Understanding Dialectical Behavior Therapy

Marsha M. Linehan, Ph.D. developed Dialectical Behavioral Therapy (DBT) in 1970 to treat chronically suicidal patients. This comprehensive and evidence-based treatment approach primarily helps individuals who struggle with emotionalregulation, self-destructive behaviors, and difficulties in interpersonal relationships. DBT combines elements of cognitive-behavioral therapy (CBT) with concepts and techniques from various other therapeutic approaches.

DBT operates on the principle that individuals who experience intense emotions often have difficulty regulating and managing them effectively. This therapy aims to address heightened emotions by teaching individuals specific skills to improve emotional regulation, enhance interpersonal effectiveness, tolerate distress, and develop mindfulness.

DBT emphasizes the concept of dialectics, which involves finding a balance between acceptance and change. It acknowledges that while individuals may have difficulties that require adjustment, they also need acceptance and validation. DBT helps individuals recognize and change harmful behaviors while simultaneously fostering self-acceptance and self-compassion. Individual sessions typically focus on helping the person apply DBT skills to their specific challenges and behaviors.

DBT has been found to be effective in treating several conditions, including Borderline Personality Disorder (BPD), self-harming behaviors, suicidal tendencies, substance use disorders, eating disorders, and other emotional dysregulation issues. Trained therapists deliver DBT in a strutured and systematic manner. Suicidal and self-harming behaviors may require hospitalization rather than out-patient treatment.

Consulting with a mental health professional is recommended to determine the most suitable therapy approach for an individual's specific needs. At Greater Chicago Counseling Center our clinicians determine whether a DBT treatment modality is right for you.