What is Dialectical Behavior Therapy?
An evidence-based type of psychotherapy, dialectical behavior therapy or , was developed by Marsha M. Linehan, a psychologist, in the 1980s. Originally used to treat clients with bipolar disorder, because of evolution and adaptation over the years, dialectical behavior therapy can and is being used to treat clients with other mental health conditions. These mental health conditions include substance abuse, eating disorders, anxiety, and depression.
Though dialectical behavior therapy has roots in cognitive-behavioral therapy, what makes it different from CBT and others is the addition of mindfulness practices and Eastern philosophical concepts. Using the combination of the mentioned three, the DBT approach focuses on acceptance and change wherein the client learns how to accept their emotions and desires while working on making better and positive changes in their life.
Using DBT, a practitioner aims to help their client develop four major skills. They are:
- Mindfulness is where the client is more aware and better accepts present thoughts and feelings.
- Distress Tolerance is where the client becomes capable of getting through challenging times without resorting to self-destructive coping techniques
- Interpersonal Effectiveness is where the client knows and is firm about what they’re feeling and what they want to improve their relationship with themselves and others
- Emotional Regulation is where the client can deal with their primary or first reaction before they turn into secondary or other emotions that may follow.
Dialectical Behavior Therapy or DBT sessions are usually conducted by therapists with a DBT certification, psychiatrist, psychologist, or psychiatric nurse. The sessions they choose to conduct with the patient may be one or all of the three: individual sessions, group therapy sessions, and telephone crisis/phone coaching.










