Sean Harris, Clinical Psychologist

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What is DBT? A Friendly Guide to Dialectical Behavior Therapy

So, What Exactly Is DBT?

DBT is all about balancing two things: accepting yourself as you are and working on making positive changes in your life. It helps you learn skills to handle tough emotions, manage stress, and improve relationships. Originally created for people with Borderline Personality Disorder (BPD), DBT has since expanded and is now used to help people with many different conditions, like anxiety, depression, and more (Linehan, 2014).

The Four Main Skills of DBT

DBT is made up of four key skills that help you better understand and manage your emotions and behaviors. Let’s break them down in simple terms:

  • Mindfulness: This is all about staying present and aware of the moment you're in. Instead of worrying about the past or future, you learn to focus on what's happening right now. It helps you be more in control of your thoughts and reactions. Think of it as the “pause button” for your mind (Behavioral Tech, n.d.).

  • Distress Tolerance: When life throws a curveball and emotions run high, this skill helps you cope without making things worse. It’s about staying calm during a crisis—kind of like having a mental toolkit filled with distraction, self-soothing, and acceptance techniques to get through the rough spots (Linehan, 2014).

  • Emotion Regulation: If your emotions sometimes feel like a rollercoaster, this skill is your guide to understanding and managing them. DBT teaches you how to recognize your emotions, understand why you’re feeling them, and keep them from taking over (Linehan, 2014).

  • Interpersonal Effectiveness: Relationships can be tricky, right? This skill helps you communicate better and handle conflicts in a healthy way. You’ll learn how to ask for what you need, set boundaries, and strengthen connections with the people around you—all while maintaining your self-respect (Behavioral Tech, n.d.).

Who Can Benefit from DBT?

You don’t have to be in crisis to benefit from DBT. It’s great for anyone who feels overwhelmed by their emotions or has a hard time dealing with conflict and stress. Some issues DBT can help with include (but are not limited to):

  • Anxiety

  • Depression

  • Self-harm

  • Relationship Issues

  • Emotion Dysregulation

  • Problematic Behaviors

  • Stress Management

  • ADHD

  • Trauma

  • Social Anxiety

  • Low Self-Esteem

Basically, if emotions or relationships feel like they're running the show in your life, DBT can help you take back control.

Why DBT is Awesome

The best thing about DBT is that it doesn’t just tell you to “think positive” or “relax”—it gives you concrete tools and skills to handle real-life challenges. And it’s all about balance: accepting where you are right now while working toward where you want to be (Linehan, 2014). Whether you're dealing with big emotional ups and downs or just looking for better ways to handle stress, DBT can help you feel more in control and improve your relationships.

Ready for Positive Change?

DBT isn’t just about managing emotions; it’s about learning how to live a happier, healthier life. With mindfulness, emotion regulation, distress tolerance, and interpersonal effectiveness skills in your toolbox, you’ll feel better equipped to handle whatever life throws at you.

So, whether you're navigating anxiety, tricky relationships, or just wanting to feel more balanced, DBT offers practical, easy-to-use skills that can make a real difference.

References

  • Behavioral Tech. (n.d.). Dialectical behavior therapy. Retrieved October 1, 2024, from https://www.behavioraltech.com/resources/what-is-dbt/

  • Linehan, M. M. (2014). DBT skills training manual (2nd ed.). Guilford Press.