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/

03/30/2026

Skill of the Week: Urge Surfing. I use and teach this skill often. It is somewhat related to last week's skill, Keep Your Side of the Street Clean. This one is useful if you're trying to change a behavior (stop smoking or va**ng, stop drinking, eat less, move more). It's also super helpful when you feel that sense of urgency about replying to that email or returning that phone call, or when you *just have to* say something to your coworker or neighbor or partner. The idea is that rigidity gets us into trouble. If you're at the beach, standing in the water, and you plant your feet and stand rigidly, one of those waves is going to hit you in the back and you'll end up with a bathing suit and a mouth full of sand. But if you soften your stance, relax, and move with the water, you can surf it all the way into shore. In earthquake-prone areas, structures are generally built to be able to sway with the temblor; they have some give to them, so that they don't collapse in a quake. That's you: swaying, surfing the urge, riding it out. Because I promise you that whether you act on it or you don't, that urge will recede. Might as well surf it and end up smiling.

03/23/2026

Skill of the Week: Keep your side of the street clean. Another version of this skill that I have heard is, "Keep your eyes on your own plate." This skill can be especially useful when we have gotten into a wrangle with someone else - or when we anticipate that we might do so. Keeping your side of the street clean means that all you focus on is your part. Whatever the other person in this drama did or failed to do, keep your own side of the street clean. And there is also no need to point out the litter on the other person's side! It's not very helpful to apologize by saying, "I'm really sorry I lost my temper when you called me a name, but you should know that calling someone names is a really immature thing to do." Forget about what that other person has, or is doing, or is probably thinking or saying about you right now; stay honest and pay attention to your own side of the street. There will be much less drama, and fewer messes to clean up later.

03/16/2026

Skill of the Week: What Other People Think of Me is None of My Business. This is a hard one, isn't it? We get so easily concerned with whether other people find us good-looking, smart, funny, hard working, someone they want to spend time with. It's so hard to let go of the idea that other people's opinion of me is very important. When we're tuned in to self-respect, however, other people's opinions of us cease to matter. When we are living according to our own values, then what other people think of us becomes unimportant. The gold standard of this might be the Dowager Countess on "Downton Abbey", played by Maggie Smith (you can also look up what Helen Mirren wishes she had told her younger self). Lady Gaga is another example. She knows who she is, she lives entirely according to her own values, and she doesn't consider what you think about her, because her own opinion is what matters to her. She is secure in herself. Of course it is sad that not everyone likes us or finds us appealing; they are certainly missing out on a good thing! But the goal is to be secure in ourselves and our choices, so that we can truly assert that what other people think of us is none of our business.

03/09/2026

Skill of the Week: Don't compare your insides with someone else's outsides. It's so easy to feel less-than. It's tempting to believe the myth that by striving to look like Beyonce we'll be more at ease in our bodies, or that if only we could be invited to give a TED talk we'd be respected; we wish we were more like our brother - HE's really smart and successful! We tell ourselves that such comparisons motivate us to do better. What they actually do is make us feel awful about ourselves, and they're not effective in getting us to change. What we're doing is comparing our insides - our thoughts, feelings, values - to someone else's outsides - the picture they present to the world. We don't have any real idea of what goes on inside that person, whether Beyonce is at ease in her body, whether Brene Brown (a darling of TED talks) believes that she commands respect, whether your brother sees himself as smart and accomplished. Social media can be a culprit in promoting such comparisons; it's important to remind ourselves that on social media people are often presenting the selves they want others to see. Your friend from high school may feel just as awkward and anxious as you do, but it's unlikely she's going to say so on her Instagram feed. It is not helpful, and it can be harmful to yourself, to compare how you feel on the inside with the pretty picture you see on the outside of others.

03/02/2026

Skill of the Week: You can't think your way into right action, but you can act your way into right thinking. It's cold out and you don't want to exercise. Work is boring and you don't want to go. You have a presentation coming up and you'd rather just hide under the bed. In general, if you wait around until you feel like it, you'll be dead 45 minutes already. I mean, who wants to get out of bed on a chilly morning? Smile when you're cranky or preoccupied or anxious? But bring the body, and the mind will follow: bring your body to the task, and your mind will get the message and get into line. Plaster on that (half) smile, and you really will start to feel a bit more pleasant. But try talking yourself into a better mood? Probably not gonna happen, because you can't think your way into right action, but you can act your way into right thinking.

