Dialectical Behaviour Therapy (DBT)

What is DBT?

DBT combines standard cognitive-behavioural techniques for emotion regulation and reality-testing with concepts of mindfulness, distress tolerance, and acceptance. The goal of DBT is to help individuals build a life worth living by balancing acceptance and change.

Key Components of DBT:

• Mindfulness: Developing awareness and acceptance of the present moment.
• Distress Tolerance: Building skills to tolerate and survive crises.
• Emotion Regulation: Learning to manage and change intense emotions that are causing problems.
• Interpersonal Effectiveness: Building skills to improve relationships and communicate more effectively.

How Does DBT Work?

DBT involves a combination of individual therapy, group skills training, phone coaching, and therapist consultation teams. The therapy is structured and involves homework assignments and practice exercises to reinforce the skills learned.

1. Individual Therapy: One-on-one sessions with a therapist to address specific issues and apply DBT skills to everyday life.
2. Group Skills Training: Weekly group sessions to learn and practice DBT skills in a supportive environment.
3. Phone Coaching: Access to the therapist between sessions for support and guidance in applying DBT skills.
4. Therapist Consultation Team: Regular meetings for DBT therapists to support each other and ensure adherence to the DBT model.

What to Expect During DBT Sessions

DBT sessions typically last between 60 and 90 minutes. During these sessions, clients engage in a variety of exercises and discussions aimed at developing and practising DBT skills. The therapist provides support, guidance, and feedback to help the client achieve their therapeutic goals.

Steps in a DBT Session:

1. Check-In: The session begins with a check-in to discuss the client’s current state and any new issues that have arisen.
2. Review of Diary Cards: The therapist reviews the client’s diary card, which tracks emotions, behaviours, and use of DBT skills.
3. Skill Application: The therapist and client discuss how DBT skills were applied to recent situations.
4. Behavioural Analysis: The therapist helps the client analyse problem behaviours and develop strategies to address them.
5. Skill Building: The client learns new DBT skills to manage emotions, tolerate distress, and improve relationships.
6. Homework: The client is given homework assignments to practise the skills learned in therapy and to apply them in their daily life.
7. Closure: The session ends with a summary of what was covered and a plan for the next session.

The Potential Benefits of DBT

DBT may offer numerous benefits for individuals seeking to manage intense emotions and improve their relationships:

• Reduced Emotional Distress: DBT helps individuals manage and reduce intense emotions.
• Improved Relationships: Clients learn skills to communicate more effectively and build healthier relationships.
• Greater Resilience: DBT builds skills to tolerate distress and survive crises.
• Increased Self-Awareness: Clients develop greater awareness of their thoughts, feelings, and behaviours.
• Enhanced Quality of Life: By balancing acceptance and change, DBT helps individuals build a life worth living.

DBT: A Safe and Potentially Effective Approach

DBT is considered a safe and effective approach for treating a variety of mental health conditions, including borderline personality disorder, depression, anxiety, PTSD, and eating disorders. It is important to work with a certified DBT therapist who has undergone specialised training to ensure the best possible outcomes.

Finding a DBT Trained Therapist

Dialectical Behaviour Therapy (DBT) offers a structured and evidence-based approach to managing intense emotions and improving relationships. By recognising and addressing emotional challenges, individuals may achieve greater emotional well-being and personal growth. If you are considering DBT, know that you are taking a proactive step towards improving your mental health. A qualified DBT therapist can guide you through this process with expertise and compassion.

Remember, healing and growth are journeys, and seeking help is a sign of strength. DBT might be the key to unlocking a healthier and more fulfilling life.

If you have any questions or would like to learn more about DBT, we have a number of DBT trained therapists who can help – give us a call on 1300 830 552 or send an email enquiry to be matched with a therapist near you.