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Behavioral Therapy
Behavioral therapy gets to the root causes of your teen’s problematic behaviors and empowers them to make positive changes.
Contact Hillcrest Adolescent Treatment Center today to learn more.
Home » Behavioral Therapy
Behavioral Therapy
Behavioral therapy gets to the root causes of your teen’s problematic behaviors and empowers them to make positive changes.
Contact Hillcrest Adolescent Treatment Center today to learn more.
Behavioral therapy is one of the most effective, evidence-based approaches for helping adolescents manage mental health challenges, regulate emotions, and change harmful patterns of behavior. At Hillcrest Adolescent Treatment Center, behavioral therapy is a core component of treatment for teens struggling with anxiety, depression, trauma, mood disorders, and co-occurring substance use.
Our approach combines Cognitive Behavioral Therapy (CBT) and Dialectical Behavior Therapy (DBT), two structured, skills-based modalities that help teens understand the connection between their thoughts, emotions, and behaviors. Behavioral therapy gives adolescents practical tools they can use both in treatment and in daily life to navigate stress, relationships, and emotional intensity more effectively.
Contact us today to learn more about our teen mental health treatment centers.
What Is Behavioral Therapy?
Behavioral therapy is a form of psychotherapy that focuses on identifying unhelpful patterns of thinking and behavior and replacing them with healthier, more effective responses. Rather than only exploring why a teen feels a certain way, behavioral therapy emphasizes what to do when difficult emotions or situations arise.
For adolescents, behavioral therapy is especially impactful because it is skill-focused and adaptable to real-world challenges. Teens learn how their thoughts influence emotions, how emotions drive behavior, and how intentional changes can improve mental health and decision-making. At Hillcrest, behavioral therapy is delivered in individual sessions, group therapy, and integrated programming to support consistent learning and practice.
How Behavioral Therapy Supports Adolescent Mental Health
Many teens in treatment struggle with emotional reactivity, impulsivity, negative self-talk, or difficulty coping with stress. If a teen has an underlying mental health concern or substance use disorder, these challenges may be even more difficult to navigate. Behavioral therapy addresses obstacles directly by teaching teens how to respond rather than react.
Behavioral therapy helps adolescents:
- Recognize and challenge unhelpful thought patterns
- Manage intense emotions without escalating behaviors
- Build healthier coping strategies for stress and conflict
- Improve communication and interpersonal skills
- Reduce self-destructive or risky behaviors
These skills are applicable to a range of real-world experiences. They help teens navigate school pressure, peer relationships, family conflict, and internal emotional struggles. Over time, behavioral therapy helps adolescents feel more in control of their reactions and more confident in their ability to handle challenges.
Types of Behavioral Therapy We Use
At Hillcrest Adolescent Treatment Center, we use two types of behavioral therapy as part of each level of care we provide (residential treatment and partial hospitalization).
Cognitive Behavioral Therapy (CBT) and Dialectical Behavioral Therapy (DBT) are evidence-based approaches that help adolescents understand how internal experiences influence daily behavior. These therapies focus on supporting healthier responses to stress and conflict in a way teens can apply outside of treatment.
Cognitive Behavioral Therapy (CBT)
Cognitive Behavioral Therapy helps teens identify the relationship between thoughts, feelings, and behaviors.
Many adolescents experience distorted or overly negative thinking patterns that contribute to anxiety, depression, or low self-esteem. CBT teaches teens how to recognize these patterns and replace them with more balanced, realistic perspectives. This therapeutic method also helps teens learn practical tools they can apply immediately, such as reframing negative thoughts and building healthier routines.
Furthermore, according to Frontiers in Psychiatry, CBT is the “gold standard of psychotherapy.” Many other types of psychotherapy, including dialectical behavioral therapy (DBT), are rooted in the principles of CBT.
CBT is commonly used to address:
Dialectical Behavior Therapy (DBT)
Dialectical Behavior Therapy is particularly effective for teens who experience intense emotions, impulsivity, or difficulty managing relationships.
DBT focuses on teaching skills that help adolescents tolerate distress and regulate emotions. At Hillcrest, we also utilize this therapeutic method to help teens communicate more effectively.
DBT skills training includes building four essential skills:
- Emotional regulation
- Distress tolerance
- Mindfulness
- Interpersonal effectiveness
DBT is especially helpful for teens with mood disorders, self-harming behaviors, borderline personality disorder (BPD), trauma histories, or co-occurring substance use concerns. These skills support both emotional safety and long-term stability.
Behavioral Therapy in a Dual Diagnosis Setting
When adolescents are experiencing both mental health challenges and substance use concerns, treatment should address these conditions during dual-diagnosis treatment.
