Dialectical Behavior Therapy (DBT)

Dialectical behavior therapy (DBT) is an evidence-based psychotherapy, first developed in the 1980s by Marsha M. Linehan, to treat patients suffering from borderline personality disorder. Since then, DBT’s use has broadened and now it is regularly employed as part of a treatment plan for people struggling with behaviors or emotions they can't control. This can include eating disorders, substance abuse, self-harm, and more. DBT is a skills-based approach that focuses on helping people increase their emotional and cognitive control by learning the triggers that lead to unwanted behaviors. Once triggers are identified, DBT teaches coping skills that include mindfulness, emotion regulation, distress tolerance, and interpersonal effectiveness. A therapist specializing in DBT will help you to enhance your own capabilities, improve your motivation, provide support in-the-moment, and better manage your own life with problem-solving strategies. Think this approach might work for you? Reach out to one of TherapyDen’s DBT specialists today.

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I utilize Dialectical Behavioral Therapy in my work with children and adolescence to support them with developing resiliency. I utilize elements of Radically Open DBT to support my clients struggling with restrictive disordered eating.

— Amanda Hagos, Licensed Clinical Social Worker in Fremont, CA

Dialectical behavior therapy (DBT) is a type of talk therapy (psychotherapy). It’s based on cognitive behavioral therapy (CBT), but it’s specially adapted for people who experience emotions very intensely. “Dialectical” means combining opposite ideas. DBT focuses on helping people accept the reality of their lives and their behaviors, as well as helping them change their lives, including their unhelpful behaviors.

— Crystal Bettenhausen-Bubulka, Licensed Clinical Social Worker in Coronado, CA
 

The most helpful tool I gathered from my training in DBT is the dialectical approach: holding two truths at once, making room for two conflicting thoughts, or describing two emotional experiences at once. The skills from DBT (mindfulness, distress tolerance, interpersonal effectiveness, and emotion regulation) can be a helpful place to start if you are looking for something approachable and concrete.

— Madeleine Kannan, Licensed Clinical Social Worker

Feeling overwhelmed, out of control, or like your feelings are too much? Find yourself shutting down, lashing out, or doing whatever you can to distract yourself from negative thoughts? Through DBT, you'll build personalized strategies for distress tolerance, emotion regulation, mindfulness, and interpersonal effectiveness. You'll develop a stronger sense of your values and preferences, practice setting healthier boundaries, and design a life worth living.

— Lisa Andresen, Licensed Clinical Social Worker in San Francisco, CA
 

Dialectical Behavior Therapy (DBT) is a cognitive-behavioral treatment developed by Marsha Linehan. The therapy emphasizes the balance between acceptance and change, helping individuals develop skills in four key areas: mindfulness, distress tolerance, emotional regulation, and interpersonal effectiveness.

— Roderic Burks, MS, MS H.Sc., MA, LPC - Integrative Psychotherapy, Licensed Professional Counselor in Spokane, WA

Dialectical behavior therapy (DBT) is broken into four main topics: emotional regulation, interpersonal effectiveness, distress tolerance and mindfulness skills. Its main goals are to teach people how to live in the moment, develop healthy ways to cope with stress, regulate their emotions, and improve their relationships with others

— Wild Therapy/ Stacey Cholick, Licensed Clinical Mental Health Counselor in Austin, TX
 

I received specialized training in Marsha Linehan's Dialectical Behavioral Therapy program during my internship year at Belmont Behavioral Health. I've got experience participating in group therapy and providing individual therapy for young adults involved in an intense outpatient program.

— Stephanie Manning, Psychologist in New York, NY

Dialectical Behavioral Therapy (DBT) is an approach developed by Psychologist and author Marsha Linehan. It contains the following the four sets of skills: - mindfulness - distress tolerance - emotion regulation - interpersonal effectiveness To put these ideas into other words, these are skills aimed at empowering a person to understand themselves better, learn to sit with their emotions without "fixing" them or avoiding them, self-soothe, and learn to communicate in healthier ways.

