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When DBT Skills Don’t Come Easy Strategies for Growth

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Learning new skills is rarely a straight path. For many people beginning their journey with Dialectical Behavior Therapy (DBT), the process can feel both rewarding and frustrating. When DBT skills don’t come easily, it doesn’t mean failure—it means you are learning, practicing, and building new ways of responding to life. The struggle is part of the growth, and it often opens the door to deeper resilience and long-term change.

Person practicing DBT skills with mindful reflection
Finding balance when DBT skills feel difficult

At Oakland DBT and Mindfulness Center, we have seen countless individuals face challenges in applying DBT strategies to real-life situations. Through patience, practice, and guided support, many come to realize that the very obstacles they encounter are opportunities to strengthen their skills. In this article, we’ll explore why DBT skills may initially feel challenging, how to overcome barriers to progress, and the practical steps that can help turn struggle into mastery.

Why DBT Skills Can Feel Challenging

For those beginning DBT, it’s common to feel like you’re being asked to rewire old habits overnight. But in reality, DBT is about gradual transformation, not perfection.

  • Unlearning old patterns: Many people seeking DBT have years of ingrained behaviors. Shifting from impulsive reactions to mindful responses requires time.
  • Emotional intensity: When emotions run high, even well-practiced skills can feel out of reach.
  • Perfectionism and self-judgment: Believing you must get everything “right” can make it harder to practice with curiosity and compassion.
  • Skill overload: With modules covering mindfulness, distress tolerance, emotion regulation, and interpersonal effectiveness, it’s natural to feel overwhelmed at first.


Recognizing these challenges allows you to meet them with understanding rather than judgment—a principle that sits at the heart of DBT itself.

The Role of Persistence in DBT Practice

DBT is often compared to learning a new language. At first, everything feels foreign, but with repeated use, the words and patterns begin to flow. Similarly, practicing DBT skills consistently—even when it feels awkward—creates lasting change.

  • Repetition builds fluency: Just as learning to ride a bike requires falling, getting back up, and trying again, DBT requires repeated practice in daily life.
  • Progress is nonlinear: You may notice growth in one area (such as using distress tolerance during conflict) while still struggling with another. This is normal.
  • Small wins add up: Even applying a single skill successfully once can build confidence and momentum.


When you hit setbacks, persistence and self-compassion are what move you forward.

Common Barriers to Applying Skills

It’s helpful to identify what gets in the way of practicing DBT. By naming the barriers, you can start to problem-solve.

1. Emotional Flooding

High emotional intensity often makes it difficult to remember or apply skills. In these moments, distress tolerance strategies—such as imagery, self-soothing, or distraction—can help calm your body and mind enough to access other skills.

2. Lack of Mindfulness

When your attention is scattered, you may miss the chance to use a skill in the moment. Strengthening your mindfulness practice through short, daily exercises helps keep skills accessible. (Explore our DBT skills classes for structured guidance in building this foundation.)

3. Avoidance

Sometimes, people avoid practicing because facing emotions or situations feels uncomfortable. Using the opposite action skill can help counteract avoidance and move toward meaningful growth.

4. Limited Support

Trying to practice DBT alone can feel isolating. Working with a trained therapist provides encouragement, accountability, and problem-solving strategies. Learn more about our full range of DBT services tailored to individual needs.

Practical Ways to Strengthen Your DBT Journey

Woman reflecting during therapy session with DBT tools
Overcoming challenges with DBT practice

Start Small and Specific

Instead of aiming to master an entire module, choose one skill at a time. For example, commit to practicing paced breathing during stressful moments for a week. This focus builds confidence and creates measurable progress.

Use Real-Life Triggers as Practice Opportunities

Rather than waiting for the “perfect moment,” practice DBT skills in everyday interactions—during a commute, while waiting in line, or in a challenging conversation. These small, repeated efforts create powerful habits.

Create a Skills Toolkit

Please write down your go-to skills and keep them in a notebook, on your phone, or even on sticky notes around your space. When emotions rise, a visible reminder can prompt you to act.

