DBT was initially developed by Dr. Marsha Linehan (1993) for the treatment of Borderline Personality Disorder. DBT is a combination of behavioral science, dialectical philosophy, and Zen practice which aims to help people build "a life worth living.
DBT has been consistently shown in clinical research studies to:
People who benefit from DBT include those with eating disorders, depression, anxiety, PTSD, substance use, mood instability, emotion dysregulation, and relationship difficulties.
“The test of a first-rate intelligence is the ability to hold two opposed ideas in the mind at the same time and still retain the ability to function. One should, for example, be able to see that things are hopeless and yet be determined to make them otherwise.” F. Scott Fitzgerald, The Crack-Up (1936)
The term dialectics is based on the philosophical premise that all things are interrelated, two seemingly opposing truths can be true, and the only constant is change.
DBT utilizes standard behavioral techniques to induce change. Examples of such strategies include functional analyses of behavior, solution analyses, cognitive modification, and exposure techniques.
Acceptance strategies are used to strengthen the therapeutic alliance and keep patients in treatment. Examples of these strategies include mindfulness, validation, and self compassion.
The general purpose of mindfulness is cultivating awareness of internal and external events. These techniques improve the ability to be grounded and present in the moment.
These are meant to improve relationships by communicating empathy and cultivating relational mindfulness.
Dialectical Behavior Therapy
Borderline Personality Disorder