Dialectic Behaviour Therapy (DBT)

“Dialectical” refers to the blending of seemingly conflicting concepts. Dialectical behavior therapy (DBT), created by psychologist Marsha Linehan in the 1970s, seeks to help individuals embrace the reality of their lives and behaviors and teaches them how to alter their existence, including problematic behaviors.

The purpose of therapists practicing DBT is to strike a balance between acknowledging and accepting their client’s current state and the advantages of change. The therapist will assist their client in acquiring new skills to better regulate their emotions. The skills taught in DBT aim to enhance the client’s functioning in daily life and include:

1. Mindfulness
2. Distress tolerance
3. Interpersonal effectiveness
4. Emotion regulation.

DBT has resulted in decreased self-harm and anger, fewer inpatient hospital stays, less drug and alcohol abuse, and improved symptoms of depression. However, DBT may not be suitable for everyone and can be challenging. The therapy is more likely to be effective if the individual is dedicated to making positive changes, willing to fully participate in therapy and complete homework assignments, focused on their present and future rather than their past, and comfortable participating in group sessions.