Embrace the Dialectic

At its core, DBT is about holding two truths at once—accepting yourself as you are while working toward change. Understanding the dialectical principles behind DBT helps reduce the self-criticism that often blocks progress.

Seek Guidance When Needed

If a skill feels consistently out of reach, it may be helpful to revisit it with a therapist. Our clinicians often explain concepts in fresh ways or tailor them to your personal experiences, making them easier to apply. For deeper insight, you can explore the article on what dialectic means in DBT for practical examples.

Building Resilience Through Struggle

Struggling with DBT doesn’t mean you’re failing—it means you’re actively learning. In fact, research shows that struggle strengthens resilience. Every time you attempt a skill, whether successful or not, you’re training your brain to approach situations differently.

  • A failed attempt teaches what doesn’t work.
  • A successful attempt builds confidence.
  • Repeated effort creates new neural pathways.


This process mirrors the very dialectic of DBT—balancing acceptance and change, struggle and growth.

The Importance of Support Systems

No one is meant to navigate emotional challenges alone. Building a reliable support system enhances your ability to practice DBT effectively.

  • Therapist support: Trained DBT therapists offer tailored coaching, accountability, and encouragement.
  • Skills groups: Practicing in a group normalizes struggle and provides real-time feedback.
  • Peer connections: Sharing experiences with others facing similar challenges fosters compassion and belonging.


For those considering more structured guidance, our individual therapy in Oakland offers personalized pathways to applying DBT in daily life.

Staying Motivated When Progress Feels Slow

Motivation naturally ebbs and flows, but having strategies to stay engaged makes a big difference.

  • Reflect on values: Remind yourself why you started DBT. Aligning practice with personal values brings meaning to the effort.
  • Track progress: Journaling or rating your mood before and after practicing a skill can help you see small but significant improvements.
  • Celebrate small wins: Acknowledge every attempt, even if imperfect. Growth often happens in subtle steps.


When discouragement sets in, remember that DBT is not about perfection—it’s about progress.

Integrating DBT Into Daily Life

Person practicing mindfulness while learning DBT skills
Finding balance through DBT strategies

Ultimately, DBT becomes most effective when woven seamlessly into your daily life.

  • Morning mindfulness: Begin your day with a grounding exercise.
  • On-the-spot regulation: Use skills during daily stressors instead of waiting for crisis moments.
  • Evening reflection: End the day by reviewing which skills you used and how they impacted your experience.


With time, these practices shift DBT from being a “set of tools” to becoming a way of living.

Conclusion

When DBT skills don’t come easily, it is not a sign that you are failing—it’s a natural part of growth. Every person learns at their own pace, and the discomfort of struggle often becomes the foundation for lasting transformation. By starting small, practicing consistently, and leveraging supportive structures, you can turn challenges into strengths.

At Oakland DBT and Mindfulness Center, we’re here to walk alongside you on this journey. Whether through skills classes, individual therapy, or comprehensive DBT services, you don’t have to face these challenges alone. With patience, persistence, and the proper support, DBT skills become not just accessible but transformative.

Frequently Asked Questions

Why do DBT skills feel so hard to use at first?

DBT requires unlearning old habits and replacing them with new, mindful responses. This process can feel uncomfortable because the brain naturally resists change. With consistent practice, the skills become more automatic and less overwhelming.

How long does it usually take to feel comfortable with DBT skills?

Every person’s journey is different, but most notice minor improvements within weeks of consistent practice. Long-term integration, however, often takes months of applying skills daily. The key is persistence rather than expecting instant results.

What can I do when I forget to use DBT skills in stressful moments?

It’s normal to forget under pressure. The goal is not perfection but progress—use the moment afterward to reflect and plan for next time. Creating reminders or a written “skills list” can help keep tools accessible in high-stress situations.

Can practicing DBT skills without a therapist still be effective?

Yes, self-practice can be valuable, but working with a therapist or attending a structured DBT skills class often accelerates progress. Professional guidance helps personalize the skills and provides accountability when challenges arise.

