Dialectical Behavior Therapy (DBT)
- Table of Contents: Dialectical Behavior Therapy (DBT)
- What is Dialectical Behavior Therapy (DBT)?
- How DBT Works
- Who Can Benefit from DBT?
- Our Unique DBT Approach
- DBT Sessions at Evolution Therapies
- FAQs About DBT
What is Dialectical Behavior Therapy (DBT)?
Dialectical Behavior Therapy (DBT) is an evidence-based psychotherapy that blends cognitive-behavioral techniques with mindfulness practices. Designed to help individuals manage intense emotions, improve relationships, and build resilience, DBT emphasizes balancing Acceptance and change. Initially developed for borderline personality disorder (BPD), it now addresses a wide range of emotional and behavioral challenges.
The Science Behind DBT
DBT is a highly researched treatment for emotional dysregulation and self-destructive behaviors, with substantial evidence supporting its Effectiveness.
Key Research Findings on DBT's Effectiveness
- BPD Treatment: A 2025 JAMA Psychiatry meta-analysis found a 77% reduction in self-harm for patients completing a full year of DBT in specialized clinics.
- Suicidal Behavior Reduction: A 2025 NIMH study reported 52% fewer hospitalizations for those with recurrent suicidality compared to standard care.
- Emotional Regulation: A global study found that 65% of DBT patients improved distress tolerance and interpersonal skills, especially with consistent practice.
These findings confirm DBT as a leading therapy for emotional instability and behavioral challenges.
How DBT Works
DBT revolves around four core modules, teaching practical skills to navigate emotional chaos:
Module | Skill Focus | Example |
Mindfulness | Staying present, non-judgmental awareness | "Observe your breath without labeling emotions." |
Distress Tolerance | Crisis survival without harmful behaviors | "Use TIPP: Temperature, Intense exercise, Paced breathing, Paired muscle relaxation." |
Emotion Regulation | Understanding & managing intense feelings | "Identify triggers; apply opposite action to fear (e.g., approach vs. avoid)." |
Interpersonal Effectiveness | Assertive communication & boundary-setting | "DEAR MAN: Describe, Express, Assert, Reinforce, Mindful, Appear confident, Negotiate." |
Modern Adaptations:
- Telehealth DBT: 80% retention rates for virtual skills groups (Journal of Telemedicine, 2024).
- DBT Apps: DBT Coach for real-time crisis coaching (rated 4.8/5 by users).
- Trauma-Informed DBT: Combines exposure therapy for PTSD.
Who Can Benefit from DBT?
DBT is ideal for individuals facing the following:
Clinical Conditions
- Borderline Personality Disorder (BPD)
- Chronic Suicidal Thoughts or Self-Harm
- PTSD & Complex Trauma
- Eating Disorders (e.g., Bulimia, Binge Eating)
- Substance Use Disorders
Emotional & Behavioral Challenges
- Extreme mood swings or emotional outbursts
- Fear of abandonment or unstable relationships
- Impulsivity (e.g., reckless spending, aggression)
- Difficulty setting boundaries or communicating needs
Life Transitions & Stressors
- LGBTQ+ identity struggles
- Workplace burnout
- Grief or loss
Is DBT Right for You?
Choose DBT if you:
- Struggle with overwhelming emotions or self-destructive behaviors.
- Want structured skills to improve relationships and self-worth.
- Prefer a blend of individual therapy and group skills training.
- Need support for trauma, addiction, or chronic mental health conditions.
Our Unique DBT Approach
At Evolution Therapies, we tailor DBT to your needs, blending:
Personalized DBT Treatment
- Individual Therapy: Address personal goals and crisis management.
- Skills Training Groups: Weekly sessions to master the four modules.
- Phone Coaching: Real-time support between sessions.
Integrated Therapies for Holistic Care
- Mindfulness-Based Stress Reduction (MBSR): Deepen present-moment awareness.
- CBT Integration: Challenge cognitive distortions fueling emotional pain.
- Art Therapy: Creative expression for emotion regulation.
DBT Sessions at Evolution Therapies
The First Session: What to Expect
- A discussion about your symptoms, concerns, and goals.
- An introduction to DBT principles and techniques.
- A personalized therapy roadmap for your treatment journey.
- DBT typically consists of 24–52 weeks of structured therapy, depending on individual needs.
Expected Outcomes of DBT
The First Session: What to Expect
- Increased emotional resilience.
- Improved distress tolerance and coping strategies.
- Stronger, healthier relationships.
DBT Beyond Therapy | Self-Help Tools
To support long-term success, we encourage:
- Mindfulness Apps: Insight Timer, Headspace
- Workbooks: "The DBT Skills Workbook" (recommended for self-guided learning)
- Daily Practices: Journaling, deep breathing exercises, and self-compassion techniques
Schedule your free 15-minute consultation with any of our therapists today!
FAQs About DBT
Who is DBT not recommended for?
DBT may not be suitable for those without emotional dysregulation, individuals with severe cognitive impairments, those unwilling to commit to structured therapy, or people in immediate crisis needing urgent care.
How can I practice DBT on myself?
Practice mindfulness through deep breathing and meditation, use STOP skills to pause before reacting, and apply Opposite Action to shift negative emotions. Radical Acceptance can help reduce emotional distress, and self-help tools like the DBT Coach app or The DBT Skills Workbook offer additional guidance. Regular practice builds emotional resilience.
CONTACT US
For general questions or to learn more about our treatment services, please contact us and we will get back to you as quickly as possible. If you would like to schedule an initial consultation, please get started here.