Comparing CBT and DBT Therapy Options in Los Angeles

Mental health challenges affect countless individuals in Los Angeles, making effective treatment crucial for recovery. Whether you’re struggling with anxiety, addiction, or emotional dysregulation, finding the right therapy can make all the difference. Two of the most proven approaches are cognitive behavioral therapy (CBT) near me and dialectical behavior therapy (DBT). 

While both are evidence-based, they address different needs. At The Forge Recovery Center, we understand that personalized treatment is key to lasting healing. In this article, we will compare CBT and DBT to help you determine which therapy best supports your journey toward mental wellness.

Understanding Cognitive Behavioral Therapy (CBT)

Cognitive Behavioral Therapy (CBT) is an evidence-based treatment designed to help individuals recognize and change negative thought patterns that contribute to emotional distress and harmful behaviors. The core principle of CBT is that our thoughts, emotions, and behaviors are interconnected—by identifying and restructuring distorted thinking, we can improve mental well-being.

Core Principles of CBT

CBT operates on several key principles:

• Cognitive Restructuring: Identifying and challenging negative or irrational thoughts.

• Behavioral Activation: Encouraging positive behaviors that improve mood and motivation.

• Skills Development: Teaching coping mechanisms such as problem-solving, stress management, and mindfulness.

• Exposure Therapy: Gradual exposure to fears or triggers to reduce anxiety responses.

Common Issues Addressed by CBT

CBT is highly effective in treating a wide range of mental health conditions, including:

• Depression: Helps reframe negative self-perceptions and build healthier routines.

• Anxiety Disorders: Addresses excessive worry, panic attacks, and phobias by restructuring thought patterns.

• Post-Traumatic Stress Disorder (PTSD): Assists in processing trauma and reducing distressing symptoms.

• Substance Use Disorders: Helps individuals identify triggers and develop healthier coping strategies.

• Obsessive-Compulsive Disorder (OCD): Uses exposure and response prevention to break compulsive cycles.

Structure and Duration of CBT Sessions

CBT is typically a structured, goal-oriented therapy conducted in weekly sessions lasting 45-60 minutes. Sessions often include:

1. Assessment and Goal-Setting: Identifying key issues and setting measurable treatment goals.

2. Cognitive and Behavioral Exercises: Working through specific thought patterns and behaviors to encourage change.

3. Homework Assignments: Practicing techniques outside of therapy to reinforce progress.

4. Progress Evaluation: Regularly reviewing improvements and adjusting strategies as needed.

A standard course of CBT usually lasts 12 to 20 sessions, though the exact duration depends on individual needs and treatment goals. At The Forge Recovery Center, we integrate CBT into personalized treatment plans to help individuals struggling with addiction, mental health disorders, and co-occurring conditions. By addressing negative thinking and building healthier behaviors, CBT provides a powerful path toward lasting recovery.

Understanding Dialectical Behavior Therapy (DBT)

Dialectical Behavior Therapy (DBT) is an evidence-based therapy designed to help individuals regulate emotions, improve relationships, and develop coping strategies for distress. Originally developed for borderline personality disorder (BPD), DBT has since been proven effective for a range of mental health conditions. The core principle of DBT is balancing acceptance and change—helping individuals acknowledge their emotions while also working toward healthier behaviors.

Core Principles of DBT

DBT is rooted in four key areas:

• Mindfulness: Developing present-moment awareness to reduce emotional reactivity.

• Distress Tolerance: Learning crisis-management skills to handle intense emotions without resorting to harmful behaviors.

• Emotion Regulation: Understanding and managing emotions rather than being controlled by them.

• Interpersonal Effectiveness: Improving communication skills, setting boundaries, and building healthier relationships.

Common Issues Addressed by DBT

While DBT was originally created for borderline personality disorder (BPD), it is now widely used to treat:

• Self-harm and suicidal ideation: Teaches coping strategies to reduce impulsive, harmful behaviors.

• Substance use disorders: Helps individuals manage cravings and develop healthier responses to stress.

• Eating disorders: Supports individuals in breaking unhealthy cycles related to food and body image.

• Post-Traumatic Stress Disorder (PTSD): Provides tools for managing trauma-related emotions and behaviors.

• Mood and anxiety disorders: Teaches emotional regulation techniques to reduce the intensity of mood swings and anxiety.

Structure and Duration of DBT Sessions

DBT is a structured and intensive therapy that typically includes:

1. Weekly Individual Therapy: One-on-one sessions where clients work on specific challenges and apply DBT skills.

2. Weekly Group Skills Training: Guided sessions where participants learn and practice DBT techniques in a supportive environment.

3. Phone Coaching (as needed): Provides real-time support for individuals to apply DBT skills in daily life.

4. Therapist Consultation Team: DBT therapists meet regularly to ensure the best treatment strategies for their clients.

A full course of DBT typically lasts six months to a year, though some individuals continue beyond that for ongoing support.

At The Forge Recovery Center, we incorporate DBT into personalized treatment plans to help individuals struggling with addiction, emotional dysregulation, and co-occurring mental health conditions. Through DBT, clients gain the skills needed to manage emotions effectively, build resilience, and take meaningful steps toward long-term recovery.

Key Differences Between CBT and DBT

Cognitive Behavioral Therapy (CBT) and Dialectical Behavior Therapy (DBT) are both evidence-based approaches, but they have different therapeutic focuses, structures, and applications. Choosing the right therapy depends on individual needs and mental health challenges. Below, we break down the key differences between these two approaches.

