Heal Deep Patterns That Keep Repeating
Evidence-based Dialectical Behavior Therapy (DBT) in Melbourne with AHPRA-registered psychologists — helping you regulate emotions, cope with distress, improve relationships, and create lasting change. Through mindfulness, distress tolerance, emotion regulation, and interpersonal effectiveness training, DBT provides practical tools to break harmful cycles and reduce emotional pain. If you’ve struggled with emotional intensity, relationship instability, or self-destructive patterns, DBT offers a comprehensive, evidence-based approach to lasting change.
Why Consider Dialectical Behavioural Therapy
How Emotional Dysregulation Impacts Your Relationships
Emotional dysregulation and distress can shape how we relate to ourselves and others. When intense emotions feel unmanageable, they can interfere with relationships, emotional wellbeing, work performance, and daily functioning. When emotional intensity feels overwhelming, when self-harm urges arise, or when relationships feel unstable — working with an experienced DBT therapist helps you develop emotion regulation skills, build distress tolerance, and create stable, fulfilling relationships.
Many people who work with a psychologist in Melbourne are looking for practical support with anxiety patterns, depression, trauma responses, relationship difficulties, or emotional dysregulation. Dialectical Behavior Therapy (DBT) is an evidence-based approach that combines acceptance and change strategies to help you manage emotional intensity, tolerate distress, and build meaningful connections. Whether you’re struggling with overwhelming emotions, impulsive behaviours, relationship instability, or self-destructive patterns, DBT offers practical, transformative skills for lasting change. Psychiatric support is available when medication assessment is beneficial as part of your treatment plan.
Emotional dysregulation often goes unrecognised, shaping relationship patterns, distress responses, and daily functioning well into adulthood. Read more about mood swings and how emotion regulation difficulties can impact your wellbeing →
- Developed by Dr. Marsha Linehan with decades of research support
- Proven for emotional dysregulation, self-harm, and relationship instability
- Four core skills: mindfulness, distress tolerance, emotion regulation, interpersonal effectiveness
- Reduce self-destructive behaviours and build lasting change
- Individual therapy, skills coaching, and phone consultation
- Integrated psychiatric support when medication is beneficial
Building Emotional Resilience
How DBT Can Help
Dialectical Behavior Therapy (DBT) is a highly effective, evidence-based psychotherapy that helps you regulate intense emotions, tolerate distress, and build meaningful relationships. DBT integrates acceptance and change strategies to help you understand emotional patterns, develop practical coping skills, and create a life aligned with your values. Through structured skills training, individual therapy, phone coaching, and therapist consultation, DBT combines cognitive-behavioural, mindfulness-based, and dialectical approaches to reduce emotional pain and break harmful cycles.
DBT is one of the most rigorously researched psychological treatments, with strong evidence supporting its effectiveness across a range of concerns including anxiety, depression, trauma responses, relationship difficulties, emotional dysregulation, and self-harm behaviors. It is recognised as an evidence-based psychological treatment in Australian and international clinical guidelines due to its strong research foundation and proven effectiveness in helping people manage emotional intensity and create sustainable change.
While DBT is highly effective, therapy is not one-size-fits-all. The structure and pacing of DBT may be adapted based on your individual needs, emotional patterns, and recovery goals. Working with a DBT therapist who understands your unique challenges and emotional struggles ensures treatment is tailored to support genuine transformation and build the stable, fulfilling life you deserve.
What our DBT approach includes:
Conditions We Treat
Who Can Benefit From DBT?
