What Is Dialectical Behavior Therapy DBT?
The second point of DBT is about building skills to cope with uncomfortable emotions without reacting impulsively. It teaches techniques for surviving crises and accepting life as it is. To get the most benefit from DBT, it’s important to commit fully to all the components of the program.
What is dialectical behavior therapy (DBT)?

DBT usually takes one year for adults to complete, according to the Psychotherapy Academy. However, dialectical behavioral therapy Cleveland Clinic notes that most people aren’t completely symptom-free at the end of their treatment period, and that treatment for BPD in particular may take several years. Over the phone, your therapist will guide you through how to use your DBT skills to tackle the challenge at hand.
Stages and Goals in DBT

This interplay between individual and group dynamics creates a supportive alcoholism environment that nurtures personal growth and emotional healing. This is about being present and fully engaging with the moment, without judgment. Practicing mindfulness helps individuals gain awareness of their thoughts and feelings. Mindfulness can really pull you back to the now, in a way that feels grounding and calming. DBT therapy is beneficial for teens, adults, and families struggling with emotional dysregulation.
What Are the 4 Stages of DBT?
Research shows that the effects are long-lasting for gaining more control over your emotions, being able to deal with difficult situations, and having healthier relationships. Engaging in physical movement, whether it’s working out, dancing to a favorite song, or a walking around the block, is another way to feel calmer and more in control of your emotions when you experience distress. Phone coaching can be a useful method to work on the skills you are learning in the actual times and situations you need them. You can feel safe when practicing your new skills, knowing you can reach out to your therapist by phone for help if you need help. If you feel unable to manage or emotionally overwhelmed, you can contact your therapist to assist you. This might be a situation where you’re in danger of self-harm, for example, or doing something you might later regret, such as compulsive shopping or overeating.
What other skills does DBT rely on?

DBT involves a skills training group, which is similar to a group therapy session. Dialectics are used to support both the therapist and person in treatment. Therapists use dialectics to help people accept the parts of themselves they do not like. They also use dialectics to provide motivation and encouragement to address the change of those parts. Synthesizing polar opposites can reduce tension and help keep therapy moving forward.
- Emotion regulation and interpersonal effectiveness skills help you work toward changing your thoughts and behaviors.
- Over time, people following this approach typically become more mindful, self-aware, and better equipped to respond thoughtfully rather than react on impulse.
- DBT uses three types of therapy approaches to teach the four core skills discussed above.
- Managing emotions and emotional reactivity in relationships requires setting limits and managing conflict, while also respecting others.
When they become triggered or emotionally overwhelmed, they may become highly reactive and self-destructive. Studies suggest DBT is effective for people with severe levels of emotional dysregulation. Some people experience emotional extremes they cannot regulate, often when there is a history of trauma or when they feel threatened or abandoned. Working with BPD and other conditions can be challenging for therapists.