A standard DBT program requires a one-year commitment. This is intended for individuals with Borderline Personality Disorder who have a therapist in the community whom they see at least bi-weekly. Individuals in this program will attend a weekly DBT Skills training group that is facilitated by a skills therapist in a group format similar to a class.
Exercises are provided for people to practice skills between sessions. The purpose is to help people introduce effective and practical skills into their lives, which they can use when they are distressed. These skills are meant to replace other unhealthy and negative behaviours. The class usually meets once per week for 2 hours.
It takes 24 weeks to get through the full skills curriculum. In the class, four skills are taught:. DBT was developed for people with borderline personality disorder.
But it can help people with other mental health problems, including suicidal behaviour , self-harm, substance use , posttraumatic stress disorder PTSD , depression and eating disorders. In these therapies, a person talks to a mental health professional about their challenges and learns skills to help them cope. However, CBT primarily focuses on learning ways to change unhelpful thoughts and behaviours.
DBT teaches people to accept their thoughts, feelings and behaviours, and the techniques to change them. Not only are personal skills taught in DBT, but skills for interpersonal relationships are also emphasized. In fact, DBT was created to help people manage their intense emotions.
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In Stage 1, the person is often miserable and their behaviour is out of control. CBT seeks to give patients the ability to recognize when their thoughts might become troublesome, and gives them techniques to redirect those thoughts. DBT helps patients find ways to accept themselves, feel safe, and manage their emotions to help regulate potentially destructive or harmful behaviors. Clients who engage in DBT therapy participate in DBT skills training sessions that are typically taught in a group setting in four modules.
Sometimes, once patients are able to use DBT skills to regulate their emotions, practice mindfulness, and improve relationships with others, they are able to transition to more standard CBT groups to address specific negative thought patterns or recurring harmful behaviors.
The best way to figure out which type of therapy treatment is best for you is to talk with a mental health professional — a therapist, psychiatrist or psychologist. They will consider your symptoms, treatment history, and the goals you outline for what you want out of therapy, and recommend the best next steps.
Because each illness responds differently to treatment techniques, you will want to go with the method that has been shown most effective for treating your diagnosis and symptoms. If you have not yet received a diagnosis from a psychiatrist or psychologist, consider setting an appointment for psychiatric diagnosis and psychological testing.
This will help you identify the best treatment options, as well as strengths and existing skills you can leverage in your recovery process. Depression and anxiety sufferers have found a lot of success with CBT, while people with borderline personality disorder and chronic thoughts of suicide find DBT more helpful.
Keep in mind that many people have more than one diagnosis, and sometime people use elements from both DBT and CBT to manage their symptoms. Because the patient-therapist relationship is so important, consider interviewing a few other therapists to see if you can find a better match. If a goal of therapy is to improve your relationships with others, consider trying couples therapy or family therapy instead of going it alone. And give it a few weeks before you call it quits. Remember that your therapist is not going to do the work for you.
You will need to commit to doing the hard work of making changes in your life to support healthier thinking, healthier behaviors, and healthier living. With so many treatment options out there, it can be confusing to know what techniques will best help you.
Effects of dialectical behaviour therapy-mindfulness training on emotional reactivity in borderline personality disorder: Preliminary results. Clin Psychol Psychother. Ment Health Clin. Dialectical behavior therapy alters emotion regulation and amygdala activity in patients with borderline personality disorder.
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JAMA Psychiatry. Randomized clinical trial of dialectical behavior therapy for preadolescent children with disruptive mood dysregulation disorder: Feasibility and outcomes.
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I Accept Show Purposes. Table of Contents View All. Table of Contents. Dialectical Behavior Therapy Techniques. Effectiveness of Dialectical Behavior Therapy. What Is Dialectical Behavioral Therapy? Don't attack, threaten, or judge others I nterest. Show interest with good listening skills don't interrupt someone else to speak V alidate. Acknowledge the other person's thoughts and feelings E asy. Try to have an easy attitude smile often and be light-hearted. Sample Exercise: Opposite Action Identify how you're feeling and do the opposite.
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