Dialectical Behaviour Therapy (DBT)

Dialectical Behaviour Therapy (DBT) is an evidence-based psychotherapy developed by Marsha M. Linehan to treat individuals with borderline personality disorder and other conditions characterized by emotional dysregulation. It combines cognitive-behavioural techniques with concepts of mindfulness,

distress tolerance, and acceptance derived from contemplative practices.

The core components of DBT include:

1. Individual therapy sessions

2. Group skills training

3. Phone coaching

4. Therapist consultation team meetings

DBT focuses on four main skill areas:

1. Mindfulness: Cultivating present-moment awareness

2. Distress tolerance: Managing crisis situations effectively

3. Emotion regulation: Understanding and managing intense emotions

4. Interpersonal effectiveness: Improving relationships and communication

The "dialectical" aspect of DBT refers to balancing acceptance and change strategies. Therapists validate clients' experiences while encouraging positive behavioural changes.DBT has proven effective for treating:

• Borderline personality disorder

• Suicidal ideation and self-harm

• Depression

• Substance use disorders

• Eating disorders

• Post-traumatic stress disorder

Key principles of DBT include:

• Biosocial theory: Recognizing the interaction between biological predispositions and environmental factors

• Emphasis on emotions: Focusing on emotional regulation and validation

• Behavioural skills training: Teaching practical coping strategies

• Dialectical philosophy: Balancing acceptance and change

DBT aims to help clients achieve a "life worth living" by reducing harmful behaviours, improving emotional regulation, and enhancing interpersonal relationships. While originally developed for borderline personality disorder, DBT has been adapted to treat various mental health conditions and can benefit anyone seeking to manage intense emotions more effectively