What is DBT?

Dialectical Behavior Therapy (DBT) is a combination of outpatient group and individual therapy that targets serious problem behaviors (e.g. frequent emotional extremes, suicidal thinking, cutting and other forms of self-harm). It was designed specifically to address the needs of individuals who meet criteria for Borderline Personality Disorder. (See Problem Checklist)

Standard DBT consists of 1½ to 2 hours of group skills training and one hour of individual therapy per week. Skills training includes lecture, discussion, homework, and behavior rehearsal organized into four modules (Emotion Regulation, Distress Tolerance, Interpersonal Skills, and Mindfulness). Individual therapy sessions give the participant an opportunity to address pressing concerns and to apply skills to his or her particular situation.

Individual and Group Sessions are conducted by members of a team of DBT trained therapists who meet regularly for ongoing training and case consultation.

Why Dialectical Behavior Therapy?

  • Other treatments do not have established efficacy for individuals who are chronically suicidal and meet criteria for Borderline Personality Disorder.

  • Patient Outcomes include:
    • Reduced suicidal behaviors
    • Reduced substance abuse
    • Improved social functioning
    • Reduced anger

  • Efficient and Cost Effective
    • Approximately 50% of treatment as usual
    • Significantly fewer inpatient days
    • Fewer emergency medical visits
    • Less therapy dropout