Cassiobury Court

Freephone: 0800 001 4070

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Phone Number

01923 369 161

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Dialectical Behaviour Therapy

Dialectical Behaviour Therapy (DBT) is a form of evidence-based, talk therapy that can help people develop healthier coping mechanisms, helping to improve emotional regulation and avoid self-destructive behaviours.

Dialectical Behaviour Therapy for addiction is just one of the therapeutic approaches we at Cassiobury Court may include as part of your personalised residential addiction treatment programme. Whilst DBT may be a part of your experience at Cassiobury Court, it is not a guarantee, as your treatment is selected according to your needs, risks and individual recovery goals.

 

What Is Dialectical Behaviour Therapy?

DBT Therapy is a form of talking therapy that is based on cognitive behavioural therapy (CBT). Dialectical means to understand and hold two opposing ideas at once, and in an addiction treatment setting can mean that you accept you hold unhelpful ways of thinking and behaving but are working to make positive changes.

Dialectical Behaviour Therapy for addiction revolves around encouraging behavioural change by accepting difficult thoughts, feelings and circumstances and learning skills to manage these feelings and make positive steps forward.

 

How Can Dialectical Behaviour Therapy Help with Drug and Alcohol Addiction?

DBT therapy for alcohol and drug addiction can be helpful because it is centred around emotional regulation. Some people use substances to cope with distress, conflict, difficult emotions or impulsive urges.

Research has found that DBT therapy for alcohol addiction is effective because it helps with controlling impulsivity. If you become better at identifying the patterns that lead you to substances and work out healthier responses, drugs and alcohol become less desirable as a coping mechanism.

If you become aware of emotional triggers, you can plan responses to cope with them when they arise. This will not only be helpful in rehab but will support relapse-prevention work along your recovery journey.

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    Rosie M

    5 Months Ago
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    I spent 2 weeks at Cassiobury, really think it might have saved my life, Jane walked me in on the first day and told me I wouldn't want to leave by the end of it, she wasn't wrong. Every member of staff were amazing and so supportive. Having had two not so good experiences at other rehabs I was very nervous and in a really bad way, at my worst point in drinking ever and thinking there was no way out, but now I feel better than I have in 4 years 🙂 so apprecitive to literally everyone there, so welcoming and understanding. The food is amazing too, and will cater to your needs, felt so looked after and genuinely cared for, will forever be grateful for this experience x

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    Joe E

    6 Months Ago
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    I recently spent time at Cassiobury Court and I genuinely can’t speak highly enough of the experience. The support staff were exceptional. The therapists were insightful, grounded, and actually listened. Even the behind-the-scenes team, the cleaners and the chefs, played a huge part in making the environment feel safe and cared for. Special mention to Alan in the kitchen. What stood out most was how comprehensive the programme is. It doesn’t just scratch the surface of addiction, it goes deeper, looking at the patterns, the behaviours, and the root causes, all delivered with real care and respect. If someone is serious about getting support, this is a place that truly delivers. Like everything in life, you get out what you put in. Keep up the amazing work- you’re saving lives.

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    Larissa Disney

    1 Month Ago
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    I came into Cassiobury Court after years of trying to stop on my own, after years of abusing myself physically and mentally i finally came in with the willingness to ask for help and that is what i recieved. Although nervous when I first came in i was greeted with an incredibly friendly and supportive team, I was made to feel at ease and given privacy but i also knew help was ready and available when i needed it The workshops, counselling and advice all felt they were tailored to me rather then just being another client and i was encouraged to start seeing the postives of life rather then the negatives, I enjoyed every workshop and the social aspect that came with meeting a group of like minded people and felt that i was being heard and understood. Since leaving i have re started my life and had support from everyone along the way I would highly recommend them. To anyone who feels they may be struggling.

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    John Page

    0 Months Ago
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    This place equips you with everything you need to recover. Id not hesitate in recommending it. Fantastic, knowledgeable and passionate staff that works tirelessly to personalise care plans. Great food and accommodation.

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  • Natasha Healey's profile image

    Natasha Healey

    4 Months Ago
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    This was my first stay at a rehab facility and I entered for a 28 day stay. I came through the gates feeling like a hopeless lost child who had exhausted all other avenues, and now leave as a strong and hopeful individual with all the tools I need to carry on my sobriety journey on the outside. The day one, all the staff were caring and attentive, catering for all of your needs and explaining everything perfectly in a calm and friendly manner - you felt welcomed straight away. All of the days were filled with useful and varied sessions, with a structured routine, but still time to socialise and get to know your peers. One to one therapy sessions were invaluable, and I learnt a lot from my sessions which were conducted in a professional but caring manner, and have given me many techniques to take with me. Also the one to one key work sessions were brilliant, guiding you on your journey in a straightforward, constructive but also compassionate way. Also thanks to all of the amazing staff who ran all of our group sessions, I gained so much from these. The food was excellent, as well as the medical and housekeeping staff who ensured that you could focus your time and energy on your recovery at all times. For anyone seeking help with an addiction, I would 100% recommend Cassiobury Court.

