Dialectical Behavior Therapy (DBT)

Combining cognitive-behavioral techniques with mindfulness practices.

DBT is a comprehensive therapy combining cognitive-behavioral techniques with mindfulness practices. Developed by Dr. Marsha Linehan in the late 1980s and originally created to treat borderline personality disorder, DBT has since been adapted to address a wide range of mental health issues characterized by emotional dysregulation and impulsive behaviors.

The skills taught in DBT fall into four modules: mindfulness (focusing on the present moment non-judgmentally), distress tolerance (coping with crisis situations without making them worse), emotion regulation (understanding and managing intense emotions), and interpersonal effectiveness (navigating relationships assertively and effectively).

How DBT works

The Four DBT Skill Modules

A practical toolkit for big emotions, taught and practiced in session and at home.

1

Mindfulness

Notice without reacting

2

Distress Tolerance

Survive crisis without making it worse

3

Emotion Regulation

Understand and shift emotion intensity

4

Interpersonal Effectiveness

Ask, say no, keep self-respect

The Dialectic at the Heart of DBT

Two things are true at once: you are doing the best you can, and you can do better.

Acceptance

Mindfulness and distress tolerance. Seeing the moment as it is, and getting through it without making it worse.

both / and

Change

Emotion regulation and interpersonal effectiveness. Building the skills to shift what you feel and how you ask for what you need.

What to expect

DBT typically consists of individual therapy sessions, group skills training, and phone coaching for crisis situations. The full DBT program usually lasts at least six months to a year, though elements of DBT can be incorporated into other treatment approaches for those unable to commit to a full program.

Explore other modalities

Get matched for DBT

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