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Dialectical behavioural therapy (DBT) is a highly effective treatment that combines cognitive behavioural therapy (CBT) principles with Eastern philosophical practises. At its core, DBT balances acceptance and change by helping individuals regulate emotions, manage distress, and build fulfilling relationships. This approach is particularly beneficial for those experiencing intense emotions, difficulties with emotion regulation, or distressing behaviours like self-harm.
Dialectical behavioural therapy has been extensively researched and is recognised as an evidence-based treatment for various mental health conditions, including depression, anxiety, eating disorders, and substance use. Studies show that DBT significantly reduces behaviours such as self-harm and emotional instability by teaching practical skills like mindfulness and emotion regulation. These skills, combined with a strong therapeutic alliance, foster resilience and long-term emotional well-being.
DBT is a specialised form of cognitive-behavioural therapy created by psychologist Marsha Linehan. Originally developed for borderline personality disorder (BPD), DBT is now widely used to treat other challenges, including anxiety, depression, and substance use disorders. By blending acceptance and change, DBT empowers clients to understand their emotions while working towards meaningful life improvements.
Dialectical behavioural therapy focuses on four core components to help individuals navigate emotional and relational challenges effectively. Mindfulness teaches clients to stay present and aware in the moment, while distress tolerance provides tools for managing crises without resorting to harmful behaviours. Emotion regulation equips individuals with strategies to understand and control intense emotions, and interpersonal effectiveness focuses on building and maintaining healthy relationships. Together, these skills form the foundation for emotional resilience and meaningful change.
The duration of dialectical behavioural therapy varies depending on individual needs. A standard DBT program typically lasts between six months and a year. Weekly individual therapy sessions focus on applying DBT skills to personal challenges, while group sessions reinforce core skills. Working closely with a therapist helps tailor the therapy to your specific goals, ensuring optimal results.
Dialectical Behaviour Therapy (DBT) follows a structured approach with distinct stages and steps designed to guide clients through their healing journey.
STABILISATION
Therapists assess individual needs and collaborate with clients to set specific goals for therapy. The focus is on building essential DBT skills in mindfulness, distress tolerance, emotion regulation, and interpersonal effectiveness while reducing self-destructive behaviours to establish safety and stability.
EMOTIONAL EXPERIENCING
Clients learn to recognise and accept their emotions without judgement. This is crucial for processing past traumas, as clients explore how their history influences their current feelings and behaviours. By addressing unresolved trauma, individuals can start to understand themselves better and work towards emotional healing.
IMPROVING QUALITY OF LIFE
Clients focus on enhancing their overall happiness and fulfilment. They set personal goals related to work, relationships, and personal well-being, practising new skills in everyday situations to create a life worth living. This phase is all about empowerment, helping clients develop a positive outlook and foster meaningful connections.
INCOMPLETE RECOVERY