Dialectical behavior therapy (DBT) is a type of talk therapy based on cognitive behavioral therapy (CBT) adapted for people who experience emotions very intensely or overwhelmingly. It helps individuals to understand how thoughts affect emotions and behaviors and is especially effective for people who have difficulty managing and regulating their emotions.
“Dialectical” means combining opposite ideas. DBT focuses on accepting the reality of one’s life and behaviors, helping them learn how to change their lives, including their unhelpful behaviors.
DBT has proven to be effective for treating and managing a wide range of mental health conditions, including:
It is important to note that the reason DBT has proved effective for treating these conditions is that each of these conditions is thought to be associated with issues that result from unhealthy or problematic efforts to control intense, negative emotions. Rather than depending on efforts that cause problems for the person, DBT helps people learn healthier ways to cope.
The structure of dialectical behavior therapy can vary, but includes four types of sessions:
- Pre-assessment
- Individual therapy
- Skills training
- Telephone crisis coaching
Dialectical behavior therapy (DBT) typically takes at least six months to a year. However, each situation is unique with complex biological, psychological, and social factors that can extend or shorten the treatment length.
Sources
Dialectical Behavior Therapy (DBT) | Cleveland Clinic
