The holidays can be a lot. Skills-based support in Denver and by telehealthHoliday season support →

Home / Guides

Best DBT Skills for Parents of Teens

The DBT skills that help parents of teens most come from Walking the Middle Path, the family module Jill Rathus and Alec Miller added to adolescent DBT: validation, the behavior principles of reinforcement, shaping and extinction, and dialectical (both-and) thinking. Add a few self-regulation skills for your own hardest moments, such as STOP, TIPP and Check the Facts, and you have the core toolkit that adolescent DBT programs teach caregivers.

This list is written for the parent, not the teen. If you want a general tour of the four standard DBT modules, our page on DBT techniques you can start using today covers them. Here the question is narrower: what do you, as the adult in the house, actually do differently on a Tuesday night when your teen slams a door, refuses school, or finally tells you something hard?

None of these skills replace treatment for a teen who is self-harming or talking about suicide. They are what makes treatment easier to carry home.

1. Validation: find the part that makes sense

Best for: De-escalating before you problem-solve

Validation means communicating that your teen's emotion or reaction is understandable given their situation, even when you disagree with what they did. It is not agreement and it is not permission. "You studied for hours and still got a C. Of course you're furious" validates the anger; it says nothing about whether throwing the laptop was acceptable.

In a treatment acceptability study of Walking the Middle Path (Rathus, Campbell, Miller and Smith, American Journal of Psychotherapy, 2015), adolescents and caregivers rated validation the most beneficial part of skills training. In practice it works best first: validate, pause, and only then move to limits or solutions.

  • Validate the valid; do not validate the invalid (validating a feeling is not endorsing a behavior)
  • Try: "That makes sense because..." before "and here is what needs to happen"

2. Self-validation for parents

Best for: Parents stuck in guilt or self-blame

Parents of teens in DBT often carry heavy guilt, and guilt tends to swing parenting between extremes. Applying validation to yourself sounds like "I am scared because my kid is hurting, and that fear makes sense." It lowers your own arousal enough to use every other skill on this list, and it models for your teen what self-validation looks like.

3. Positive reinforcement: catch the behavior you want

Best for: Increasing a specific behavior, fast

Reinforcement is the change half of Walking the Middle Path. Anything that follows a behavior and makes it more likely to happen again is a reinforcer. The DBT twist for families is to notice how often the household accidentally reinforces the problem (attention during blowups) and rarely reinforces the goal (silence when homework gets done without a fight).

Make reinforcement immediate, specific and sized to the behavior: "Thanks for texting me you'd be late, that let me relax" beats a vague "good job" a week later. The parent training page covers structured reward systems; the DBT emphasis is on the moment-to-moment reinforcement you already hand out without noticing.

4. Shaping: reward the first step, not only the finish line

Best for: Big goals like returning to school or managing mornings

Shaping means reinforcing small successive approximations of a goal. A teen who has missed three weeks of school will not jump to full days; getting dressed and into the car is the first thing to reinforce, then a first period, then half a day. Parents often withhold praise until the whole goal is met, which leaves the teen with nothing to work toward in the meantime.

5. Extinction, used carefully

Best for: Behaviors kept alive by attention or giving in

Extinction means no longer reinforcing a behavior that used to pay off, such as ending the pattern where escalating whining eventually gets the car keys. Expect an "extinction burst": the behavior usually gets worse before it fades, because it used to work. If you give in at the peak of the burst, you have taught that a bigger escalation is what it takes.

Extinction is never the tool for self-harm, suicidal statements, or anything involving safety. Those always get a response. Plan extinction with your teen's therapist so you know which behaviors to ride out and which to act on.

6. Consequences that fit, used sparingly

Best for: Holding limits without escalating

Walking the Middle Path also covers ways to decrease behavior, including natural and logical consequences. The DBT guidance is to keep them specific, time-limited and connected to the behavior (a lost evening of phone use, not a month of grounding), and to deliver them without lecturing. Large punishments tend to trigger more dysregulation and leave you with nothing left to remove.

