Dialectical Behavioral Therapy (DBT) is an evolved form of cognitive behavioral therapy specifically developed to assist people with severe emotion regulation challenges. This therapy hinges on the concept of dialectics – the idea that two opposing truths can coexist, and that balancing acceptance with change can lead to positive outcomes. DBT aims to assist people in recognizing and accepting their feelings and thoughts as they are, while simultaneously working toward constructive change in behavior. In essence, it emphasizes finding a middle ground or balance in responses to challenging situations.
Who might benefit from DBT?
DBT was initially developed for people with borderline personality disorder (BPD) and those exhibiting suicidal tendencies. However, its scope has expanded to address a variety of other concerns, including, but not limited to:
- Mood disorders, such as depression and bipolar disorder
- Anxiety
- Self-harm behaviors, including cutting or other forms of self-injury
- Eating disorders
- Post-Traumatic Stress Disorder (PTSD)
What is the treatment process like?
DBT is typically structured with both individual therapy sessions and group skills training classes. In individual sessions, therapists work one-on-one with clients to address personal challenges and employ skills learned in individual and/or group sessions to real-life situations. Group sessions focus on teaching skills in four main areas: mindfulness, distress tolerance, emotion regulation, and interpersonal effectiveness.
How does DBT work?
DBT is specifically designed to assist people in building awareness/mindfulness when experiencing intense emotions, making it a fitting option for those who haven’t benefited from other forms of therapy. One of DBT’s unique features is its focus on acceptance. This can be particularly therapeutic for those struggling with feelings of guilt, shame, or internal conflict. When people struggle with emotion regulation, they may also struggle in relationships with family, colleagues, friends, and partners. DBT assists people in learning how to communicate clearly and assertively to help maintain relationships and sense of self.
How effective is DBT?
Dialectical Behavioral Therapy provides a comprehensive, structured approach tailored for those grappling with intense emotional experiences. Its unique blend of acceptance and change strategies offers people the tools to understand and navigate their emotional landscapes effectively.
