At Heart Transactions Counseling, we believe one of the most important parts of psychotherapy is the development of rapport and trust between therapist and client. After we explore the present and past factors that have led to your present feelings, we will get to the root of your problem to gain understanding of your beliefs, behaviors, and patterns. Cognitive-Behavioral Therapy Cognitive-Behavioral Therapy (CBT) helps individuals to recognize how their assumptions and beliefs contribute to negative emotions, and how to overcome psychological suffering by changing these negative thoughts. CBT is supportive, interactive and direct. The therapist makes specific suggestions and focuses on changing particular problems. In CBT, the therapist and the client are “partners” and work together during treatment. CBT is relatively brief in duration and includes strategies for measuring progress so treatment techniques can be altered for maximum effectiveness. Dialectical behavior therapy (DBT) is a system of therapy originally developed by Marsha M. Linehan, a psychology researcher at the University of Washington, to treat persons with borderline personality disorder (BPD). DBT combines standard cognitive-behavioral techniques for emotion regulation and reality-testing with concepts of distress tolerance, acceptance, and mindful awareness largely derived from Buddhist meditative practice. DBT may be the first therapy that has been experimentally demonstrated to be generally effective in treating BPD. Research indicates that DBT is also effective in treating patients who present varied symptoms and behaviors associated with spectrum mood disorders, including self-injury. Recent work suggests its effectiveness with sexual abuse survivors and chemical dependency.