerate distress or change the circumstance. Sometimes the “answer,” however is to simply not make the situation worse! I learned to tolerate my intense emotions, and that having strong feelings doesn’t mean acting on them. This is empowering. It was rewarding for me to learn that while I could make a choice, I would first need to accept the emotions present- non judgementally. When I first heard of DBT skills, I thought it was a cure. I came to realize that it wasn’t, and that this is not tragedy. I am still emotionally very sensitive, *AND* I create a life worth living. DBT skills has been a big part of my recovery, and recovery in my view is a journey, a way of living, where we are kind to ourselves even when we have painful emotions and urges, we can use distress tolerance skills, we can give ourselves huge doses of compassion, while also acting in a way that is * effective,* and can help us feel better.

What are your favorite skills to use?

I use dialectics—walking the middle path—I ask myself, several times a day, is this a “both and” and where is the kernel of truth? Challenging myths on emotions has been very helpful for me too, as well as mindfulness of current emotions. There are skills we can use to reduce intense emotions, with attention to vulnerability factors such as using PLEASE skill, which is helpful. As someone who also deals with chronic physical pain, I have learned that radical acceptance is an important and life changing skill for me. I use Radical acceptance, willingness, and turning the mind- every day.

Learning to challenge myths about emotions has been super helpful- reminding myself there is no “right” way to feel, and I can validate the feeling, that it may make sense that a feeling is arising and is strong. Feeling an emotion and acting on it are not the same and don’t necessarily go together. Anger is sometimes justified…and I can feel strong emotions and not act. This is life changing. I truly didn’t know that before learning DBT skills.

I also love using IMPROVE the moment a distress tolerance skill. I have found creative ways to use imagery and find meaning in the midst of pain and distress.

What advice would you give someone who is starting to learn DBT?

DBT skills may feel hard and you can keep trying. I would also give the advice o consider how both acceptance skills and change skills are important and have value. I had done some very change focused therapy groups, before learning DBT skills and I found this unhelpful for me. I constantly felt criticized as if the social worker was telling me that I was a problem that needed fixing. The “magic” of DBT skills I think is that it is about this dynamic dance with both, acceptance and change. *And* is a word that has transformed my mental health. An understanding of mindfulness skills were what I needed to learn first. I did come to see value and use in change skills too, and I use them every day! But- I know without the “acceptance skills” DBT would not have been helpful for me. And this is what makes DBT unique and life changing. The dance with Acceptance and change.

How has your life changed since learning DBT?

While feelings may be justified, acting on them may not be effective. My life has changed because I no longer act on painful urges and have learned that having emotions don’t make me “bad.” Learning to label emotions, and validate my internal experience has changed my life. DBT is for me a way of living…rather then, a program I check off a list and move on. For me it is a “way of living and being.” It means waking up each day and dancing with acceptance and change.

How are you creating a life worth living today?

I am creating a life worth living by helping others, such as sharing a bit of my story here, writing, creating, and finding purpose and meaning through self expression and connection. I don’t believe we are here in this life for ourselves, I believe we are here for one another, and that connection, love, and meaning are what make life worth living. Using my learned skills, my struggles and strengths to inspire Hope, and love others, is what creates a life worth living for me.


I love Catelyn’s dialectical life! Thank you so much for inspiring me and many others with your life worth living. —Amanda

Theresa is a DBT Success Story in Toronto

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Name, age, city/town:

Theresa M, 47, Toronto 

What was the most rewarding thing about learning skills?

I’m in the driver’s seat. I don’t have to wait until a therapy session to get relief. I have tools to ease my own emotional pain whenever I need it most. 

What are your favorite skills to use?

The Core Mindfulness Skills- Wise Mind: States of Mind. Blending Reasonable & Emotion Mind, using the What & How skills. ‘What’ we do when practicing mindfulness: Observe, Describe & Participate. ‘How’ we practice mindfulness skills: Non-judgementally, One-Mindfully & Effectively. 

What advice would you give someone who is starting to learn DBT?

Don’t do what I did! I underestimated the value of the Core Mindfulness Skills and it took me 2 rounds of the entire DBT program to catch on to it. Now, it’s the “secret sauce” that underpins all of the modules for me. I’ve realized that the more mindful I am, the more I can observe what’s going on in my thoughts, my body, my world, the more awareness I have of what skill would serve me best in the moment. Or as a DBT instructor so eloquently put it once, a lack of mindfulness is akin to “walking through a room full of furniture with a blindfold on- you’re gonna get an owie! Take the blindfold off and observe your world.” It didn’t happen overnight but I realized that the time is passing anyways- why not invest some time in sitting with myself & my world. It’s free & it’s always there! 

