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Trauma Care Psychology
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Individual Therapy · Ontario

DBT-PTSD Therapy in Ontario

Structured, compassionate evidence-based therapy designed to help individuals recover from complex PTSD, manage overwhelming emotions, and regain control of their lives.

Virtual & In-Person
Across Ontario
Now Accepting Clients
Free intro call available
12+ Months
Phased, stabilization-first

The Approach

What is DBT-PTSD?

DBT-PTSD was developed by Martin Bohus and colleagues at the Central Institute of Mental Health in Mannheim, Germany, and has been validated through multiple randomized controlled trials. It was designed to address a gap that standard trauma protocols leave unfilled: approaches like Prolonged Exposure and CPT assume a baseline level of emotional stability that many people with complex or repeated trauma do not yet have. For this population, moving into trauma processing without first building regulatory capacity can be ineffective or destabilizing. DBT-PTSD was built specifically for people who need both stabilization and trauma processing, not one or the other.

The treatment integrates trauma-focused interventions with the core DBT skill modules, including emotion regulation, distress tolerance, mindfulness and acceptance, and interpersonal effectiveness. Its defining feature is a phased structure in which stabilization and skill-building come first, and trauma processing begins only once the client has developed sufficient capacity to engage with it safely. It is designed for people who struggle with intense emotions, self-destructive behaviours, flashbacks, intrusive memories, and difficulties in relationships as a result of severe or repeated trauma.

At a Glance

  • Duration

    12+ months (phased)

  • Designed for

    Complex PTSD, chronic trauma, emotion dysregulation

  • Format

    Stabilization, then trauma processing

  • Delivery

    Virtual across Ontario · In-person in Toronto

  • Approach

    DBT skills + structured trauma processing

Concerns We Treat

Conditions DBT-PTSD is used to treat at our clinic

DBT-PTSD was specifically developed for people whose trauma history involves prolonged, repeated, or severe experiences that standard PTSD treatments were not designed to address.

Is This Right for You

For those who need more than standard trauma therapy

DBT-PTSD offers a balanced pathway for clients who need both deep trauma processing and strong skills-based stabilization. It is often delivered over 12 months or more, depending on individual needs, and is designed for those whose trauma history requires more than standard PTSD treatments can provide.

Research shows that DBT-PTSD is more effective than traditional trauma treatments for Complex PTSD, particularly for clients with high emotional dysregulation, self-harm histories, or presentations that standard PTSD protocols were not designed to address. Unlike approaches that move directly into trauma processing, DBT-PTSD begins with building a foundation of safety and skills, making it well suited to clients who have found other therapies too activating or insufficient.

Book a Free Intro Call

You may benefit if you:

  • Have experienced prolonged, repeated, or severe trauma, including Complex PTSD
  • Struggle with intense emotional dysregulation, flashbacks, or dissociation
  • Use self-harm or impulsive behaviours to cope with overwhelming feelings
  • Carry deep shame, self-blame, or difficulty trusting others
  • Have tried other trauma therapies but found them too activating or not enough

Core Skill Modules

What you'll work on

DBT-PTSD builds four interconnected skill areas across a phased treatment structure, with stabilization preceding trauma processing at every stage.

Stabilization and safety

  • Reduce self-harm, suicidal urges, and crisis behaviours
  • Build practical distress tolerance tools for high-intensity moments

Trauma processing

  • Gradually process traumatic memories in a safe, paced way
  • Reduce flashbacks, intrusive memories, and trauma-related avoidance

Emotion and mindfulness skills

  • Manage overwhelming emotions with greater stability
  • Use present-moment awareness to reduce shame and self-blame

Relationships and meaningful life

  • Improve communication, boundaries, and trust in relationships
  • Clarify values and build toward the life you want

Our Program

How treatment is structured

DBT-PTSD follows a phased model: safety and stabilization come first, trauma processing follows once skills are in place, and integration supports lasting recovery.

Phase I

Stabilization and safety

Reduces harmful behaviours (self-harm, suicidal thoughts, substance use) and teaches emotional regulation and distress tolerance skills to build a foundation of safety.

Phase II

Trauma processing

Gradual, guided processing of traumatic memories alongside mindfulness and acceptance practices to reduce shame, self-blame, and avoidance.

Phase III

Integration and growth

Life reclamation, goal-setting, and strengthening relationships, identity, and a meaningful sense of self beyond the trauma.

Related Treatments

Looking for a different trauma-therapy approach?

We also offer other evidence-based trauma and DBT therapies depending on your needs and presentation.

Common Questions

Frequently asked questions about DBT-PTSD

DBT-PTSD is typically delivered over 12 months or more, depending on the complexity of your trauma history and goals. The phased structure means treatment does not rush into trauma processing until a foundation of safety and skills has been built. This pacing is intentional, not a limitation. For clients who have felt overwhelmed or destabilized by faster-moving therapies in the past, it is often what makes real progress possible. Progress is reviewed regularly throughout.

Standard DBT focuses on emotional regulation, distress tolerance, interpersonal effectiveness, and mindfulness, and is primarily designed for BPD and chronic emotional dysregulation. DBT-PTSD extends this by adding structured trauma processing in a phased sequence, directly targeting traumatic memories and trauma-linked beliefs. It is specifically designed for people with Complex PTSD or prolonged trauma histories who need both stabilization and trauma processing, not one or the other.

Most sessions are covered in full or in part by extended health benefit plans. We provide detailed receipts for all sessions to support reimbursement. Visit our Fees and Coverage page for full details.

Yes. We offer secure virtual DBT-PTSD across Ontario. The structured, skills-based format is well suited to virtual delivery, and trauma processing work is conducted safely within the session regardless of format. In-person sessions are also available in Toronto.

No formal diagnosis is required. Many clients come to us knowing that standard treatments have not worked without fully understanding why, and that is a reasonable place to start. We begin with a thorough trauma-informed intake assessment to understand your symptoms, history, and goals. From there we will recommend the most appropriate treatment approach.

This is one of the most common things we hear from clients considering DBT-PTSD, and it makes complete sense. Standard PTSD treatments like CBT or Prolonged Exposure were not designed for complex or repeated trauma. When previous therapy has not worked, it is often because the approach was not matched to the full scope of what you have been through. DBT-PTSD was built specifically for clients whose trauma history requires a more graduated, stabilization-first approach before processing can safely begin, and it has strong evidence in exactly this population.

Have a question not listed here? Visit our full FAQ page or get in touch directly.

Take the First Step

See whether DBT-PTSD is the right treatment pathway for complex trauma recovery.

Our clinicians will help you figure out whether DBT-PTSD is the right fit, and what that would look like for you.

Book an Intro Call

Virtual & In-Person · Ontario

Getting Started

Starting therapy is simple and supportive.

  1. 1

    Get in touch by booking a call online with our intake coordinator or by completing the contact form. You can also email admin@traumacarepsychology.ca or call (647) 456-7500.

  2. 2

    Complete a 20-minute intake call so we can determine the best therapist fit and treatment direction. Alternatively, browse our clinician directory and book a free 20-minute consultation directly with a clinician you feel is a good fit.

    Browse our clinician directory →
  3. 3

    Schedule your first session and begin a personalized treatment plan based on your goals and concerns.

Contact Us

Fill out the form and our intake coordinator will be in contact shortly.

Virtual care across Ontario · In-person in Toronto.