DBT Groups

DBT Skills Groups vs. Traditional Process Groups

Many people are unsure what to expect from a DBT skills group—and how it differs from more traditional therapy groups.

Understanding this difference can help you choose the approach that fits your needs.

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DBT Skills Group: Structured, Skill-Based, and Practical

A DBT skills group is focused on learning and applying specific tools to help you manage emotions, improve relationships, and respond more effectively in difficult situations.

In this setting, you will:

• learn concrete skills you can use in real life
• practice applying those skills during and between sessions
• follow a structured curriculum (mindfulness, emotion regulation, distress tolerance, and interpersonal effectiveness)
• build consistency and progress over time

While there is space for discussion, the primary focus is on learning and using skills and often people use their own examples to discuss skills practice.

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Traditional Process Groups: Open-Ended and Exploratory

In contrast, traditional psychotherapy process groups are less structured and more focused on exploring emotions and interpersonal dynamics.

In these groups, you may:

• talk about current experiences and feelings
• explore patterns in relationships
• receive feedback and support from others
• engage in open-ended discussion without a set curriculum

This can be helpful for insight and connection, but may not provide specific tools for changing patterns in the moment.

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Which Approach Is Right for You?

DBT skills groups are often a better fit if you:

• want practical tools you can apply right away
• feel stuck in patterns and want clear ways to change them
• are looking for structure and consistency
• want help managing intense emotions or reactions

Process groups may be a better fit if you are primarily looking for open-ended exploration and emotional processing.

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A Balanced Approach

For many people, the most effective work includes both:

• space to understand what’s happening
• and tools to respond differently

DBT is designed to provide both—but with a stronger emphasis on building skills that create lasting change.

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Next Steps

If you’re not sure which approach is right for you, you’re welcome to reach out.

Call or text (408) 893-4032 to ask questions or learn more about DBT skills groups.