Substance use often begins as a way to cope with overwhelming emotions, stress, or painful relationships. This blog explores how Dialectical Behavior Therapy (DBT) helps people build healthier coping skills, regulate emotions, and create lasting recovery. It also highlights why DBT-informed therapy can be especially valuable for Los Angeles residents.
Addiction rarely begins with the substance itself; more often, it starts with the pain that feels impossible to carry alone. Especially in a fast-moving city like Los Angeles, many individuals silently struggle with overwhelming emotions, unstable relationships, loneliness, anxiety, or trauma. Substances can feel like a temporary relief – a way to numb intense feelings, quiet racing thoughts, or temporarily escape emotional exhaustion.
However, eventually, the coping mechanism of addiction often becomes another source of suffering. This is where a therapist for substance use in Los Angeles, specializing in Dialectical Behavior Therapy (DBT), can make a life-altering difference.
Originally, DBT was developed to help people who experience suicidal and self-harming behaviors, but today, it’s also recognized as an effective treatment for substance use, emotion dysregulation, impulsivity, and relationship instability.
Unlike approaches that focus solely on stopping the behavior, DBT also helps individuals understand why they turn to substances in the first place. For many, addiction is deeply connected to emotional pain, such as:
DBT teaches practical skills to support individuals in navigating painful emotional experiences without using ineffective or “self-destructive” coping mechanisms.
One of the most powerful aspects of DBT is that it treats the person, not just the addiction. At the outset of therapy, many people feel ashamed of their emotional reactions or past choices and have spent years believing they are broken, difficult, or beyond help. However, DBT challenges that narrative with compassion and accountability at the same time.
According to the World Population Review, the U.S. has one of the highest rates of drug use globally, with approximately 3,815 per 100k people reporting drug use. Therapy is more important than ever to help adults, teens, and couples understand the emotional patterns shaping their lives and relationships.
Whether you are struggling with substance or alcohol use, impulsive behaviors, or painful relationship cycles, DBT-informed treatment can help you move toward stability, clarity, and healing.
If you’re looking for a therapist to help with substance or alcohol use in Los Angeles, feel free to reach out and schedule a consultation.
1. Is DBT effective for addiction treatment?
Yes, DBT helps individuals manage emotional and environmental triggers, impulsive behaviors, and stress that often contribute to substance and alcohol use.
2. Who can benefit from DBT-informed therapy?
DBT can help adults and teens struggling with emotional overwhelm, relationship instability, trauma, substance use challenges, and more.
3. Can DBT be combined with other addiction treatments?
Absolutely. DBT is often used alongside group support, medication management, or 12-step recovery programs for a more comprehensive approach.
Danielle Esses, PsyD
9401 Wilshire Blvd
Beverly Hills, CA 90210
646-450-8255
desses@bicoastalpsychology.com
Providing therapy in Beverly Hills and via telehealth in California and New York.