Dialectical behavioural therapy DBT

Dialectical behavioural therapy (DBT) is a treatment for various mental health issues and provides four key components in its approach.

• Mindfulness: learning to be present and non-judgemental with experience.
• Distress Tolerance: develop skills to handle emotional situations better.
• Emotion Regulation: Effective management and understanding of feelings. 
• Interpersonal Effectiveness: improving relationships through clear communication.

Other key points covered in this article:

• DBT involves the acceptance of seemingly contradictory truths.
• Studies have demonstrated that DBT is successful in lessening symptoms for individuals with diverse mental health issues.
• DBT is commonly provided through both one-on-one and group therapy sessions, with the option of phone coaching.

What is Dialectical Behaviour Therapy?

Dialectical behaviour therapy (DBT) is a form of cognitive-behavioural treatment initially created to aid those with borderline personality disorder, but it has since been applied to various mental health issues. DBT blends traditional cognitive-behavioural methods with elements of mindfulness and dialectics, which involves the acceptance of seemingly contradictory truths.The therapy aims to enhance skills in four key areas: mindfulness, distress tolerance, emotion regulation, and interpersonal effectiveness. An essential aspect of DBT is its emphasis on acknowledging and embracing an individual's experiences and emotions while promoting growth and change. This approach helps individuals improve their emotional awareness and management, enhance relationships, and handle difficult situations more effectively.DBT is commonly provided through both one-on-one and group therapy sessions, with the option of phone coaching for extra assistance. Studies have demonstrated that DBT is successful in lessening symptoms and enhancing overall well-being for individuals with diverse mental health issues.

What Does Dialectical Behaviour Therapy Treat?

Dialectical Behavior Therapy (DBT) assists individuals with controlling their emotions, handling impulsive behaviour, and maintaining healthy relationships. It can be especially beneficial for those who engage in self-destructive actions, have a past of trauma, or battle with persistent feelings of emptiness or isolation.Aside from Borderline Personality Disorder (BPD), DBT is successful in addressing conditions like depression, anxiety disorders, eating disorders, substance abuse, and post-traumatic stress disorder (PTSD). It can also aid individuals who struggle with managing anger, regulating impulses, or dealing with stress.DBT is a flexible therapy designed to cater to each individual's unique needs. By teaching mindfulness, emotion regulation, distress tolerance, and interpersonal skills, DBT assists individuals in constructing a fulfilling life and developing healthier strategies for managing their emotions and relationships.

What are dialectical behaviour therapy sessions like?

DBT sessions can differ among providers and regions. However, typical components of a DBT course include the following types of sessions:

DBT Pre-treatment

Before starting Dialectical Behavior Therapy (DBT), a thorough evaluation of the individual's mental health and emotional state is conducted. This evaluation includes gathering information on the person's background, current issues, strengths, weaknesses, and past treatment experiences. The individual may also be required to fill out questionnaires or other tools to assist the therapist in understanding their unique needs and objectives.Along with the assessment, DBT pre-treatment may involve establishing treatment objectives and creating a plan. This plan will detail the specific DBT techniques to be utilised and the frequency and duration of therapy sessions.

Individual DBT therapy

In one-on-one sessions of Individual Dialectical Behavior Therapy (DBT), a trained therapist works with a client to teach and practice specific skills to manage emotions and enhance overall well-being.The therapist and client collaborate throughout these sessions to identify and tackle the client's goals and obstacles. The therapist utilises techniques like validation, problem-solving, and behaviour analysis to help the client better understand their thoughts, emotions, and actions.Furthermore, the therapist instructs the client in various DBT skills, including mindfulness, distress tolerance, emotion regulation, and interpersonal effectiveness. This personalised approach empowers clients to manage their emotions effectively and improve their quality of life. These skills can help the client deal with difficult emotions, improve their relationships, and make healthier choices in their daily lives.

Group Therapy with DBT

Group Dialectical Behavior Therapy (DBT) is a structured form of treatment in which a trained therapist leads a group of individuals facing similar mental health issues. These groups usually consist of 6-10 people who regularly meet for 1-2 hours.During group DBT therapy, participants are encouraged to practice various skills to manage emotions, enhance relationships, and deal with challenging situations. These skills typically include mindfulness, distress tolerance, emotion regulation, and effective communication. The therapist facilitates daily exercises and discussions to help participants grasp and implement these skills.DBT group therapy can also provide a supportive and validating space to share stories, get feedback, and gain insights from others. It promotes openness and honesty while also respecting boundaries and confidentiality. Group DBT therapy fosters a collaborative and empowering atmosphere for mental health treatment, allowing participants to learn from each other and create a strong support system. It is a valuable resource for individuals with difficulty regulating emotions, impulsivity, and interpersonal issues.

DBT in Rehab

Treatment for addiction with DBT is focused on getting to the heart of your addiction and also addressing this cause. This can take many months and sessions if you do them weekly as an outpatient.In rehab, however, therapy is done at least daily in groups and individually. This means more progress and quicker improvement in your emotions and well-being.DBT is the most common type of therapy used in rehab as part of cognitive behaviour therapy. The two together are recognised as the strongest positive way to approach overcoming addiction in a residential setting.

DBT Coaching Over the Phone

Telephone coaching therapy in DBT involves regular phone sessions with a skilled therapist in dialectical behaviour therapy. Throughout these sessions, the therapist offers assistance, advice, and training on skills to help the individual effectively manage their emotions and actions. The therapist may aid the individual in applying DBT skills to real-life scenarios, provide feedback on their progress, and suggest strategies for handling difficult situations.Typically, telephone coaching sessions last around 10-15 minutes and are set at consistent intervals, such as once a week or as required. The therapist may offer phone support beyond scheduled sessions during crisis or distress.DBT telephone coaching therapy is commonly utilised alongside other DBT treatments like individual therapy and skills training groups. It is a helpful resource for those unable to attend in-person sessions or need extra assistance between appointments. DBT telephone coaching therapy offers a flexible and convenient option for individuals seeking continuous support and direction in applying DBT skills to enhance their emotional health and relationships.

Where Can I Get Dialectical Behaviour Therapy?

DBT is available in outpatient mental health clinics, hospitals, private practices, and community mental health centres. Numerous therapists and mental health experts are skilled in DBT and provide this therapy to people looking for help with various mental health problems like borderline personality disorder, depression, anxiety, and substance abuse.Aside from the traditional therapy settings, DBT programs can also be found in group therapy sessions or intensive outpatient programs. These programs typically include a mix of one-on-one therapy sessions, group therapy, skills training, and phone coaching to assist individuals in developing skills to manage emotions, enhance relationships, and deal with stress.If you are considering DBT, searching for providers in your area who specialise in this form of therapy is crucial. You can also consult your primary care doctor, mental health professional, or insurance provider for recommendations on where to access DBT services. It is essential to find a therapist who is well-versed in DBT and with whom you feel at ease working to ensure the most favourable results from therapy.