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Dialectical Behavioral Therapy (DBT)

What Is Dialectical Behavioral Therapy?

Dialectical behavior therapy (DBT) is a modified type of Cognitive Behavioral Therapy (CBT). Its main goals are to teach people how to live in the moment, develop healthy ways to cope with stress, regulate their emotions, and improve their relationships with others.

DBT was originally intended to treat Borderline Personality Disorder (BPD) but it has been adapted to treat other mental health conditions. It can help people who have difficulty with emotional regulation or are exhibiting self-destructive behaviors such as eating disorders and substance abuse.It is also used to treat post-traumatic stress disorder (PTSD).

Some of the strategies and techniques that are used in DBT include the following:

Core Mindfulness: Mindfulness helps you focus on the present or “live in the moment.” This helps you pay attention to what is happening inside you (your thoughts, feelings, sensations, and impulses) as well as using your senses to tune in to what’s happening around you (what you see, hear, smell, and touch) in nonjudgmental ways. Mindfulness skills help you slow down and focus on using healthy coping skills when you are in the midst of emotional pain. The strategy can also help you stay calm and avoid engaging in automatic negative thought patterns and impulsive behavior.

Distress Tolerance: These types of skills help you accept yourself and your current situation. DBT teaches several techniques for handling and preparing for intense emotions and empower you to cope with them with a more positive long-term outlook. These skills include:

  • Distraction
  • Improving the moment
  • Self-soothing
  • Thinking of the pros and cons of not tolerating distress

Interpersonal Effectiveness: These tools help you to become more assertive in a relationship (for example, expressing your needs and be able to say “no”) while still keeping a relationship positive and healthy. You will learn to listen and communicate more effectively, deal with challenging people, and respect yourself and others.

Emotion Regulation: These tools help you to navigate powerful feelings in a more effective way. The skills you learn will help you to identify, name, and change your emotions. When you are able to recognize and cope with intense negative emotions, it reduces your emotional vulnerability and helps you have more positive emotional experiences. Our DBT therapy services in Washington, DC, help patients learn how to develop healthy ways to cope with stress. For DBT Treatment, get in touch.

Therapy can be thought of as a conversation between people.