Dialectical Behavior Therapy (DBT)

Dialectical Behavior Therapy (DBT)

DBT is a form of cognitive-behavioral therapy that was developed for the treatment of individuals with chronic suicidal thoughts and urges and individuals suffering from borderline personality disorder (BPD).

DBT is a systematic therapeutic strategy aimed at decreasing self-destructive, therapy-interfering, and quality-of-life interfering behavior. DBT organizes therapy using this hierarchy because persons with borderline personality disorder typically struggle in a variety of areas, and hence treatment attempts to address problems in these domains in order of importance.

DBT includes several organizing concepts, but it primarily seeks to balance the opposing tactics of acceptance and change. DBT therapists, for example, accept clients as they are while simultaneously admitting that they must change in order to achieve their objectives.

DBT teaches clients how to control their emotions since it assumes that people who suffer from emotional dysregulation lack self-management skills. DBT teaches four sets of behavioral skills: mindfulness, distress tolerance, interpersonal effectiveness, and emotional regulation.

DBT has a large body of research supporting its effectiveness in lowering suicidal behavior, self-harm, drug abuse, anger, and depression. It is currently recognized as the gold standard psychiatric treatment for those suffering from borderline personality disorder. DBT has been adapted for the treatment of drug abuse, depression, post-traumatic stress disorder (PTSD), and eating disorders.

What should I expect from dialectical behavior therapy (DBT)?
Depending on whether you can attend a DBT skills training group, you will most likely see your therapist once or twice a week. One of the weekly sessions is for individual treatment, while the other is for skill development.
You will discover techniques for better managing your emotions and relationships.
DBT demands a significant degree of drive, therefore your therapist's approach may frequently be hard in order to help you minimize your reliance on unhelpful and self-destructive behaviors.
Your therapist will provide you some out-of-session interaction that will be specially arranged to help you use new skills learned in treatment in real-life circumstances.

You will be asked to fill out diary cards between sessions and to participate in a behavioral chain analysis with your therapist between sessions. These methods teach you to examine the sequence of events that leads to self-destructive behaviors and to consider how new abilities might be utilized to limit the usage of those behaviors.
Because DBT is a long-term, rigorous therapy method, you should anticipate visiting your therapist for six months to a year.

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