Consider your morning routine. Perhaps you wake up to your alarm and run through the motions without thinking twice — wash your face, dress yourself, eat breakfast. Before you realize it, you are on your way to school or work, barely remembering that these activities occurred just minutes before. These are habits: behavior patterns we perform mindlessly that become cemented in our lives over weeks, months, or years of repetition.

While many habits are healthy (like brushing your teeth) or neutral (like double-checking that the door is locked when you leave the house), some habits are harmful — and some habits are addictive. Teen substance use is one such habit that can quickly become problematic. Substance use can start as a simple routine: a shot of liquor to ease nerves at a party, an Adderall to focus before an exam, a hit of marijuana from a vape pen to relax or sleep. First, your body begins to expect the drug in specific situations. Then, you build a tolerance, requiring more drugs or alcohol to get the same effect. And finally, you develop a dependence and cravings as your brain gets used to being drunk or high regularly.

Mental health struggles can work similarly. Pathways in the brain that regulate mood and emotion are out of balance, resulting in disorders like depression, anxiety, bipolar disorder, or an eating disorder. The imbalances lead to negative behavior patterns — unintentional habits like self-doubt, fear responses, mood swings, poor nutrition, and neglected self-care.

Much like breaking any bad habit, overcoming substance use disorder or a mental health disorder requires breaking the problematic behavior patterns and replacing them with positive ones. It is often difficult enough to break a conscious habit — so how is it possible to overcome habits that you cannot control, like substance use and mental health struggles? This is where a dialectical behavior therapy program, or “DBT,” becomes essential.

WHAT IS DIALECTICAL BEHAVIOR THERAPY (DBT)?

DBT is a form of psychotherapy that uses one-on-one and group conversations to analyze and change negative behavior patterns. It helps participants gain more conscious control over their actions by breaking down the physical and psychological mechanisms behind harmful habits into distinct, manageable pieces. DBT builds skills, including:

  • Mindfulness — e.g., self-awareness and intentional actions
  • Interpersonal effectiveness — e.g., healthy boundaries, clear communication, and empathy
  • Emotional regulation — e.g., constructive emotional outlets and physical influences on mood
  • Distress tolerance — e.g., trigger identification and positive coping mechanisms

doctor talking to a patient about dialectical behavioral therapy program msParticipants learn to express themselves appropriately; to anticipate triggers and responses; to effectively communicate their needs, and to build healthy coping and self-soothing habits. The goal of DBT is to ensure that any time an individual is at risk of falling into a negative behavior pattern, they are capable of recognizing their risk, taking steps to minimize it, and ultimately avoiding the behavior altogether. This can apply to any range of behaviors, from substance use to panic attacks to anger management.

DBT practices have been carefully formed through years of research and study by doctors, scientists, and other mental health professionals. DBT is a proven, effective method based on clinical evidence that people are capable of changing their behaviors, no matter how deeply rooted in their psyche those behaviors may be. While our DBT program was initially created to help individuals struggling with borderline personality disorder and self-harm behaviors, its principles are appropriate for a wide range of mental health concerns as well as substance use disorders.

The applicability of DBT practices for substance use has made it a buzzword among treatment centers; however, not every center offering DBT adheres to its most vetted practices. Accrediting institutions have created a set of certified therapies and skills that are considered the standard of high-quality DBT treatment. At Stonewater, we have carefully crafted a unique DBT model with DBT-certified techniques specifically chosen to optimize our treatment for adolescents struggling with substance use and co-occurring disorders.

DBT AT STONEWATER

doctor talking to a patient about dialectical behavioral therapy program msStonewater believes in enacting lasting change for the adolescents we treat. Every young person in our program has so much to offer. The treatment we provide ensures they can leave substance use behind to lead a fulfilling life. DBT is the key that unlocks our residents’ full potential: it allows them to be more self-aware, empathetic, and in control, and it instills long-term healthy physical and psychological habits.

Our approach to DBT is entirely proprietary to our program. We intentionally incorporate elements of the certified DBT model. Not only as specific therapies but also as a broader ethos underlying everything we do. DBT relies on active dialogue, self-acceptance, and a willingness to work with others. This depends on both the resident and the therapist. Dialectical behavior therapy (DBT) program generates an environment of respect, teamwork, and open-mindedness that encourages self-directed engagement, particularly among the age group we treat.

