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Dialectical Behavior Therapy (DBT) is a form of therapy that was originally developed to treat individuals with borderline personality disorder, but has since been found to be helpful for a wide range of mental health concerns. It is a type of cognitive-behavioral therapy that emphasizes the importance of mindfulness, acceptance, and interpersonal effectiveness.

DBT is based on the idea that individuals with mental health concerns often struggle with emotional dysregulation – that is, difficulty managing intense emotions in a healthy and adaptive way. DBT seeks to help individuals develop the skills and strategies necessary to regulate their emotions, tolerate distress, and improve their interpersonal relationships.

One of the key principles of DBT is the idea of “dialectics.” Dialectics involves the recognition that two seemingly opposing ideas can both be true at the same time. For example, an individual may simultaneously feel the desire to change their behavior and the desire to accept themselves as they are. DBT seeks to help individuals find a balance between these opposing ideas.

Another important principle of DBT is the use of mindfulness. Mindfulness involves being fully present and engaged in the current moment, without judgment or distraction. It can help individuals develop a greater awareness of their thoughts and emotions, and learn to respond to them in a more effective and adaptive way.

DBT includes skills training in four main areas: mindfulness, emotion regulation, distress tolerance, and interpersonal effectiveness. These skills are taught in both individual and group settings, and are designed to help individuals develop greater emotional regulation, cope with distressing situations, and improve their relationships with others.

A DBT session can vary depending on the therapist and the client, but there are some common features that are typically included. In individual therapy sessions, you work together with your therapist to address specific issues and challenges. Your therapist may help you identify and challenge unhelpful thoughts or beliefs that are contributing to your distress, and develop strategies for managing difficult emotions and situations.

In addition to skills training, individual DBT sessions may also involve working on other important aspects of the client’s life, such as relationships, work or school, and overall quality of life. The therapist may help the client identify areas where they would like to make changes, and work with the client to develop strategies for achieving those goals.

Throughout the session, your therapist provides you with validation and encouragement, helping you feel heard and understood. This can be especially important for you if you have experienced invalidation or rejection in the past, as it can help you build a stronger sense of self-worth and self-confidence.