Mental health conditions are common, with approximately 1 in 5 Australians experiencing a mental health condition each year. Despite this, many delay seeking support or face barriers accessing evidence-based care. DBT helps by providing practical skills to regulate intense emotions, tolerate distress, and break harmful behavioural cycles that fuel emotional pain and relationship instability. Below are some of the mental health conditions and emotional challenges our psychologists commonly treat using Dialectical Behavior Therapy (DBT):
- Overwhelming emotions, emotional flooding, difficulty managing intense feelings, rapid mood shifts
- DBT teaches emotion regulation skills to identify triggers, tolerate distressing emotions, and respond with greater control and clarity
- Urges to self-harm, suicidal ideation, impulsive self-injury, difficulty managing crisis moments
- DBT provides distress tolerance skills and crisis survival strategies to reduce self-destructive behaviours and build sustainable coping alternatives
- Relationship instability, intense fear of rejection, interpersonal conflicts, difficulty maintaining connections
- DBT interpersonal effectiveness skills teach communication, boundary-setting, and negotiation to build and maintain healthier, more stable relationships
- Trauma-related symptoms, flashbacks, hypervigilance, avoidance, difficulty processing difficult experiences
- DBT combines acceptance and change strategies to help you process trauma safely, develop present-moment awareness through mindfulness, and rebuild a sense of safety
- Persistent anxiety and worry, depression and hopelessness, emotional numbness or disconnection
- DBT mindfulness and distress tolerance skills help you observe anxious thoughts without judgment, tolerate emotional pain, and build motivation for meaningful change
- Impulsive decision-making, difficulty delaying gratification, reactive behaviours, substance use patterns
- DBT teaches distress tolerance and emotion regulation to increase pause between impulse and action, helping you make conscious choices aligned with your values


The Cycle
Understanding Emotional Patterns — That Keep You Stuck
DBT can transform how you experience emotional intensity, self-harm urges, and relationship difficulties. When emotions feel overwhelming or distress feels unmanageable, a DBT psychologist can help you develop practical skills, build emotional resilience, and take meaningful action aligned with what matters most to you — even whilst experiencing difficult emotions. Counselling supports lasting change, restored emotional stability, and a life truly lived with greater balance and purpose.
What DBT can help you do:
Flexible Access
Online and In-Person
DBT Sessions Australia-Wide
Access professional Dialectical Behavior Therapy (DBT) through our experienced DBT therapists. Whether you prefer telehealth therapy sessions available anywhere in Australia or in-person appointments at our Armadale clinic in Melbourne, we make it easy to connect with a trusted therapist and receive consistent, personalised treatment focused on building emotional resilience, reducing distress, and creating lasting change.


What To Expect
DBT Explained
At Positive Wellbeing Psychology and Psychiatry, a number of our psychologists have training in Dialectical Behavior Therapy (DBT) and emotional regulation, providing supportive, evidence-based care for emotional dysregulation, depression, self-harm, and relationship difficulties across a wide range of presentations. Our psychologists work collaboratively with you to identify emotional patterns and unhelpful behaviours maintaining your difficulties, develop practical DBT skills for managing distress, then build a treatment plan tailored to your individual needs. Discover how our DBT approach supports recovery across these common presentations:
- Identify emotional triggers and patterns that fuel overwhelming feelings
- Learn emotion regulation skills to manage intense emotions with greater control
- Respond to difficult emotions with clarity and adaptive coping strategies
- Develop crisis survival strategies and distress tolerance skills
- Learn practical alternatives to self-harm and reduce urges
- Build sustainable coping mechanisms and emotional resilience
- Develop mindfulness skills to observe thoughts and emotions without judgment
- Reduce rumination and build present-moment awareness
- Connect with your values and respond authentically to life
- Build practical skills to tolerate painful emotions and difficult situations
- Develop crisis planning and immediate coping strategies
- Increase resilience and reduce impulsive, harmful behaviours
- Learn skills to ask for what you need and set healthy boundaries
- Improve communication and reduce conflict in relationships
- Build assertiveness and maintain important connections authentically
- Understand patterns of fear and instability in relationships
- Develop skills to navigate conflict and build emotional safety
- Create stable, authentic connections based on genuine understanding
What To Look For
Signs & Symptoms DBT Can Help
Emotional intensity, self-harm urges, and relationship difficulties don’t have to define your life. With Dialectical Behaviour Therapy (DBT), you can develop practical skills to regulate emotions, tolerate distress, and build meaningful connections, moving forward with emotional resilience and lasting stability. Mental health challenges affect everyone differently, but emotional dysregulation, impulsive behaviours, or relationship instability become a clinical concern when symptoms persist and interfere with daily functioning. DBT can help when you experience:
- Overwhelming emotions that feel uncontrollable and all-consuming
- Rapid mood shifts and intense emotional reactions to minor triggers
- Difficulty calming down once emotions escalate or become intense
- Intense fear of abandonment and rejection in relationships
- Repeating unhealthy relationship cycles and interpersonal conflicts
- Difficulty maintaining stable connections or emotional intimacy
- Urges to self-harm or engage in self-destructive behaviours when distressed
- Suicidal thoughts or ideation during emotional crises
- Impulsive behaviours and difficulty tolerating painful emotions or situations
How Symptoms Show Up
When Emotional Intensity Keeps You From Building Stable Relationships
Mental health challenges can influence the body, thoughts, behaviour, and emotions in ways that are not always obvious. Many people live with symptoms for a long time before recognising emotional dysregulation, impulsive behaviours, and relationship instability as signs that practical support may help. Understanding these signs can help you identify when Dialectical Behaviour Therapy (DBT) support may be beneficial.
