Dialectical Behavior Therapy

(DBT)

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Dialectical Behavior Therapy (DBT) is a form of behavioral talk therapy that involves identifying and changing negative thought patterns and behaviors. This is achieved through the implementation of 4 core skills, which include: Mindfulness, emotion regulation, distress tolerance and interpersonal effectiveness. By synthesizing the process of acceptance and change, individuals can dynamically work together with their therapist to manage panful emotions and heal damaged relationships. The introspective and mindful aspect of DBT has been profoundly helpful in my own past maladaptive behaviors, which makes me determined and excited to integrate DBT into the theoretical orientation of my future social work practice.

DBT can be used in therapy to address patterns of thinking and behavior that are hindering an individual’s ability to progress in their life. Traditionally, DBT has been applied to individuals with self-destructive behaviors, such as suicidal tendencies and borderline personality disorder. It can also be used for a number of other mental health issues, including perinatal mood disorders and eating disorders.

The Nurtured Collective seeks to utilize the knowledge gained from a social work academic perspective and harmonize it with the therapeutic alliance of DBT. This will include a series of blogs that delve deeper into the 4 core skills of DBT, all of which provide supportive tools with evidence-based techniques for managing negative thought and behavior patterns. As you navigate through the site, my hope is that you will not only gain coping skills and holistic regulatory techniques, but also see that you are supported and understood.

 

Dialectical Behavior Therapy:

4 Core Skills

Mindfulness

Binding together the reasonable mind with the emotional mind to shape the wise mind is a foundational tool in DBT. This is a way we can use mindfulness to balance out patterns of behavior that no longer serve us. Some of the mindfulness skills implemented through DBT include mental body scans, describing one’s emotions, mindful breathing and thought diffusion.

Emotion Regulation

With the main tenant of DBT being recognition, acceptance and change, it is the management of emotions that requires the most practice. By changing unproductive emotions and creating positive ones, neuroplasticity can take place and new habitual emotional patterns can take center stage. Some emotional regulation tools in DBT include emotion exposure, self-validation, and emotional and physical vulnerability.

 

Distress Tolerance

The idea of distress tolerance is directly correlated to one’s level of resiliency, coping mechanisms, and the ability to calmly and rationally deal with stressful situations. DBT gives concrete tactics to manage overwhelming and distressing situations through techniques such as TIPP and RESISTT, which are explained in detail within the blogs of The Nurtured Collective. Various grounding, self-soothing and value-oriented skills all make up how one utilizes distress tolerance techniques.

Interpersonal Effectiveness

Managing relationships and establishing clear boundaries can be difficult, which is where DBT can help by building self-esteem and empowering individuals to speak up and manage conflict effectively. DBT aids in the creation of vital skills of assertiveness, recognizing different communication styles and the development of trusting relationships to break down barriers.

Resources

Dialectical Behavior Therapy: DBT. www.dialecticalbehaviortherapy.com