02/23/2026

Skill of the Week: PLEASE. This is a really important skill at this time of year, when we may have been hibernating due to the cold. If we aren't healthy and rested and fed we are unlikely to be able to maintain an even emotional keel. So I teach the acronym PLEASE, which I get from Marsha Linehan's DBT. PL is for treating PhysicaL illness. Got your flu shot? Got refills of all your medications? The first E is for Eating the amounts and the foods that are right for you. You know how awful your body feels - and hence your mind, too - when you overeat or when you eat too much Valentine's candy. It's really, really hard to stay balanced emotionally when our bodies don't feel right. A is for Avoiding mood-altering drugs (unless prescribed). Have a glass of wine, but keep your consumption in balance and if your habit is to overdo when you're stressed, then perhaps not doing at all is wisest this time. S is for getting the amount of Sleep that's right for you: neither too much nor too little. And the final E is for Exercise, again in the amount that is right for you. If your body is healthy, I guarantee that you'll be more emotionally resilient.

02/16/2026

Skill of the Week: Half-Smile. Our body communicates with our brain. There is robust research on using Botox as a treatment for depression, the connection being that when users' faces couldn't frown or look sad, their moods were brighter. That's the idea behind this skill. Let the muscles of your face, neck, and shoulders relax; let the corners of your mouth turn up just slightly. Experience the impact of a half-smile on your state of mind. Don't worry about trying to change your mood state, although you may notice a shift in it. This is a serene facial expression often seen in statues of the Buddha. Wearing a half-smile can help your mood relax and be more serene, too.

02/09/2026

Skill of the Week: Drop the Rope. I was fortunate to see the Buddhist Monks on their Walk for Peace recently. In a talk, their leader said that if one person hands you a burning rope, and you grab it, you'll both become barbecue. The solution is to drop (or not pick up) the rope. If you're a passionate person, this one can be really hard to do (and really valuable!). If you're struggling to get someone to see things your way, or to do something, or to give you something, it can escalate until you're in a tug of war. When that happens, drop the rope. Just let it go. Don't walk away mad (all the while muttering under your breath); stay there, but drop the rope. Watch what happens next. It's amazing what can develop when we aren't rigidly opposed to the other "side", when we aren't digging our feet in, hauling with all our might in our direction. So if your kid wants to go to school in shorts when it is 27 degrees out, drop the rope: breathe, and take an attitude of curiosity - why is this so important to them? Is there a middle path? If you and your housemate are passionately arguing over whose turn it is to do the dishes, drop the rope: breathe, smile, and walk away. The worst that can happen is that the dishes don't get washed. Non-violent protesters drop the rope: they form a community, they sing, they chant, they protect each other, but they don't argue. I don't even care for barbecue - I certainly don't want to become it!

02/02/2026

Skill of the Week: One-mindfully. Wow, this is a really hard one! Our culture is so dedicated to multitasking and speed, arguing that we're more "efficient" when we talk on the phone while driving and eating our lunch (we're not). Being one-mindful is difficult - our minds don't really like it. But being one-mindful is skillful for several reasons. First, it's more effective; research shows that multitasking leads to mistakes that later we have to take the time to go back and correct. Second, according to more and more research, being mindful actually changes some of our brain's structures, diminishing our automatic stress response and improving working memory (the mental scratch pad). Finally, being one-mindful promotes attention and concentration. To act one-mindfully, do only one thing at a time, deliberately, and with awareness. This is. of course, easier to do when you are interested in something than when you are not. We can shower, drive, eat, walk, talk, and listen one-mindfully. Using this skill - in addition to conferring benefits in productivity - allows us to side-step anxious, sad, angry, guilty, and ashamed thoughts. Of course, it's entirely possible to be one-mindful of those thoughts and feelings if you choose, but you will probably find it more challenging. When all else fails, return your attention to your breath, breathing in and out one-mindfully.

01/26/2026

Skill of the Week: Selfishness. As a psychotherapist, I think selfishness has gotten a bad rap. I want people to be selfish. I don't mean that I want folks to be only about themselves, but I definitely want them to know that they have needs, that they deserve to get those needs met, and that sometimes the only way to get our needs met is to meet them ourselves. Too often, a patient will object, "I can't go to yoga class because that leaves my husband alone with the kids - that would be selfish!" My response is, "Yup - it sure is. Good for you for taking care of yourself!" Many of us have been brought up with the idea that we must sacrifice our comfort for that of others, that we must be hard on ourselves and easy on others. Like most ideas, this one is fine in moderation. This week, strive to be just a little bit selfish, even if that means that you disappoint someone else (they'll get over it).

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.

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104 So Estes Drive, Suite 206
Chapel Hill, NC
27514

Opening Hours

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

Telephone

+19192251569

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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.