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Dialectical Behavioral Therapy (DBT)

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Dialectical Behavioral Therapy

Dialectical behavior therapy (DBT) is a structured program of psychotherapy with a strong educational component designed to provide skills for managing intense emotions and negotiating social relationships. Originally developed to curb the self-destructive impulses of chronic suicidal patients, it is also the treatment of choice for borderline personality disorder, emotion dysregulation, and a growing array of psychiatric conditions. It consists of group instruction and individual therapy sessions, both conducted weekly for six months to a year.

The “dialectic” in dialectical behavior therapy is an acknowledgment that real life is complex, and health is not a static thing but an ongoing process hammered out through a continuous Socratic dialogue with the self and others. It is continually aimed at balancing opposing forces and investigating the truth of powerful negative emotions.

DBT acknowledges the need for change in a context of acceptance of situations and recognizes the constant flux of feelings—many of them contradictory—without having to get caught up in them. Therapist-teachers help patients understand and accept that thought is an inherently messy process. DBT is itself an interplay of science and practice.

DBT is especially effective in treating the following concerning issues:

Stress & Anxiety
Depression
Addiction and substance use disorders
Self-harm
Eating disorders
Post-traumatic stress disorder (PTSD)
Borderline personality disorder (BPD)

Generalized Anxiety Disorder (GAD)

GAD affects 6.8 million adults, or 3.1% of the U.S. population, yet only 43.2% are receiving treatment.
Women are twice as likely to be affected as men.
GAD often co-occurs with major depression.

Panic Disorder(PD)

PD affects 6 million adults, or 2.7% of the U.S. population.
Women are twice as likely to be affected as men.

Social Anxiety Disorder (SAD)

SAD affects 15 million adults, or 6.8% of the U.S. population.
SAD is equally common among men and women and typically begins around age 13.
According to a 2007 ADAA survey, 36% of people with social anxiety disorder report experiencing symptoms for 10 or more years before seeking help.

Specific Phobias

Specific phobias affect 19 million adults, or 8.7% of the U.S. population.
Women are twice as likely to be affected as men.
Symptoms typically begin in childhood; the average age-of-onset is 7 years old.

Treatment For Anxiety

Psychotherapy or “talk therapy” can help people with anxiety disorders. To be effective, psychotherapy must be directed at the person’s specific anxieties and tailored to his or her needs.