
What is Dialectical Behavioural Therapy?
Dialectical Behaviour Therapy (DBT) is a type of cognitive-behavioural therapy (CBT) developed by Dr. Marsha Linehan. DBT has proven effective for a wide range of mental health issues. It combines cognitive-behavioural techniques with mindfulness strategies, emphasising the importance of balancing acceptance and change. The core philosophy of DBT is rooted in the concept of “dialectics,” which refers to the synthesis of opposites — such as accepting yourself while also working to change behaviours and thoughts. It can address difficulties such as emotion regulation, relationship difficulties and a wide range of mental health difficulties.
Key Elements of DBT
DBT is unique because it incorporates both individual therapy and skills training. It focuses on four key areas:
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Mindfulness: Mindfulness is the cornerstone of DBT, helping individuals stay present and aware of their thoughts, feelings, and actions without judgment. It teaches skills for staying grounded in the moment, which can help reduce impulsivity and emotional reactivity.​
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Distress Tolerance: This skill teaches individuals how to tolerate and manage distressing emotions without resorting to unhealthy coping mechanisms like self-harm or substance abuse. Distress tolerance skills include techniques for accepting difficult situations and learning to handle them in a healthy way.
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Emotional Regulation: DBT helps individuals understand and manage their emotions more effectively. This involves identifying emotions, understanding their sources, and learning to regulate them, rather than being overwhelmed by intense feelings.
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Interpersonal Effectiveness: These skills focus on improving communication and relationship-building. DBT teaches individuals how to express their needs and desires assertively while respecting others, setting healthy boundaries, and managing conflicts.

Is DBT right for me?
Research shows that DBT can help to address a wide range of difficulties including:
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Anxiety and Depression
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Post-Traumatic Stress Disorder (PTSD)
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Self-harm behaviors
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Substance use disorders
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Eating disorders
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Bipolar disorder
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Mood regulation difficulties
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Relationship struggles
If you find it difficult to manage intense emotions, maintain healthy relationships, or cope with stress, DBT may be a highly effective treatment for you. If you would like to know more about DBT, please get in touch for a free consultation.