What Is Dialectical Behavior Therapy?

Written by: Laura Taylor
Updated on: Apr 26, 2025

Dialectical behavior therapy (DBT) is a highly structured, evidence-based form of talk therapy designed to help individuals navigate overwhelming emotions, reduce harmful behaviors, and foster meaningful, stable relationships. Originally developed for individuals diagnosed with borderline personality disorder (BPD), DBT has evolved into a widely used approach for treating various mental health conditions, including generalized anxiety disorder, depression, post-traumatic stress disorder (PTSD), binge eating disorder, and self-injurious behaviors.

Dialectical behavior therapy is helpful for treatin borderline personality disorder, emotional regulation, anxiety, sucidial thoughts and more. Learn some dbt skills today

What Sets Dialectical Behavior Therapy DBT Apart

DBT’s unique combination of cognitive behavioral treatment principles with mindfulness-based strategies sets dialectical behavior therapy apart. Rather than focusing solely on changing thought patterns, DBT encourages clients to accept their current reality while learning skills that promote change—a balance that empowers long-term emotional and behavioral growth.

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What DBT Teaches: Skills Training, Distress Tolerance and Structured Support

The foundation of dialectical behavior therapy DBT lies in its practical, skills-driven model. Clients learn and practice four core sets of tools designed to improve emotional health and relational functioning:

  • Mindfulness: Cultivating present-moment awareness and nonjudgmental observation
  • Distress Tolerance: Developing strategies to cope with crises and emotional pain without making impulsive or harmful decisions
  • Emotion Regulation: Understanding and managing intense or unstable emotions
  • Interpersonal Effectiveness: Enhancing communication skills, setting healthy boundaries, and building respectful, lasting relationships

These areas of DBT skills training are typically taught through a combination of individual therapy sessions and group therapy, giving clients the opportunity to apply their skills in both private and social settings. Homework assignments and real-world practice are essential components of the therapy process, helping clients reinforce what they’ve learned outside of the clinical setting.

DBT is especially effective for individuals dealing with long-standing emotional struggles, high sensitivity, or relational instability. It is often used in both outpatient and intensive therapy environments and has become a gold standard for treating complex emotional and behavioral patterns.

Whether someone is managing the emotional turbulence of borderline personality disorder, learning to self-soothe through distress tolerance techniques, or improving social functioning through interpersonal effectiveness, DBT offers a transformative path forward for those facing mental health challenges with resilience and hope.

Treatment outcome literature and the skills training manual highlight how DBT teaches managing intense emotions through therapy sessions aimed at teaching: radical acceptance, behavioral skills, interpersonal skills, coping skills, and more.

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Who Benefits from DBT Skills Training?

Dialectical behavior therapy (DBT) is especially beneficial for individuals experiencing ongoing struggles with emotional dysregulation, persistent intense emotions, and behaviors that interfere with their well-being or relationships. Designed initially for individuals with borderline personality disorder (BPD), DBT has since expanded to support a wide variety of mental health conditions, including depression, anxiety disorders, and trauma-related diagnoses.

DBT is helpful for people navigating:

  • Severe mood swings or difficulty controlling anger
  • Chronic anxiety, depression, or emotional numbness
  • Patterns of self-harm, suicidal ideation, or self-destructive behaviors
  • Relational conflict, social isolation, or relationship instability
  • Substance use disorders, particularly among opioid-dependent women
  • Diagnoses of BPD or other personality disorders
  • PTSD and trauma-related challenges
  • Difficulty tolerating distress without unhealthy coping

What sets DBT apart from other forms of behavior therapy is its focus on skills training. Clients work closely with a licensed DBT therapist to develop skills in emotional regulation, distress tolerance, mindfulness, and interpersonal effectiveness. Through a combination of individual therapy, group sessions, and real-world practice, clients build resilience, improve functioning, and experience greater self-control.

DBT is particularly powerful for individuals who haven’t responded to traditional talk therapy or who need more hands-on tools to manage day-to-day emotional fluctuations. Whether you’re working to reduce self-harm, improve communication, or better regulate emotions, DBT offers clear, structured pathways for progress.

Why DBT Techniques Work for Emotional Regulation and High-Risk Behaviors

One of the defining features of DBT is its ability to meet individuals where they are—emotionally, psychologically, and behaviorally. People living with mental health challenges like BPD, trauma-related disorders, or chronic suicidal ideation often struggle to find treatment that helps them feel seen and empowered. DBT focuses on creating a safe, structured space for both acceptance and change.

