1.Shannon McGrath, MSW, LCSWVerified
(541) 227-6232
Eugene, OR 97401
ADHD · Anxiety · Body Image
orcounselors.com/provider/shannon-mcgrath-eugene-or
Therapy approaches
Dialectical Behavior (DBT) Therapists in Oregon
Find Oregon therapists who practice Dialectical Behavior (DBT).
Dialectical Behavior (DBT) also matches related terms: Rational Emotive Behavior (REBT), DBT, Dialectical Behavior Therapy (DBT), Dialectical Behavioral Therapy (DBT). Results below include all of them.
RelatedCognitive Behavioral (CBT) (239)Emotionally Focused (118)Mindfulness-Based (MBCT) (112)Compassion Focused (105)Rational Emotive Behavior (REBT) (14)DBT (1)Dialectical Behavior Therapy (DBT) (1)Dialectical Behavioral Therapy (DBT) (1)
As of April 2026, many therapists listed on Oregon Counselors specialize in Dialectical Behavior (DBT) therapy. This approach, which integrates acceptance and change strategies, is widely used for managing emotional dysregulation and improving interpersonal effectiveness. Many providers offer telehealth sessions, making DBT accessible to Oregonians across the state. Many therapists accept the Oregon Health Plan (OHP), and many offer sliding scale fees, ensuring financial accessibility. These therapists may utilize DBT's structured techniques to address a range of concerns, including borderline personality disorder, self-harm, and suicidal ideation.
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Dialectical Behavior (DBT)Related: Rational Emotive Behavior (REBT)
When you are struggling to have effective and healthy coping skills, understanding what your emotions are telling you, or just need to love yourself more, please come talk to me. If you are looking to…
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Dialectical Behavior (DBT) — key facts & evidence
Researched data on this topic, every figure links to its source.
DBT was developed by psychologist Marsha Linehan, Professor Emeritus at the University of Washington. It was created originally to treat suicidal behaviors, then expanded to borderline personality disorder.
Source: University of Washington (Behavioral Research & Therapy Clinics)A 2020 Cochrane review of 75 trials found DBT more effective than usual care at reducing BPD severity, self-harm, and improving psychosocial functioning, though it rated the evidence low-quality.
Source: Cochrane Library (Storebo et al.) (2020)Comprehensive DBT typically runs about 12 months and has four parts: weekly individual therapy, a weekly group skills class, between-session phone coaching, and a therapist consultation team.
Source: PMC (Standard 12-month DBT, community mental health study) (2017)DBT skills training covers four modules: core mindfulness, distress tolerance, emotion regulation, and interpersonal effectiveness. The group meets weekly and takes about 6 months to cover all modules.
Source: PMC (DBT as treatment for BPD, May & Richardi) (2016)A 2021 meta-analysis of 21 studies (1,673 adolescents) found DBT for adolescents had small-to-medium effects versus controls in reducing self-harm (g=-0.44) and suicidal ideation (g=-0.31).
Source: Psychological Medicine / PMC (Kothgassner et al.) (2021)NICE recommends DBT adapted for adolescents (DBT-A) be considered for children and young people with significant emotional dysregulation who have frequent episodes of self-harm.
Source: NICE (Self-harm quality standard QS34) (2022)Frequently asked questions
Common questions about this coverage in Oregon.
What's the difference between DBT and CBT?
DBT is a specialized form of CBT, originally developed by Marsha Linehan for chronic suicidality and Borderline Personality Disorder. The "dialectical" part means it holds two truths simultaneously: "you're doing the best you can" AND "you need to do better." DBT adds four specific skills modules — mindfulness, distress tolerance, emotion regulation, and interpersonal effectiveness — that standard CBT doesn't formally include. It's usually delivered as a structured 6–12 month program with both individual therapy and weekly skills groups.
Do I need DBT for BPD or trauma?
DBT is the gold-standard treatment for BPD (Borderline Personality Disorder) and is often recommended for chronic emotion dysregulation, self-harm, eating disorders with emotion-driven episodes, and complex trauma with affect-regulation difficulties. For straightforward PTSD without dysregulation, EMDR or CPT are usually better fits.
How long is a typical DBT program?
A full standard DBT program runs 6–12 months and consists of: weekly individual therapy, a weekly 2-hour skills group, phone coaching availability between sessions, and the therapist participating in their own consultation team. Some clients do "DBT-informed" therapy that's less structured (just individual sessions, no group) — this is more accessible but has weaker evidence. If you want full-protocol DBT, ask therapists directly if they run or refer to a skills group.
Are there DBT skills groups in Oregon?
Yes — Portland, Eugene, and Bend all have multiple DBT skills groups, both in-person and via telehealth. Some are run by individual practices, others by larger clinics. Cost varies: $50–$150 per group session, often covered by insurance. Many of our DBT-trained therapists run their own group or have referral arrangements with one. Ask any prospective DBT therapist whether they offer or coordinate with a skills group.
Can DBT be done via telehealth?
Individual sessions and skills groups both translate well to video. The phone-coaching component (a hallmark of DBT) is naturally a phone-based feature anyway. Outcomes for telehealth DBT match in-person delivery in the post-2020 research.
Is DBT covered by Oregon insurance?
Yes. Individual DBT sessions bill as standard psychotherapy codes (90837 / 90834). Skills groups bill under group therapy codes (90853) and are also typically covered. Some intensive DBT programs require prior authorization; most outpatient providers don't.
How many Oregon therapists specialize in Dialectical Behavior (DBT) therapy?
there are many therapists who specialize in Dialectical Behavior (DBT) therapy, offering a structured approach to manage emotional dysregulation and interpersonal challenges.
Do Oregon DBT therapists accept the Oregon Health Plan (OHP)?
Yes, many therapists specializing in DBT therapy accept the Oregon Health Plan (OHP), which can make treatment more accessible for those with Medicaid coverage.
Is telehealth available for DBT therapy in Oregon?
Yes, many therapists specializing in DBT therapy offer telehealth sessions, allowing clients to access DBT services remotely.
Do Oregon DBT therapists offer sliding scale fees?
Yes, many DBT therapists offer sliding scale fees, which can make therapy more affordable for clients with varying income levels.
Many therapists listed on Oregon Counselors specialize in Dialectical Behavior (DBT) therapy. This approach, which integrates acceptance and change strategies, is widely used for managing emotional dysregulation and improving interpersonal effectiveness. Many providers offer telehealth sessions, making DBT accessible to Oregonians across the state. Many therapists accept the Oregon Health Plan (OHP), and many offer sliding scale fees, ensuring financial accessibility. These therapists may utilize DBT's structured techniques to address a range of concerns, including borderline personality disorder, self-harm, and suicidal ideation.