How has your life changed since learning DBT?

I have coping skills that enable me to do deeper work on parts of myself & life experiences that I couldn’t do before, without self harm. DBT has given me a range of adaptive behaviours to cope with challenging emotions. It’s given me a foundation to rebuild my life upon, over time.

How are you creating a life worth living today?

I stand on the shoulders of giants like Amanda! I honestly keep the skills at the forefront of my life, utilizing tools she has created. I begin the day sitting with myself in an eclectic Spiritual Practice that includes meditation, to check my own internal weather report. Then I check in with Amanda’s daily dose of DBT wisdom in her My Dialectical Life email. Devoting some time in this way anchors me in skillfulness & gives meaning to life’s challenges. I end the day with my DBT planner, recognizing all of the skills I used, goals I worked towards, things I’m grateful for & my shining moment. I start & end my day with bites of DBT thanks to Amanda. I truly share my DBT Success with her!


Totally adore you, Theresa! Thank you for inspiring me and others. Together we can create lives worth living. —Amanda

Rivka is a DBT Success Story in New York

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Name, age, city/town:

Rivka, 27, NY

What was the most rewarding thing about learning skills?

Learning DBT skills saved my life. Before I began DBT I walked around as a shell of a person, not knowing how to cope with any of the chaos inside my confusing mind. I was on a self-destructive path and wasn't getting any better. When I was introduced to DBT I was resistant at first but then it was like a light bulb went off in my head... this was the way to crawl out of the dark. And by crawl I mean that it has taken time. There is no "quick fix" to anything, especially something as delicate as mental illness. But starting to learn skills when I was 17 years old has made me who I am today at 27 - a stronger and healthier person who does still struggle but is 96% more able to deal with those struggles effectively.

What are your favorite skills to use?

The skills I've used a lot lately are the FAST skills. I am finally learning to stick up for myself and what I hold dear to me. I was sick of apologizing for things beyond my control and feeling so bad about every situation. Now I feel more confident when approaching these scenarios. What I say and believe matters.

I also use the DEAR MAN skills very often, sometimes not even consciously. The PLEASE and ACCEPTS skills are crucial as well because it is so important to take care of myself.

What advice would you give someone who is starting to learn DBT?

Give yourself time. Accept that instant gratification is not always realistic and you need to stick with it and work at it and be committed to yourself and your wellness. Self compassion is also very important -- don't be so hard on yourself if you get frustrated. You are embarking on a journey, a (possibly) scary yet highly rewarding journey. Be kind to yourself.

How has your life changed since learning DBT?

I began learning DBT 10 years ago at the practice of Jill Rathus, who has written countless books with Marsha Linehan and trains clinicians everywhere in DBT and its framework. I was learning from one of the best, and I got so much out of it. My current therapist of 5 years is also a DBT trained therapist.

My life is not perfect. No one's life is perfect. I have BPD, and sometimes those symptoms do make appearances. I am a work in progress, and that progress has mostly been because of DBT.

I now know how to react to things in a healthier way. I can communicate more effectively and am more kind to myself than ever before. I know that I am worth it, and I know that I do not deserve the pain I've endured.

How are you creating a life worth living today?

I never thought I would get to where I am today. I am 3 months from receiving my masters degree in childhood education. Every day I go to work where I teach 5th grade ELA and social studies. My students inspire me to continue to grow even more.

I am committed to myself and my overall wellness. I know that I mean something and I know that to maintain that I need to work hard every single day. And believe me, it’s worth it.


I’ve had the pleasure and honor of knowing Rivka through Facebook and Tumblr for many years. She is someone who has inspired me again and again by sharing her story. Congratulations, Rivka! —Amanda

Debby is a DBT Success Story in Indiana

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Name, age, city/town:

Debby, 57, Fort Wayne, IN

What was the most rewarding thing about learning skills?

The most rewarding thing for me in learning skills was that I finally felt in control, that I could do something to respond to intense emotions rather than always reacting to them. In doing this, I could pause before letting my emotions run all over the place. 

