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Dialectical Behavior Therapy

Dialectical Behavior Therapy (DBT) is a modification of Cognitive Behavioral Therapy (CBT) and mindfulness practices developed by, Marsha Linehan, Ph. D. DBT is an “empirically-supported treatment,” meaning DBT has been researched and proven effective in clinical trials.

In DBT the balance between acceptance (mindfulness) and change (CBT) strategies in therapy formed the fundamental “dialectic” that resulted in the treatments name. 'Dialectic’ means ‘weighing and integrating contradictory facts or ideas with a view to resolving apparent contradictions.’ In DBT, therapist and clients work hard to balance change with acceptance, two seemingly contradictory forces or strategies. In DBT, there are treatment strategies that are specifically dialectical: these strategies help both the therapist and the client get “unstuck” from extreme positions or from emphasizing too much change or too much acceptance. These strategies keep the therapy in balance, moving back and forth between acceptance and change in a way that helps the client reach his or her ultimate goals.

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