Applications of Dialectical Behavior Therapy: Addressing Diverse Mental Health Needs

Dialectical Behavior Therapy (DBT) is a form of cognitive-behavioral therapy developed by psychologist Marsha Linehan in the late 1980s. It was initially designed to treat individuals with borderline personality disorder (BPD), particularly those exhibiting self-harming behaviors. However, the scope of DBT has since broadened significantly. Today, it addresses various mental health conditions and associated behavioral issues. Let's examine what DBT is used for in more depth.


Treating Borderline Personality Disorder

The primary application of DBT is in the treatment of BPD. Individuals with BPD often experience intense emotional instability, impulsivity, and a chronic sense of emptiness. They may also engage in self-harming behaviors and have a history of troubled relationships.


DBT helps such individuals by teaching them skills to regulate emotions, tolerate distress, be mindful of the present moment, and interact effectively with others. These skills, combined with the acceptance and change strategies inherent in DBT, can significantly reduce self-destructive behaviors and improve interpersonal relationships.


Addressing Mood Disorders

DBT effectively treats mood disorders such as major depressive disorder and bipolar disorder. These disorders are characterized by severe and persistent mood swings that can impair daily functioning.


DBT can help individuals manage these mood swings by teaching them how to identify and regulate their emotions. It also provides strategies for tolerating distress during periods of intense emotional upheaval. The mindfulness component of DBT can further assist individuals in staying present-focused rather than becoming consumed by depressive thoughts or manic energy.


Combatting Eating Disorders

Eating disorders, such as anorexia nervosa, bulimia nervosa, and binge eating disorder, are another area where DBT has shown promise. These disorders involve disturbances in eating behavior and related thoughts and emotions.


DBT helps address the emotional dysregulation often seen in eating disorders. The therapy aims to reduce harmful behaviors, such as binge eating or purging, by teaching individuals to manage their emotions healthier. DBT can also help individuals improve their self-image and develop a healthier relationship with food.


Managing Substance Use Disorders

Substance use disorders involve the harmful use of substances like alcohol and drugs. Individuals with these disorders often struggle to control their substance use and may continue using despite negative consequences.


DBT can support individuals in overcoming substance use disorders by teaching them skills to manage cravings, tolerate distress, and prevent relapses. Moreover, the emphasis on acceptance of DBT can help individuals understand their substance use problem and motivate them toward change.


Role of DBT in Post-Traumatic Stress Disorder

Post-Traumatic Stress Disorder (PTSD) is a condition that develops following exposure to traumatic events. Symptoms include:

  • Intrusive memories of the event.
  • Avoidance of reminders of the trauma.
  • Negative changes in mood and thinking.
  • Heightened arousal and reactivity.


DBT has shown potential in treating PTSD. The therapy equips individuals with skills to manage distressing symptoms and decrease avoidance behaviors. It also provides strategies for regulating intense emotions often associated with trauma memories. Furthermore, DBT's emphasis on acceptance can aid individuals in acknowledging their traumatic experiences and working through their impact.


Application in Attention-Deficit/Hyperactivity Disorder

Attention-Deficit/Hyperactivity Disorder (ADHD) is characterized by inattention, impulsivity, and hyperactivity symptoms. Although it's more commonly diagnosed in children, ADHD can continue into adulthood.


DBT may benefit individuals with ADHD, particularly those with emotional dysregulation. Skills taught in DBT, such as mindfulness and emotion regulation, can help individuals with ADHD manage their symptoms better. Furthermore, DBT's focus on improving interpersonal effectiveness can support individuals with ADHD in navigating social interactions and relationships.


DBT for Self-Harming and Suicidal Behaviors

Self-harming and suicidal behaviors are serious issues that necessitate prompt intervention. DBT, with its initial development aimed at reducing self-harm in individuals with BPD, can be particularly beneficial.


DBT equips individuals with skills to manage distress and regulate emotions without resorting to self-harm. It also offers strategies for improving interpersonal effectiveness, which can reduce feelings of loneliness or isolation that often accompany these behaviors. Through a combination of acceptance and change strategies, DBT can help individuals find healthier ways to cope with their pain.


Embracing DBT's Wide-Ranging Applications

DBT's utility extends beyond its original scope of BPD. Its wide-ranging applications underscore its versatility in addressing various mental health conditions and behavioral issues. From PTSD and ADHD to self-harming and suicidal behaviors, DBT's approach to teaching practical skills and balancing acceptance with change is invaluable in mental health treatment. Understanding what DBT is used for enhances our recognition of its expansive role in fostering emotional health and resilience.


Practice DBT Skills In A Therapist-Led Group Online

Want to practice dialectical behavior therapy in a supportive group setting? Grouport's DBT series can help you develop new skills to replace negative behaviors and emotions.


Our group meets once a week at a scheduled time, and you'll receive access to session links via email after enrolling and paying for the program. By joining our DBT skills group, you can improve relationships, manage anxiety, and reduce emotional suffering, regaining hope for the future.


Don't hesitate to take the first step towards a better life. Our next session is waiting for you. Join our Grouport DBT series today and start improving your mental health alongside a supportive group of individuals.

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