DBT-PE is an evidence-based treatment designed specifically to help individuals struggling with Posttraumatic Stress Disorder (PTSD) who also experience difficulties with emotional regulation, impulsivity, or self-destructive behaviors. It combines the skills and mindfulness strategies of Dialectical Behavior Therapy (DBT) with a focused approach to processing traumatic memories through Prolonged Exposure (PE) therapy.
This integrated approach helps clients safely face and work through painful trauma-related memories and symptoms, while simultaneously building coping skills to manage intense emotions and reduce self-harm or avoidance behaviors.
Key components of DBT-PE include:
Skills training in mindfulness, distress tolerance, emotion regulation, and interpersonal effectiveness (from DBT)

Trauma processing through gradual, controlled exposure to trauma memories (Prolonged Exposure)

A focus on safety and stabilization before, during, and after trauma work

Individual therapy combined with group skills training and coaching support

DBT-PE is particularly effective for individuals who have struggled with PTSD alongside challenges such as borderline personality disorder, self-injury, or substance use. This compassionate, structured treatment empowers clients to regain control, reduce trauma symptoms, and build a more fulfilling, balanced life.

Evidence Based Article(s)