— Liz Michaud, Licensed Marriage & Family Therapist in Emeryville, CA, CA
 

DBT aims to help people create lives worth living. For treatment with DBT to be considered comprehensive, it needs to include all four of these modes of treatment, including: • Individual therapy to enhance motivation • Skills groups to enhance capabilities • Phone coaching to generalize skills to natural environment • Consultation team meetings to enhance therapist motivation and capability

— Amy Studer, Licensed Professional Counselor in , MO

While working in a PHP/IOP setting, I was taught how to utilize DBT as a treatment modality. I provided interventions through DBT both "informally" as well as in a traditionally structured setting in DBT skills groups, individual therapy with diary cards, and attending DBT Consultation.

— Kate Manser, Licensed Professional Counselor in Philadelphia, PA
 

DBT (Dialectical Behavior Therapy) is like emotional ninja training. It teaches you how to balance acceptance and change—kind of like walking a tightrope while juggling flaming swords (but way less dangerous). You’ll learn to handle big feelings without flipping tables, communicate like a pro, and calm your inner storm. It’s about becoming the cool, collected version of yourself who can tackle life’s chaos with mindfulness and maybe even a little sass. Think of it as emotional adulting 101!

— Elisabeth Netjes, Licensed Marriage & Family Therapist in , CA

DBT is a mindfulness based therapy rooted in 4 skill sets: Mindfulness, Distress Tolerance, Emotion Regulation, and Interpersonal Effectiveness. This counseling theory was created for people who struggle with intense/reactive emotions, impulsive behaviors, self harm and suicidal urges, and Borderline Personality Disorder. I have experience teaching these skills to clients who are working on issues related to Depression, Anxiety, Eating Disorders, Bipolar, and communication skills.

— Sam Lenzi, Licensed Professional Clinical Counselor in Chicago, IL
 

Dialectical Behavior Therapy brings together two ideas: accepting things as they are (what we cannot control) while also motivating us to own our power to change things for the better (what we can control). The goal is to develop ‘wise mind’, or the capacity to be realistic and mindful of our situation rather that succumb to reactive behavior. DBT combines Cognitive-behavioral tenets (looking at how emotions and thoughts affect our behaviors) with Buddhist meditative practices to help people struggling with suicidality, anxiety, depression, trauma, addictions, and more. The main points of DBT are: mindfulness/meditation; communicating effectively in relationships, how to better tolerate distress and cope with triggering emotions. Whether it’s learning to meditate, trying out positive self-talk, exposing themselves safely to challenging emotions, or practicing difficult conversations they want to have with loved ones, my clients find much practical use of DBT.

— Evan Honerkamp, Art Therapist in Denver, CO

Dialectical Behavior Therapy (DBT) stems from a mindfulness-based, third-wave perspective. I value its integration of unconditional positive regard, authenticity, and self-respect. DBT offers a comprehensive approach, enabling clients to develop skills in emotion regulation, distress tolerance, interpersonal effectiveness, mindfulness, and overall relationship building.

— Safe Space Counseling Services -Alice Zhao, Licensed Professional Clinical Counselor in , MD

I don't follow DBT to the core, I believe your emotions and feelings are real. However, we may not always be in the best spot to process or feel them fully. I work to give you tools to work with those emotions until we get to a safe place to express ourselves.

— Stephanie Townsend, Licensed Master of Social Work in Atlanta, GA
 

Was trained in DBT treatment in grad school, incorporated in internship, and trained again during first private practice job at Behavioral Associates.

— Stephanie Ganor, Mental Health Counselor in New York, NY

DBT is especially helpful for people who feel as if their emotions are running their lives. Many are acting in ways they know are not helping them or their loved ones, as a way to feel some level of control over these emotions. I apply DBT in my work with various mental health difficulties, including depression, anxiety, trauma, and even addictive behaviors.

— Julie Smith, Licensed Mental Health Counselor in Jacksonville, FL