How Emotional Dysregulation & Impulsive Behaviours Show Up
Emotional dysregulation does not look the same for everyone. Some people withdraw from relationships to avoid rejection, whilst others engage in self-harm, act impulsively, or numb emotional pain. These behaviours are coping strategies that once helped you survive overwhelming emotions, or ways you manage intense distress—even when you recognise these patterns are no longer serving you. DBT helps you understand these behaviours, develop alternative coping skills, and build a more stable, fulfilling life.
Recognise the Signs When DBT Can Help
Emotional intensity, self-harm urges, relationship instability, and impulsive behaviours can signal that trauma responses, depression, or emotional dysregulation are affecting your wellbeing and quality of life. Recognising these patterns early allows you to seek professional support before they become entrenched. DBT helps you develop practical skills to regulate emotions, tolerate distress, and build stable relationships, creating lasting change and emotional wellbeing aligned with your personal values.
Early Support & Awareness
Recognising emotional dysregulation and impulsive behaviours early can make treatment more effective and help prevent crisis escalation. Professional Dialectical Behaviour Therapy (DBT) support can help you understand these emotional patterns, develop practical coping skills, and build stable relationships and genuine wellbeing. These symptoms typically appear across four key areas:
Tension and body aches, fatigue, sleep disruption, changes in appetite
Catastrophic thinking, difficulty concentrating, rumination, negative self-talk
Overwhelming emotions, suicidal ideation, anxiety, emotional numbness or emptiness
Self-harm urges, impulsive behaviours, relationship instability, avoidance patterns
Professional Therapy
Support for Mental Health Through Professional Dialectical Behaviour Therapy
Understanding Your Emotional Patterns & Triggers
Our AHPRA-registered psychologists help you understand your emotional patterns—the triggers and responses that fuel distress—and how these patterns and coping behaviours keep you stuck in crisis cycles. This isn't about avoiding difficult emotions; it's about building emotional resilience and practical skills to manage intensity even when feelings are overwhelming.
The DBT Journey - Four Core Skill Modules
Dialectical Behaviour Therapy follows a structured, collaborative approach with four core skill modules: Mindfulness (present-moment awareness), Distress Tolerance (surviving crisis moments), Emotion Regulation (managing intense feelings), and Interpersonal Effectiveness (building healthy relationships). Individual therapy, skills training, phone coaching, and therapist consultation work together—your therapist paces treatment carefully, building emotional safety before advancing to deeper work.
Building Stable Relationships & Emotional Control
Through DBT, your relationship instability and emotional reactivity gradually become more stable and resilient. Impulsive patterns and self-destructive behaviours gradually give way to thoughtful choices and genuine connection. This isn't about eliminating distress—it's how your relationships naturally transform when you systematically develop emotional regulation skills and respond authentically to conflict.
Restored Emotional Stability, Safety & Wellbeing
With DBT skills practised consistently and crisis patterns managed effectively, you can rebuild genuine connection, emotional safety, and authentic self-expression. Many clients report feeling less overwhelmed by emotions, managing distress more effectively, engaging authentically in relationships, and moving forward with practical skills to maintain emotional stability and lasting change.
