Specialties · Plano office and Texas telehealth

Dialectical Behavior Therapy in Plano, TX

Dialectical behavior therapy (DBT) skills for big emotions, relationship struggles, and everyday stress.

In person or online

Plano office, Texas telehealth

Evidence-based

research-backed approaches

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Overview

When emotions hit hard and fast, it can be hard to think straight, let alone respond the way you want to. Dialectical behavior therapy (DBT) teaches practical skills for calming down, getting through hard moments, and handling relationships with more ease.

At Layers Counseling Specialists, several of our therapists have intensive DBT training and weave DBT skills into individual sessions, though we don’t run a full DBT program. We use them often when working with anxiety, ARFID, ADHD, autism, and trauma, in Plano and online across Texas.

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Understanding dialectical behavior therapy

DBT was first developed for people with very intense emotions, and it has since been adapted to help with many kinds of emotional and behavioral struggles. At its core, DBT teaches four sets of skills:

  • Mindfulness: noticing the present moment without judging it
  • Distress tolerance: getting through a crisis without making things worse
  • Emotion regulation: understanding your feelings and bringing them down a notch
  • Interpersonal effectiveness: asking for what you need and setting boundaries with care

Our approach

We bring DBT skills into therapy in practical, easy-to-use ways, often alongside other approaches.

DBT skills

We pick the skills that fit what you’re facing and practice them until they feel natural.

Thoughts and feelings

Cognitive behavioral therapy (CBT) helps you notice the thoughts that fuel strong feelings and respond to them differently.

Living by your values

Acceptance and commitment therapy (ACT) helps you move toward what matters to you, even when emotions are loud.

You’ll get take-home practice, and for kids and teens, parents learn the skills too so they can coach them at home.

Who it's for

Who we help

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Children and teens

We help kids name their feelings, handle frustration, and get through school, friendships, and family life with fewer blowups.

Adults

For anxiety, trauma, or relationship stress, DBT skills help you manage big emotions and set healthier boundaries.

Parents and caregivers

Learning DBT skills yourself helps you stay steady and model calm when your child is struggling.

Why Layers

Why choose our Plano practice

Intensive DBT training

Several of our therapists have completed intensive DBT training and use these skills every week.

Skills matched to your needs

Emotion regulation for anxiety, distress tolerance after trauma, mindfulness adapted for ADHD and autism. We fit the skills to you.

In person or online

Meet at our Plano office or by secure video from anywhere in Texas.

Who you'll work with

Our DBT-trained therapists

Read about each therapist’s experience and approach to care.

Karla Pineda, LPC – Founder, Layers Counseling | Plano, TX
Karla Pineda, LPC

Specialist

Adults

Karla recovered from OCD through exposure and response prevention (ERP) herself, and now helps adults stuck in what-if loops. She also offers Accelerated Resolution Therapy (ART) for trauma.

karla-pineda

https://layerscounselingspecialists.clientsecure.me/request/date?clinicianId=1388690&currentTimeZone=America%2FChicago&preselected=true

Waitlist

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Rachel Tipsword, LCSW in Plano, TX | OCD & ARFID Specialist
Rachel Tipsword, LCSW

Specialist

Adults, young adults, parents, children, and teens

Rachel treats OCD in kids and adults and specializes in ARFID, when eating narrows to a few safe foods. Through SPACE, she coaches parents to help an anxious child, even one not ready for therapy.

rachel-tipsword

https://layerscounselingspecialists.clientsecure.me/request/date?clinicianId=1532211&currentTimeZone=America%2FChicago&preselected=true

Accepting new clients

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Jessica Morales, LPC-Associate in Plano, TX | Neurodiversity & Trauma Counselor
Jessica Morales, LPC-Associate

Focused clinician, supervised by Mary Hoofnagle, LPC-S, RPT

Children, teens, and adults

Jessica, who has ADHD herself, offers neurodiversity-affirming care for ADHD, autism, and trauma, plus AutPlay for kids, in sensory-friendly sessions without forced eye contact.

jessica-morales

https://layerscounselingspecialists.clientsecure.me/request/date?clinicianId=1667142&currentTimeZone=America%2FChicago&preselected=true

Waitlist

Book a free consult

Next step

Ready when you are

A free 15-minute video call with the clinician you want to work with. Ask anything about their approach, scheduling, or fees before you commit.

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