1. Therapeutic Focus: Thoughts Vs. Emotions

• CBT Focus: CBT primarily targets thought patterns that contribute to negative emotions and behaviors. It teaches individuals how to identify and reframe irrational or unhelpful thoughts to improve emotional well-being.

• DBT Focus: DBT places a stronger emphasis on emotional regulation and acceptance. It helps individuals acknowledge and manage intense emotions rather than trying to change their thought patterns directly.

Example:

• A person struggling with anxiety in CBT would challenge and restructure anxious thoughts (e.g., “What evidence do I have that this fear is valid?”).

• In DBT, the same person would use mindfulness and distress tolerance techniques to accept and manage their anxiety without letting it take over.

2. Session Structure and Techniques

• CBT Sessions:

  • Typically short-term (12-20 weeks) and highly structured.

  • Focuses on specific problems and developing practical coping strategies.

  • Involves homework assignments (e.g., journaling, behavioral experiments) to reinforce learning outside of sessions.

• DBT Sessions:

  • More intensive and long-term (6 months to a year or more).

  • Includes weekly individual therapy, group skills training, and phone coaching for real-world application.

  • Uses a balance of acceptance and change, helping clients build distress tolerance and regulate emotions.

3. Suitability for Different Mental Health Conditions

• CBT is best suited for:

  • Anxiety disorders (e.g., generalized anxiety, phobias, panic disorder).

  • Depression and mood disorders.

  • Post-Traumatic Stress Disorder (PTSD).

  • Addiction and substance use disorders.

  • Obsessive-Compulsive Disorder (OCD).

• DBT is best suited for:

  • Borderline Personality Disorder (BPD).

  • Emotional dysregulation and intense mood swings.

  • Self-harm and suicidal behaviors.

  • Substance use disorders, especially when linked to emotional distress.

  • PTSD, particularly for individuals with difficulty managing trauma-related emotions.

Which Therapy Is Right for You?

The choice between CBT and DBT depends on your unique challenges and goals. If you need help changing negative thought patterns and developing structured coping skills, CBT may be the best fit. If you struggle with emotional regulation, impulsivity, or intense distress, DBT could offer the tools you need.

At The Forge Recovery Center, we offer personalized treatment plans that incorporate both CBT and DBT to help individuals struggling with addiction, mental health disorders, and co-occurring conditions. Our goal is to provide evidence-based, compassionate care that supports long-term recovery and well-being.

Availability of CBT and DBT in Los Angeles

Los Angeles has a wide range of mental health services that provide Cognitive Behavioral Therapy (CBT) and Dialectical Behavior Therapy (DBT) to individuals struggling with mental health disorders, addiction, and co-occurring conditions. Understanding the options available can help you or a loved one find the right support for long-term healing and recovery.

Overview of Mental Health Services in Los Angeles

As one of the largest metropolitan areas in the U.S., Los Angeles offers diverse mental health resources, including:

• Outpatient therapy clinics specializing in evidence-based treatments like CBT and DBT.

• Residential treatment centers for individuals needing a structured, immersive healing environment.

• Community mental health programs providing low-cost or free services for underserved populations.

• Hospital-based psychiatric care for acute mental health crises.

• Dual-diagnosis treatment centers, like The Forge Recovery Center, that integrate therapy with addiction recovery.

Notable Clinics and Centers Offering CBT and DBT

Many Los Angeles-based treatment centers offer CBT and DBT, including:

• The Forge Recovery Center – Specializing in personalized treatment plans that incorporate both CBT and DBT for addiction and mental health recovery.

• The UCLA Resnick Neuropsychiatric Hospital – Offers structured outpatient programs with evidence-based therapies.

• The Wright Institute Los Angeles – Provides CBT and DBT for various mental health conditions, including trauma and personality disorders.

• Clearview Treatment Programs – A well-known facility that specializes in DBT treatment for borderline personality disorder and emotional regulation.

• Los Angeles County Department of Mental Health (LACDMH) – Offers publicly funded mental health services, including therapy for individuals in need of financial assistance.

Accessibility and Insurance Considerations

When seeking CBT or DBT in Los Angeles, consider the following factors:

• Insurance Coverage: Many private insurance plans cover CBT and DBT, but coverage varies by provider. Always check whether a therapist or treatment center accepts your insurance.

• Sliding Scale & Low-Cost Therapy Options: Some clinics offer sliding-scale fees based on income, making therapy more accessible for those without insurance.

• Teletherapy & Virtual Options: Many Los Angeles providers now offer online therapy sessions, making it easier to access care from home.

• Wait Times: Due to high demand, some clinics may have long waitlists, especially for DBT programs. Seeking help early can prevent delays in treatment.

At The Forge Recovery Center, we provide comprehensive, accessible care, offering both in-person and virtual therapy options for individuals seeking CBT, DBT, and holistic treatment approaches. Our team works closely with clients to develop personalized recovery plans that fit their unique needs, ensuring effective, long-term healing.

CBT or DBT? We’ll Help You Find the Right Path

Choosing between Cognitive Behavioral Therapy (CBT) and Dialectical Behavior Therapy (DBT) is a crucial step toward healing. The right therapy can help you overcome mental health challenges, addiction, and emotional distress—but you don’t have to make this decision alone. At The Forge Recovery Center, we provide personalized treatment plans that incorporate CBT, DBT, and other evidence-based therapies to support long-term recovery. If you or a loved one needs help, reach out today—we’re here to guide you toward a healthier, addiction-free future. Your recovery starts now.

Written by

The Forge Recovery Center

Reviewed by

Jeremy Arzt

Chief Clinical Officer

March 12, 2025