What is Dialectical Behavior Therapy?
In the 1980s, psychologist Marshall M. Linehan created a type of evidence-based psychotherapy called dialectical behavior therapy or DBT therapy. During their time, it was used to treat clients with bipolar disorder. It also treats other mental health conditions like substance abuse, eating disorders, anxiety, and depression.
, or DBT, has roots in cognitive-behavioral therapy and includes a combination of Eastern philosophical concepts and mindfulness practices. With these, the referring physician helps the client accept their desires and emotions as well as make better and positive changes in their life by giving them the exercises and tools to develop four significant skills:
- Mindfulness: The client must learn to be more aware and better accept their feelings and thoughts or experiences in the present.
- Distress Tolerance: The client must learn to utilize coping techniques that aren’t self-destructive when overcoming challenging times.
- Interpersonal Effectiveness: The client must identify and be firm with their feelings and desires to improve their interpersonal and intrapersonal relationships.
- Emotional Regulation: The client must learn to deal with the first/primary reactions to an event before they turn into secondary emotions.
These skills are usually honed through individual sessions, group therapy sessions, and telephone crisis/phone coaching as recommended by a psychologist, psychiatrist, psychiatric nurse, referring physician, or therapist with a DBT certification.