What are your favorite skills to use?

My favorite skills are ACCEPTS... specifically activities (distract), Comparison (not with anyone else but with myself at different stages in my life), and Self-Soothe. I also grew to love Radical Acceptance.

What advice would you give someone who is starting to learn DBT?

I would tell them to practice DBT skills when they are not having a bad day or a hard time. This way they can pull from their skills knowledge much easier when a rough moment arises than if they were first attempting to use them during a rough spot.

How has your life changed since learning DBT?

Before DBT I was very impulsive, I didn’t have a very big tool box of skills. So any time I would get upset my emotional response would go from 1-100 in just a few seconds. Now if I’m angry, for example, I can step back, observe the situation, be mindful of how I’d like to respond and then respond effectively using the skills I have. Instead of being in emotional mind a lot of the time I can find a balance, and use wise mind most of the time.

How are you creating a life worth living today?

Today I’m taking time to re-evaluate what I want to do with my life. After the death of my husband 15 months ago, I knew I needed to take time to grieve, but not get lost in the grief.  So I spend time with my cat, Berto, who I love dearly. I love art and craft type things so I’m currently making an art journal of mine and my husband’s life together and it’s been very healing. 


Thank you so much, Debby! You are an inspiration to me. —Amanda

Rachel is a DBT Success Story in Ohio

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Name, age, city/town: 

Rachel, 33, Lorain, OH

What was the most rewarding thing about learning skills?

The most rewarding thing about learning skills is I’m no longer living in emotional reaction. For so long, I felt that if someone did something, or said something, or made me feel some type of way, my reaction was out of my control. It was an almost involuntary reaction to what they did or said, but that really gave them all the power over my own behavior. Now I can differentiate between what is and isn’t within my realm of control, and I only really have to work to manage the things that are within my control. It’s very freeing and at the same time, empowering. I used to constantly react, sometimes in damaging and self sabotaging ways. Now I have the freedom and power to respond skillfully, rather than impulsively react. 

What are your favorite skills to use?

My favorite skills are Observe and Describe, Building Mastery, the Please skills, and Radical Acceptance. Observe and describe are the two I use most often, literally every day. I used to have full blown panic attacks up to five times weekly, and I could not control the emotional and psychical symptoms. But now, when I start to feel the panic rise, I use observe and describe to mindfully, inquisitively, and nonjudgmentally simply notice my symptoms. Without fail, the panic subsides, and panic attacks have gone from multiple weekly to maybe one every six months or so. It used to be a daily reality, and now my symptoms are practically gone thanks to observe and describe. 

I tend to lack some confidence and self efficacy, so building mastery helps me build upon the areas of life that I already have some skill in (such as piano and knitting). It makes me feel competent and in control. The please skills are essential for me as well, because my medicine regimen, working out, and especially eating healthfully have helped me address some physical issues and just generally make me feel more confident and capable. Finally radical acceptance is the skill that helps me be at peace with how things are, even if I don’t particularly like how they are. It is what it is! 

What advice would you give someone who is starting to learn DBT?

My advice is to absolutely immerse yourself in the skills! Whether or not you think it will be effective at alleviating your symptoms, just give it a try! And do not wait until a crisis to use the skills - think of it as homework and use the skills even when things are going well. This will make them easier to use and more like second nature when you are in a crisis. 

And when you notice yourself judging, don’t judge your judging! :)

How has your life changed since learning DBT?

DBT has changed my life in so many ways! I used to chronically self harm,  but I haven’t self harmed in almost six years (since right after I began DBT). I used to struggle with suicidal ideation and suicide attempts, but I haven’t been hospitalized for this is nearly three years. I was never able to be stable in a job - I would either have panic attacks or impulsively quit or have to call off due to being hospitalized. While I only work part time now (playing piano for a church), they are able to count on me being there and working as a vital part of the team. I wasn’t able to have stable relationships prior to DBT, and now I’m engaged in a healthy, stable relationship and planning my wedding. I’m not perfect and now I realize I don’t need to be perfect in order to be a healthy, productive, worthwhile person. 

How are you creating a life worth living today?

I do so much to create my life worth living today! I have a job that I love, using my degree in music and building mastery and confidence by doing something I’m good at. I work really hard in my relationships with friends, family, and significant other - to keep them healthy, stable, and mutually beneficial. DBT gives me the skills to make my life what I want it to be - not just an impulsive reaction to the external. I have control over my own responses, which means the world to me. I am continuing to learn how to validate myself and  let go of things not beneficial for me. I have to say this is the most content and stable I’ve ever been, and I owe it to the skills I’ve learned in DBT! 


