Dr. Kristi Webb

Dr. Kristi Webb I am a psychologist in private practice. I work with adults who are struggling with depression, anxiety, trauma, substance abuse, and life transitions.

Some are suicidal and/or self-harming. I am a DBT therapist as well as using other therapies. See my Pinterest board at www.pinterest.com/drkristiwebb/

01/19/2026

Skill of the Week: Reduce anxiety by tolerating it. This is an anxious time. When we are anxious, it is natural to avoid whatever provokes it. I am scared of snakes, so I run away when I see one. If you're afraid of public speaking, you avoid all scenarios in which you'd have to speak to a group. So what do I mean when I recommend tolerating your current anxiety? First, validate your fears: they make sense. Of course you're anxious. That anxiety may have its roots in your personal history, but even if not, anxiety seems to be in the water these days, and we're all dipping our cups into that water. Next, remember that all anxiety starts with the phrase, "What if...?" When we think we can't tolerate anxiety, we go into denial: it won't happen, or if it does I'll move away/quit my job/leave the country. Well, what if your big fear does come true? Make a realistic action plan for that - what will you do? With whom will you seek comfort, and how? One way you may be trying to reduce your anxiety about loss is by compulsively checking the news. It would be skillful, instead, to ignore the headlines, and tolerate your anxiety. This sends your brain the message that you can, in fact, tolerate not only uncertainty, but the possibility of Bad News. You are strong! On the flip side, giving your brain the message that you cannot tolerate anxiety sends it into a death spiral: the more anxious you are, the more you take steps to avoid feeling anxiety, the more you are stuck with your anxiety. You become someone who cannot stand *not* reading the latest commentaries daily. What about consuming the news? I recommend that my patients not do this before bed, but complete avoidance of all news is unlikely to reduce anxiety. Declaring a moratorium on the news after 3:00 p.m., or only skimming headlines and never before bed, has been shown to reduce anxiety. I recently read of a new study about conspiracy theories: it turns out that the conspiracy theory targets those who are feeling anxiety about loss, but can't tolerate that feeling. In fact, researchers found that this intolerance intensifies the impulse not only to believe in conspiracy theories, but to also share these theories with others on social media, because it helps the person feel safe and secure in their belief in something if others agree with them. In short, then, in order to reduce anxiety, tolerate it. Make a plan - maybe you'll schedule your anxiety for only 11 a.m. to 2 p.m. and at other hours will tell your brain, "Stop!"; plan your news consumption (how much, when?). Make plan that emphasizes tolerating anxiety and it will decrease.

01/12/2026

Skill of the Week: Breathe for Peace. In November of 2025, a group of 24 Buddhist monks set out, on foot, to walk 2300 miles from Fort Worth, Texas, to Washington, DC. They walk in silence, mindfully meditating on peace as they go: one step at a time, breathing in, breathing out. They are accompanied by Aloka the Peace Dog. Their story is quite remarkable, but I want to focus on how, with every step, they are breathing for peace. They posted this prayer that they use as they go: May our friends be well, happy, and peaceful. May all indifferent persons be well, happy, and peaceful. May any unfriendly persons be well, happy, and peaceful. May all beings in this area/our city/our state/our country/the Universe be well, happy, and peaceful. May the suffering ones be suffering-free. May the fearful be free from fear. May the grieving shed all grief. May you and all beings be well, happy, and at peace.

01/05/2026

Skill of the Week: Hope. Hope isn't passive; it's not something we either have or don't have, like brown eyes. Hope is a skill and it takes practice. Let's start with what hope is not: it's not optimism. Optimists have the ongoing attitude that things are going to turn out OK. "It'll be fine," says the optimist, and they may even engage in some denial of how awful things are right now. Hope, on the other hand, is what we have when we see a path forward and we set our intention to roll up our sleeves and get to work. Hope comes with a sense of agency: I can do this. Using the skill of hope starts with having a clear goal, then making a plan to achieve it. Optimists may deny the obstacles to success; those using the skill of hope adapt to the roadblocks. Hope is often best exercised in community, because that can help us overcome discouragement. Whether it's working for racial justice, celebrating a holiday with family and/or friends, or learning skills to regulate your emotions and tolerate distress, it's easier to be hopeful in a group all working for the same thing. Hopelessness is one of the symptoms of depression. Hope and hopelessness can both come and go. It has been easy to feel not only rage, but despair and hopelessness, watching global events in 2025. Using the skill of hope means that we focus our attention on one thing (such as caring for children or volunteering for a cause we believe in), then we make a plan and get busy. In other words, we choose to use the skill of hope.

