Dialectical Behavior Therapy (DBT) is a specialized form of therapy that focuses on teaching individuals skills to manage difficult emotions and improve relationships. Originally developed to treat individuals with borderline personality disorder, it is now used for a variety of conditions, including substance use disorders, eating disorders, and depression. The core idea of DBT is the concept of “dialectics,” which involves finding a balance between two seemingly opposing ideas: acceptance and change. The therapist helps the individual accept their current situation and emotions without judgment, while also providing them with practical skills to make positive changes in their life. This balanced approach helps individuals move past feelings of being stuck and empowers them to work toward a better future.

 

DBT is often structured as a comprehensive program that includes a combination of individual therapy, group skills training, and phone coaching. The group skills component is particularly important and is divided into four main modules: Mindfulness (learning to be present and aware), Distress Tolerance (coping with difficult emotions in a healthy way), Emotion Regulation (understanding and managing intense feelings), and Interpersonal Effectiveness (improving communication and relationship skills). The phone coaching component allows individuals to call their therapist for real-time support when they are struggling to use a skill in their daily life. This multi-faceted approach provides a strong and consistent support system, giving individuals the tools they need to build a life they feel is worth living.