Episode 66 | DBT Dissemination in Real Life with Drs. Shireen Rizvi & Jesse Finkelstein

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Dialectical Behavior Therapy (DBT) is one of the most empirically supported treatments in mental health, with strong evidence for reducing suicide risk, self-injury, and other high-risk behaviors. Yet access to full-fidelity DBT remains limited, raising important questions about dissemination, accessibility, and real-world use.

In this episode, Shaina Siber is joined by Dr. Shireen L. Rizvi and Dr. Jesse Finkelstein for a thoughtful conversation about DBT dissemination—how evidence-based treatments evolve, travel beyond specialty settings, and become usable tools for real life without losing their integrity.

The discussion centers on Real Skills for Real Life: A DBT Guide to Navigating Stress, Emotions, and Relationships, an accessible, visually engaging guide that presents 26 core DBT skills alongside decision trees to support flexible, context-responsive skill use.