Part 1: Individual Introduction

In each resident’s first session with their therapist, they receive an individualized DBT orientation that includes an overview of DBT and what it looks like at Stonewater. They will also receive information about how this model promotes acceptance, change, and long-term skill development. This orientation is an opportunity for therapists to start an ongoing conversation with the resident; we do not intend to be a lecture or a set of instructions. Rather an invitation to participate in the recovery process.

Part 2: Educational and Practical Modules

The official DBT model has more than 30 skills that help individuals establish healthier habits. At Stonewater, we focus on eight of these skills most relevant to our residents during their 60- to 90-day stays. Our goal is to ensure that every resident masters these eight skills completely. This way, they can leave our program and confidently implement them in everyday life right away. Within the first month of treatment, we introduce all eight skills through rotating therapy modules. Then, over the following weeks, we reinforce through module repetition, practical applications, and our other therapeutic modalities.

Part 3: An Intentional DBT-Informed Community

All members of Stonewater staff — including non-clinical team members — are trained in basic DBT principles. Every DBT therapy session is led, guided by or attended by two DBT-trained staff members. They can employ DBT techniques within therapeutic exercises and utilize DBT skills to defuse emotionally charged situations.

DBT spans across all of our modalities and within our residents’ daily schedules, including the following examples:

GROUP THERAPY

Dialectical behavior therapy program is frequently group-based. Many of the skills we teach are intended to improve interpersonal relationships and communication. Often, the moments that trigger a negative emotional response or behavior pattern involve the actions or words of another person. Group therapy is the ideal setting to practice DBT-informed skills of self-awareness in conversation. It helps with learning about healthy boundaries and developing methods of de-escalation.

At Stonewater, we also incorporate educational group therapy sessions into residents’ regular programming. These sessions teach essential, practical DBT skills, including self-care, nutrition, sleep, and exercise. All while encouraging group participation and engagement with the subject matter.

DAILY INDIVIDUAL GOAL-SETTING

Stonewater residents participate in a regular morning meditation session to take an emotional inventory for the day ahead. This includes anticipating challenges that may arise and preparing means of troubleshooting those challenges as they happen. These exercises emphasize the DBT principle of mindfulness: being aware of the moments that may cause distress and being able to intentionally employ a positive response rather than allowing a reflexive negative reaction to bubble to the surface.

Following the individual meditation session, residents participate in a group processing session to discuss their daily challenges and goals. Translating thoughts into words further cements residents’ confidence in their abilities to accomplish their goals. The group setting encourages shared experiences, teamwork, and empathy.

ADVENTURE THERAPY

walking through the woods after dialectical behavioral therapy program msPhysical activity is another component of our dialectical behavior therapy (DBT) program, strengthening the mind-body connection, and often providing a healthy outlet for strong emotions. DBT also promotes the idea of the “wise mind.” This is a mental state at the intersection of emotion and reason where residents think, plan, and execute rationally while still allowing room for emotions. The “wise mind” principle is often a focus of these problem-solving activities, particularly of fast-paced team activities where emotions may run high. Our adventure therapy sessions incorporate both of these ideals through outdoor group activities, including ropes courses, mazes, team sports, and more.

ADOLESCENT RECOVERY AT STONEWATER

In DBT, the word “dialectic” refers to a philosophical mode of debate in which two people contribute equally to a conversation through questions and answers. At Stonewater, we believe that every person is on equal footing. We are all God’s creations, and we all deserve equal respect, dignity, and empathy. DBT reinforces this mentality among our team and our residents. We see the difference every day in the way every member of our community interacts with one another.

If you, your child, or an adolescent in your life requires treatment for substance use or co-occurring substance use and mental health disorders, please reach out to Stonewater today. Our dialectical behavior therapy program (DBT) is located in Oxford, Mississippi, and admissions are open to young people ages 12-18. Contact us today to learn more about what we do and how we can help you and your family overcome the consequences of substance use together.