What is Dialectical Behavior Therapy (DBT): A Guide

What is DBT?

Dialectical Behavior Therapy (DBT) is a type of psychotherapy that combines cognitive-behavioral therapy (CBT) with mindfulness techniques. It was developed by Marsha Linehan, a renowned psychologist, to treat individuals with borderline personality disorder. However, DBT has proven to be effective for a wide range of mental health conditions, including depression, anxiety, substance abuse, and eating disorders.   

How does DBT work?

DBT is based on the idea that people are often caught between conflicting emotions and behaviors. DBT helps individuals to:

  • Accept their emotions: By understanding and accepting their feelings, individuals can learn to manage them more effectively.

  • Learn new skills: DBT teaches individuals a variety of skills, including mindfulness, distress tolerance, emotion regulation, and interpersonal effectiveness.

  • Change unhelpful behaviors: DBT helps individuals to identify and change negative patterns of behavior.

What are the benefits of DBT?

DBT has many benefits, including:

  • Improved emotional regulation: DBT can help individuals to better manage their emotions and reduce impulsive behavior.

  • Enhanced relationships: DBT can help individuals to improve their relationships with others by teaching them how to communicate more effectively.

  • Increased self-worth: DBT can help individuals to develop a stronger sense of self-worth and confidence.

  • Reduced suicidal thoughts and behaviors: DBT has been shown to be effective in reducing suicidal thoughts and behaviors.

Is DBT right for me?

If you are struggling with emotional regulation, interpersonal relationships, or self-worth, DBT may be a good option for you. DBT is also effective for individuals who are experiencing suicidal thoughts or behaviours.

Using DBT Skills for Anxiety

Dialectical Behavior Therapy (DBT) offers a powerful toolkit for managing anxiety. By incorporating mindfulness, distress tolerance, emotion regulation, and interpersonal effectiveness skills, individuals can develop healthier coping mechanisms and reduce anxiety symptoms.   

Mindfulness for Anxiety

  • Grounding Techniques: Engage your senses to bring yourself back to the present moment. Notice sounds, smells, tastes, and sensations in your body.

  • Observing Thoughts: Notice your anxious thoughts without judgment. Recognize that they are just thoughts and not reality.

  • Mindful Breathing: Focus on your breath, inhaling and exhaling slowly and deeply.

  • Body Scan: Pay attention to different parts of your body, noticing any sensations or tension.

Distress Tolerance for Anxiety

  • ACCEPTS: Accept the situation, change the situation, or cope with the situation.

  • Distraction Techniques: Engage in activities that divert your attention from anxious thoughts.

  • Self-Soothing: Practice self-care activities like taking a warm bath, listening to music, or spending time in nature.

Emotion Regulation for Anxiety

  • Identifying Emotions: Recognize the emotions you're experiencing and label them accurately.

  • Reducing Vulnerability: Address underlying factors that contribute to anxiety, such as sleep deprivation or unhealthy eating habits.

  • Changing Unhelpful Thoughts: Challenge negative thought patterns and replace them with more balanced perspectives.

Interpersonal Effectiveness for Anxiety

  • Assertive Communication: Express your needs and boundaries clearly and respectfully.

  • Refusing Unreasonable Requests: Learn to say "no" without feeling guilty or anxious.

  • Building Healthy Relationships: Foster supportive relationships with people who validate and encourage you.

Our skilled therapists in Ontario and Nova Scotia are here to support you on your journey. With their expertise in DBT, you can:

  • Develop healthier coping mechanisms for anxiety, depression, and other mental health challenges.

  • Improve your relationships with others.

  • Increase your self-worth and confidence.

  • Learn effective strategies for managing your emotions and behaviors.

Book an appointment today or connect with our caring team if you have any questions.

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