Find a DBT Therapist for Addictions in Georgia
This page lists therapists in Georgia who use Dialectical Behavior Therapy to address addictions. Browse the listings below to compare DBT-trained providers and find a skills-based approach that fits your needs.
Judith (Judy) Hamilton
CSW
Georgia - 24yrs exp
How DBT specifically treats addictions
Dialectical Behavior Therapy, or DBT, treats addictions by translating its four core skill modules into practical strategies for reducing substance use and rebuilding a life worth living. Rather than focusing solely on stopping behaviors, DBT teaches a set of concrete skills you can practice when urges arise, when strong emotions feel overwhelming, and when relationships strain your recovery. Mindfulness helps you notice cravings without immediately acting on them, distress tolerance gives you tools to withstand intense moments when you might otherwise use, emotion regulation reduces the frequency and intensity of emotions that drive substance use, and interpersonal effectiveness supports clearer communication and boundary-setting with people who may trigger relapse.
In clinical work you will often see DBT applied through careful behavioral analysis of problem episodes, called chain analysis, and through skills coaching that helps translate what you learn in sessions into real-world moments. Therapists trained in DBT tailor these skills to the cycle of addiction, helping you identify triggers, build alternative coping responses, and practice new ways of managing relationships and stressors that previously led to substance use.
Skills in action for addictions
When you learn mindfulness in DBT, the focus is on staying present with sensations and urges rather than being swept away by them. That practice can make cravings feel less overwhelming and give you the space to choose a different response. Distress tolerance provides brief, immediate strategies for high-risk moments - techniques for grounding, self-soothing, and tolerating discomfort until the urge passes. Emotion regulation work helps you understand how long-term patterns of mood and reactivity contribute to use, and teaches steps like opposite action, checking facts, and building positive experiences to reduce vulnerability. Interpersonal effectiveness strengthens your ability to ask for support, set limits, and repair relationships without turning to substances for relief.
Finding DBT-trained help for addictions in Georgia
Searching for DBT-trained providers in Georgia means looking for clinicians who can articulate how they use the DBT model for substance-related concerns. Ask whether a provider offers standard DBT components - individual therapy, skills training groups, phone coaching, and consultation team participation - or whether they practice DBT-informed techniques on an individual basis. Some sites and community programs in larger urban centers like Atlanta and Augusta run full DBT programs that include skills groups designed for people working on addictive behaviors, while smaller communities may offer individual DBT therapy or hybrid models.
If you live in or near Atlanta, you may find a wider selection of in-person DBT groups and clinics. In coastal Savannah and university towns such as Athens, clinicians often combine DBT skills with other evidence-informed approaches to address the complex needs of people with substance use and co-occurring mental health concerns. In areas with fewer in-person options, telehealth can expand your choices and connect you with providers who specialize in addictions-focused DBT across the state.
What to expect from online DBT sessions for addictions
Online DBT for addictions usually includes the same core elements as in-person care: weekly individual therapy focused on behavior change and motivation, a weekly skills group that teaches and rehearses DBT skills, and availability of skills coaching between sessions for high-risk moments. In individual sessions you will work with a therapist to set concrete goals, analyze recent events that led to substance use, and plan specific skills to practice. Skills groups teach mindfulness, distress tolerance, emotion regulation, and interpersonal effectiveness in an interactive environment where you can try new strategies and receive feedback.
Phone or message-based coaching between sessions is often framed as short, practical guidance to help you apply a DBT skill in a moment of need. When using telehealth, expect some logistical considerations - a reliable internet connection, a quiet and comfortable environment for sessions, and clear agreements about how coaching will be offered outside of scheduled appointments. Make sure your clinician is licensed to practice in Georgia if you are located here, since state licensure determines whether a therapist can provide telehealth across state lines.
Evidence and local practice for DBT and addictions
DBT was originally developed for people with intense emotion dysregulation, and clinicians have adapted the model to treat substance use disorders and co-occurring conditions. The skills-based focus of DBT aligns well with addiction treatment because it emphasizes behavioral replacement - giving you concrete alternatives to using - and aims to improve treatment retention by addressing crises and self-harm that can interrupt recovery. In Georgia, a variety of community mental health centers, outpatient clinics, and private practices incorporate DBT-informed programming to address substance use alongside mood or trauma-related conditions.
While individual outcomes vary, many practitioners in Atlanta, Savannah, Augusta, and beyond report that clients benefit from a structured skills curriculum combined with individualized case management. If you are connecting with local programs, ask how they measure progress, whether they use standardized tools to track substance use and emotional functioning, and how they coordinate care with medical and addiction services when needed.
Tips for choosing the right DBT therapist for addictions in Georgia
Choosing a DBT therapist is as much about clinical fit as it is about credentials. Start by asking about the therapist's specific training in DBT and their experience working with addictions. Find out whether they offer full DBT or DBT-informed care, and what proportion of their caseload involves substance use or co-occurring diagnoses. You will also want to understand the format - whether they run a weekly skills group, provide coaching outside sessions, and participate in a consultation team that helps maintain treatment fidelity.
Consider practical details that affect your ability to stay engaged. If you live in a city like Atlanta or Columbus, you may prefer an in-person group experience; if you are in a smaller town, telehealth may make it easier to access specialized DBT providers. Ask about scheduling, fees, insurance participation, and whether sliding scale options are available. Pay attention to whether the therapist explains DBT concepts clearly and collaboratively, and whether they invite questions and shared goal-setting during an initial consultation.
Questions to ask on first contact
When you reach out to a potential therapist, a few focused questions can reveal how well their approach aligns with your needs. Ask how they apply the four DBT modules to addictions, how they handle moments of crisis, and what a typical week of treatment looks like. Inquire about group composition and whether the skills group is tailored to substance-related concerns. It can also be helpful to ask how the therapist coordinates with other providers, such as primary care or addiction medicine specialists, to ensure a cohesive plan.
Next steps and practical considerations
After you review listings, consider scheduling brief consultations with a couple of therapists to get a sense of fit. During these conversations, pay attention to whether the clinician emphasizes skill practice, behavioral targets, and measurable progress. Think about logistics - commute time if you prefer in-person work, how telehealth sessions will fit your daily routine, and whether the therapist's availability matches your schedule. If you are in Atlanta, Savannah, Augusta, Columbus, or Athens, ask about local group offerings and community referrals that complement DBT care.
Finding the right DBT therapist for addictions in Georgia is a process, but one that can set the stage for sustainable change. With the skills you learn and a supportive therapeutic structure, you can build alternatives to substance use, manage high-risk moments more effectively, and work toward clearer personal and relational goals. Use the listings above to compare providers, ask informed questions, and take the next step toward a DBT approach that fits your life and recovery priorities.