Dialectical Behavior Therapy (DBT) for Addiction Recovery

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Archangel Reviews For Dialectical Behavior Therapy (DBT) for Addiction Recovery

Google Reviews
5.0★★★★★

Verified Google reviews from former clients, family members, and visitors. Founder-led, recovery-grounded program.

John Pereira
Verified Google review
★★★★★

Archangels gave me my life back. Their team is the most amazing, caring people I have ever met. The housing they sent me to was amazing, the groups are amazing, and this whole project is amazing. If you're tired of being sick and tired, reach out and save your life.

Cisco Avila
Verified Google review
★★★★★

This facility is run by some of the best people you could ever ask for. They are extremely professional and truly dedicated to helping those struggling with mental health and addiction. They truly saved my life. I will be forever grateful for everything they did for me.

Priscilla Seamanik
Verified Google review
★★★★★

I had the honor of touring this facility, and it was absolutely beautiful, clean, and thoughtfully designed. But more than how it looked, you could feel the love in every detail. Watching the staff interact with clients genuinely touched my heart.

Key Facts

In 30 seconds

Plain, fact-first answers about how care works here. Want to talk to a person? Call (888) 464-2144.

  • The Archangel Centers is a licensed outpatient addiction treatment provider.
  • The Archangel Centers operates clinics in Tinton Falls, NJ and Charlotte, NC.
  • Dialectical behavior therapy (DBT) is part of the outpatient continuum at The Archangel Centers.
  • Medication-assisted treatment (MAT) includes Suboxone, Vivitrol, and Sublocade.
  • The Archangel Centers works with most major commercial insurance plans with free benefits verification.
Inside the Clinic

Tour The Archangel Centers

A 60-second walkthrough of the Tinton Falls clinic, the space where the program actually runs.

Dialectical behavior therapy (DBT) was developed by Marsha Linehan in the 1980s for the treatment of borderline personality disorder and chronic suicidality. Over the following decades, the structured skill-based components of DBT were adapted for substance use disorder, eating disorders, post-traumatic stress, and other conditions where the central problem is dysregulated emotion driving destructive behavior. In addiction treatment, DBT is the right primary framework for clients whose use is heavily driven by emotional dysregulation, impulsivity, or self-harm patterns.

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What DBT actually is

DBT integrates four skill modules with individual therapy and (in the full standard model) a phone consultation function:

Mindfulness

The foundation. Skills for paying attention on purpose, in the present moment, non-judgmentally. Specific skills include observing, describing, and participating; and a "wise mind" balance between emotional and rational thinking.

Distress tolerance

What to do when the moment is unbearable and you cannot fix it right now. Skills include TIPP (temperature, intense exercise, paced breathing, paired muscle relaxation), STOP (stop, take a step back, observe, proceed mindfully), self-soothing through the five senses, and radical acceptance.

Emotion regulation

Identifying and naming emotions, reducing vulnerability to emotional mind (sleep, food, exercise, mood medication if appropriate), increasing positive emotions, and opposite-action skills for emotions whose action urge is making things worse.

Interpersonal effectiveness

Asking for what you need, saying no, and maintaining self-respect, in specific structured forms (DEAR MAN, GIVE, FAST). For clients whose use is partly maintained by interpersonal conflict or by the absence of needed support, this module does heavy lifting.

The "dialectical" in DBT names the central tension the work holds: full acceptance of where the client is now, *and* commitment to change. Both at once. The work happens in the space between them.

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Why DBT works in addiction treatment

The clinical evidence shows DBT is particularly effective when:

For these clinical pictures, DBT-informed treatment is associated with substantial reductions in self-harm, hospitalization, and substance use, with effects that often persist after treatment.

  • Substance use is driven by emotion dysregulation more than habit
  • The client has a co-occurring borderline personality disorder, post-traumatic stress, or chronic suicidality
  • Self-harm patterns (cutting, restricting, purging, suicide attempts) are part of the picture
  • Standard CBT has produced limited progress
  • The clinical picture includes "I can't tolerate the feeling, so I use" more than "I can't break the habit"
Inside the Clinic

A Place Built for Recovery

Group rooms, private therapy offices, the medical office, family programming rooms, and the wellness space, designed for clinical depth and nervous-system regulation.

Archangel Centers, front office and reception area
Archangel Centers, Situation Room with branded archangel wing
Archangel Centers, group and conference room
Archangel Centers, clinician meeting with a client in the Situation Room
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DBT-S, the substance use adaptation

Linehan and colleagues developed a specific adaptation for substance use disorders (DBT-S) that includes:

DBT-S is the framework that informs DBT-influenced work at The Archangel Centers.

