New England Counseling and Consulting

Serving Teens and Adults in CT and MA

Understanding Dialectical Behavior Therapy (DBT)

Learn how Dialectical Behavior Therapy (DBT) can help you manage stress, anxiety, and emotional challenges. Discover DBT skills through a relatable real-life example and see how it can improve your mental health and well-being.

EVIDENCE BASED THERAPYTRAUMAANXIETYDEPRESSION

Liz Clarkin, LCSW

6/26/20242 min read

ocean waves during daytime
ocean waves during daytime

Skill: Mindfulness

Sarah had a big presentation coming up at work. She felt anxious and doubted her ability to deliver a successful presentation. This anxiety was affecting her sleep and making her irritable. Sarah practiced mindfulness by taking a few minutes each morning to sit quietly and focus on her breathing. This helped her start the day with a clear mind and reduced her overall anxiety.

Skill: Distress Tolerance

When Sarah felt overwhelmed, she used the "TIP" (Temperature, Intense Exercise, Paced Breathing, Progressive Relaxation) skill. She splashed cold water on her face, did a quick workout, and practiced deep breathing exercises. This helped her calm down and regain control.

Skill: Emotional Regulation

Sarah kept an emotion diary, where she tracked her feelings and identified patterns. She noticed that her anxiety spiked whenever she thought about the presentation. By acknowledging this, she was able to use positive affirmations and remind herself of past successes.

Skill: Interpersonal Effectiveness

Sarah communicated her concerns with her boss and asked for feedback on her presentation. This open dialogue not only provided her with valuable insights but also reduced her anxiety.

Outcome

On the day of the presentation, Sarah felt more in control and confident. She used her mindfulness and breathing techniques to stay calm. The presentation went well, and Sarah received positive feedback from her colleagues and boss.

Dialectical Behavior Therapy, DBT, mindfulness, distress tolerance, emotion regulation, DBT skills
Dialectical Behavior Therapy, DBT, mindfulness, distress tolerance, emotion regulation, DBT skills
Dialectical Behavior Therapy, DBT, mindfulness, distress tolerance, emotion regulation, DBT skills
Dialectical Behavior Therapy, DBT, mindfulness, distress tolerance, emotion regulation, DBT skills
Dialectical Behavior Therapy, DBT, mindfulness, distress tolerance, emotion regulation, DBT skills
Dialectical Behavior Therapy, DBT, mindfulness, distress tolerance, emotion regulation, DBT skills

What is DBT?

Dialectical Behavior Therapy, or DBT, is a type of cognitive-behavioral therapy that helps people manage their emotions, develop healthier relationships, and cope with stress. Created by Dr. Marsha Linehan in the 1980s, DBT was initially designed for people with borderline personality disorder. However, it has proven effective for a variety of other mental health issues, including depression, anxiety, eating disorders, and substance abuse.

How Can DBT Benefit You?

DBT focuses on four main areas:

  1. Mindfulness

Being present in the moment and aware of thoughts, feelings, and surroundings without judgment.

  1. Distress Tolerance

Building skills to handle pain and stress without resorting to harmful behaviors.

  1. Emotional Regulation

Understanding and managing intense emotions in a healthy way.

  1. Interpersonal Effectiveness

Improving communication skills and maintaining healthy relationships.

For Example

Let's see how DBT can be applied in a real-life situation. Sarah is a 35-year-old marketing manager who often feels overwhelmed by work stress and struggles with anxiety. Here’s how DBT helped her manage a particularly stressful situation.

Dialectical Behavior Therapy can be a powerful tool for managing stress, anxiety, and other emotional challenges. By incorporating mindfulness, distress tolerance, emotion regulation, and interpersonal effectiveness into daily life, clients like Sarah can improve their mental health and navigate life's difficulties with greater ease.

If you’re struggling with similar issues, consider exploring DBT with a one of our therapists! It might just be the support you need to lead a happier, healthier life.