What is dbt therapy?

Hey Ian, great question—sounds like you’re genuinely curious about how different kinds of therapy work!

Dialectical Behavior Therapy, or DBT, has a pretty interesting background. It was created by psychologist Marsha Linehan in the 1980s, mainly to help people with borderline personality disorder who often struggled with intense emotions and relationships. The “dialectical” part refers to balancing acceptance and change—two things that sometimes feel at odds but are both important for growth.

DBT combines ideas from cognitive-behavioral therapy (like recognizing and shifting unhelpful thinking patterns) with skills from mindfulness and Eastern philosophy. Core techniques include learning to tolerate distress, regulate emotions, be more mindful, and communicate effectively—even in tough situations.

Although it started with borderline personality disorder, it’s now used for lots of challenges: chronic depression, self-harm, eating disorders, or anyone who finds emotion management hard.

I’m curious—what sparked your interest in DBT? Is there a specific aspect of it, or situation, that caught your attention?