What is Dialectical Behavior Therapy?
DBT Therapy, or dialectical behavior therapy, is an evidence-based psychotherapy developed in the 1980s by psychologist Marsha M. Linehan. It is rooted in cognitive-behavioral therapy, mindfulness practices, and Eastern philosophical concepts. Because of the evolution and adaptation of the technique over the years, dialectical behavior therapy went from being used as a treatment for bipolar disorder to other mental health conditions like substance abuse, eating disorders, depression, and anxiety.
Therapists with a DBT certification, psychiatrists, psychologists, and psychiatric nurses may conduct dialectical behavior therapy or DBT sessions in three ways: individual sessions, group therapy sessions, and telephone crisis/phone coaching. They may use one or all of the session options. However, whether they use one or the other, they all aim to teach the client how to accept their desires and emotions while working on making better positive changes in life. More specifically, the sessions are meant to teach, equip, and hone four major skills a client must have at the end of their treatment plan. These skills are:
- Mindfulness: Being more aware and better accepting present experiences and thoughts.
- Distress Tolerance: Being capable of overcoming challenging times without resorting to self-destructive coping techniques.
- Interpersonal Effectiveness: Knowing and being firm with their feelings and how they want to improve their relationships.
- Emotional Regulation: Dealing with primary or first emotions before they turn into secondary or other emotions.











