DBT is a specialized form of cognitive-behavioral therapy designed to help individuals manage intense emotions, reduce self-destructive behaviors, and improve relationships. It combines traditional cognitive-behavioral techniques with mindfulness and acceptance strategies.

DBT was originally developed to treat borderline personality disorder (BPD), but it’s now used to help individuals with a variety of conditions, including:

• Emotion regulation difficulties

• Chronic suicidal ideation or self-harm

• Eating disorders

• Substance abuse

• Depression and anxiety

• Post-traumatic stress disorder (PTSD)

It’s especially effective for people who experience intense emotions and struggle with interpersonal relationships.

DBT emphasizes balancing acceptance and change. While it shares similarities with cognitive-behavioral therapy (CBT), it places a strong focus on mindfulness, emotional regulation, distress tolerance, and interpersonal effectiveness. It also includes skills training groups, which are not typically part of traditional therapy.

DBT consists of four key components:

1. Mindfulness: Learning to stay present and aware of thoughts, feelings, and sensations without judgment.

2. Distress Tolerance: Developing skills to tolerate and survive crises without resorting to harmful behaviors.

3. Emotion Regulation: Understanding and managing intense emotions effectively.

4. Interpersonal Effectiveness: Improving communication and relationship skills to assert needs while maintaining healthy boundaries.

DBT is typically a longer-term therapy, lasting 6 months to a year or more. Your therapist will work with you to determine the duration of treatment based on your needs and goals.

While DBT was originally developed for Borderline Personality Disorder (BPD), it has been found to be highly effective for a range of mental health issues, including mood disorders, eating disorders, PTSD, and substance abuse. Anyone struggling with intense emotions and impulsive behaviors may benefit from DBT.

DBT teaches four core skills:

• Mindfulness: Becoming more present and aware of your thoughts and feelings.

• Distress Tolerance: Handling emotional crises without making the situation worse.

• Emotion Regulation: Managing and reducing the intensity of difficult emotions.

• Interpersonal Effectiveness: Communicating needs effectively while maintaining healthy relationships.

DBT has a strong evidence base, particularly for reducing suicidal behaviors, self-harm, and hospitalizations in individuals with BPD. Research also supports its effectiveness in treating other conditions like depression, anxiety, and eating disorders. Many clients report significant improvements in emotional regulation, interpersonal relationships, and overall well-being after completing DBT.

DBT may be a good fit if you struggle with intense emotions, difficulty managing relationships, impulsive behaviors, or self-destructive tendencies. If you’re interested in learning practical skills for managing emotions and improving relationships, DBT can be highly effective. Your therapist can help determine if DBT is the best approach for your needs.