Dialectical Behavior Therapy (DBT) at River Rocks Recovery

Helping You Build Skills for Lasting Recovery

Healing isn’t just about stopping substance use—it’s about learning new ways to handle intense emotions, navigate relationships, and create balance in your life.

At River Rocks Recovery, we offer Dialectical Behavior Therapy (DBT) to help you develop the tools you need for meaningful, lasting change.

Build the Future You Deserve

Recovery isn’t about who you’ve been—it’s about who you’re becoming. Let’s take that next step together.

What Is Dialectical Behavior Therapy (DBT)?

DBT is an evidence-based form of psychotherapy that blends cognitive-behavioral techniques with mindfulness practices. It was originally created to help people struggling with borderline personality disorder and self-destructive behaviors. Today, DBT is widely used to treat:

  • Addiction and substance use disorders

  • Trauma and PTSD

  • Anxiety and depression

  • Mood swings and impulsive behaviors

  • Difficulties in relationships and communication

The heart of DBT is balance—learning to accept yourself as you are while working toward positive, lasting change.

Why DBT Matters in Addiction Recovery

Substance use often develops as a way to cope with overwhelming emotions, trauma, or relationship struggles.
DBT helps by addressing these root causes, offering skills to:

  • Manage overwhelming emotions without turning to drugs or alcohol
  • Navigate cravings and triggers with healthier coping strategies
  • Improve relationships through better communication and boundaries
  • Prevent relapse by creating stability and self-awareness
  • Build confidence and resilience for long-term recovery

“Recovery isn’t just about removing substances. It’s about learning to face life with strength and clarity.”

The Four Core Skills of DBT

At River Rocks Recovery, our DBT program focuses on four essential skill areas:

  1. Mindfulness
     Learning to stay present and aware of your thoughts and feelings without judgment.

  2. Distress Tolerance
     Building strategies to survive crises and handle painful emotions without harmful behaviors.

  3. Emotion Regulation
     Understanding and managing intense emotions so they don’t control your actions.

  4. Interpersonal Effectiveness
    Communicating clearly, asking for what you need, and maintaining healthy boundaries.

 

How DBT Works at River Rocks Recovery

Our DBT services are tailored to fit into your recovery plan and may include:

  • Group Skills Training – Learn and practice DBT skills alongside peers in a supportive group setting.

  • Individual Therapy – Work one-on-one with a DBT-trained therapist to apply skills to your unique challenges.

  • Crisis Coaching Support – Extra guidance between sessions for moments when urges or emotions feel overwhelming.

  • Homework and Practice Tools – Worksheets and exercises to reinforce skills in daily life.

DBT can be part of several levels of care, including our Partial Hospitalization Program (PHP) and Intensive Outpatient Program (IOP).

Who Can Benefit From DBT?

DBT is especially effective for individuals who:

  • Struggle with relapse due to emotional triggers

  • Have co-occurring disorders, such as trauma or mood disorders

  • Experience frequent crises, mood swings, or impulsive behaviors

  • Feel overwhelmed by relationships or conflict

  • Want to replace self-destructive habits with healthy coping skills

If you’ve felt “stuck” in recovery before, DBT offers a structured path forward.

Why Choose River Rocks Recovery for DBT

  • Experienced, Compassionate Staff
    Our team is trained to integrate DBT into addiction treatment with warmth and expertise.
  • Safe, Supportive Environment
    Healing is easier when you feel seen, heard, and valued.
  • Comprehensive Care
    DBT is part of a full continuum of services, including group therapy, trauma therapy, and holistic support.

Convenient Location
 Easily accessible for residents of Middletown and surrounding communities.

Our Levels of Care at River Rocks

At River Rocks Recovery, we understand that recovery is not a one-size-fits-all journey. That’s why we offer a continuum of care—from more intensive support to outpatient services—to meet you where you are and guide you forward.

●      Partial hospitalization program (PHP)

When you need structured, daily support without residential living.

  • Engage in daily treatment sessions (several hours each day)

  • Participate in group therapy, DBT skills training, and relapse prevention

  • Receive individual counseling to address personal goals and challenges

  • Integrate holistic therapies (mindfulness, art, yoga, wellness practices)

  • Ideal for transitioning out of inpatient care or for those needing more stability

●      Intensive Outpatient Program (IOP)

Balancing treatment with everyday life responsibilities.

  • Attend scheduled sessions multiple days per week

  • Continue group therapy, life-skills training, and DBT reinforcement

  • Maintain individualized therapy tailored to your progress

  • Flexibility to manage work, school, or family obligations

  • A strong step-down from PHP, maintaining high levels of support

●      Outpatient Program

Sustained support for maintaining long-term recovery.

  • Less frequent therapy sessions (group and individual)

  • Focused on relapse prevention, coping strategies, and skill reinforcement

  • Opportunity to stay engaged with peer support and alumni groups

  • Gentle structure to preserve independence while staying connected to care

DBT & Mental Health: Key Statistics to Know

● Reduction in Suicide Attempts Among Adolescents In a randomized trial, adolescents receiving DBT showed lower rates of suicide attempts: 9.7% in the DBT group vs. 21.5% in the comparison group at 6-month follow-up.

[1] McCauley, E., Berk, M. S., Asarnow, J. R., et al. (2018). Efficacy of dialectical behavior therapy for adolescents at high risk for suicide: A randomized clinical trial. JAMA Psychiatry, 75(8), 777–785. https://jamanetwork.com/journals/jamapsychiatry/fullarticle/2685324

[1] Doe, J., & Smith, A. B. (2023). Title of the article. Journal of the American Academy of Psychiatry and the Law, 52(2), 196–204. https://jaapl.org/content/52/2/196

[1] A systematic review on the effectiveness of dialectical behavior therapy for improving mood symptoms in bipolar disorders. International Journal of Bipolar Disorders, 11, Article 6. https://doi.org/10.1186/s40345-023-00288-6

[1] Ohio Department of Job and Family Services & Ohio Department of Mental Health and Addiction Services. (2023, October). Trauma Treatment Model Monitoring Tool (October 2023). https://dam.assets.ohio.gov/image/upload/jfs.ohio.gov/OFC/TraumaTreatmentModelListOctober2023.pdf

 

[1] Haft, S. L., O’Grady, S. M., Shaller, E. A. L., & Liu, N. H. (2022). Cultural adaptations of dialectical behavior therapy: A systematic review. Journal of Consulting and Clinical Psychology, 90(10), 787-801. https://doi.org/10.1037/ccp0000730

DBT Near Me in Middletown, OH

Finding the right support shouldn’t feel overwhelming. If you’re searching for DBT near me in Middletown, Ohio, River Rocks Recovery is here to help.
Our admissions team can answer your questions, verify insurance, and build a personalized treatment plan—so you can focus on healing.

Speak with a caring team member now at (888) 905-6281 for a confidential conversation about how DBT can support your recovery.

Find Balance, Build Resilience, and Start Your Journey Today

Recovery isn’t just about breaking free from addiction—it’s about discovering who you are beyond the struggle.

With Dialectical Behavior Therapy (DBT) at River Rocks Recovery, you’ll gain the skills to face challenges with clarity, strengthen your relationships, and create a life rooted in balance and hope.

Whether you live in Middletown or the surrounding Ohio communities, our team is ready to walk beside you every step of the way.

Let’s take that first step together.

Call Today For Scheduling Information 

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Licensed counselors are standing by and available any time, day or night. Don’t hesitate to call today.

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