  • Path to clear mind: the goal state in which the client is neither under the influence nor white-knuckling abstinence
  • Dialectical abstinence: aiming for abstinence while preparing concretely for what to do if a slip occurs
  • Burning bridges: structurally removing access to the substance and the people and places associated with it
  • Building a life worth living: the explicit long-term goal that gives the skill work direction
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DBT in practice at The Archangel Centers

DBT-informed work at The Archangel Centers is delivered through:

The depth of DBT work varies by level of care. The full DBT skill curriculum is most fully delivered in our Partial Care and PHP at Charlotte programs, with skill maintenance continuing through IOP and OP.

  • DBT skill groups, focused on one module at a time, with structured handouts, in-session practice, and homework
  • Individual therapy that integrates DBT skill coaching with the broader CBT and trauma work in the treatment plan
  • Crisis planning built explicitly into the treatment plan for clients with suicidality or self-harm risk
  • Coordination with the medical provider for medication that supports emotional stabilization where indicated
Mike Sorrentino in the Archangel Centers lobby
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DBT alongside other modalities

DBT integrates with:

Evidence-Based Care

Licensed clinicians. Evidence-based modalities.

Treatment integrates cognitive behavioral therapy (CBT), dialectical behavior therapy (DBT), motivational interviewing, narrative therapy, and trauma-informed care with EMDR available in individual therapy. The medical provider manages MAT (Suboxone, Vivitrol, Sublocade) and psychiatric medications when indicated.

Intake uses the full evidence-based battery: ASAM Criteria, LOCUS for mental health acuity, PHQ-9, GAD-7, the Columbia Suicide Severity Rating Scale, plus biopsychosocial, nutrition, and pain screens. The assessment drives the treatment plan from day one.

See Our Modalities
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Who DBT is not for, or not the primary tool for

DBT is a high-investment treatment. It works best when the client is willing to engage in the skill practice and homework. For clients whose primary issue is habitual substance use without significant emotion dysregulation, CBT or contingency management may be the more efficient primary modality. The treatment team makes the call at intake and revisits it as the clinical picture clarifies.

What We Treat

DBT and co-occurring conditions

DBT has strong evidence for:

See PTSD and addiction and the broader dual diagnosis cluster for how DBT fits the co-occurring picture.

  • Borderline personality disorder, often with co-occurring SUD
  • Chronic suicidality, with or without SUD
  • Self-harm patterns
  • PTSD, particularly in combination with trauma-focused work
  • Eating disorders alongside SUD
Mike Sorrentino in conversation at The Archangel Centers
Questions

Frequently Asked Questions

Is DBT just CBT with mindfulness added?
No. DBT shares some technique with CBT, but the framework, the four-module skill curriculum, the dialectical stance, and the focus on emotion regulation are distinct enough that DBT is its own treatment.
Do I need to have borderline personality disorder to benefit from DBT?
No. DBT was developed for borderline personality disorder but has been adapted for many conditions where emotion regulation is the core issue, including substance use disorder.
How long does DBT take?
The original Linehan protocol is a one-year program with weekly individual therapy, weekly skill group, and a phone consultation function. Adapted versions used in addiction treatment are shorter and integrated with the broader treatment plan.
Is DBT all about acceptance?
No. The dialectical balance is between acceptance and change. Both are central; neither is sufficient on its own.
Can DBT be done virtually?
The skill modules can be delivered virtually with equivalent evidence to in-person. Virtual treatment at The Archangel Centers is currently structured for New Jersey residents.
What if I have tried DBT before and it didn't work?
The treatment team will explore what was useful and what wasn't, and decide whether to revisit specific modules, integrate DBT into a broader plan, or shift the primary framework. ---
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The Team Behind Your Care

Founder-led, clinician-led, and small enough to know you

Every client at The Archangel Centers is supported by Mike and Lauren Sorrentino, Medical Director Dr. Justin Skolnick, Program Director Trevor Eyerkuss, the Managing Partners, and a Director of Admissions who actually answers the phone.

Why We Opened Archangel

A program built by people who have been there

I came back from rock bottom. I'm here because I want to show others they can too. This isn't just a business. It's my mission.- Mike Sorrentino, Founder

Mike and Lauren Sorrentino did not set out to build a generic treatment center. They wanted a recovery-grounded program that mixes lived experience, licensed clinical expertise, and family programming that actually moves the needle for the people who love someone in active addiction.

The clinic that resulted is small enough that each client knows their primary therapist by name, but resourced enough to deliver the full ASAM continuum from Partial Care through outpatient continuing care, with MAT and EMDR available when clinically indicated.

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Same-week placement often available

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