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Dialectical Behavior Therapy: What Is It and How Does It Work?

July 12, 2024
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Posted By: Dr. Deborah Bloom
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Seeking therapy is a courageous step toward personal growth and emotional well-being. Therapy isn't just about addressing problems; it's about building resilience, enhancing self-understanding, and fostering a deeper connection with yourself and others. 

Whether you're dealing with stress, anxiety, depression, relationship issues, or simply looking to understand yourself better, therapy can provide the tools and insights needed to navigate life's ups and downs. We aim to empower you with coping strategies and self-awareness that lead to a more balanced and fulfilling life!

What Is Dialectical Behavior Therapy?

Dialectical Behavior Therapy (DBT) is a cognitive-behavioral therapy developed by Dr. Marsha Linehan in the late 1980s. Originally designed to treat borderline personality disorder (BPD), DBT has since been adapted to address a range of mental health conditions, including depression, anxiety, substance use disorders, and post-traumatic stress (PTS). DBT therapy focuses on the balance between acceptance and change, incorporating both validation of a person's feelings and the necessity for behavioral change.

Core Principles of DBT Therapy

The core principles of DBT therapy revolve around mindfulness, distress tolerance, emotion regulation, and interpersonal effectiveness. These principles help individuals manage their emotions, develop healthier relationships, and cope with stress more effectively. By integrating these skills, DBT provides a comprehensive approach to mental health treatment that promotes long-term recovery and emotional well-being.

Components of DBT Therapy

  • Individual Therapy — In individual therapy sessions, clients work one-on-one with a DBT therapist to identify and address specific emotional and behavioral issues. These sessions provide a safe space for clients to explore their thoughts and feelings, set goals, and develop personalized strategies for managing their mental health.
  • Skills Training Group — Skills training groups are a crucial component of DBT therapy. In these groups, clients learn and practice the four core skills: mindfulness, distress tolerance, emotion regulation, and interpersonal effectiveness. These group sessions are typically conducted weekly and provide a supportive environment for clients to build and refine their coping skills.
  • Phone Coaching — Phone coaching offers clients real-time support from their therapist outside of scheduled sessions. This component of DBT therapy allows clients to reach out for help when they are experiencing a crisis or need immediate guidance on using their skills effectively.
  • Therapist Consultation Team — The therapist consultation team is a support system for DBT therapists. This team meets regularly to discuss cases, provide feedback, and ensure that therapists deliver the highest quality of care. The consultation team helps therapists stay motivated, competent, and adherent to DBT principles.

DBT vs. Other Therapies

DBT vs. Cognitive Behavioral Therapy (CBT)

While both DBT and CBT focus on changing negative thought patterns and behaviors, DBT places a greater emphasis on the acceptance of one's experiences and emotions. DBT therapy incorporates mindfulness and distress tolerance skills, which are not typically included in traditional CBT. This makes DBT particularly effective for individuals who struggle with intense emotional responses and self-destructive behaviors.

DBT vs. Other Behavioral Therapies

DBT therapy is unique in its structured approach and comprehensive treatment components compared to other behavioral therapies. The inclusion of individual therapy, skills training groups, phone coaching, and therapist consultation sets DBT apart from different therapeutic models, providing a robust framework for addressing complex mental health issues.

The Role of the Therapist in DBT

Guiding and Supporting Clients

DBT therapists are pivotal in guiding and supporting clients throughout the therapeutic process. They help clients identify problematic behaviors, set achievable goals, and develop effective coping strategies. The therapist's role is to validate the client's experiences while encouraging change and growth.

Providing Skills Training

DBT therapists are responsible for teaching and reinforcing the core skills of mindfulness, distress tolerance, emotion regulation, and interpersonal effectiveness. They use various techniques and exercises to help clients practice these skills both in and out of therapy sessions.

Crisis Management

Therapists provide immediate support through phone coaching to help clients navigate crises and prevent self-destructive behaviors. This real-time intervention is vital for clients who struggle with impulsive actions and emotional dysregulation.

man and woman smilingChallenges and Misconceptions About DBT

Common Challenges Faced During DBT Therapy

  • Commitment — DBT's comprehensive nature means clients must consistently attend individual therapy, participate in skills training groups, and engage in phone coaching. This level of involvement can be demanding, particularly for those with busy schedules or limited resources.
  • Intensity — DBT requires clients to confront and address deep-seated emotional issues, which can be distressing and overwhelming. However, with the support of a skilled therapist, clients can navigate these challenges and achieve meaningful progress.

Misconceptions About DBT Therapy 

Several misconceptions about DBT therapy can deter individuals from seeking treatment. One misconception is that DBT is only for individuals with borderline personality disorder (BPD). 

While DBT was initially developed for BPD, it has proven effective for a wide range of mental health conditions. Another misconception is that DBT is a quick fix for emotional issues. DBT therapy is a long-term commitment that requires ongoing effort and dedication. 

Call Us for Dialectical Behavior Therapy in Kent and Tacoma

For those seeking counseling in Tacoma and Kent, DBT therapy at Thrive Counseling Center can be a transformative step toward a healthier, more fulfilling life. 

Call us at  (206) 567-7267 for more info!

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