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    1570 The Alameda Suite 255-B | San Jose, CA 95126
    mcarlisle@southbaydbt.com | (408) 893-4032

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      • DBT for Neurodiverse People
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    Couples DBT Skills

    DBT Therapy for Couples in California

    DBT Skills for Couples & Relationships

    If you and your partner find yourselves having the same arguments over and over—or struggling to understand each other despite how much you care—DBT therapy for couples can help.

    Many couples come to this work feeling stuck in patterns they can’t seem to change. One or both partners may feel overwhelmed, reactive, or shut down during conflict. You may leave conversations feeling misunderstood, disconnected, or frustrated that things didn’t go differently.

    In DBT, we understand that these moments are not random.

    They often happen when emotions escalate quickly, and both partners are trying to respond—but end up missing each other instead.

    DBT for couples is designed to help you break those patterns.

    Virtual sessions are available for couples throughout California.


    A Different Way to Work Through Conflict

    DBT for couples is based on the work of Dr. Alan Fruzzetti and integrates DBT skills for relationships into the way partners communicate and respond to each other.

    The focus is not just on what you’re arguing about—but what’s happening between you in those moments:

    • how emotions escalate
    • how each partner responds
    • how interactions either build connection or create distance

    We teach skills in reciprocity, appreciation, and deep, generous listening.

    Together, we work to slow things down, reduce emotional escalation, and create more effective ways of responding to each other.


    What You’ll Learn in DBT Couples Therapy

    DBT skills for couples focus on practical tools you can use in real time:

    • how to communicate clearly without escalating conflict
    • how to stay engaged instead of shutting down or becoming reactive
    • how to understand each other’s emotional experiences more fully
    • how to repair after difficult interactions
    • how to respond more effectively in high-stress moments

    Emotional Regulation in Relationships

    Research on high-conflict couples shows that strong emotions often drive patterns of escalation.

    When one partner feels misunderstood, the other may react defensively.
    When emotions rise, communication narrows and actually becomes inaccurate due to high arousal levels.
    And both people can end up feeling more alone—even while trying to connect.

    Many couples recognize this experience—they can feel when they are “in the loop,” but don’t know how to get out of it.

    In DBT couples therapy, you’ll learn how to:

    • recognize when emotions are taking over
    • regulate those emotions before reacting
    • respond in ways that reduce escalation rather than intensify it
    • support each other during difficult moments

    These DBT skills help interrupt cycles of invalidation and create more stability and connection in the relationship.

    Decades of research in DBT with couples and families show that these skills can help partners feel closer, more understood, and more effective with each other.


    Mindfulness & Presence in Relationships

    Mindfulness is a core DBT skill—and in couples work, it becomes especially important.

    You’ll learn how to stay present during conversations, even when emotions are high, instead of reacting automatically or getting pulled into old patterns.

    This allows for:

    • better listening
    • less misunderstanding
    • more accurate expression
    • deeper, more meaningful connection

    Especially Helpful For

    DBT couples therapy is especially helpful if you:

    • have recurring conflicts that don’t get resolved
    • feel misunderstood or disconnected
    • struggle with emotional intensity or reactivity
    • are navigating neurodiverse differences (ADHD, autism)
    • want to improve communication and rebuild trust

    A Structured but Flexible Approach

    This work is both structured and responsive to you as a unique couple.

    It includes:

    • space to understand what’s happening between you
    • practical tools to help you respond differently
    • support in applying those skills in real-life situations

    We move at a pace that supports both understanding and meaningful change.


    Get Started with DBT Couples Therapy in California

    If you’re looking for DBT therapy for couples in California or want to learn more, we invite you to reach out.

    Call (408) 893-4032 to get started or ask questions.

    You don’t have to stay stuck in the same patterns—change is possible, even in moments that feel difficult.


    1570 The Alameda Suite 255-B
    San Jose, CA 95126

    (408) 893-4032
    mcarlisle@southbaydbt.com

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