DBT

Dialectical Behavior Therapy (DBT) is a type of cognitive-behavioral therapy designed to help people manage difficult emotions and reduce self-destructive behaviors. Developed in the late 1980s by psychologist Marsha M. Linehan, DBT was initially created to treat borderline personality disorder (BPD) but has since been adapted to treat a variety of other mental health conditions.

Key Components of DBT:

  1. Mindfulness: Focusing on the present moment and accepting it without judgment. This helps individuals become more aware of their thoughts, feelings, and actions.

  2. Distress Tolerance: Building skills to tolerate and survive crises without resorting to self-destructive behaviors. This involves learning how to distract, self-soothe, and improve the moment.

  3. Emotion Regulation: Understanding and managing intense emotions that can lead to impulsive behavior. This involves identifying and labeling emotions, reducing emotional vulnerability, and increasing positive emotional experiences.

  4. Interpersonal Effectiveness: Improving relationships and communication with others. This includes learning how to ask for what you need, saying no effectively, and managing interpersonal conflicts.

DBT Structure:

  • Individual Therapy: Weekly one-on-one sessions with a therapist to address specific issues and apply DBT skills to everyday life.

  • Group Skills Training: Weekly group sessions where individuals learn and practice DBT skills in a supportive environment.

  • Phone Coaching: Access to therapists between sessions for support in applying DBT skills in real-life situations.

  • Therapist Consultation Team: A support system for DBT therapists to help them provide the best possible care to their clients.

Applications of DBT:

While DBT was originally developed for BPD, it has proven effective for a range of other conditions, including:

  • Depression

  • Anxiety disorders

  • Substance abuse

  • Eating disorders

  • Post-traumatic stress disorder (PTSD)

  • Self-harm behaviors

Overall, DBT focuses on balancing acceptance and change, helping individuals build a life worth living by developing healthier ways to cope with emotional pain and stress.