Dialectical behavior therapy (DBT) is a type of psychotherapy that helps people to regulate their emotions, improve their relationships, and cope with difficult situations. 

How does DBT work?

DBT is a skill-based therapy that teaches people the following skills:

• Mindfulness: paying attention to the present moment without judgment.

• Distress tolerance: learning to cope with difficult emotions and situations without resorting to destructive behaviors.

• Interpersonal effectiveness: communicate effectively with others and get their needs met.

• Emotion regulation: manage intense emotions in a healthy way.

DBT is a long-term, structured therapy, typically lasting 12-18 months, in individual and group sessions. The individual sessions are used to develop a treatment plan and to work on specific skills. The group sessions are used to practice the skills in a supportive environment.

Who can DBT help?

Marsha Linehan originally developed DBT to treat borderline personality disorder (BPD), but it has since been shown to be effective in treating various other mental health conditions, including anxiety, depression, eating disorders, and substance abuse.

References: Psychology Today, Dialectical Behavior Therapy, University of Washington, Suicide Prevention Resource Center

Marcus Berley is a Self Space Seattle therapist who works with high-achieving people who want to access the deeper areas of their lived experience, including individuals who struggle to fully enjoy their success and couples who struggle to address conflict and cultivate a more intimate connection.