DBT Therapy · Flower Mound, TX & Telehealth Across Texas

DBT Therapy in Flower Mound, TX — With a Certified DBT Clinician

Dialectical Behavior Therapy (DBT) for emotional regulation, distress tolerance, and building a life that feels worth living. In-person in Flower Mound and via telehealth anywhere in Texas.

C-DBT Certified Emotional Regulation Trauma-Informed DBT Adults & Teens Insurance Accepted

Reserve Your Consultation Today The Four DBT Modules

What DBT Actually Is

DBT isn't just for crisis. It's for anyone who feels too much — and wants to feel differently.

Dialectical Behavior Therapy was originally developed for people with borderline personality disorder and chronic suicidality. But over the past three decades, the research has made clear that DBT is effective for a much broader range of people — anyone who struggles with emotional intensity, impulsivity, difficult relationships, or the sense that their emotions run their life.

DBT is a skills-based therapy. That means it doesn't just help you understand why you feel the way you feel — it gives you concrete tools for changing how you respond to those feelings. The four core modules — mindfulness, distress tolerance, emotional regulation, and interpersonal effectiveness — work together to build a more stable, more intentional way of living.

"DBT is built on a core premise: you can accept yourself exactly as you are right now, and also work to change. Both things are true at the same time."

At Sentient Path, DBT is delivered by Mikayla Jacob, LCSW-S — who holds the C-DBT certification, meaning she has completed specialized training in DBT beyond standard clinical licensure. This isn't a practice that uses DBT loosely. It's a practice where DBT is a core clinical competency.

DBT May Be Right for You If…

Your emotions feel overwhelming or out of control
You react intensely and regret it later
You struggle with self-destructive behaviors
Relationships feel chaotic or unstable
You feel empty, numb, or disconnected
You've been told you're "too sensitive" or "too much"
You have trauma that drives emotional dysregulation
You want practical skills, not just insight
Standard CBT hasn't been enough

The Four Modules

What DBT Teaches

DBT is organized around four skill sets. Together, they address the full range of how emotional dysregulation shows up in daily life.

Module 01

Mindfulness

The foundation of all DBT work. Mindfulness in DBT isn't about meditation or relaxation — it's about learning to observe your own experience without immediately reacting to it. It's the skill that makes all the other skills possible.

Observe & Describe Non-Judgmental Stance One-Mindfully Effectiveness

Module 02

Distress Tolerance

When you're in crisis — or when a situation is painful and can't be immediately changed — distress tolerance skills help you get through without making things worse. This is the module that addresses self-destructive urges and impulsive behaviors directly.

TIPP Skills ACCEPTS Self-Soothe Radical Acceptance

Module 03

Emotional Regulation

This module teaches you to understand your emotions, reduce their intensity, and change emotional states that aren't serving you. It's where the deeper work of DBT happens — not just tolerating emotions, but actively shaping them.

Opposite Action Check the Facts PLEASE Skills Build Positive Experiences

Module 04

Interpersonal Effectiveness

DBT recognizes that emotional dysregulation often plays out most painfully in relationships. This module teaches you how to ask for what you need, set limits, maintain self-respect, and navigate conflict without destroying connections that matter.

DEAR MAN GIVE FAST Relationship Mindfulness

Who DBT Helps

DBT Works for More Than You Might Think

DBT was built for emotional intensity. That shows up in many different diagnoses — and in many people who don't have a diagnosis at all.

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Emotional Dysregulation

If your emotions feel bigger, faster, and harder to recover from than other people's — DBT was designed for exactly this. Not to make you feel less, but to help you respond differently.

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Borderline Personality Disorder

DBT was originally developed for BPD and remains the gold-standard treatment. We provide DBT in an individual therapy format, with skills integrated throughout the work.

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ADHD + Emotional Intensity

ADHD and emotional dysregulation frequently co-occur. DBT skills — especially distress tolerance and emotional regulation — are highly effective for the emotional side of ADHD.

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Trauma & PTSD

Trauma often produces the same emotional dysregulation that DBT addresses directly. We integrate DBT with trauma-informed approaches for clients where both are present.

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Teens & Young Adults

DBT was adapted specifically for adolescents and has a strong evidence base for teens struggling with self-harm, emotional intensity, and relationship difficulties.

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High-Functioning Adults

You can be highly successful and still struggle with emotional regulation. Many high-achieving adults find that DBT skills change how they operate at work, at home, and in their closest relationships.

Mikayla Jacob

LCSW-S, C-DBT

Your DBT Therapist

Mikayla Jacob, LCSW-S

C-DBT Certified LCSW-S Trauma-Informed Harm Reduction Substance Use

Mikayla is the founder of Sentient Path PLLC and holds the C-DBT certification — a credential that reflects specialized training in Dialectical Behavior Therapy beyond standard clinical licensure. She has been using DBT as a core clinical modality throughout her career, including in inpatient psychiatric settings where DBT is applied in its most intensive form.

Her approach to DBT is trauma-informed and harm-reduction oriented. She understands that the behaviors DBT often targets — self-harm, substance use, emotional reactivity — are usually adaptations to pain, not character flaws. She works with the whole person, not just the symptom.

Mikayla has presented on DBT and trauma-informed care at national conferences and contributed to research in the field. She brings that depth of knowledge into every clinical session.

Meet Mikayla →

Common Questions

What People Ask Before Starting DBT

No. DBT is effective for anyone who struggles with emotional dysregulation — regardless of diagnosis. Many of our DBT clients have anxiety, depression, ADHD, trauma, or no formal diagnosis at all. If emotional intensity is making your life harder, DBT skills are likely to help.

We offer DBT in an individual therapy format. Standard DBT includes both individual therapy and a skills training group — but many clients benefit significantly from individual DBT therapy alone, particularly when the focus is on applying skills to their specific life circumstances.

Standard DBT is typically a 6–12 month commitment, though this varies based on your goals and presentation. Some clients work through the core skill modules in a focused period; others continue longer to deepen the work. We'll discuss a realistic timeline during your consultation.

CBT focuses primarily on identifying and changing unhelpful thought patterns. DBT was developed specifically for people for whom CBT alone wasn't enough — particularly those with high emotional intensity. DBT adds acceptance-based strategies (from mindfulness and Buddhist philosophy) alongside change-based strategies, and places much more emphasis on the therapeutic relationship and skills training.

Yes. We accept Medicare and most major commercial insurance plans. DBT is a covered therapy modality. We verify your benefits before your first appointment so there are no surprises.

Yes. DBT has been adapted effectively for telehealth delivery, and research supports its efficacy in online formats. We use secure, HIPAA-compliant video sessions. Many clients find telehealth makes it easier to practice skills in their actual environment — which is exactly where DBT is meant to be applied.

Ready to Begin?

You don't have to keep white-knuckling your emotions.

A 10-minute consultation — no paperwork, no commitment. Just a conversation to see if DBT therapy is the right fit for where you are right now.

Reserve Your Consultation Today

C-DBT Certified Clinician Insurance & Medicare accepted In-person in Flower Mound or telehealth Trauma-informed approach throughout Seen within 1–2 weeks