Choosing treatment
DBT therapy for addiction: When emotions drive substance use
Published February 5, 2025 · 8 min read · Updated April 2026
Reviewed for accuracy by licensed clinical professionals.
DBT teaches mindfulness, distress tolerance, emotional regulation, and interpersonal effectiveness.
Why for addiction
When substance use is driven by inability to tolerate emotional pain, DBT directly addresses that driver with explicit skills.
Who benefits
People with co-occurring BPD, self-harm history, emotional crisis-driven use, and repeated relapse despite understanding triggers.
Structure
Weekly individual therapy, weekly skills group, phone coaching for crises. Standard DBT is 12 months; shorter adaptations exist.
Frequently asked questions
CBT vs DBT difference?
CBT focuses on changing thoughts. DBT adds acceptance strategies and specific emotional regulation skills.
How long is DBT?
Standard: 12 months. Adapted versions: 3-6 months.
Insurance cover DBT?
Most insurance covers DBT as psychotherapy.
Disclaimer: Informational only. Not medical advice. SAMHSA: 1-800-662-4357.