Dialectical Behavior Therapy
Dialectical Behavior Therapy is an evidence based cognitive behavioral treatment developed by Marsha Linehan to initially treat women diagnosed with borderline personality disorder. Research conducted in the early 1990's compared DBT versus treatment as usual (TAU) with a group of women diagnosed with borderline personality disorder. This initial DBT trial demonstrated that the women treated with DBT showed marked decrease in angry outbursts, parasuicidal and suicidal gestures, and decreased inpatient hospitalizations. Since its inception DBT has been used effectively with teens, males, and individuals with substance abuse and eating disorders.
The goals of DBT are to acquire, internalize, and generalize skills to several different environments. The four core skills are mindfulness, emotion regulation, distress tolerance and interpersonal effectiveness. Walking the middle path and dialectics are also taught in individual and group sessions. The skills of self compassion have also been added to treatment.