DBT

Dialectical Behavioral Therapy, also known as DBT, was originally developed for suicidal individuals and shortly after, dealing with challenges of Borderline Personality Disorder. Now, DBT is recognized as an evidence-based practice for a wide range of conditions including substance dependance, depression, anxiety, PTSD, and eating disorders to name a few. DBT blends different behavioral techniques, while emphasizing the therapeutic relationship to create a validating environment and challenges the individual to grow. The “and” is key in the previous sentence because DBT emphasizes that two opposing things can exist at the same time. You’ll hear most DBT practitioners emphatically use AND instead of BUT repeatedly to demonstrate duality without negating the first item.

Our DBT trained therapists in Philadelphia and in DBT Therapists in Ardmore PA are here for you! Dialectical Behavior Therapy (DBT), is a therapy that combines mindfulness and behavioral strategies to help you take control of your emotions and thoughts. By learning skills and techniques, you can confidently face life's challenges and improve your well-being.

About DBT Therapy

Dialectical Behavior Therapy (DBT) is a form of cognitive-behavioral therapy that focuses on teaching individuals how to manage their emotions, build healthier relationships, and navigate difficult situations with greater resilience. Initially developed to treat borderline personality disorder (BPD), DBT is now used for a variety of mental health conditions. It combines strategies of acceptance and change, making it especially helpful for people who struggle with emotional dysregulation, impulsivity, and distress tolerance.

What is DBT Therapy?

DBT stands for Dialectical Behavior Therapy. It was developed by Dr. Marsha Linehan in the 1980s to help individuals who experience intense emotions and difficulty managing them. The core principle behind DBT is that two seemingly opposing ideas can both be true at the same time. In DBT, the “dialectical” aspect refers to the balance between accepting oneself as they are while also working toward change. This therapeutic approach emphasizes:

• Mindfulness: Becoming aware of your thoughts and feelings in the present moment.

• Distress Tolerance: Learning how to cope with difficult situations without resorting to harmful behaviors.

• Emotional Regulation: Understanding and managing intense emotions.

• Interpersonal Effectiveness: Building healthier and more effective relationships with others.

For a deeper dive into how DBT works, check out our DBT basics blog post that explains the key principles in more detail.

How Does DBT Work?

DBT involves a combination of individual therapy, group skills training, and phone coaching. Here’s an overview of what each component includes:

1. Individual Therapy

In one-on-one therapy sessions, you will work with a trained therapist to address your specific challenges. The therapist will help you understand your emotional triggers and develop personalized strategies for managing difficult situations. These sessions are designed to be collaborative, and your therapist will work with you to build goals and strategies that fit your unique needs.

2. Skills Training

Skills training is a vital part of DBT, where the focus is on teaching four main skill sets:

• Mindfulness: Techniques to help you focus on the present moment and increase self-awareness.

• Distress Tolerance: Methods for getting through crises without making things worse.

• Emotional Regulation: Tools to manage intense emotions and reduce emotional vulnerability.

• Interpersonal Effectiveness: Skills for improving communication and setting boundaries.

3. Phone Coaching

DBT is designed to be practical, and phone coaching provides real-time support between therapy sessions. You can call your therapist when you’re facing a difficult situation and need guidance on how to handle it effectively. This is especially helpful for moments when you’re struggling to manage your emotions or relationships outside of a therapy session.

For more information on DBT's structure and process, visit our DBT therapy structure page.

Who Can Benefit from DBT?

DBT is effective for people experiencing a range of mental health concerns, including:

• Borderline Personality Disorder (BPD): DBT was originally developed to treat BPD, helping individuals manage emotional instability, impulsivity, and relationship challenges.

• Depression and Anxiety: DBT can help regulate emotions and provide strategies for coping with persistent negative emotions.

• Eating Disorders: DBT helps address impulsive behaviors and emotional regulation, which are often associated with eating disorders.

• Substance Use Disorders: By teaching distress tolerance and mindfulness, DBT can help individuals break free from substance dependence.

• Self-Harming Behaviors: DBT helps individuals manage the urge to self-harm and develop healthier coping mechanisms.

• Trauma Survivors: DBT can help individuals learn skills to manage the symptoms of trauma and heal. See more on DBT and Trauma Here!

Common Questions About DBT Therapy

Is DBT only for people with Borderline Personality Disorder?

Although DBT was initially created for individuals with BPD, it has since proven helpful for a variety of other mental health conditions. DBT is especially effective for individuals who experience intense emotions, difficulty in relationships, and self-destructive behaviors.

How long does DBT therapy take?

DBT is a commitment, typically lasting several months to over a year. It often consists of weekly individual therapy sessions and group skills training. However, the length of treatment varies based on your individual needs, progress, and the specific goals you set with your therapist.

Does DBT work for everyone?

While DBT is highly effective for many people, it is not a one-size-fits-all solution. The therapy is most successful when individuals are fully engaged and open to learning new skills and strategies. The collaborative nature of DBT means that your therapist will work closely with you to ensure that the treatment is effective for your unique situation.

If you’re wondering whether DBT is right for you, consider reading our how to know if DBT is right for you blog.

Can DBT be used alongside other therapies or medications?

Yes, DBT can be used in conjunction with other therapies and medications. In fact, many people find that combining DBT with other treatment options enhances their overall well-being. If you’re currently receiving other treatments, talk to your therapist about how DBT can complement them.

What if I miss a session or struggle to keep up?

Consistency is important in DBT, but therapists understand that life can sometimes interfere. If you miss a session, it's important to discuss this with your therapist so you can stay on track. Phone coaching is also available for times when you need immediate support outside of scheduled sessions.

Why Choose DBT Therapy?

DBT offers a comprehensive approach to mental health, focusing not just on changing negative behaviors, but on learning how to cope with emotional distress in healthier, more effective ways. Its emphasis on both acceptance and change provides a balanced approach that can lead to lasting improvements in emotional regulation, relationships, and overall well-being.

If you’re ready to begin your DBT journey, contact us today to schedule an appointment or to learn more about how DBT therapy can support you.