Take the First Step
Take the First Step Toward Lasting Emotional Change
Living with emotional intensity, self-harm urges, relationship instability, or crisis patterns can feel overwhelming, but you don’t have to manage it alone. Seeking support is not a sign of weakness; it is an investment in your wellbeing and growth. At Positive Wellbeing Psychology, we provide personalised, evidence-based Dialectical Behaviour Therapy (DBT) in Melbourne designed to help you develop practical skills, build emotional resilience, and create stable, meaningful relationships.
| Feature | What This Means for You |
|---|---|
| AHPRA-Registered Psychologists | All psychologists are registered with the Australian Health Practitioner Regulation Agency (AHPRA), ensuring they meet Australia's rigorous standards for professional practice, ethics, and ongoing competency. Learn more about our experienced clinicians → |
| Personalised Psychologist Matching | Thoughtfully matched with a psychologist trained in DBT, based on your individual needs—not simply appointment availability. Our Clinic Director carefully considers your goals, preferences, and presenting concerns to help connect you with the psychologist best suited to support you. |
| Accessing DBT | A simple online enquiry process to help you connect with a psychologist trained in Dialectical Behaviour Therapy in Melbourne. Book your first consultation → |
| Initial Consultation | A comprehensive first session to understand your emotional patterns and triggers, your personal history, and your goals for therapy, and to discuss together whether DBT-informed therapy is a suitable fit for you. Discover what to expect in your first session → |
| The Four Core DBT Skills | DBT is built on four core skill areas: mindfulness (present-moment awareness), distress tolerance (coping with crisis moments), emotion regulation (managing intense feelings), and interpersonal effectiveness (communication and boundaries), paced carefully to build emotional safety before deeper work. |
| Evidence-Based & Integrated Approaches | DBT is an evidence-based approach recognised in Australian and international clinical guidelines. We commonly offer DBT-informed individual therapy, and where helpful this can be integrated with approaches such as Cognitive Behavioural Therapy (CBT), Schema Therapy, and EMDR where beneficial. |
| Concerns DBT Can Support | DBT skills can support a range of concerns, including emotional dysregulation, relationship difficulties, trauma responses, anxiety, depression, ADHD, and difficulties with impulsivity. |
| Medicare & Rebates | Eligible clients can access Medicare rebates via the Better Access Scheme with a valid GP Mental Health Treatment Plan (up to 10 rebated sessions per calendar year). Learn more about our fees and rebate process → |
| Delivery Options | Flexible appointments available in person at our Armadale clinic or via secure telehealth across Australia. Research indicates telehealth can be as effective as in-person therapy for most people. Read our telehealth information → |
| Ongoing Support & Review | Regular reviews and tailored adjustments to your therapy as skills develop and patterns shift, with your psychologist discussing realistic timeframes and reviewing your progress with you over time. |
| Integrated Psychiatric Care | Where medication assessment may be beneficial as part of your treatment plan, our psychologists can work collaboratively with our experienced consultant psychiatrists to provide coordinated care under one roof. Explore more about our psychiatry services → |
| Location | In-person sessions are held at our Armadale clinic at 738 Malvern Road, with parking and public transport access nearby. Find us and get in touch → |
Acceptance and change are not opposites. They are partners.
DBT Therapists
Our Melbourne Psychologists
At Positive Wellbeing Psychology and Psychiatry, we have a team of experienced psychologists who have been trained in Dialectical Behaviour Therapy (DBT) to support people experiencing emotional dysregulation, depression, and a wide range of mental health concerns involving emotional intensity and crisis patterns. We believe effective DBT involves more than applying standard techniques—it requires a deep understanding of your emotional triggers, how impulsive behaviours maintain your struggles, and what emotional stability and healthy relationships look like for you. A warm and trusting therapeutic relationship provides the foundation for developing practical skills and building a life aligned with your values and genuine wellbeing.
Our practice is home to a team of experienced psychologists, allowing us to thoughtfully match you with the best psychologist for your individual needs, presenting concerns, and personal preferences. Your psychologist will take time to understand your concerns, how they manifest in emotional and behavioural patterns, the relationships that matter most to you, and how emotional dysregulation and self-destructive behaviours have kept you in crisis cycles or disconnected from your values.
What our DBT approach includes:
Meet Our Psychologists
Meet our psychologists to learn more about their areas of interest, experience and therapy approaches.
FAQ
Frequently Asked Questions
How long does DBT take and what's the time commitment?
The duration varies depending on your individual needs and goals. Most people commit to weekly individual DBT sessions over several months to a year as they build emotional regulation skills and address underlying patterns. Your psychologist will work with you to establish realistic timeframes and adjust the pace based on your progress.
