Dialectical Behavioral Therapy (DBT) was developed by Dr. Marsha Linehan, who released her DBT first treatment manual in the early 1990s. DBT is a cognitive based behavioral therapy that was designed to treat those who were chronically suicidal, and not responding well to traditional CBT treatment. As is turns out, many of Dr. Linehan's patients were struggling with a condition known as Bordeline Personality Disorder. DBT is now the most widely used evidenced based treatment for individuals BPD, and is also a very effective treatment for those suffering from anxiety, depression, self-injury, and the impact of trauma. DBT can be very helpful when managing extreme thoughts and behaviors, thus a primary goal is emotional regulation skills. Iin the words of Dr. Linehan, DBT skills help one to “build a life worth living.”
Traditional DBT involves weekly intensive group therapy, weekly individual skills coaching, 24/7 phone coaching, and daily skills training assignments. DBT skills are typically taught in a structured fashion in four modules and based on a few core "assumptions." The four skill modules include mindfulness skills, distress tolerance and radical acceptance skills for surviving a crisis, emotional regulation skills, and interpersonal relationship skills.
Many people find thatDBT skills are an important factor in changing a long term mood that you want to change, free you from excess suffering, and greatly improve your communication skills and heal relationships.
DBT assumption: You are doing the best you can, and there is always room to improve and learn more effective skills.
Cognitive Behavioral Therapy (CBT) is one of the most widely researched and empirically driven methods of treatment. While many therapies assist you to create insight into your behaviors and make healthier choices, CBT offers a highly structured approach to assist you to link your thoughts to your emotions and behaviors. Through this process, CBT may help you to identify core beliefs about yourself and the world that are hindering your relationships. CBT provides brief, solution focused interventions to help you create new beliefs. CBT helps many people manage anxiety, depression, insomnia, post traumatic stress disorder, and personality disorders. CBT involves in session and often out of session homework to track thoughts, moods, and behaviors.
Overall Approach: My goal is to help you empower yourself to develop the insights and learn the skills you need to live a happier life no matter what your situation is. Our society often pathologizes families and individuals with "problems" or "mental health" issues, and you may view seeking help even as a weakness. Sometimes the "I'll just handle it myself," approach doesn't work anymore, and reaching out to a therapist is a courageous step towards healing.
Most people who enter therapy enjoy the outcome! You are likely to feel emotionally stronger, have increased self-esteem, self-awareness, and create healthier, more meaningful relationships.