Dialectical behavior therapy (DBT) is a structured psychotherapy modality that has been shown to help individuals manage emotional distress and reduce self-harm. Based on cognitive-behavioral therapy (CBT) principles, DBT combines talk therapy with mindfulness, distress tolerance, emotional regulation, and interpersonal effectiveness. DBT was originally intended to treat borderline personality disorder (BPD), Substance abuse but it has been adapted to treat other mental health conditions beyond BPD. It can help people who have difficulty with emotional regulation or are exhibiting self-destructive behaviors (such as eating disorders and substance use disorders). This type of therapy is also sometimes used to treat post-traumatic stress disorder (PTSD). Dialectical Behavior Therapy is significant because it offers a structured and holistic approach to treating individuals with emotional dysregulation and interpersonal difficulties.

How to Get Started With Dialectical Behavior Therapy
Once a week, you talk with your therapist to learn how to apply DBT skills to specific challenges and situations in your own life. As a team, you and your therapist will identify behaviors you’d like to decrease along with behaviors you’d like to increase. For example, someone might use DBT to address behaviors related to alcohol use or binge eating disorder. Emotion regulation skills help you label your emotions without judging them. You learn how different emotions shape your behavior and what obstacles prevent you from managing your emotions.
Stages of DBT treatment

There have been numerous studies designed to determine whether DBT is effective, compared to treatment-as-usual and other, more rigorous control conditions. The goal of CBT is to teach you how to identify negative thinking patterns and change them. Dialectical behavior therapy (DBT) is an effective, science-backed therapy that helps people — many of whom experience significant mental health challenges — build a life they find worthwhile. CBT assumes that certain negative thoughts (cognitions) are distortions, and if you learn how to swap those distorted thoughts with more productive ones, you’ll be less depressed or anxious. Because this approach to therapy is able to help people successfully improve their coping skills, they are able to develop effective ways to manage and express strong emotions.
Mind-Body Therapies: Techniques, Applications, and Effectiveness
- Since DBT focuses on regulating emotions and increasing distress tolerance, those with BPD benefit greatly from the techniques.
- It’s like mixing oil and water, two seemingly incompatible elements, to create a powerful emulsion that can weather any storm.
- These patterns can harm relationships and functioning across all settings.
- Dialectical behavioral therapy (DBT) is a form of therapy often used to treat a variety of mental health conditions such as borderline personality disorder.
You’ll find that there is always room to grow and areas of your life you can work on. BetterHelp is an online therapy service that matches you to licensed, accredited therapists who can help with depression, anxiety, relationships, and more. Take the assessment and get matched with a therapist in as little as 48 hours. You will learn how to recognize your emotions and how this affects your relationships with friends, colleagues, and family members. The mindfulness component of DBT will help you observe what is happening in the present and focus on one thing at a time.

The sooner you can start therapy — and stay committed to it — the sooner you’ll have an improved quality of life. DBT uses emotional regulation and distress tolerance skills alongside trauma-focused interventions to help individuals process and manage traumatic dialectical behavioral therapy experiences, reducing PTSD symptoms. The word “dialectical” means combining opposite ideas, notes the University of Washington. DBT embraces this concept by pairing opposing strategies of acceptance and change.