Dialectical Behavior Therapy (DBT)

Dialectical Behavior Therapy (DBT)

Dialectical Behavior Therapy (DBT) was originally developed by Dr. Marsha Linehan to treat borderline personality disorder, but it has since been shown to be highly effective for depression – particularly chronic, treatment-resistant depression and depression accompanied by self-harm, suicidal ideation, or intense emotional dysregulation.

How DBT Works

DBT combines cognitive-behavioral techniques with mindfulness practices drawn from Buddhist traditions. The name “dialectical” refers to the balance between two seemingly opposing goals: accepting yourself as you are while also working to change unhelpful behaviors. This balance is central to the therapy.

Core Skills in DBT

DBT teaches four main skill sets: Mindfulness (staying present and aware), Distress Tolerance (surviving crises without making them worse), Emotion Regulation (understanding and managing intense emotions), and Interpersonal Effectiveness (communicating assertively while maintaining relationships).

What to Expect in DBT

Standard DBT typically includes weekly individual therapy sessions, weekly group skills training, and phone coaching for crisis moments. The full program usually lasts six months to a year. Shorter, adapted versions are also available for specific populations.

Disclaimer: This page is for informational purposes only. Always consult a qualified mental health professional before beginning any treatment.

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