Go Rachel! Thank you for creating a life worth living with DBT. —Amanda

Luiza is a DBT Success Story in North Dakota

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Name, age, city/town:

Hi. Im Luiza, 27 yrs old from Fargo, ND

What was the most rewarding thing about learning skills?

The most rewarding thing I've received from DBT is the awareness of self. 

What are your favorite skills to use?

My favorite set of skills are self soothe combined with T from TIPP. How I do this is by going in a hot bath and staying in the bath till it gets way too cold. 

What advice would you give someone who is starting to learn DBT?

DBT saved my life and it will save yours too but you have to be what I was told is an acronym in recovery called HOW which stands for honest, open-minded and willing. If you are not willing these skills will not work. Willfulness in my experience is at the root of my problems today. I'm going to be honest. I'm not always as willing as I would like to be. My sponsor in AA has said something very wise: If you have a higher power, pray for the willingness to be willing. 

Also, DBT is hard work. It's like a muscle. The more you exercise it the stronger it grows. But stop exercising this muscle and it becomes weak. DBT in my experience is a daily practice. One that must be practiced daily in order to be able to pull out when you need it most. 

You'll get out of DBT what you put into it. 

How has your life changed since learning DBT?

On October 19, 2015, I found my neighbor who died by suicide. The pain was so excruciating. So much so that I had wanted to end my life. But Marsha Linehan's program of DBT helped me through. It saved my life. I learned skills like comparison, radical acceptance and various distress tolerance skills. I learned how to love myself. I'm nowhere near perfect but I'm learning more and more each day. One thing I have learned through the skill of comparison is how my suicide would affect those around me. 

How are you creating a life worth living today?

Like I've said I'm not perfect with skills and utilizing skills in a crisis is a struggle for me. To create a life worth living I'm working on getting my dream job by having a job at Culver's. It's not my dream job but it is getting me readjusted to the work life. I am working on trying to get a therapy animal note from my doctor and recently I have set up a new goal. Stay out of the hospital for at least 6 months. My team has told me that once I achieve this goal I will be able to get a therapy note for a cute little kitty or puppy. Another thing is I have found purpose of my pain. So I run groups and a Facebook page and use my struggle to help others. 


What a great success story! Thank you for letting your light shine, Luiza! —Amanda

Vickie is a DBT Success Story in Manchester, United Kingdom

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Name, age, city/town:

Hello! My name is Vickie. I am 28 and I currently live in Manchester, UK.

What was the most rewarding thing about learning skills?

I received DBT when I was still quite young, so the whole experience of it didn’t really sink in for me immediately. However, 2 years ago I went back into a talking therapy and we revisited the skills I learned in DBT.

For me, all of the skills I learned in DBT were rewarding but I would say that skills on emotional regulation and interpersonal effectiveness were the most useful. Although I found distress tolerance useful as I was often in distress and crisis, these stemmed from an inability to understand my emotions and have healthy relationships. So learning the skills in these modules helped me to be able to control my ‘spiralling’ thoughts and behaviours that would lead to a crisis.

Knowing that I don’t have to be controlled by my emotions or seek validation from an outside source has been and still is incredibly empowering for me.

I also love that you can always turn to these skills whenever you have to. Its not like the therapy is over and you’re cured, and you never have to think about it again. DBT is the type of therapy that stays with you and incorporates practical skills that you can take away with you and keep practicing for the rest of your life, eg. the crisis kit and the diary sheets.

 What are your favorite skills to use?

Oddly enough when I was introduced to mindfulness in DBT I didn’t really engage with it that much and thought it quite silly, perhaps because of my youth!

However, I have been (for the most part…) practicing mindfulness and meditation every day for the past 2 years.

Mindfulness not only has the power to soothe and calm in a crisis (as we learned in DBT), but it has enabled me to develop an acceptance and love of myself that I never imagined I would be able to have. It is definitely my rock, and I find in particular the Calm app to be very DBT friendly as it has a soothing aesthetic and allows you to choose topics to work on.

I am incredibly thankful for the gift of mindfulness, as it has empowered me to love and to heal.

