If you’ve ever looked into getting therapy, then it’s likely that you’ve heard a lot of different terms thrown around to describe it. There are many different therapy techniques and modalities out there. This blog post is part of a series that is meant to explain some of the more common forms of therapy you’re likely to encounter as you look into potential therapists.

What is DBT?

DBT stands for dialectical behavioral therapy. It’s quickly becoming a very common form of therapy used by many clinicians and has many clinical studies to back up its effectiveness. Dialectical refers to the idea of reconciling two opposing thoughts, such as knowing someone has harmed you while also acknowledging they are not a bad person.

This form of therapy was originally designed to help individuals with borderline personality disorder. BPD often comes with intense emotions and risky, usually self-destructive behavior as a result of emotional dysregulation. DBT is meant to help individuals tolerate distress more effectively and thus regulate their emotions more successfully. This in turn helps to reduce harmful behavior, such as self-harm and suicide attempts.

When followed strictly, DBT uses a combination of one-on-one therapy with a client and a trained therapist and group skills sessions. There is also a “light” form of DBT that removes the group skills sessions and involves only the one-on-one therapy.

Can DBT be Used for Other Purposes?

DBT has been shown to be effective in treating eating disorders (especially binge eating and bulimia), bipolar disorder, PTSD, and schizophrenia. It can also be used with those who have major depressive disorder, generalized anxiety disorder, and other similar mental illnesses.

How Does It Work?

Dialectical behavioral therapy approaches clients’ problems with the idea that there is some sort of skills deficit that is making it difficult for clients to cope with their emotions and things that go on. Harmful behaviors stem from high levels of distress as a result of this. Through this idea, DBT focuses on skills building and also on increasing distress tolerance in clients.

There are four basic skills that therapists work with clients on: mindfulness, emotional regulation, distress tolerance, and interpersonal effectiveness.

Therapists will use a variety of activities and help teach clients different ways they can work on these skills outside of the session.

In more traditional DBT there are four stages that therapy proceeds in. It starts with helping to stabilize the client if they’re in crisis and allowing them to feel safe. The second stage focuses on exploring emotional pain. In the third stage, clients work on setting SMART goals and maintaining healthy behaviors. Finally, in the fourth stage, clients look at the big picture and work towards achieving them.

How do I Find a Therapist?

There are many ways to find a DBT therapist. Right here at Compassionate Counseling Company we have clinicians who integrate DBT into their sessions (Niah, Kelly, Jessica, and Emily). However, if you’re looking for the more traditional form of DBT, then the DBT-Linehan Board of Certification is the best place to find one. If you plan to use insurance, make sure the provider is covered under your plan! You can use your insurance company’s provider search to check.