12/29/2025

Skill of the Week: Celebrate! At first glance, this seems like an easy one: everyone knows how to celebrate, right? You make a lot of noise, eat a lot of food, drink a lot of beer. Before you skip away from this screen, though, take a moment to reflect on this skill. First of all, it really is a skill: not everyone knows how to celebrate. When we celebrate, what are we actually doing? We're marking an important occasion - a milestone; we're rejoicing; we're honoring the hard work and sacrifices we (or someone else) made to get us to this place; we're recognizing that we endured up till now. When we celebrate skillfully we take the time to pause and look at how far we've come (in weight loss, in sobriety, in school, in our partnership, in years, in recovery from an illness, in miles). We compare where we are now to where we used to be, and we may tip our hat to the progress we've made. To celebrate skillfully may not mean making noise; it can be done quietly, by oneself, just as well as it can be done with friends, or in a crowd. It can be just as celebratory to write a poem as to cheer at the top of your lungs. However you do it, please celebrate intentionally - and safely - this week.

12/22/2025

Skill of the Week: Cope Ahead. We all, at times, just know that whatever we are about to face is going to be brutal. Maybe it's a visit home (the holidays!), maybe it's a conversation with your partner, or a project at work (the end of the year!), or a test at school (the end of the semester!). We each tend to know what will set us off and leave us feeling destabilized and upset. Coping Ahead is the skill we use to prepare for these events. As I have said previously, we don't have to get through them with dignity, elegance, and grace, but we can get through them. We plan for the event by imagining it in as much detail as possible, including all the problems we fear will occur. Then we rehearse in our minds exactly how we will deal with those problems. What will we say, how will we say it, what will we think, and what actions will we take? Where will we be standing or sitting? Play the scene out to the very end, anticipating what could go wrong. This is very different from ruminating, because once we have rehearsed how we will cope, we can set the thoughts aside (see the skill of Pushing Away Thoughts), confident that we are well-prepared.

12/15/2025

Skill of the Week: STOP. If you are the kind of person who has strong emotional reactions to things, or if you're someone who gets into a frenzy of activity, tackling all the tasks *right now* (so easy to do both of these, at this time of year!), this skill is for you. STOP is an effective skill to use when we feel the sense of urgency that comes with a crisis, or when we feel upset, distressed, despairing, and overwhelmed by our feelings. The S is for Stop: literally, stop what you are doing. Don't move, don't speak, just stop right there. Then Take a step backwards. This can be a physical step or it can be a mental one: take a step away from the problem or the tasks or the feelings. Only one step is what's needed to put a bit of space between you and the problem. Observe what's going on, both outside you and inside you; notice what is in your inner and outer environment. Then Proceed mindfully, rather than automatically returning to the frenzy or the anger or the anxiety. One reason STOP is so effective is that it can be done anywhere, at any time, and no one needs to know that you're using this skill. I find it very helpful when I'm about to lose my temper with someone or if I hear myself say I just need to do this one more thing. I STOP for a moment and catch my breath and it helps.

12/08/2025

Skill of the Week: Endure. We hear a lot about the value of resilience, and I'm a big fan. Sometimes, though, it seems that all we can do is grit our teeth and endure. We just have to get through whatever is going on, whether it's an episode of depression, preparing to spend time with family, our list of chores, or a challenging discussion with our partner. I tell my patients that they don't have to get through it with dignity, elegance, and grace, either: they can get through it kicking and screaming and clawing, but they do have to get through it. Whether it's emptying the dishwasher or a time of strong emotions, endurance - just hanging on - is a valuable skill.

12/01/2025

Skill of the Week: Mini-Vacation. You made it through Thanksgiviing! But there are still more holidays to come, and you may be very busy and stressed, or dreading the approaching dates, or perhaps you just don't have time to even think about them. Remember how renewed and refreshed you felt after your vacation, how much better you were able to handle the stressors of your work, your family, your pets, traffic? The wisdom of this skill is that we can take advantage of a mini-vacation without having to leave town - or even our bed! - and reap many of the same benefits. When we have Just Had Enough and can't deal another moment with our lives, it can be helpful to take a mini-vacation: crawl into bed for 20 minutes, sit on the porch and listen to the birds with your phone turned off, or watch an episode of your favorite guilty pleasure. Another useful time for this skill is when something has occurred that leaves us distressed, anxious, angry, confused, sad, and/or ashamed and guilty. When it all seems to much to bear, just hang it up for a while. The key is to make this a mini-vacation; don't let it drag on for hours or days. Take a break, then come back to the fray again, renewed and ready to try again.

