Dialectical Behavior Therapy

Dialectical behavior therapy (DBT) is an evidence-based form of talk therapy originally developed to treat borderline personality disorder, but it is now widely used to address a range of mental health and substance use concerns. DBT combines principles of cognitive behavioral therapy with mindfulness practices, teaching clients how to regulate emotions, cope with distress, and improve relationships.

DBT is especially helpful for people who struggle with intense emotions, self-destructive behaviors, or difficulties managing stress. In addiction treatment, it provides practical skills to manage cravings, avoid relapse, and respond to triggers in healthier ways. For those with co-occurring mental health disorders, DBT addresses the underlying emotional struggles that often fuel substance use.

DBT is structured around four key skill areas that help clients build balance and stability in daily life:

• Mindfulness: Learning to be present in the moment and observe thoughts without judgment
• Distress tolerance: Developing healthier ways to handle crisis situations and emotional pain
• Emotion regulation: Identifying, understanding, and managing intense emotions
• Interpersonal effectiveness: Strengthening communication and relationship skills to set boundaries and improve connections

DBT is typically delivered through a combination of individual therapy, group skills training, and between-session coaching. This structure ensures that clients not only learn new skills but also practice them in real-life situations. Over time, these skills help replace harmful behaviors with healthier coping strategies.

For clients in treatment, DBT provides tools that can:

• Reduce impulsive or harmful behaviors
• Improve self-awareness and emotional balance
• Strengthen problem-solving and decision-making skills
• Build healthier and more supportive relationships
• Increase resilience during stressful or triggering situations