We offer flexible scheduling including evenings, weekend appointments, and telehealth options to fit your work commitments and lifestyle. Your psychologist will discuss realistic timeframes with you, as progress varies from person to person.
Is DBT effective?
Yes. DBT is one of the most researched psychological treatments available, with decades of scientific support across a range of emotional and behavioural difficulties. It is recognised as an evidence-based treatment in Australian and international clinical guidelines.
How much does DBT cost and is it covered by Medicare?
Individual psychology sessions including DBT have a portion covered under the Better Access Scheme with a valid GP referral. You will need to discuss this directly with your GP as they will prepare you a Mental Health Treatment Plan should be eligible and with this you can access a Medicare rebate for up to 10 sessions per calendar year.
Private health insurance may provide additional coverage depending on your specific policy. We work closely with your insurer to maximise your coverage and minimise out-of-pocket costs. We recommend contacting us directly for a detailed breakdown of costs and to discuss payment options tailored to your situation.
Do you offer telehealth DBT online with one of your psychologists?
Yes, we provide DBT-informed therapy via telehealth Australia-wide, making therapy accessible if you can’t attend in person. Research indicates telehealth can be as effective as face-to-face sessions for many people. Read more about the benefits of telehealth therapy here. For some individuals it can also offer greater flexibility for working professionals, students, or those in remote areas. You can attend individual sessions from the comfort of your home or office, making it easier to maintain consistency in your treatment.
What's the difference between comprehensive DBT and DBT-informed therapy?
Comprehensive DBT includes the full multi-component treatment model as originally developed by Dr. Marsha Linehan: individual therapy, group skills training programs, phone coaching from therapists, and therapist consultation teams working together. This model is primarily available through specialised DBT clinics and programs. DBT-informed therapy uses evidence-based DBT principles and skills delivered through individual sessions tailored to your specific needs.
At Positive Wellbeing Psychology and Psychiatry, we often utilise DBT-informed individual therapy—applying the four core DBT skills (mindfulness, distress tolerance, emotion regulation, and interpersonal effectiveness) integrated into your weekly or fortnightly sessions. This approach is flexible, personalised, and accessible while maintaining the evidence-based foundations of DBT.
How is DBT different from regular therapy or CBT?
While CBT focuses on changing your thoughts and behaviours, DBT also combines acceptance (validating where you are right now) with change strategies. DBT integrates mindfulness-based techniques to help you observe thoughts and emotions without judgment, which is particularly powerful for managing intense emotions. DBT was originally developed to help with emotion dysregulation, and combines acceptance with change strategies.
How do I get started with DBT-informed therapy at your practice?
Getting started is straightforward and low-pressure. Begin by submitting an online enquiry here. We’ll match you with one of our psychologist that best suits your individual needs and set up your initial consultation. During this first appointment, you can discuss your therapy goals and collaboratively with one of our psychologists you can assess whether DBT-informed individual therapy is the right fit for your specific needs and circumstances.
At Positive Wellbeing Psychology and Psychiatry, our clinic director personally reviews the information provided to help pair you with a psychologist whose experience, therapeutic style, and personality align with your individual needs and goals.
Once matched, you’ll start weekly individual therapy sessions where your psychologist will help you identify emotional patterns, build DBT skills, and apply them to your real-life situations. This will be discussed in your initial appointment as it will depend on your therapy goals and individual needs. Throughout your individual therapy sessions, your psychologist supports you every step of the way and will discuss realistic timeframes with you, as progress varies from person to person. We have our clinic in Armadale and offer telehealth across Australia.
What if I'm not sure DBT is right for me?
That’s exactly what your initial consultation is for. Your first appointment is an exploratory session where we get to know you and assess whether DBT-informed individual therapy is the right fit for your needs. During this time, we’ll discuss your current challenges, explore what brought you to seek help, and talk about what you’d like to achieve through therapy.
We’ll explain how we integrate DBT principles into individual sessions, what the commitment looks like and what to expect. This is also when we’ll work together to identify your goals—what does success look like for you? Are you wanting to reduce self-harm, manage anxiety better, improve relationships, or develop emotional regulation skills? Understanding your goals helps us determine whether DBT-informed therapy is the right approach or if an alternative therapy might suit you better. There’s no obligation to proceed until you’re confident. Many people benefit greatly from this initial appointment and gain clarity about their next steps, whether that’s moving forward with DBT-informed therapy or exploring other options.
