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What is Dialectical Behaviour Therapy (DBT)?

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Dialectical Behaviour Therapy (DBT) was developed by Marsha Linehan and combines CBT techniques with acceptance and mindfulness. The method focuses on strengthening emotion regulation, distress tolerance, interpersonal skills, and mindful awareness. DBT was originally developed for borderline personality disorder and chronic self-harm but is now also used for eating disorders, substance abuse, and severe emotional instability.

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What does 'dialectical' mean in DBT?

Dialectics is about holding opposites. In DBT, you balance acceptance of how things are with the desire for change. You learn to hold two seemingly contradictory truths at the same time.

How is a DBT programme structured?

A full DBT programme typically consists of individual therapy, group skills training, phone coaching between sessions, and a consultation team for the therapist. The programme typically lasts one year.

What skills do you learn in DBT?

DBT trains four core skills: mindfulness (present-moment awareness), distress tolerance (crisis management), emotion regulation (understanding and managing emotions), and interpersonal effectiveness (communication and boundaries).

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