The approach is rooted in the idea that two seemingly opposing things can be true at once: you can accept yourself and still work toward growth. This dual awareness is particularly effective for clients who:

  • Experience feelings of invalidation or hopelessness
  • Frequently resort to impulsive behaviors when distressed
  • Are navigating identity confusion or deep-seated shame
  • Have been misunderstood in past therapy settings

By teaching mindfulness skills to build present-moment awareness, distress tolerance tools to survive crisis, and emotional regulation skills to manage long-standing triggers, DBT helps individuals stabilize from the inside out. It offers a scaffolded system that promotes self-awareness, emotional clarity, and a return to meaningful living.

Whether you’re navigating mental health conditions like BPD, PTSD, or generalized anxiety disorder, or looking for a way to gain better control over trauma-related behaviors, DBT may be the treatment model that brings structure, compassion, and lasting change.

Mental Health Resources offers personalized support, guidance, and access to compassionate care tailored to your needs.

Mental Health Resources offers personalized support, guidance, and access to compassionate care tailored to your needs.

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Online and Virtual DBT Therapy Options

Accessing high-quality dialectical behavior therapy (DBT) shouldn’t be limited by geography, mobility, or schedule. For many individuals facing mental health conditions such as borderline personality disorder, depression, or suicidal behavior, virtual DBT therapy provides a flexible and effective way to begin or continue treatment.

Online DBT therapy follows the same structured, skills-based format as in-person sessions and is grounded in the same principles proven effective through clinical trials and clinical psychology research. Whether you’re attending individual therapy or participating in skills training groups, you’ll still receive guided support, personalized feedback, and regular accountability from a licensed mental health professional.

Individual and group sessions are a great way to practice dialectical behaviour therapy DBT and prevent things like self injury. DBT teaches healthy coping skills for negative thoughts, and emotional regulation.

What Virtual DBT Therapy Offers

With the support of a trained therapist, virtual DBT can help individuals:

  • Learn and practice skills for managing intense emotions
  • Reduce suicidal behavior, self-harm, and impulsive reactions
  • Apply mindfulness techniques to navigate overwhelming thoughts
  • Improve emotional regulation, distress tolerance, and interpersonal effectiveness
  • Identify and reframe negative thoughts that contribute to suffering
  • Access real-time coaching or support between sessions, depending on the program

Virtual DBT therapy platforms often include video conferencing for one-on-one sessions, access to skills training groups, secure messaging, and homework tools to reinforce behavioral techniques. Some programs also offer evening or weekend options to accommodate work, school, or caregiving responsibilities.

These virtual options have shown to be an effective treatment for many populations, including individuals with other mental health conditions like PTSD, eating disorders, anxiety, or substance use.

How We Help You Get Started

At Mental Health Resource, we connect individuals with licensed DBT therapists offering both online and in-person care. Whether you’re new to DBT-focused treatment or seeking to continue care after a move or life transition, we’ll help match you with a provider who understands your needs and meets your comfort level.

You’ll receive:

  • Referrals to trusted therapists trained in DBT behavioral techniques
  • Guidance on choosing between individual therapy or group-based options
  • Help navigating insurance or private-pay questions
  • Flexible therapy pathways that fit your schedule, goals, and clinical needs

Online therapy opens doors for many people who may otherwise go without support. If you’re ready to explore DBT and want to do so from the comfort and safety of home, we’re here to guide you toward care that works.

Dialectical behavior therapy DBT can be particularly useful for things like attention deficit hyperactivity disorder. Linehan institute behavioral tech.

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Start Your Journey to Find a DBT Therapist Today

Whether you’ve been diagnosed with borderline personality disorder, post-traumatic stress disorder, or another condition that affects your daily life, DBT offers a structured and proven approach to healing. If you’re ready to take control of emotional distress, strengthen your emotion regulation skills, and build more fulfilling interpersonal relationships, dialectical behavior therapy (DBT) could be the right path forward.

At Mental Health Resource, we make it easy to find care that meets you where you are. Whether you’re seeking a stand-alone treatment, a comprehensive program for treating borderline personality disorder, or simply someone to help guide your next chapter, we can match you with a licensed provider who specializes in DBT sessions, DBT techniques, and holistic mental health support.

Reach out today to get matched with a qualified DBT therapist near you or explore virtual therapy options that fit your schedule. Your healing deserves the right foundation, and Mental Health Resource is here to help you build it.

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