Dialectical Behavior Therapy (DBT)

Dialectical Behavior Therapy (DBT) is a behavioral oriented therapy developed by Marsha M. Linehan, a psychology researcher at the University of Washington that involves skills training.

This comprehensive model includes combines standard cognitive-behavioral techniques for emotion regulation and reality-testing with concepts skills from each of the four modules: Mindfulness, Distress Tolerance, Emotion Regulation, and Interpersonal Effectiveness.

The focus of the Dialectical Behavior Therapy group is on:

  • increasing interpersonal effectiveness
  • decreasing crisis inpatient admissions,
  • teaching skills for managing distress and impulsiveness.

The Four Modules

  • Mindfulness – the capacity to pay attention, nonjudgmentally, to the present moment,
  • Distress Tolerance – the ability to accept, in a non-evaluative and nonjudgmental fashion, both oneself and the current situation,
  • Interpersonal Effectiveness – the effective strategies for asking for what one needs, saying no, and coping with interpersonal conflict,
  • Emotional Regulation – the effective strategies for learning to regulate ones emotions:
    • Identifying and labeling emotions
    • Identifying obstacles to changing emotions
    • Reducing vulnerability to emotion mind
    • Increasing positive emotional events
    • Increasing mindfulness to current emotions
    • Taking opposite action
    • Applying distress tolerance techniques

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