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    Michelle P

    7 Months Ago
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    I have spent some time at Cassiobury Court over the last 6 months and cannot speak more highly of the experience. I admitted myself for alcohol addiction and was very scared when I arrived and did not have any idea what to expect. The staff could not have been kinder to me. I wanted to leave on day 2 because I was very anxious and out of my comfort zone, but fortunately staff members calmed me down and I ended up staying which I am very glad about. The schedule is very good with group sessions, some one on one sessions and therapy sessions. The food is excellent and the chefs are very accommodating if you wish to have something different. There is a daily trip to the local shop to get any bits you may need. All the staff are amazing, the recovery workers, the management, the chefs and kitchen staff and all that work at Cassiobury are all so caring and it really shows. You have time to get to know the rest of the group and I ended up building close bonds and have kept in contact with many that I met in Cassiobury (and I bump into people I met at meetings outside as well as on the aftercare calls). All in all, if your are considering a treatment centre then I would highly recommend Cassiobury Court, I am very grateful for my time there.

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The Four Core DBT Skills

The four key areas at the heart of DBT for addiction are:

  • Mindfulness – A practice that helps you be fully aware of thoughts, emotions and experiences in the moment.
  • Distress tolerance – Learning how to cope with and tolerate difficult emotions and situations, rather than looking to immediately change them.
  • Emotional regulation – More effectively recognising and understanding emotions and how you could change them.
  • Interpersonal effectiveness – Improving your communication, boundaries and relationships.

 

What Happens During DBT Therapy at Cassiobury Court?

DBT is just one potential therapeutic approach you may take part in at Cassiobury Court, as part of our wider residential programme.

To help determine your personalised treatment plan, you’ll have a psychological and physical assessment. Alongside this, we’ll review your individual needs, risks, substance-use severity and detox requirements to ensure the best path forward.

All this will be done within the first 24–48 hours of admission, so no time of your stay is wasted.

If it is decided that DBT is right for you, this will be just one of various types of therapies we provide so that you receive comprehensive and effective treatment. These DBT sessions will focus on recognising emotions, thoughts and behavioural patterns, learning practical skills to cope and applying those skills to your recovery.

 

DBT Alongside Other Addiction Therapies

Dialectical Behaviour Therapy for addiction is just one form of therapy you may encounter at Cassiobury Court. Other approaches you may participate in alongside DBT to meet your needs include:

 

Who May Benefit from DBT in Addiction Treatment?

Dialectical Behaviour Therapy for addiction might not be the right approach for everyone, but it may be more beneficial to some than others. It may be considered if your substance misuse is linked to:

  • Difficulty regulating emotions
  • Impulsive behaviour
  • Strong reactions to stress
  • Relationship conflict
  • Using substances to escape distress
  • Repeated relapses following emotionally difficult times
  • Difficulty tolerating cravings or uncomfortable feelings

No decisions on suitable treatment should be made without an assessment. This way you ensure you get the best treatment for your individual needs.

 

DBT, Mental Health and Dual Diagnosis

Between 2024 and 2025, 74% of people entering treatment in England and Wales also had a mental health need. Addiction can often occur alongside mental health issues, which is known as a dual diagnosis.

Emotional dysregulation, or the inability to appropriately manage emotions, is often present with anxiety, depression, trauma-related issues or other psychological problems.

At Cassiobury Court, we perform a thorough assessment that considers psychological needs alongside physical health and medical factors. We use this to create a personalised treatment plan that may involve a dual diagnosis.

To help treat both your addiction and mental health issues, Dialectical Behaviour Therapy for addiction may be considered, but the suitability of this approach will depend on the individual and our professional assessment.

 

DBT as Part of Residential Addiction Treatment

It can be beneficial to learn and develop these therapeutic skills in a structured environment, away from your home.

Residential addiction treatment allows you time away from alcohol, drugs and familiar triggers where you can focus on recovery and explore new coping strategies. DBT can dovetail well with other regular therapeutic input, relapse-prevention strategies and recovery planning.

All this will be facilitated by our multidisciplinary team that includes a consultant psychiatrist, doctor, nurses, a psychologist, social Workers and recovery support workers. Not only will you be in an environment catered for recovery, but you will also be surrounded by people who are dedicated and experienced in helping those with substance abuse issues.