What advice would you give someone who is starting to learn DBT?

Keep at it and don’t give up! This will be an extremely difficult, long and tough process and there will be times when you feel like giving up, that its not working or its just not worth it.

For me personally, I was in DBT for 18 months and I didn’t start to realise that it was working until the last 3 months of my therapy because the changes for me were happening subconsciously. The amount of times I wanted to quit and give up were numerous, but something inside of me kept pushing me to keep going. You have to learn to trust your own voice, and to build your own willpower.

I believe that recovery is not a one size fits all, and that there will be people out there who this type of therapy doesn’t work for. However, I wouldn’t use this as an excuse to give up or to not commit as much as you can. DBT is a once in a lifetime experience, and there is so much to learn during its process that everyone who is lucky enough to receive it will learn something new about themselves. Also, making a commitment and making the effort to engage with therapy is a huge achievement in itself that you can be proud of.

How has your life changed since learning DBT?

Without sounding too dramatic (but also totally and typically dramatic…) I never thought I’d be alive past the age of 25.

I was 21 when I entered DBT and I strongly believe having access to this therapy not only changed my life, but it saved it.

DBT gave me the foundations for a happy and healthy life learning to live with borderline personality disorder. I honestly think these skills should be taught to every young person all over the globe, as they are vital skills for anyone regardless of diagnosis to learn.

How are you creating a life worth living today? 

My life used to be chaotic: an unending and uncontrollable rollercoaster of emotional ups and downs, leading me to cause harm to myself and others and not know why.

I now live a life with balance: accepting of the fact that I will live with this diagnosis for the rest of my life, but thankful that I’ve learned the skills to take the wheel and live a life I deserve rather than be at the mercy of short term coping skills, negative thoughts and others. I can love and accept myself for every aspect of me.

I am doing and achieving things I never thought I’d be able to do, such as singing opera, touring with a band, holding down a full time job...the list goes on!

My future is bright, and its all thanks to DBT!


Yay! Thank you, Vickie, for sharing your story with others. You are creating a life worth living! —Amanda

Kristen is a DBT Success Story in Ontario

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Name, age, city/town:

Kristen, 30, Ontario, Canada

What was the most rewarding thing about learning skills?

The most rewarding thing about learning DBT skills was I learned I wasn't doomed to suffer. The Western world has a certain view of mental health and particularly personality disorders that can be very damning. I really struggled to accept myself because so many treatments and strategies were not working and I thought it meant something horrible about me. Turns out I really just needed to find the treatment (well, I like to think of DBT as a lifestyle) that spoke my language and met me where I was at versus me trying to fit into a model. Having DBT skills has shown myself and others that I can function in a way that makes my life filled with less suffering.

What are your favorite skills to use?

Paced breathing (from TIPP): This skill allows me to reduce my heart rate and clear my head very quickly when I'm in a crisis. It gives me a chance to access Wise Mind when I originally wouldn't of had that option.

Radical Acceptance: I used to have a lot of resistance to this skill because it was hard to wrap my head around acceptance not being approval. This thinking though has been key in managing my trauma. Radical Acceptance has allowed me to not dwell on things I can't change. It makes me look at what I can control instead of what I can't control.

Urge Surfing: This skill is what allowed me to eliminate self harm from my life. Having the knowledge that the urge will go away if I just wait was a game changer. I never thought I'd be able to stop but I did :) December 2019 is 5 years self harm free!

What advice would you give someone who is starting to learn DBT?

I have 2 pieces of advice.

My first is to show yourself compassion. Learning and practicing these skills is hard work. You will mess up and that's life. You will succeed too and that is amazing! It's hard to change and being kind to yourself during this time will help you succeed and manage the times you are not skillful. You did not learn these behaviours over night so they will not go away overnight. Be easy on yourself <3

And my second is to remember to not take on too much. While you learn the skills all at once, practicing them all at once can be overwhelming. The same way babies focus on one skill at a time (ie: walking first, talking second) I found using that approach to DBT skills also helpful. One thing at a time is also a DBT skill ;)

How has your life changed since learning DBT?

As I mentioned above DBT has changed my perspective of myself. I do not believe I am doomed anymore which has snowballed into a number of other amazing things happening in my life. I will always make mistakes. I don't always use the skills but I can deal with that instead of hating myself for it.

