Irvine Dialectical Behavior Therapy

Tiffany Crawshaw, Psy.D. is trained to utilize Dialectical Behavior Therapy, or, DBT. DBT was originally developed in 1993 by Marsha Linehan, to treat individuals suffering from Borderline Personality Disorder. However, since that time, research has found DBT to be an effective model with a variety of populations and issues. (DBT Skills Training Manual 2nd Edition, 2014) Dr. Crawshaw finds DBT more effective than ever in dealing with problems that many people face. More importantly, the skills are given to you so that you can put yourself in control of your life. The following is a brief explanation of the modules of DBT:


Mindfulness is the backbone of DBT. It is simply a way of helping the individual to integrate and balance logic with emotion. Many people have difficulty with this balance. Some are too cerebral and some are ruled by their emotions; while others slide back and forth between the two sides without proper integration. If you feel out of balance in this respect, Dr. Crawshaw can help you to properly integrate these two sides.

Distress Tolerance

What people do under stressful circumstances can affect their long term well-being. If stress is overwhelming you and you’re affected by anxiety, migraines, gastrointestinal problems or just generally feeling like things are unmanageable, utilizing Distress Tolerance skills with Dr. Crawshaw can empower you. You will be given the skills to take a step back and use effective coping skills when under stress.

Emotion Regulation

Feeling out of touch with one’s genuine emotions or controlled by emotions can cause chaos in a person’s life. If you find yourself upset, angry or numb too often, Emotion Regulation skills can benefit you. You will find ways to deal with overwhelming emotions and get clarity and understanding about your true feelings. Dr. Crawshaw can help you to use these skills to self-monitor and work on balancing your emotions.

Interpersonal Effectiveness

Many people struggle with their every-day interactions with others. This affects their friendships, family, work life and romantic life. If you feel like this is a problem for you, but are not sure what you are doing wrong, Dr. Crawshaw can help. You can examine your particular issue by understanding Interpersonal Effectiveness skills. Dr. Crawshaw will help you see the most appropriate ways of handling interpersonal interactions so that you may build and maintain healthy relationships in all areas of your life.