What is Dialectical Behavior Therapy?
Dialectical behavior therapy or is a type of evidence-based psychology rooted in cognitive-behavioral therapy combined with mindfulness practices and Eastern philosophical concepts. It was developed in the 1980s by psychologist Marsha M. Linehan to initially treat bipolar disorder. But because of the technique’s evolution and adaptation, it’s currently used to treat other mental health conditions like substance abuse, depression, anxiety, and eating disorders.
DBT stands out from other types of psychology because of, what are called, four major skills:
- Mindfulness: Being more aware and better accepting present thoughts and experiences.
- Distress Tolerance: Overcoming challenging times without resorting to self-harming or destructive coping techniques.
- Interpersonal Effectiveness: Being firm with their feelings and how they want to improve their relationships
- Emotional Regulation: Dealing with first or primary emotions before they turn into other secondary emotions.
By developing these skills, clients can better accept their desires and emotions while working on making better and positive changes in life, which is the ultimate goal of DBT.
Mental health practitioners usually conduct dialectical behavior therapy sessions with a DBT certification, like licensed and experienced psychiatric nurses, psychologists, and psychiatrists. They are the ones who will formulate the treatment plan and decide which of the different types of DBT sessions they would like to use: individual sessions, group therapy sessions, and telephone crisis/phone coaching.










