Definition:

Dialectical Behavior Therapy (DBT) is a therapeutic approach that combines principles from cognitive-behavioral therapy (CBT) with concepts from Eastern meditative practices and dialectical philosophy. It was developed by Marsha Linehan in the late 1980s to help individuals with borderline personality disorder (BPD) effectively manage their emotions and develop skills for interpersonal communication.

Key Features of DBT:

• Acceptance and Change: DBT emphasizes the importance of accepting oneself and one’s current situation while also promoting personal growth and change.
• Skills Training: Individuals in DBT receive comprehensive training in four key skill areas: mindfulness, distress tolerance, emotion regulation, and interpersonal effectiveness.
• Individual Therapy: DBT includes one-on-one therapy sessions to support clients in applying the learned skills, addressing specific issues, and setting goals.
• Group Therapy: Group sessions provide a supportive environment for individuals to practice interpersonal skills, receive feedback, and learn from others.
• Phone Coaching: DBT therapists are available for phone consultations outside of scheduled sessions to assist clients in applying skills during real-life situations.
• Team Consultation: DBT therapists engage in regular team meetings to support each other, develop treatment plans, and ensure adherence to the therapy’s principles.

Goals of DBT:

The primary goals of DBT are to enhance an individual’s capabilities in emotion regulation, improve interpersonal effectiveness, cultivate mindfulness, and develop alternative coping strategies to reduce self-destructive behaviors and enhance overall psychological well-being.

Applications of DBT:

While originally developed for individuals with BPD, DBT has shown efficacy in treating a range of mental health disorders, including but not limited to: substance abuse, eating disorders, depression, post-traumatic stress disorder (PTSD), and bipolar disorder.

Effectiveness of DBT:

Research studies have demonstrated the effectiveness of DBT in reducing suicidal behaviors, self-harm, and improving overall functioning and quality of life among individuals with various mental health conditions.

Conclusion:

DBT is a highly structured and evidence-based therapy that provides individuals with practical skills and strategies to cope with intense emotions, develop fulfilling relationships, and lead a life worth living.