In many cases, substance use is a response to untreated mental health symptoms. For example, a teen feels depressed and low-energy, so they begin misusing an Adderall prescription because it gives them a boost. Or, a teen feels especially anxious in social settings, so they begin drinking before and during social gatherings.
Over time, these unhealthy coping mechanisms can develop into serious issues while making it more difficult to treat the underlying mental health concern.
Behavioral therapy helps teens recognize how learned coping patterns and impulsive responses can reinforce substance use over time. Rather than treating each issue in isolation, CBT and DBT work together to interrupt this cycle by helping teens respond differently to stress and discomfort.
As teens build healthier ways to manage everyday challenges, reliance on substances often decreases naturally. Behavioral therapy supports long-term recovery by strengthening self-awareness, improving emotional regulation, and helping adolescents develop responses that hold up outside of treatment settings.
Behavioral Therapy in a Dual Diagnosis Setting
When adolescents are experiencing both mental health challenges and substance use concerns, treatment should address these conditions during dual-diagnosis treatment.
In many cases, substance use is a response to untreated mental health symptoms. For example, a teen feels depressed and low-energy, so they begin misusing an Adderall prescription because it gives them a boost. Or, a teen feels especially anxious in social settings, so they begin drinking before and during social gatherings.
Over time, these unhealthy coping mechanisms can develop into serious issues while making it more difficult to treat the underlying mental health concern.
Behavioral therapy helps teens recognize how learned coping patterns and impulsive responses can reinforce substance use over time. Rather than treating each issue in isolation, CBT and DBT work together to interrupt this cycle by helping teens respond differently to stress and discomfort.
As teens build healthier ways to manage everyday challenges, reliance on substances often decreases naturally. Behavioral therapy supports long-term recovery by strengthening self-awareness, improving emotional regulation, and helping adolescents develop responses that hold up outside of treatment settings.
The Role of Parents and Family in Behavioral Therapy
Behavioral therapy is most effective when families are engaged in the treatment process.
While teens are learning new skills, parents and caregivers benefit from understanding the language and strategies being taught. This shared framework helps families respond more effectively to emotional dysregulation, conflict, or behavioral challenges at home.
At Hillcrest, families are supported in learning how to improve communication and create a more stable, supportive environment. This collaboration strengthens progress during treatment and supports a smoother transition back home.
The Role of Parents and Family in Behavioral Therapy
Behavioral therapy is most effective when families are engaged in the treatment process.
While teens are learning new skills, parents and caregivers benefit from understanding the language and strategies being taught. This shared framework helps families respond more effectively to emotional dysregulation, conflict, or behavioral challenges at home.
At Hillcrest, families are supported in learning how to improve communication and create a more stable, supportive environment. This collaboration strengthens progress during treatment and supports a smoother transition back home.
Why Behavioral Therapy Matters in Adolescent Treatment
Behavioral therapy gives teens more than insight. It gives them real, applicable skills. These skills empower adolescents to manage emotions, make healthier decisions, and navigate life with greater confidence and resilience.
Benefits of behavioral therapy include:
- Improved emotional regulation
- Reduced impulsive or risky behaviors
- Stronger coping and stress-management skills
- Healthier communication and relationships
- Increased self-awareness and accountability
Levels of Care That Offer Behavioral Therapy
Behavioral therapy is integrated across multiple levels of care at Hillcrest to support adolescents as their clinical needs change.
While the structure of treatment may shift, the therapeutic focus remains consistent, helping teens build awareness around their reactions and develop healthier responses to stress and emotional discomfort.
Residential Treatment
In residential care, behavioral therapy is part of the daily treatment experience within a highly structured environment.
Teens receive ongoing therapeutic support while living on site, allowing clinicians to address behavioral patterns as they emerge. This level of care is often appropriate for adolescents who need stabilization or closer supervision during the early stages of treatment.
Partial Hospitalization Program (PHP)
Our Partial Hospitalization Program provides intensive behavioral therapy during the day while allowing teens to return home or to supportive housing in the evenings.
This level of care helps adolescents begin applying therapeutic skills outside of treatment hours while continuing to receive consistent clinical guidance and support.
Learn More About Behavioral Therapy for Teens
If your teen is struggling with emotional, behavioral, or substance-related challenges, behavioral therapy can be a powerful step toward healing. Hillcrest Adolescent Treatment Center provides compassionate, evidence-based care tailored to the unique needs of adolescents and their families.
Contact Hillcrest today to learn more about our treatment programs or to speak with an admissions specialist about next steps. Call now or reach out online to get started.











