Dialectical Behaviour Therapy (DBT) is a structured, evidence-based therapy designed to help people manage intense emotions, build healthier relationships, and develop practical coping strategies. A common question people ask is whether DBT can be done individually.
The short answer is yes — DBT skills can be taught in individual sessions. However, research and clinical experience show that the group aspect of DBT is a vital part of the programme. In fact, DBT was originally designed to include both individual therapy and skills groups, because each element plays a different but complementary role.
In this article, we’ll explore why the group element is so important, and what makes it unique.
Why the Group Element of DBT Matters
1. Learning Through Real Interactions
In a DBT group, participants practise skills such as mindfulness, distress tolerance, and interpersonal effectiveness in real time with others. These interactions help translate skills from theory into practice, which is harder to achieve in individual therapy alone.
2. Validation and Shared Experience
Many people feel isolated when struggling with mental health challenges. In a DBT group, participants often discover that others share similar struggles. This validation and identification can reduce feelings of shame and help individuals feel understood.
3. Learning From Each Other
Group members don’t just learn from the DBT skills trainers — they also learn from each other’s experiences, strategies, and perspectives. Hearing how others apply DBT skills in daily life can spark new ideas and motivation.
4. Building a Support Network
One of the unique benefits of DBT groups is the chance to form connections with people who are on a similar journey. This sense of community and support can make therapy feel less daunting and provide encouragement between sessions.
5. Structure and Consistency
DBT skills groups follow a structured, curriculum-based approach, led by trained DBT therapists. This consistency helps ensure that all core DBT modules are covered thoroughly, building a strong foundation for personal growth.
Can DBT Work Without the Group?
In some cases, individual DBT may be the best starting point — for example, if someone is not yet ready for group work, or if access to a group is limited. Individual sessions can still provide valuable support and skills training.
However, most evidence shows that combining individual therapy with a DBT skills group provides the most effective and lasting outcomes (NHS).
DBT at Home Counties Therapy
At Home Counties Therapy, our DBT programmes based in the UK are designed to include both skills groups and individual support. This approach ensures that clients benefit from:
- One-to-one guidance with a therapist.
- Group sessions to practise and strengthen skills.
- A supportive environment where learning is shared.
We currently offer DBT for both adolescents and adults, with options for ongoing aftercare.
Thinking about starting DBT?
Learn more about our online DBT courses here.
Prices starting from £300 per month.
Final Thoughts
While DBT can technically be delivered on a one-to-one basis, the group element is a cornerstone of the therapy. It provides opportunities for validation, shared learning, skill practice, and building supportive connections — all of which strengthen the impact of DBT.
If you’re interested in learning more about our DBT programmes, you can get in touch with our team to find out how we can help.