Meet Our Team

Our team includes experienced counsellors, psychologists, and medical professionals specialising in addiction treatment and mental health. We are passionate about helping people overcome addiction and achieve their goals for a healthier and happier life.

We hold the highest professional standards here at our CQC-registered rehab centre. Our fully trained GPs, Physchiatristes, Support Workers, Counsellors and Mental Health Nurses can deliver a comprehensive rehabilitation programme.

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  • Rafa

    Raffa Bari

    CQC Registered Manager View Bio
  • Dr Mosun - Consultant Psychiatrist and Addiction Specialist at Cassiobury Court

    Dr Mosun

    Consultant Psychiatrist and Addictions Specialist View Bio
  • Dr Ola Otulana - GP and Addiction Specialist at Cassiobury Court

    Dr Ola Otulana

    GP and Addiction Specialist Physician View Bio
  • Alison Hipwell - Deputy Manager at Cassiobury Court

    Alison Hipwell

    Deputy Manager (Operations Officer) View Bio
  • Jane Pearce - Deputy Manager at Cassiobury Court

    Jane Pearce

    Deputy Manager (Clinical Lead) View Bio

 

Start Dialectical Behaviour Therapy for Addiction at Cassiobury Court

Dialectical Behaviour Therapy for addiction treatment is just one of many therapies that we at Cassiobury Court provide as part of our personalised residential programmes.

To determine the best approach for you, as part of the admissions process, you’ll undergo a thorough assessment, considering many factors. Your treatment may also involve medically managed detox if you are physically dependent on a substance as well.

Contact our admissions team today on 08000014070 for a confidential chat about our treatment options and your next steps.

View Our VR Tour

Take a look inside Cassiobury Court with our interactive VR tour. Explore our private residential rehab centre in Watford, including our bedrooms, therapy spaces, communal areas and peaceful outdoor surroundings.

The tour is designed to help you or a loved one feel more familiar with our environment before admission, giving you a clearer idea of the calm, comfortable and supportive setting we provide throughout treatment.

View VR Tour

What addictions do we treat?

Our Private Treatment Services combine comfortable, quality accommodation; with outstanding therapy programmes that are proven to support your recovery from addiction.

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Drug Rehab

At Cassiobury Court, we offer a residential rehab service for drug addiction at our London rehab centre. We provide comprehensive treatment programmes, expert medical and psychiatric staff, and a way forward for those seeking sobriety. Our treatment programmes are directed by medical professionals who ensure a completely safe and therapeutic environment for our clients. Each addiction […]

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Alcohol Rehab

You can trust us to provide you with the very best care to get you back on the road to sobriety. To discuss treatment options available to you at our alcohol rehab centre, contact a member of our admissions team by filling out our contact form or by calling us on 01923 369 161. Personalised Alcohol Rehab […]

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Cannabis Rehab

Our cannabis drug rehab programme can dramatically increase the chances of recovering from cannabis addiction. You may have heard that cannabis is not addictive. This is a myth. Most cannabis users may be able to consume the drug irregularly, but some cannabis users will develop an addiction to the drug. Research suggests that 22% to […]

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Prescription Drug Rehab

Prescription drug addiction is an escalating issue in the UK, with millions of patients receiving medications with a risk of dependency each year. In England in 2025-2026, 96 million antidepressant items were prescribed to an estimated 9.1 million identified patients. The rise in prescription drug addiction proves to be a growing concern that demands effective […]

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Cocaine Rehab

Cassiobury Court is a specialist residential cocaine rehab centre for adults aged 18 and over. If cocaine is affecting your health, relationships, work or finances, our cocaine rehab programme combines medically managed detox where needed, personalised psychological therapies and compassionate multidisciplinary support, with a personalised care plan developed within 24 to 48 hours of admission. […]

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View all addictions we treat

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DBT Therapy FAQs

It is a form of talking therapy focused on emotional regulation and learning coping skills.

DBT can help you recognise unhealthy patterns of behaviour, work on better coping mechanisms and be more aware of your triggers.

Mindfulness, distress tolerance, emotion regulation and interpersonal effectiveness.

No, DBT is built upon CBT but with more focus on how you handle emotions and distress.

Yes, it can help with impulse control and managing negative emotions that lead you to drink.

Yes, DBT can help with coping with distress and developing healthier coping strategies.

Yes, DBT can be used alongside other treatments like CBT, psychoeducation and recovery planning.

A thorough assessment will take place before treatment begins to determine whether DBT might be helpful for your recovery.