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How To Use DBT Skills For Anxiety

Sep 16
2 min read

Anxiety can make the body feel unsafe, even when no real danger is near. A fast heart, tight chest, racing thoughts, or upset stomach can make daily life hard.


New research suggests that Dialectical Behavior Therapy, also called DBT, may help ease anxiety for many people. DBT was first made to help people with very strong emotions. Now, more studies show that DBT skills may also help with anxiety, worry, fear, and panic.


Eye-level view of a calm person sitting by a window with a notebook.
DBT skills often start with noticing thoughts and feelings.

What DBT teaches


DBT helps people learn skills they can use in real life. These skills are simple, but they take practice.


DBT often teaches four main skill areas:


  • Mindfulness Paying attention to the present moment.


  • Distress tolerance Getting through hard feelings without making things worse.


  • Emotion regulation Naming feelings and calming the body.


  • Relationship skills Asking for help and setting limits in a clear way.


For anxiety, these skills can be useful because fear often grows when people fight their feelings or avoid them.


Close-up view of hands writing a simple calming plan in a notebook.
A written plan can make anxious moments feel less uncomfortable..

What the new evidence shows


Recent studies and reviews suggests using DBT skills can lower anxiety symptoms. It may help people feel less ruled by fear. It may also help them handle stress without shutting down, lashing out, or avoiding life.


This does not mean DBT helps everyone. No therapy works the same for each person. But the evidence is hopeful.


DBT may be especially helpful when anxiety comes with:


  • strong mood swings

  • panic feelings

  • trouble calming down

  • fear of conflict

  • feeling “out of control”


Wide-angle view of a quiet walking path in a green park.
Small calming habits can support therapy skills.

How DBT can help during anxiety


DBT does not tell people to “just relax.” Instead, it gives skills.


A person might learn to stop, breathe, name the feeling, and choose the next right action. They may learn that a feeling is real, but it is not always a fact. That can make anxiety feel less powerful.


Over time, these practices can build trust in the body and mind.


Overhead view of smooth stones beside a glass of water and a small note card.
Simple tools can remind the brain to slow down.

The takeaway


Using DBT skills for anxiety is a strong option if anxiety is getting in the way of life. It may be used alone or with other care, such as talk therapy, medicine, or support groups.


At Known Well Counseling, DBT is incorporated into our eclectic approach. For more information, reach out for a free consultation.


 
 
 

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© 2026 by Caryn Schultz, LCSW 

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