Evidence Based Therapies


talk therapy

DBT is an active, present focused therapy that involves collaboration with your therapist to skillfully navigate emotions

DBT helps you identify and evaluate how your emotions affect your urges and behaviors


DBT has a substantial skills component aimed to increase your ability to experience and respond to emotions


The TAP clinic currently offers both DBT individual and group therapy 


What DBT is: Dialectical Behavior Therapy (DBT) is an evidence-based treatment designed to treat individuals who struggle with emotion regulation difficulties and who engage in problem behaviors such as suicidal behavior and non-suicidal self-injury (e.g., cutting, burning). These individuals may have difficulties with depression, anxiety, substance use, or eating disorders and may have a history of traumatic experiences. DBT has a considerable amount of research support and is considered the gold standard treatment for borderline personality disorder.


The TAP Clinic offers a comprehensive DBT program that is implemented with fidelity to the model articulated by the treatment developer, Dr. Marsha Linehan. A comprehensive DBT program includes four elements: individual therapy (weekly), group skills training (weekly), phone coaching (as needed), and consultation team (for therapists only). Four sets of skills are taught in the adult curriculum: Mindfulness, Emotion Regulation, Distress Tolerance, and Interpersonal Effectiveness. The adolescent curriculum includes the same four modules plus the Walking the Middle Path module, in which adolescents and their caregivers learn about validation, behaviorism, and common family dilemmas that occur with teens.

Our consultation team includes the following providers:

What DBT treats:

DBT was initially developed to treat people who were chronically suicidal and who had borderline personality disorder. The treatment has been studied in a number of randomized controlled trials, and we now know that DBT is helpful in

high emotional sensitivity (frequent, often rapidly shifting emotions) and reactivity (intense emotions), as well as impulsive behaviors that come as a result of difficulty regulating emotions (e.g., suicidal ideation, self-injury, anger management concerns, substance use, impulsive spending, high-risk sexual behaviors). DBT is also helpful for experiences of mood disturbance , anxiety and stress , and traumatic experiences , particularly if there are impulsive behaviors that are related to such experiences.

TAP Clinic comprehensive DBT Programs:

DBT for Adolescents (middle school & high school aged teens)

The DBT-A program is a full-model DBT program for middle-school and high-school aged adolescents and their families. The program includes individual therapy for the adolescent, group skills training for the adolescent and a parent/caregiver, and phone coaching for both the adolescent and their family. Teenagers must be in individual therapy with a DBT therapist who has completed intensive training in DBT to be eligible for this program.


DBT for Adults (18+)

The Adult DBT program is a full model DBT program for adults (18+) struggling with intense emotions and impulsive behaviors aimed at regulating those emotions. You must be in individual therapy with a DBT therapist to be eligible for this program.

Learn More:  You can learn more about what it means to be in a comprehensive DBT program and how to understand your therapist’s use of DBT skills and level of training in DBT by reading the blog post What Does it Mean to be in DBT Treatment.

TAP Clinic DBT Providers:

In adolescents: Dr. Ritschel (DBT-A program director), Nicole Turner, Becca Edwards-Powell, Dr. Zachary,  Dr. Mochrie

In adults: Dr. Byars (Adult DBT program director), Dr. MochrieBecca Edwards-Powell, Dr. ZacharyNicole TurnerDr. Ritschel 

5726 Fayetteville Rd

Suite 101

Durham, NC 27713

Phone:  919-237-3321

Email: info@tapclinicnc.com

Fax: 919-287-2829