Can DBT-informed therapy help with anxiety, depression and eating disorders?
Yes. While DBT was originally developed for borderline personality disorder, DBT principles can help with anxiety, depression, eating disorders, trauma, substance use, ADHD, and emotional dysregulation broadly. If your anxiety or depression involves intense emotional reactivity, difficulty managing emotions, impulsive patterns, or relationship instability, DBT-informed individual therapy can be particularly helpful. Our psychologists have experience treating emotional dysregulation across a wide range of presentations and will tailor your treatment to address your specific concerns and goals.
How does DBT-informed individual therapy compare to comprehensive DBT programs?
DBT-informed individual therapy is flexible and personalised—your psychologist integrates evidence-based DBT principles directly into your weekly sessions based on your specific needs and pace. You receive tailored treatment without the commitment of a multi-year, multi-component program.
Comprehensive DBT programs typically involve group skills training, phone coaching from multiple therapists, and structured timelines. DBT-informed individual therapy achieves similar benefits through a more flexible, accessible approach. This makes it ideal for people who want the evidence-based benefits of DBT in a format that fits their lifestyle and schedule. Often our psychologists will integrate a number of evidence-based therapy approached including cognitive behavioural therapy, schema therapy and in certain instances EMDR therapy when beneficial.
Registrations & Membership
Committed to Ethical Practice & Clinical Excellence
Positive Wellbeing Psychology was established in 2020 by founder Emily Burton, a Registered Psychologist and AHPRA Board-Approved Supervisor.
We are now home to a team of more than 10 clinicians committed to delivering high-quality psychological and psychiatry care, with a special interest in anxiety, trauma, ADHD, and more.
Our clinical practice is grounded in evidence-based treatment approaches for individuals of all ages, delivered in-person at our Armadale clinic and online via telehealth across Australia.








Get in Touch
We’ll Connect You With The Right Support

Start Your Journey Today
Find Us & Visit Our Clinic
Located In A Calm, Welcoming Space For Your Comfort
Start Your Path to Recovery
Living with deep emotional patterns, childhood wounds, or maladaptive schemas can feel isolating, but transformative healing is possible. Accessing professional schema therapy in Melbourne can help you identify and change limiting beliefs, heal unmet childhood needs, and build healthier, more fulfilling relationships. Taking the first step toward schema therapy is an act of courage and self-compassion.
Further reading
Blogs Relating to DBT & Mental Health
Healing Childhood Wounds: How Schema Therapy Transforms Deep Patterns
Discover how Schema Therapy helps identify and transform deeply ingrained patterns developed in childhood. Learn how healing past trauma reshapes your present life.
Read More
Trauma Triggers, Core Beliefs & Unmet Childhood Needs
Explore how childhood trauma creates core beliefs that trigger intense reactions in adulthood. Learn how recognizing these patterns leads to healing and emotional freedom.
Read More
Understanding Attachment Styles: Breaking Relationship Patterns
How childhood attachment experiences shape your romantic relationships. Discover your attachment style and learn to build secure, healthier connections.
Read More
Breaking Free from People-Pleasing & Perfectionism Schemas
Understand how conditional love creates perfectionism and people-pleasing patterns. Learn how to challenge distorted beliefs and reclaim your authentic self.
Read More
How to Tame the Inner Critic & Cultivate Self-Compassion
Practical strategies to challenge the harsh inner voice developed through childhood experiences. Learn defusion techniques to respond to self-criticism with compassion.
Read More
Hidden Psychological Triggers: Understanding Your Reactive Patterns
Discover how past experiences with abandonment and criticism create emotional triggers. Learn to identify deep patterns and build emotional resilience.
Read More
Navigating Relationship Challenges: Breaking Unhealthy Patterns
How early relational experiences shape your romantic patterns. Explore attachment styles and learn to create secure, authentic connections with partners.
Read More
How Anxiety & Deep Patterns Affect Your Relationships
Understand how anxiety rooted in childhood patterns creates tension in relationships. Discover schema therapy approaches to improve connection and emotional safety.
Read More