DBT therapy for steadier days and clearer choices
I use DBT with adults who want support when emotions feel hard to manage in everyday life. We can look at what gets intense, what gets reactive, and what helps you stay more anchored in the moment.

How I use it
Priya Puliyampet, LMHC
I use DBT to make the work more concrete when that is helpful, especially when feelings become hard to sort out in the moment. We can pay attention to triggers, urges, and the chain of what happens before and after a difficult reaction. That can help the conversation stay grounded while we also explore what the feelings mean. For some people, DBT is used alongside deeper exploration; for others, it gives structure when everything feels too activated.
We can slow the moment down before it runs the whole day.
Who it tends to suit
People may come in when feelings rise so quickly that it is hard to think, speak, or decide what to do next. They might say they snap, shut down, text too much, withdraw, or feel pulled in opposite directions at once. Often the stress is not only the emotion itself, but the fallout from what happens once it takes over. That can leave someone exhausted and frustrated with themselves.
- I go from calm to overwhelmed so fast.
- I say things I don’t mean when I’m upset.
- I freeze and can’t make a simple decision.
- I feel stuck between reacting and disappearing.
What the first sessions look like
In the first sessions, we talk about the situations where emotion becomes hardest to manage and what usually happens next. You do not need to have the right words already; we can start with a recent moment and work from there.
I offer a free 15-minute consultation. I usually reply within 2 business days.
What I use it for
- IdentityAdults who feel hidden, split, or hard to recognize in themselves.
- RelationshipsAdults who feel stuck, distant, or on edge in close relationships.
- CultureAdults who feel pulled between expectations, belonging, and self-expression.
- LGBTQ+ concernsAdults navigating identity, safety, and visibility in LGBTQ+ life.
- First- and Second-Generation ExperiencesAdults balancing family history, belonging, and independence.