What should I do if I feel discouraged with my DBT progress?

Feeling discouraged is part of the learning process, not a sign of failure. Reconnecting with your values, celebrating small wins, and seeking support from peers or therapists can reignite motivation. DBT is about steady growth, not instant mastery.

Rajesh Jagannathan

Rajesh Jagannathan

Rajesh Jagannathan was born in India and earned a B.Tech in Computer Science from IIT, Madras. After spending a few youthful years in the Masters/Ph.D. program at the Ohio State University moved to the Bay Area for work. Since then he has stayed in the Bay Area and worked in tech for the better part of 20+ years. He has been with the center since its inception playing a key advisory role on tech related matters.

He enjoys living in the bay area with his family, exploring the outdoors in California and the world at large. While interests change over time some constants through the years have been travel, cooking, painting and board games. Lately all his spare time has been consumed by pickleball.

David Pepper

David Pepper, MD (Retired)

Dr. Pepper was born in San Francisco and attended UC Berkeley and then Medical and Graduate School in Iowa. Returning to California, he practiced and taught full spectrum Family Medicine with UCSF for 30+ years, working in Fresno, San Francisco and Contra Costa Counties. 1,000 births and 1,000 deaths one could say – with thousands of Families in between… in the ER, Hospital and Outpatient Clinics – always with a focus on Family and Community.
 
He has a long interest in Psychedelics and completed the CPTR program through CIIS in 2023. He is passionate about helping people think about how to craft their second half of life with meaning, including planning for a natural End of Life process that is not over medicalized.  He believes that a well planned End of Life allows people to live well.  More about his work can be found here.  
 
He brings his expertise in clinical assessment, and the tools that support this to working with the Team at Oakland DBT and Mindfulness Center to develop best practices for working with clients seeking expanded state treatment.  He collaborates with his wife who also works with clients in Expanded States.  He enjoys his 4 children, gardening, hiking, and community.
Rochelle

Rochelle Frank, PsyD

Rochelle Frank, PhD is a clinical psychologist in Oakland, CA with over 30 years of experience in both the public and private sectors. Dr. Frank earned her doctorate in clinical psychology at Syracuse University and completed her clinical training at Yale Psychiatric Institute. She specializes in evidence-based transdiagnostic treatment of  complex and co-occurring mood, anxiety, and trauma disorders in adults and adolescents, and related  problems in high-conflict couples and families. 

In addition to her private practice Dr.  Frank is an assistant clinical professor of psychology at the University of California, Berkeley, and also  holds faculty and supervisory appointments at The Wright Institute and the University of California San  Francisco School of Medicine.  She is co-author of The transdiagnostic road map to case formulation and  treatment planning: Practical guidance for clinical decision making (Frank & Davidson, 2014; New Harbinger),  a contributing author to S. G. Hofmann & S. C. Hayes (Eds.), Beyond the DSM (2020, New Harbinger), and  currently serves on the board of directors for the Institute for Better Health.

Dr. Frank has been involved with Oakland DBT and Mindfulness Center since 2012.  She has served as a clinical consultant and focuses on helping the Team bring a transdiagnostic process-based perspective to case formulation and treatment planning, as well as integrating methods from other third-wave cognitive behavioral therapies into the DBT model.  

In addition to enjoying time with her family, Dr.  Frank is an avid golfer, home chef, and a frequent beta-tester of her clinical skills while skiing and mountain biking.

Michael Stanger

Michael Stanger, MD

I am a board-certified psychiatrist practicing in California and Colorado across a range of settings – inpatient, outpatient, emergency and partial hospital, with current affiliations at Contra Costa Regional Medical Center and Boulder Community Health.

I have a particular interest in the therapeutic utility of ketamine to support psychotherapy. I began working with ketamine in 2016, initially in my California private practice where I administered oral and intramuscular doses. I have since continued to support therapist access and to develop understanding around the most effective use of these modality. In related work, I have mentored with the CIIS Center for Psychedelic Therapies and Research and taught sessions with the Polaris Insight Center on ketamine.

