Dialectical behavioral therapy

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Dialectical Behavioral Therapy (DBT) is a type of cognitive-behavioral therapy that was originally developed by Marsha M. Linehan for the treatment of borderline personality disorder (BPD). It is now used for a variety of mental health issues, including depression, anxiety, eating disorders, and substance abuse.

History[edit | edit source]

DBT was developed in the late 1980s by psychologist Marsha M. Linehan, who was trying to find an effective treatment for patients with BPD and chronic suicidal ideation. Linehan combined elements of cognitive-behavioral therapy with concepts from Buddhist philosophy, such as mindfulness and acceptance, to create DBT.

Theory[edit | edit source]

DBT is based on the theory that some people are more prone to react in a more intense and out-of-the-ordinary manner towards certain emotional situations, primarily those found in romantic, family and friend relationships. DBT theory suggests that some people’s arousal levels in such situations can increase far more quickly than the average person's, attain a higher level of emotional stimulation, and take a significant amount of time to return to baseline arousal levels.

Treatment[edit | edit source]

DBT treatment involves individual therapy, group skills training, phone coaching, and a therapist consultation team. The four main types of skills that are covered in DBT skills training are mindfulness, distress tolerance, emotion regulation, and interpersonal effectiveness.

Effectiveness[edit | edit source]

Numerous studies have shown the effectiveness of DBT in reducing suicidal behavior, non-suicidal self-injury, psychiatric hospitalization, treatment dropout, substance use, anger, and depression and improving social and global functioning.

See also[edit | edit source]

References[edit | edit source]


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Contributors: Prab R. Tumpati, MD