7. Dialectical thinking: "both-and" instead of "either-or"

Best for: Reducing power struggles and all-or-nothing rules

Dialectics asks you to hold two things as true at once: "You need more independence, and I need to know you are safe." Families under stress drift toward extremes, such as swinging from no rules to strict control, or from treating every mood swing as a crisis to dismissing a real warning sign as typical teen drama. The middle path is usually a specific compromise both sides can live with.

Useful phrases include "and" instead of "but", "What am I missing?", and "What is the kernel of truth in what you are saying?"

8. STOP before you respond

Best for: Parents who react in the heat of the moment

STOP (Stop, Take a step back, Observe, Proceed mindfully) is a distress tolerance skill, and it is just as useful for the parent as for the teen. When your teen says something cutting, the step back can be literal: "I want to answer this well, give me ten minutes." Parents who model a pause teach it far more effectively than parents who lecture about it.

9. TIPP for your own body

Best for: When your heart is pounding before a hard conversation

TIPP (Temperature, Intense exercise, Paced breathing, Paired muscle relaxation) changes body arousal quickly. Cold water on your face or a brisk walk around the block before you knock on your teen's door can bring you down enough to validate instead of yell. If you have a heart condition or other medical concerns, check with your doctor before using cold-water or intense-exercise techniques.

10. Check the Facts on your interpretation

Best for: Parents who assume the worst motive

Check the Facts asks: what actually happened, and what story am I adding? "She is manipulating me" is an interpretation; "she cried and asked to skip practice" is the fact. DBT teaches that behavior can be understood without assuming intent, and that assuming bad intent usually escalates conflict. Checking the facts also works the other way, helping you notice when a worry is fully justified and needs action.

11. Coach, don't lecture: prompt the skill your teen is learning

Best for: Helping skills carry over from group to home

When parents and teens learn the same skills side by side, as in a multi-family skills group, you gain a shared vocabulary. A short prompt ("Want to try TIPP before we talk?") works better than a speech. Keep it an offer, and use the skill yourself first.

Where parents learn these skills

Walking the Middle Path was developed by Rathus and Miller for adolescents and their families and is published in DBT Skills Manual for Adolescents (Guilford Press) and Dialectical Behavior Therapy with Suicidal Adolescents (Miller, Rathus and Linehan, Guilford Press). The federal Title IV-E Prevention Services Clearinghouse describes adolescent DBT as including multifamily group skills training, optional parent training sessions and between-session coaching for adolescents and family members.

At Mountainside, the Teen Multi-Family DBT Skills Group meets two hours weekly on Mondays for 24 weeks, for ages 12 to 18, with a parent or caregiver attending alongside the teen. Separate parent training sessions are also available. If you are comparing programs, see our guide to DBT therapy programs in Denver.

When home skills are not enough

If your teen is self-harming, talking about wanting to die, or you believe they are in danger, parenting skills are not the first step. Call or text 988 to reach the 988 Colorado Mental Health Line, and call 911 if there is immediate danger. Tell your teen's therapist what you are seeing the same day.

Frequently asked questions

What is Walking the Middle Path in DBT?

It is a skills module Jill Rathus and Alec Miller developed for adolescents and their families. It teaches dialectics, validation, and behavior change principles such as reinforcement, shaping and extinction.

Is validating my teen the same as agreeing with them?

No. Validation communicates that a feeling or reaction makes sense given the situation. You can validate anger and still hold a firm limit on what your teen did with it.

Do I have to be in therapy myself to use DBT parenting skills?

No, but most parents find the skills easier to learn with coaching. Multi-family skills groups and parent training sessions are two common ways to get that practice.

Should I ignore my teen's outbursts?

Only with a plan, and never when safety is involved. Planned ignoring (extinction) can reduce attention-maintained behavior, but self-harm, threats and suicidal statements always need a response.

All Denver therapy guides →

Talk to someone

Mountainside Behavioral Health offers DBT and CBT for adolescents, adults, couples and families in Greenwood Village and by telehealth across Colorado. Consultations are free, and we will tell you if another provider is a better fit. Call (720) 762-4619 or request a consultation.

If you are in crisis, call or text 988 to reach the 988 Colorado Mental Health Line (free, confidential, 24/7). If you are in immediate danger, call 911.

Sources (7)
Call (720) 762-4619Free consultation