My background includes childhood immigration from South Africa to New York, working in the technology industry for several years and then traveling in an unscripted manner to arrive at the awareness that medicine, and ultimately psychiatry would be the path to be helpful to others in an applied way.

Chrysanthe

Chrysanthe Christodoulou

Operations Manager

Chrysanthe is our Operations Manager and one of our in-house Mindfulness Experts. She connects with new clients as they come into the Center, oversees day to day operations and runs special projects.  She is instrumental in supporting the Team by bringing joy, flow and ease.

Chrysanthe studied Meditation, Yoga, and Mindfulness with some of the most respected teachers of our time. She also holds a BS in Economics.  This combination of skills ensures our Center runs efficiently behind the scenes and lends wisdom to our budding Mindfulness Program.

Her local teaching career has spanned the Bay Area and beyond: overseas in Spain, Chile, Greece, and Amsterdam; and locally in San Francisco, Marin, Berkeley, Oakland, and Walnut Creek. Chrysanthe honors the magic in both movement and stillness, stirring energy and witnessing what emerges as everything settles into place. 

When Chrysanthe isn’t handling the business end of the Center or running mindfulness programming, you can find her exploring trails with her wolf pup, finding connection in community, and enjoying the sun and the sea.

Priya Jogia

Priya Jogia

Licensed Clinical Social Worker (LCSW)

​​Priya Jogia is a licensed clinical social worker (LCSW). Since 2013, she has worked in various clinical settings including: community mental health, hospital, and outpatient programs. Priya’s also spent time in Vietnam studying international social work and the relationship between culture, ethnicity, and mental health.

Priya is an active practitioner of mindfulness-based behavioral therapies including DBT and ACT, and has extensive training in CBT. As a DBT therapist, she’s seen the positive impact of using DBT skills in her own life, and is strongly committed to helping clients live meaningful lives that are aligned with their values.

Priya has an interest in perinatal mental health and working with BIPOC populations, and she strives to integrate a social and racial justice lens into her work. While being a therapist has brought a lot of meaning to Priya’s life, she tries not to take herself too seriously, and gets much joy from being a mum, being in nature, and cuddling with her dog.

Jay Indik

Jay Indik

Licensed Clinical Social Worker (LCSW)

Jay brings his compassion, creativity, and equanimity to support each person who seeks therapy.. He believes that what makes each person happy is connected to their deepest sense of what is important. Jay listens for how each client can idiosyncratically transform their suffering into a happier life. As a result of working with Jay folks’ learn to address unwanted behavior, regulate their emotions, recover from individual or cultural trauma, repair relationships, and organize their behavior consistent with their values Jay has intensive training and has practiced the following modalities for decades: DBT, Narrative Therapy, Somatic Experiencing, Sensory Modulation, Psychodynamic Treatment and Expressive Arts Therapies. Jay specializes in working with couples, parents, parent child dyads and young adults, as well as with individuals from mid-life through retirement. Jay’s experience as a theater director, parent, teacher, and executive combined with his knowledge of research validated treatments allows him to best relate and serve each individual.

Jay has two adult children (one daughter, one non-binary), a “Real Dads Love Trans kids” t-shirt, and one amazing grandchild he watches one day a week.

Ari Tavano

Ariana Tavano

Licensed Clinical Social Worker (LCSW)

Ari Tavano is a licensed clinical social worker (LCSW). She has worked in an array of clinical settings for over ten years, and utilizes the diversity of her experience to foster a therapeutic frame rooted in curiosity and empathic regard. She specializes in working with those looking to cultivate self-growth, increase interpersonal efficacy, and develop an affirming relationship with their internal worlds.

Ari extends a humanistic approach to her work by nourishing the whole self – according to one’s intersectionality and inherent wisdom. She is trained in DBT and other treatment modalities, including CBT, Existentialism, and Trauma Theory. She harmonizes the concepts of behaviorism and intuitiveness of relational healing, with opportunities to explore psychedelics and expanded-state work.

