Dialectical Behavior Therapy (DBT)

Dialectical Behavior Therapy (DBT) is an evidence-based therapy approach that helps individuals manage intense emotions, reduce harmful or impulsive behaviors, and improve relationships. DBT combines acceptance, mindfulness, and practical coping skills to support emotional balance and healthier decision-making. It focuses on four core skill areas: mindfulness, distress tolerance, emotion regulation, and interpersonal effectiveness, helping clients respond to life’s challenges with greater clarity and control.

Therapy session with two individuals.
Therapist assisting distressed client.

Key Concepts of Dialectical Behavior Therapy (DBT)

Dialectics: The term “dialectical” refers to the synthesis or integration of opposites. In DBT, this often involves balancing acceptance (accepting oneself and one’s current situation) with the need for change (working to improve one’s behavior and emotional responses).

Mindfulness: Mindfulness is a core component of DBT, focusing on being fully present in the moment and observing thoughts, feelings, and sensations without judgment. Mindfulness practices help clients become more aware of their emotions and behaviors, improving self-regulation and reducing impulsive actions.

Emotional Regulation: DBT teaches clients skills to understand and manage their intense emotions. This involves identifying and labeling emotions, reducing vulnerability to emotional swings, and learning strategies to modulate emotional responses.

Distress Tolerance: DBT provides tools for tolerating and surviving crises without making the situation worse. This includes techniques like distraction, self-soothing, and radical acceptance (accepting things as they are without judgment or the desire to change them).

Interpersonal Effectiveness: DBT helps clients develop skills to communicate more effectively, assertively, and respectfully in relationships. This includes learning how to set boundaries, ask for what they need, and manage conflict in a healthy way.

Clients participating in DBT can expect a highly structured, skill-building approach that combines individual therapy with group training sessions. The therapy is designed to help clients better manage their emotions, cope with distress, improve relationships, and reduce self-destructive behaviors. DBT emphasizes the importance of both acceptance and change, offering clients practical tools and strategies to create a more balanced and fulfilling life. The therapy requires active participation, including practicing skills between sessions, and is particularly effective for those struggling with intense emotional responses and impulsive behaviors.

Book Your First Appointment

Book a free 15-minute call with one of our therapists. During the call, you will have the opportunity to get a sense of your therapist’s personality and the techniques they use before deciding if you want to schedule your initial session with them.