Dialectical behavior therapy (DBT) is a highly effective type of cognitive-behavioral therapy (CBT), originally created to treat borderline personality disorder (BPD). It was developed by Dr. Marsha Linehan and has since been adapted for a range of other mental health conditions. DBT is a comprehensive treatment that combines individual therapy, group skills training, phone coaching, and therapist consultation team meetings. The therapy is based on the principles of dialectics, which involve the synthesis of opposing forces or ideas, and it emphasizes the balance between acceptance and change.

DBT teaches clients four sets of behavioral skills that are crucial for managing intense emotions, improving relationships, and enhancing overall mental health. These skills are:


1. Mindfulness: This is the practice of paying full attention to the present experience with an open, curious, and non-judgmental attitude. Mindfulness helps individuals to stay focused on the current moment, rather than being distracted by past experiences or future worries. It enhances self-awareness and can lead to better decision-making and emotional regulation.


2. Distress Tolerance: These skills help individuals to tolerate and survive crisis situations without making the situation worse. They include techniques for self-soothing, improving the moment, and thinking of pros and cons to manage urges and impulses.


3. Interpersonal Effectiveness: This set of skills focuses on improving communication and relationships. It teaches individuals how to set and maintain boundaries, assert themselves, and get their needs met in a healthy and respectful way.


4. Emotion Regulation: This is about understanding and managing one's emotions effectively. It includes identifying emotions, understanding their causes, and learning how to change emotional responses.

DBT also emphasizes the importance of a strong therapeutic relationship, which is seen as a critical factor in the success of the therapy. The therapist and client work together as a team, with the therapist providing support, guidance, and feedback to help the client develop and apply these skills in their daily life.

The effectiveness of DBT has been demonstrated in numerous research studies, showing its utility not only for BPD but also for other conditions such as substance use disorders, eating disorders, post-traumatic stress disorder (PTSD), and depression.

DBT is a complex and multifaceted treatment, but its core principles and skills can be life-changing for individuals struggling with emotional and behavioral challenges. It offers a comprehensive approach that addresses both the need for acceptance of oneself and the need for change and growth.

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Dialectical behavior therapy (DBT) is a highly effective type of cognitive-behavioral therapy (CBT), originally created to treat borderline personality disorder. ... DBT teaches clients four sets of behavioral skills: mindfulness; distress tolerance; interpersonal effectiveness; and emotion regulation.Aug 30, 2015read more >>