Dialectical Behavior Therapy (DBT)

Compassionate, Skills-based Dialectical Behavior Therapy (DBT) with Katherine Hyde-Hensley to Regulate Emotions, Strengthen Relationships, and Create Lasting Change.

Finding Steady Ground When Emotions Feel Overwhelming

What is Dialectical Behavior Therapy (DBT)?

 

Dialectical Behavior Therapy (DBT) helps you develop practical skills for managing intense emotions, navigating relationships, tolerating distress, and staying present in your daily life.

Maybe your emotions feel bigger than you want them to be. Maybe small challenges quickly become overwhelming, relationships feel complicated, or you find yourself reacting in ways that leave you feeling frustrated, ashamed, or misunderstood.

You may feel caught between wanting things to change and feeling exhausted from trying so hard to hold everything together.

DBT recognizes that two things can be true at the same time: you can accept yourself exactly as you are while also working toward meaningful growth and change.

Together, we can build skills that help you respond to life’s challenges with greater confidence, flexibility, and self-understanding.

ARE YOU WORKING HARD TO KEEP YOUR HEAD ABOVE WATER? 

DBT may help if you are…

Feeling overwhelmed by intense emotions

Experiencing frequent conflict or challenges in relationships

Feeling impulsive when emotions become overwhelming

Struggling to manage stress or emotional reactions

Finding it difficult to set or maintain healthy boundaries

Battling shame, self-criticism, or chronic feelings of inadequacy

Why I Do This Work

WHAT IF YOU DID NOT HAVE TO EXPLAIN YOUR PAIN HERE?

In 2005, I became a stillbirth mom.

My daughter Helen was born still at 38 weeks, and losing her changed the way I understand grief, trauma, and motherhood.

Helen is the reason I chose this work and why I specialize in reproductive mental health, pregnancy loss, birth trauma, and the emotional complexities of motherhood.

You do not have to convince me your pain is real. I already understand more than you think.

Your experiences deserve to be honored without becoming the measure of your worth.

Therapy That Is Compassionate, Honest, and Grounded

WHAT DOES THERAPY WITH ME ACTUALLY LOOK LIKE?

My approach is warm, direct, and deeply compassionate. I do not believe in toxic positivity or forcing healing before you are ready. I believe in creating a space where you can tell the truth about what you are carrying and have that truth met with both emotional support and clinical skill.

Therapy with me is collaborative. We work together to understand what has happened, how it has shaped you, and what healing may look like moving forward. My work integrates evidence-based approaches including:

Narrative Therapy

Narrative Therapy helps you explore the stories pain, trauma, grief, or shame may have shaped about who you are. Together, we begin separating your identity from the experiences that hurt you so you can reconnect with yourself more fully and compassionately.

Cognitive Behavioral Therapy (CBT)

CBT helps identify thought patterns that keep you stuck in anxiety, self-blame, shame, rumination, or hopelessness. We work to gently shift those patterns while building more supportive ways of relating to yourself.

Dialectical Behavior Therapy (DBT)

DBT offers practical emotional regulation tools for navigating overwhelming emotions, uncertainty, grief waves, anxiety, and the difficult moments that can arrive without warning.

I am also a certified birth, postpartum, and palliative doula, which allows me to support clients with both clinical expertise and lived understanding of reproductive and maternal experiences.

WHAT BECOMES POSSIBLE WHEN YOU LEARN TO RESPOND DIFFERENTLY TO DIFFICULT MOMENTS?

Acceptance and Change Can Exist Together

Over time, many people begin to notice:

Greater confidence in managing intense emotions

Improved ability to cope with stress and uncertainty

More self-compassion and less self-judgment

Healthier communication and stronger relationships

Increased awareness of emotional triggers and patterns

Greater ability to stay present during difficult moments

More confidence in setting boundaries and honoring personal needs

A Note to You

WHAT IF YOU DIDN’T HAVE TO FEEL CONTROLLED BY YOUR EMOTIONS?

You may have arrived here feeling overwhelmed, exhausted, frustrated by recurring patterns, or unsure how to handle emotions that seem to take over before you can catch them.

You may have spent years trying to push your feelings away, stay strong for everyone else, or simply get through each day without falling apart.

Whatever brought you here, I am glad you found your way.

DBT is not about eliminating emotions or becoming a different person. It is about learning how to understand your emotions, respond to them more effectively, and build a life that feels more balanced, meaningful, and aligned with your values.

This work is deeply meaningful to me, and it is a privilege to support people as they learn new skills, strengthen their resilience, and discover that lasting change is possible.

If you are ready to take a small step toward greater emotional balance, stronger relationships, and a deeper sense of confidence in yourself, I would be honored to connect with you.

FREQUENTLY ASKED QUESTIONS

How do I know if therapy is right for me?

You do not need to be in crisis for therapy to help. Many women reach out because they feel emotionally overwhelmed, stuck, anxious, disconnected from themselves, or exhausted from carrying difficult experiences alone. Therapy offers a space to process what you are going through with support and care.

Do you offer virtual therapy?

Yes. Telehealth services are available statewide across North Carolina, allowing you to access support from the comfort and privacy of your own space.

Do you take insurance?

Yes. I currently accept all major insurances in North Carolina and also offer a private pay rate of $160/session. Please reach out if you have any questions.

Do I need to have experienced a major trauma for therapy to help?

Not at all. Many women seek therapy during seasons of transition, emotional overwhelm, identity changes, grief, anxiety, or motherhood challenges that feel difficult to navigate alone. Your pain does not need to be extreme to deserve support.

Reach Out Today

(828) 771-6985

katherine@katherinehydehensley.com

Sessions provided virtually throughout North Carolina, USA

Sessions provided in-person at 29 Ravenscroft Drive, Suite 203, Asheville, NC 28801

Fill out the form below to leave a message. Our team will follow up within 1–2 business days.

[enter form here]

Call (828) 771-6985

29 Ravenscroft Drive, Suite 208, Asheville, NC 28801

katherine@ katherinehydehensley.com