Professional Dialectical Behaviour Therapy (DBT) in Kitchener-Waterloo: Key DBT Skills & Effective Behavioural Therapy
Find professional Dialectical Behaviour Therapy (DBT) in Kitchener-Waterloo. Learn skills to manage intense emotions, stress and improve relationships.

Transform Your Emotional Well-Being with Dialectical Behaviour Therapy (DBT) in Kitchener-Waterloo
At Upstream Counselling, our DBT therapists help individuals with borderline personality disorder and others facing mental health challenges like self-harm, suicidal thoughts, PTSD, or substance use. We offer both individual therapy and group skills training, giving you the chance to learn coping skills in a safe, supportive environment.
Dialectical Behaviour Therapy (DBT) is an evidence-based type of CBT that focuses on acceptance and change. In DBT sessions, you’ll learn mindfulness skills, emotional regulation skills, distress tolerance skills, and interpersonal effectiveness skills—tools that help you manage overwhelming emotions and handle difficult situations more calmly.
Many people find DBT programs life-changing because they combine individual DBT and group skills training. Here, skills are taught and practiced, giving you real strategies to reduce self-destructive behaviours, navigate relationships better, and build emotional stability. With the right support, DBT helps you feel more in control and connected to life again.

How Dialectical Behaviour Therapy Can Support Your Emotional Growth
Dialectical behavioural therapy is an evidence-based therapy that helps you understand your emotions and feel more in control during everyday challenges. Many people share that this type of therapy feels reassuring because DBT focuses on practical skills you can actually use in real moments of stress.
Skill-Building for Stronger Emotional Stability
Dialectical behavioural therapy teaches core skills that make it easier to stay steady when feelings get too intense. As you practice the skills taught in DBT therapy, you may notice that stressful situations don’t overwhelm you the way they used to.
Improving Distress Tolerance for Daily Challenges
Distress tolerance skills are designed to help you get through tough moments without reacting out of panic or frustration. These acceptance techniques can be especially grounding when negative thought patterns show up unexpectedly.
Developing Mindfulness to Stay Present in the Moment
Mindfulness skills in DBT encourage you to slow down, breathe, and pay attention to what’s happening inside you during a therapy session or group sessions. Many people find that practicing dialectical behaviour therapy skills helps them feel more present and less pulled around by their emotions.
Managing Intense Emotions for a More Balanced Perspective
Emotion regulation skills are a cornerstone of DBT skills training and can make big feelings feel more manageable. People coping with a range of mental health conditions, including post-traumatic stress disorder, often share that DBT works because it gives them tools they can use right away.
Building Healthier Relationships Through Interpersonal Skills
Interpersonal effectiveness skills taught in DBT help you communicate more clearly and feel more confident setting boundaries. These skills help you navigate conversations that once felt draining, whether in group therapy, at home, or with friends.
Supporting Positive Change With Every DBT Step
A licensed mental health professional will guide you through DBT treatment, which usually lasts six months to a year and moves at a pace that feels manageable. DBT was originally created to treat borderline personality disorder, but many mental health professionals now use DBT because it’s helpful for a wide range of mental health experiences.
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Accessible, Compassionate Dialectical Behaviour Therapy for Emotional Balance
Are you looking for support to manage overwhelming emotions and feel steadier in your daily life?
At Upstream Counselling, we offer DBT, a type of talk therapy guided by experienced therapists (MSW, RSW) and licensed mental health professionals. Whether you’re people with borderline personality disorder or facing other emotional challenges, our sessions are designed to help you develop skills, including emotion regulation skills, acceptance techniques, and practical strategies to navigate stress and relationships.
Everyone deserves care that feels safe, practical, and understanding. You don’t have to face intense emotions, negative thoughts, or interpersonal struggles alone—DBT teaches skills you can practice in real life, helping you feel calmer and more confident in yourself.
Our team works closely with clients in a supportive way. Through skills training groups, group sessions, DBT exercises, and behavioural analysis, clients learn the skills that are a component of DBT, strengthen skills for managing emotions, and improve their ability to respond thoughtfully rather than react impulsively.
