DBT is a marathon, not a sprint. Changing behaviors takes time and patience. In some ways, we are re-wiring the connections in the brain by teaching people to act and think in different ways, which then leads to different outcomes. As DBT therapists, we do not expect to see major, if any, changes, until closer to the end of the treatment cycle. Some clients and families need two cycles of comprehensive DBT in order to see changes, which is understandable given that adult DBT programs are generally a year-long commitment!