Dialectical Behavior Therapy

Dialectical Behavior Therapy (DBT) is a comprehensive, evidence-based treatment approach developed in the late 1980s. Originally designed to treat borderline personality disorder, DBT has since been adapted to address a wide range of mental health issues, including chronic depression, anxiety, eating behaviors, substance abuse, and post-traumatic stress disorder (PTSD).

Core Components of DBT

DBT is rooted in both cognitive-behavioral techniques and mindfulness practices, emphasizing the balance between acceptance and change. The therapy consists of four key modules:

1. Mindfulness: Mindfulness skills are central to DBT, helping individuals become more aware of their thoughts, feelings, and surroundings in the present moment. By practicing mindfulness, clients learn to observe their internal experiences without judgment, which fosters a greater sense of calm and clarity.

2. Emotion Regulation: This module teaches strategies to manage and change intense emotions that are causing problems in a person’s life. Clients learn to identify and label their emotions, reduce emotional vulnerability, and increase positive emotional experiences.

3. Distress Tolerance: These skills are focused on increasing an individual’s ability to tolerate and survive crises without making the situation worse. Techniques include self-soothing, distraction, and improving the moment to manage acute stress and reduce impulsive behaviors.

4. Interpersonal Effectiveness: This area of DBT focuses on enhancing communication and relationship skills. Clients learn how to assert their needs and set boundaries effectively while maintaining respect and healthy relationships.

Structure of DBT

DBT typically involves a combination of individual therapy, group skills training, phone coaching, and a therapist consultation team.

Individual Therapy: One-on-one sessions focus on addressing the client’s specific needs and applying DBT skills to real-life situations. The therapist helps the client navigate emotional challenges and work towards personal goals.

Group Skills Training: In a supportive group setting, clients learn and practice DBT skills. These sessions are educational and interactive, providing a safe space to develop new coping strategies alongside peers.
Phone Coaching: Between sessions, clients can access brief phone coaching to help apply DBT skills during difficult moments. This immediate support ensures that clients have the tools they need when they need them most.

Therapist Consultation Team: DBT therapists participate in a consultation team to support each other and ensure adherence to the DBT model. This team approach enhances the quality of care clients receive.

Why Choose DBT?

DBT is particularly effective for individuals who have not found success with other therapeutic approaches. It empowers clients to take control of their emotions and behaviors, improve their relationships, and build a life worth living. If you are battling with intense emotions, self-destructive behaviors, or relationship difficulties, Dialectical Behavior Therapy can offer the structured support and practical skills to create change and promote healing.