We understand that strong emotions or self-doubt can feel exhausting and isolating. Whether this is your first experience with therapy that focuses on skill-building or you’ve tried therapy before, DBT is based on research and therapy showing that it benefits from DBT’s structured approach, combining cognitive behavioural therapy strategies to develop skills that work in real-life situations.
Through DBT treatment, clients reconnect with themselves and others while building confidence and emotional stability. DBT may also involve ongoing skills focus, giving you opportunities to practice DBT skills in daily life, strengthen relationships, and handle challenges with more balance and self-awareness.
If you’re ready to explore treatment for borderline personality disorder or simply want to improve your emotional well-being, Upstream Counselling is here to guide you, helping you learn the skills and feel more in control of your life.
Frequently Asked Questions
At Upstream Counselling, we want you to feel comfortable with the counselling process. Here are some of the most frequently asked questions about talking to a therapist about this type of therapy.
What is dialectical behavioural therapy, and how is it different from behavioural therapy?
Dialectical behavioural therapy (DBT) is a type of therapy that blends mindfulness with cognitive behavioural techniques to help you manage strong emotions.
Focus: Unlike traditional behavioural therapy, DBT helps you accept your feelings while also learning ways to change patterns that cause stress or conflict.
Who it’s for: Originally created for people with borderline personality disorder, DBT also supports anyone dealing with intense emotions or other mental health conditions.
How it works: DBT involves both one-on-one sessions with a therapist and group skills training, giving you a safe space to practice real-life coping strategies.
Outcome: With practice, you can feel more in control, confident, and able to handle challenges without being overwhelmed.
How can core skills and DBT skills training help manage a mental health condition?
Learning core skills to help individuals manage emotional highs and lows and reduce impulsive reactions.
Skills focus: DBT teaches techniques for emotional regulation, interpersonal effectiveness, and acceptance, helping you respond rather than react.
Practice: Skills training groups and guided exercises let you try techniques in real-life situations, making them easier to use outside therapy.
Daily use: These skills help you handle stress, improve relationships, and feel calmer in difficult moments.
Benefit: Many people find that DBT is helpful for feeling steadier, more aware of themselves, and better equipped to manage their emotions.
What does a session with a DBT therapist typically involve?
Sessions usually start with discussing recent experiences, identifying challenges, and focusing on areas where skills can be applied.
Components: Therapy involves both individual sessions and group training, so you learn skills and practice them in supportive environments.
Skill practice: Sessions include behavioural analysis and guided exercises to help you understand patterns and apply core skills effectively.
Integration: CBT techniques may be used to challenge negative thoughts and build healthier coping strategies.
Support: Your therapist helps you track progress, tailor exercises to your needs, and reinforce the skills that work best for you.
How do emotional regulation skills improve interpersonal effectiveness in DBT?
Emotional regulation skills help you notice and manage your feelings before they spiral out of control.
Application: When emotions are more balanced, it becomes easier to communicate clearly, set boundaries, and maintain healthy relationships.
Skills practice: Skills training groups give you a safe space to try techniques and get feedback from therapists and peers.
Impact: Practicing these skills reduces conflict, helps you respond thoughtfully, and strengthens your connections with others.
Requirement: DBT requires consistent practice, but over time, it can make managing emotions and relationships much easier.
Who can benefit from DBT, and why does DBT work?
Anyone with intense emotions, borderline personality disorder, PTSD, or other mental health conditions can benefit from DBT.
Effectiveness: DBT works because it combines structured skill-building, mindfulness, and practical exercises that help you manage emotions and reduce harmful patterns.
Skills focus: Clients learn core skills, emotional regulation, and acceptance techniques they can apply in daily life.
Therapy approach: Therapy involves both individual sessions and skills training groups, so clients can practice skills in different settings.
Long-term benefit: Many people leave DBT feeling more confident, more in control of their emotions, and better prepared to face everyday challenges.
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Our team at Upstream Counselling is here to help you explore issues, gain insights, begin your journey towards healing, and work towards the goals you identify during the counselling process.
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Disclaimer: Content on this website is for informational purposes only. Visiting this website does not establish any type of therapist-client relationship with Upstream Counselling or its staff. Information obtained from this site does not substitute for a thorough medical and/or psychiatric evaluation by an appropriately credentialed and licensed professional.