The main thing that everyone can see how DBT has changed my life is the fact that my son is here. I told myself that I could not have a child until I got myself under control. My son is proof that I did that. He's a pretty cool kid! I teach him bits of DBT every day as I believe this is a lifestyle, a way of being, and everyone should learn these skills.

How are you creating a life worth living today?

My job is DBT. I have been teaching DBT skills group for a few years and this has allowed me to immerse myself in the skills. I continue my personal practice and also give these skills to others. It's been an amazing experience!


Kristen, congratulations on creating a life worth living! —Amanda

Dawn is a DBT Success Story in New Jersey

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Name, age, city/town:

Dawn, 47, Jersey Shore

What was the most rewarding thing about learning skills?

DBT Skills literally saved my life and have given me the opportunity to believe that I am worthy of a life worth living.

What are your favorite skills to use?

I have anxiety so I use the breathing skills daily. My favorite is 4-squared breathing and observe and describe. I also use ride the wave to sit with the emotions that have historically caused me to spin out of control. I know now that these emotions will not hurt me if I just sit with them and let them pass. 

What advice would you give someone who is starting to learn DBT?

This sounds simplistic but I would say to make a binder. Organize each skill into a separate section and do a "sheet of homework" every night so the skills become second nature. Homework doesn't have to be written, it can be a breathing exercise or explaining one of the skills to a family member.

How has your life changed since learning DBT?

My life has changed significantly! Before DBT I thought someone else would save me. I was stuck in shame. I blamed everyone else for my problems and I set fires all around me and found that I had to constantly go back and apologize to people for my unstable behavior. DBT taught me not to take things personally. It taught me that I am in charge of my emotions (not other people). It taught me to sit with an emotion and not dig a deeper hole when an issue came up. Before DBT I couldn't hold a job for long periods of time. After DBT I was able to fight a horrific episode of cancer with strength and power. I have been in the same career now for six consecutive years and I also worked really hard and got my Masters Degree in Psychology. DBT gave me the skills to push forward each day. 

How are you creating a life worth living today? 

I am creating a life worth living by creating a career goal for myself. I will use my DBT skills (soothing skills) to study for the Board exam that will take my career to the next level. I am also focusing on creating volunteer opportunities in my community. The next one is the MLK, Jr. Day of Service. 

If I could meet Marsha Linehan, I would hug her and thank her for finally creating a type of therapy that works for me!

Thank you, Amanda, for all you do to keep my on track!


Dawn has been a subscriber to My Dialectical Life since 2011. She’s one of the most skillful women I know. Thank you for sharing your story, Dawn. —Amanda

Debbie is a DBT Success Story in Sacramento, California

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Name, age, city/town:

Debbie, 41, Sacramento 

What was the most rewarding thing about learning skills?

The most rewarding thing for me with learning skills was realizing I actually do have choices and power, even in those moments when my emotions are intense or thoughts are distressing. Before learning the skills, I believed I was doomed to continue to repeat the self-sabotaging behaviors I'd been doing for so long. The skills offered me another way.  

What are your favorite skills to use?

My favorite skills to use are the ones that help me the most even to this day: checking the facts, radical acceptance, and distracting through self-soothing or activities. 

What advice would you give someone who is starting to learn DBT?

Really, truly give it a chance. It's taken likely decades to develop the patterns you've been doing for so long. It is going to take time to practice making new choices and creating new pathways in the brain so that choosing skills becomes more and more accessible and the desire to repeat old, self-sabotaging behaviors lessens. It's worth the effort!

How has your life changed since learning DBT?

I no longer meet the criteria for a Borderline Personality Disorder (BPD) diagnosis after learning and integrating the skills into my life. I am able to keep important relationships and make choices that support my well-being. 

How are you creating a life worth living today? 

I now teach the skills I've learned in my online DBT course at emotionallysensitive.com. I've become a DBT-trained life coach and will be celebrating the 6 year anniversary of my online school for emotionally sensitive people in the spring. Teaching what I've learned creates accountability for me on my own journey of continued personal healing, and it allows me to be of service in a very meaningful way with others.

I am now happily married and spend lots of time playing and resting with my amazing partner and our two furbabies in our home in sunny Sacramento, California.



Debbie has been a subscriber to My Dialectical Life since 2012. She’s someone I deeply respect and admire. Thank you, Debbie, for allowing your light to shine in what is sometimes a dark world. —Amanda