What is Dialectical Behavioral Therapy (DBT)?

Dialectical Behavioral Therapy

 

Dialectical Behavioral Therapy (DBT) stands as a transformative approach to mental health, building on the foundations of Cognitive Behavioral Therapy (CBT) to specifically address intense emotions.

 

Developed by Dr. Marsha Linehan and her colleagues in the late 1980s, DBT arose from the recognition that CBT alone was insufficient for individuals with Borderline Personality Disorder (BPD).

This therapy encompasses a unique blend of acceptance and change strategies, fostering self-acceptance while equipping individuals with tools to modify unhelpful behaviors.

Understanding the Reach of DBT

While initially tailored for BPD, DBT has proven effective for a spectrum of conditions, including:

  • Attention-deficit/hyperactivity disorder (ADHD)
  • Bipolar disorder
  • Eating disorders
  • Generalized anxiety disorder (GAD)
  • Major depressive disorder
  • Non-suicidal self-injury
  • Obsessive-compulsive disorder (OCD)
  • Post-traumatic stress disorder (PTSD)
  • Substance abuse disorder
  • Suicidal behavior

The Distinctive Benefits of DBT

In DBT, a collaborative effort between therapist and patient navigates the delicate balance between self-acceptance and change. Validation is crucial in easing the apprehension surrounding change and facilitating positive transformation. This therapeutic model includes various components such as:Mindfulness in DBT

Mindfulness is integral to DBT, teaching individuals to be present in the moment, observe thoughts without judgment, and make deliberate choices. Mindfulness exercises enhance self-awareness, promoting emotional regulation and resilience.

Acceptance and Change

Exploring methods for accepting and tolerating life circumstances while acquiring skills to induce positive behavioral changes.

Behavioral

Identifying and replacing detrimental behavior patterns with healthier alternatives.


Cognitive

Modifying negative or unhelpful attitudes and beliefs.


Collaboration


Enhancing effective communication and teamwork involving the therapist, group therapist, and psychiatrist.


Skill Sets


Empowering individuals with new abilities through skill acquisition.


Encouragement


Recognizing and enhancing positive strengths and attributes.

The Stages of DBT


DBT unfolds in four distinct stages:

  • Stage 1: Addressing the most problematic and self-destructive behaviors, such as self-injury or suicidal conduct.
  • Stage 2: Focusing on aspects affecting the individual’s quality of life, including relationships, emotional control, and stress management.
  • Stage 3: Concentrating on self-esteem and interpersonal relationships.
  • Stage 4: Aiming to help individuals make the most of their lives, fostering greater happiness and achieving life goals.

Distinguishing DBT from CBT


While sharing similarities, DBT and CBT differ in several ways:


Goals
CBT is goal-oriented, aiming to address negative thoughts and behaviors. In contrast, DBT’s primary goal is self-acceptance, emotional control, and behavior regulation.


Philosophies
DBT emphasizes interpersonal interactions and mindfulness, while CBT is more logic-based, encouraging critical thinking.


Types of Sessions
DBT sessions are typically longer and may include crucial group components emphasizing interpersonal communication.


Uses
CBT excels in treating depression, anxiety disorders, OCD, PTSD, and phobias, while DBT proves beneficial for bipolar disorder, eating problems, self-harm, and substance abuse.

Therapeutic Modes in DBT


DBT employs a multifaceted approach to treatment, encompassing various therapeutic modes that work synergistically to address individuals’ needs comprehensively:

  1. Individual Therapy
    One-on-one sessions with a therapist focus on addressing specific behaviors, emotional challenges, and developing personalized coping strategies.
  2. Group Skills Training
    Group sessions offer a supportive environment for individuals to learn and practice mindfulness, emotion regulation, interpersonal effectiveness, and distress tolerance skills.
  3. Phone Coaching
    DBT extends beyond scheduled sessions with the inclusion of phone coaching. Individuals can contact their therapists for brief, real-time assistance applying skills during challenging situations.

This combination of individualized attention, group learning, and real-time support creates a well-rounded therapeutic experience in DBT.


Dialectical Behavioral Therapy is Available in Pennsylvania

If you or someone you care about requires Dialectical Behavioral Therapy (DBT) or any treatments offered by Heatherstone Counseling, please don’t hesitate to contact us.

We aim to assist you in overcoming life’s obstacles and offer the assistance you require to accomplish your objectives. Our team of professionals is committed to providing secure, empathetic care for mental health, addiction, and other issues.

Call now to speak with our staff or book a consultation for a personalized approach to mental well-being.

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Written by F Alvarez