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What Is DBT Therapy?

What Is DBT Therapy and How Can It Help You?

If you’ve been researching therapy options, you may have come across the term DBT — Dialectical Behavior Therapy. It’s one of the most effective evidence-based treatments available today, particularly for people who struggle with intense emotions, impulsive behaviors, or difficult relationships. But what does it actually mean, and is it right for you?

What Does "Dialectical" Mean?

The word “dialectical” refers to the balance between two opposing ideas — in this case, the idea that you can accept yourself exactly as you are, while also working to change. This balance is at the heart of DBT. It was developed in the late 1980s by Dr. Marsha Linehan, originally to treat borderline personality disorder. Since then, research has shown its effectiveness for a wide range of mental health challenges.

What DBT Focuses On

DBT is a skills-based therapy that teaches practical tools organized into four core areas:

  • Mindfulness: Learning to observe your thoughts and feelings without judgment — being present in the moment instead of getting swept away.
  • Distress Tolerance: Building the ability to manage painful emotions and get through crises without making things worse.
  • Emotion Regulation: Understanding your emotions, reducing emotional vulnerability, and changing patterns that no longer serve you.
  • Interpersonal Effectiveness: Communicating clearly, setting boundaries, and maintaining self-respect in relationships.

Who Can Benefit from DBT?

While DBT was originally developed for borderline personality disorder (BPD), it is now widely used for:

  • Anxiety and depression
  • Post-traumatic stress disorder (PTSD)
  • Eating disorders
  • Substance use issues
  • Self-harm behaviors
  • Difficulties with anger or emotional regulation

It is also used with adolescents and adults who feel like their emotions are “too big” — people who have been told they’re “too sensitive” or who struggle to manage their reactions in relationships and daily life.

What Does DBT Look Like at Footprints?

At Footprints Mental Health Counseling, DBT is delivered by licensed clinicians who are trained in the approach. Your therapist will work with you to identify which skills are most relevant to your goals, and will guide you through applying those skills in real life — not just in session. For some clients, DBT is part of an individual therapy plan; for others, it may complement group work.

Curious whether DBT might be right for you? Reach out to our intake team — we'll match you with the right therapist and approach for your needs.

DBT vs. CBT: What's the Difference?

Both DBT and Cognitive Behavioral Therapy (CBT) are evidence-based and goal-focused. The key difference is that DBT adds a stronger emphasis on emotional validation and the skills to tolerate distress — while CBT focuses more on identifying and changing thought patterns. Many clients benefit from elements of both, and your therapist at Footprints will help determine the best fit for you.

 

DBT is not about “fixing” who you are. It’s about giving you the tools to live the life you want, even when emotions feel overwhelming.