So, what is DBT?

We learn that Mindfulness grounds us to the present.

Distress Tolerance helps us cope during stressful times.

Emotion Regulation helps us feel more in control of ourselves.

Interpersonal Effectiveness improves our relationships with others.

THAT’S DBT! And it really helps.

Client Portal for New & Established Clients

Access forms, request appointments, & more

Free & Low Cost Services

available to anyone from the community

Map to Our Office

983 Mar Don Drive
Winston-Salem, NC 27104

Call 336-923-7426

Learning to Cope & Enjoy Life More

Sometimes it feels like life is a never-ending marathon of strife. Does it feel like life is just too much ~ like you can never catch a break because of the roller coaster that is your life? Are your emotions so overwhelming that they dictate how you live, how you relate and how you function? Do you find yourself arguing, crying or constantly apologizing in your relationships? Are you just exhausted with life and feel like giving up? Then DBT is for you!

I am not afraid of storms for I am learning how to sail my ship.

Amy Marsh from "Little Women" by Louisa May Alcott

DBT Skills Group and the 4 Modules of Training

Comprehensive DBT

What does DBT treat?


DBT can help you:

  • ground yourself in the present,
  • learn to cope with your most-overwhelming emotions,
  • feel more in control of yourself, and
  • help you heal and strengthen your relationships with others.

Meet Our DBT Specialists

James H. Tunstall, MA, LCMHC-A, CADC

I feel passionate about helping you create the life you want. As a person in long-term recovery from addiction, my focus is helping you identify and resolve the blocks that may stand between you and your goals. I understand the challenges you face when coming to terms with your addiction and I am dedicated to helping people like you find a better way to live.

Anna Fleig, MDiv, MA, LCMHC, LCAS-A, CST

Have you ever felt like you weren’t being heard? That others don’t really understand what you are going through? Or perhaps they do listen, only to give you unsolicited advice in an attempt to be helpful. As a person who has created change in my own life through the benefit of counseling, I know how important it is for someone to truly listen and help you discover choices that work best for you and your loved ones.

Marlena L. Del Hierro, MDiv, MA, LCMHC, LCAS-A

Have you read self-help books in an effort to change things in your life? Or maybe you’ve sought the counsel of people close to you but still struggle with finding a solution. Perhaps you haven’t consulted anyone or anything because you feel embarrassed or think you should be able to do it by yourself? If this sounds familiar, I invite you to work with me. I am a relational counselor and am open, warm, nonjudgmental, and guarantee laughter in sessions.

The journey begins with you taking the first step, then a Full Life counselor walks with you – sometimes leading, sometimes following, sometimes beside you – but confidently with you on the journey.

Alternative Services can help bolster talk therapy outcomes and improve everyday coping skills.

About Our Practice

In addition to substance use and recovery-related services, Full Life offers counseling for issues as diverse as anxiety, depression, sexuality, spirituality, grief, life transitions, and marital and couples challenges. Clinicians use a variety of techniques to address these, including, but not limited to EMDR, brainspotting, equine-assisted psychotherapy, somatic experiencing, ExRP,  Internal Family Systems, and DBT. Other staff additions have allowed us to broaden our scope to provide care for those seeking a deeper spiritual life, healing and connections in the area of sexuality in recovery, chronic pain and trauma work.

Fees & Insurance

Clinical staff bill according to their credentials and experience using a tier system. Please review the Fee Schedule and/or Staff pages for more information. Some counselors’ services may be eligible for insurance reimbursement, while others’ services are not reimbursable. This information is also posted in the Full Life lobby.

Email Us