11/24/2025

Skill of the Week: Make a Gratitude List. So here we are: headed into the holidays. Again. My friends know that I react with irritation to the suggestion that I focus on gratitude, because I don't like being told what to feel. So I'm not going to suggest that you feel grateful. But research does show that people who make regular gratitude lists are happier, and these results are strong and consistent. You don't have to make a long list; start with 5 things. And you don't have to be elaborate, either. I'm grateful that I have stable housing; that I can breathe easily; for food to eat. Here in the northern hemisphere, spring is coming. No matter how you feel about that - maybe you're an allergy sufferer and hate the blooming flowers and trees - I bet you can identify something to be grateful for: sunshine! more hours of light daily! another year! Some people make alphabetical gratitude lists - at what letter will you get stuck? Your gratitude list can be short and simple but I guarantee that if you make one regularly, you'll feel less anxious and depressed.

11/17/2025

Skill of the Week: Mindfulness of Your Emotion. People often tell me when they are experiencing uncomfortable emotions. They want to know what to do about them. My answer is, be mindful. Feelings do not require any action on our part; it is enough to have them. Further, since "what you resist persists", if we fight against them ("No! No! I won't feel sad, I won't!") they are likely to grow. Even if we can sweep them away for a while, they tend to sneak in through the back door and bite us in the butt. So mindfulness of our current emotion will allow space for the feeling(s), without watering them and tending them. This does require knowing what the feelings are (sadness, joy, anger, fear, shame/guilt, or love, or their relatives). Of course it's reasonable to ask, But why on earth would I want to feel sadness, or fear, or anger? Isn't the point NOT to feel those afflictive emotions? The answer is that until we've felt them, we cannot be rid of them (for this time). Paradoxically, giving our feelings attention results in not having to feel them as acutely. Many people subscribe to the belief that if they only knew WHY they feel a certain way, they could then control their lives so that THAT never happens again, and then they won't have to feel that uncomfortable emotion. Sadly, knowing WHY doesn't help. Feelings are like the weather: they just are. They're here; might as well dress appropriately for them.

11/10/2025

Skill of the Week: Attend to Relationships. I think we can all agree that these are troubling times. There are rules for getting through periods when we feel anger, despair, depression, or hopelessness and helplessness, and one of those rules is to attend to relationships. All relationships, even (or especially) our most intimate, require attention. Like a garden, if we don't give them care and tending, weeds will grow. Also like a garden, sometimes those weeds can look an awful lot like pretty flowers at first! Attending to relationships means keeping in balance your own priorities and the other person's; your needs and your friend's; what's important to you and what's important to someone else. Unattended relationships tend to either blow up or fizzle out. They can blow up when issues - such as how much time to spend together, or who calls whom, or who cleans the cat box - aren't addressed. We sit on our frustration until one day we blow and that's the end of that relationship. They can fizzle out if we don't put in the time and effort to maintain them, including when we don't repair broken places. The longer we don't make the repair, the harder it becomes, and the easier it is simply to walk away entirely. Attending to relationships means that we give our human friends and family the same care and attention we give our pets; it means we keep a balance between what is important to us and what is important to the other person.

11/03/2025

Skill of the Week: Opposite to the Emotion Action (OTEA). This is one of my very favorite skills, as my patients will attest. This skill is used when we need to act opposite to our emotional urge to do something or say something. We tend to believe that we must wait until we feel like doing X or Y, then do it. Our brains don't actually work that way; if I wait to lift weights until I feel like it, I'll have been dead 45 minutes. OTEA might be as simple as acting opposite to our emotional urge to stay in bed where it is safe, and warm, and we don't have to deal with the day's challenges. Using OTEA we get out of bed. There are lots of other opportunities to use this skill: you know that asking your boss for a raise isn't a threat to your job or your health but you still avoid asking; you know that you have committed to exercising daily but you just don't want to; you feel hurt and angered by something a friend said, and even though you know she didn't mean to hurt you, you still feel angry and want to lash out. Using OTEA means not only that we don't act on the urge; we go all the way in the opposite direction. We practice asking for a raise so that we can sound confident and at ease - and then we ask. We put our walking shoes on and get out the door *right now*. We avoid interacting with our friend until we're sure we can resist the urge to lash out; we practice seeing things from her point of view; we express our love for her and let her know how glad we are to be friends. This is such a useful skill in so many circumstances - and it works!

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Chapel Hill, NC
27514

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Monday 10am - 7pm
Tuesday 1:30pm - 6:30pm
Wednesday 9am - 5:30pm

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+19192251569

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Our Story

I am a psychologist in private practice. I work with adults who are struggling with depression, anxiety, trauma, substance abuse, and life transitions. Some are suicidal and/or self-harming. I am a DBT therapist as well as using other therapies. My page sends out the Skill of the Week each Monday morning. My pronouns are she, her, hers.