Ari invites you to build capacity for both processing and playfulness. She prioritizes humor and is often found in the ocean, on the dance floor, and imagining her next adventure. Ari has also worked as a licensed public school teacher in Hawai’i and documentary photographer in South Africa. She is committed to equity, inclusion, and the pursuit of social justice.

Alyson Barry

Alyson Barry, PhD

Licensed Clinical Psychologist

Alyson Barry is a licensed clinical psychologist (PhD). Since 2005, she’s gained experience in diverse areas of practice, including inpatient hospitals, intensive outpatient programs, community mental health, and private practice. Alyson came to DBT in 2013 through her own yoga and meditation practice, which led her to seek additional training in mindfulness-based therapies. Drawn to work with people who’ve experienced developmental trauma, she begins by addressing what’s happening in the present, helping her clients develop practical skills that fundamentally improve how they interact with themselves and the world around them. As a result of this work, this can over time, set the stage for healing the older wounds. She believes in a collaborative and consent-based treatment approach, working to ensure that clients understand and are in agreement with any diagnosis or therapeutic technique. She hopes that this transparency can help to create an environment of respect for her clients’ choice, autonomy, and knowledge of themselves. She is also a big believer in bringing humor and irreverence into therapy. In her free time, Alyson enjoys snorkeling, hanging out with her cat, and spending time with friends. Alyson is available to work via telehealth with clients in California, Colorado, and Florida.
Heather Macbeth

Heather Macbeth

Licensed Marriage & Family Therapist (MFT)

Heather co-founded the Oakland DBT & Mindfulness Center in 2012. She is a licensed MFT. She offers a relational, somatic, experiential and humanistic approach to her work and is committed to relieving psychological suffering. Her style is both compassionate and gentle as well as directive and aims to be supportive of each person’s unique needs. Her work focuses on emotion regulation, changing persistent cycles of self-blame, listening more closely to intuitive knowing and increasing self compassion. She is committed and dedicated to helping her clients have a life where they can find themselves thrive vs. just survive. Working as a therapist, clinical supervisor, skills group and workshop facilitator has brought her a lot of joy. In addition to a private practice setting she has worked in community mental health organizations with disenfranchised youth and families and in public schools as a Behavioral Specialist. Heather works with adults and teens. She is intensively trained in DBT and other treatment modalities such as; Gestalt, Psychodynamic, MBSR, ands Expressive Arts. She is certified in EAP (Equine-assisted psychotherapy) and offers equine-facilitated learning workshops in the Bay Area. Additionally, she has received her training in Ketamine Assisted Psychotherapy through the Polaris Insight Center in San Francisco and is inspired by the potential healing benefits of expanded states of consciousness work.

In her free time, and in ideal worlds, she is exploring jungles, hot springs, beaches, hanging out with animals (large and small), enjoying good food, travel and most importantly time with loved ones.

Christine Benvenuto

Christine Benvenuto

Licensed Marriage & Family Therapist (MFT)

Christine is a Licensed Marriage and Family Therapist and the co-founder and Executive Director of the Oakland DBT and Mindfulness Center. She brings over 25 years of experience in mental health to her work, with a background in working with people in all walks of life in residential, outpatient and home based settings. A systems thinker, valuing sustaining relationships, she works with individuals, couples and groups, with a strong belief that small shifts can create dynamic changes.

She blends a lifetime of interest and practice in somatics, meditation, embodiment, psychedelics and the arts with a passion for social justice, nature and thriving ecosystems. Her mentors are psychologically savvy, center co-existence, value differences and maintain a sense of humor.

Her professional training spans from depth oriented, expanded state and attachment based to behavioral styles of treatment. She co-creates a therapeutic container that feels collaborative, warm, dynamic, thoughtful and deeply resonant.

She works with individuals, couples and groups, offering ongoing weekly therapy, Ketamine-Assisted Psychotherapy and Consultation.

Along side of her professional life, Christine is grateful for her extended web of relationships as daughter, sister, wife, friend, step-mom and community connector.

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