Dialectical Behavioral therapy (DBT)

Dialectical behavioral therapy (DBT) is a type of cognitive behavioral therapy. DBT follows a model that sees the causes of dysfunctional behavior as impaired or maladaptive emotional regulation.1,2 DBT focuses on reducing behaviors that are detrimental to the patient’s health and quality of life and increasing behavioral skills.1-3  The therapeutic plan is divided into stages, including goal setting, achieving behavioral stability, and emotionally processing the past.4 DBT typically lasts for months to years.2  
Description: Dialectical behavioral therapy (DBT) is a type of cognitive behavioral therapy. DBT follows a model that sees the causes of dysfunctional behavior as impaired or maladaptive emotional regulation.1,2 DBT focuses on reducing behaviors that are detrimental to the patient’s health and quality of life and increasing behavioral skills.1-3  The therapeutic plan is divided into stages, including goal setting, achieving behavioral stability, and emotionally processing the past.4 DBT typically lasts for months to years.2  
Potentially effective for the following mental health concerns: Bipolar disorder, Suicide risk
Potentially effective in the following age groups: Adolescent, Adult
Treatment setting options: Individual, Group, Family
Treatment format options: In-person, Telephone
Typical treatment duration: 10-20 sessions, Indefinite
Potential limitations: To practice DBT correctly,  therapists should have a consultation team with whom they communicate regularly.2
 

Footnotes:

Supporting references for the filters are as follows:

Potentially effective for the following mental health concerns: Bipolar disorder,5,6 Suicide risk3; Potentially effective in the following age groups: Adolescent,4,7 Adult3; Treatment setting options: Individual,2,4 Group,2,4 Family4; Treatment format options: In-person,4 Telephone4; Typical treatment duration: 10–20 sessions,5,6 Indefinite2


This resource is intended for educational purposes only and is intended for US healthcare professionals. Healthcare professionals should use independent medical judgment. All decisions regarding patient care must be handled by a healthcare professional and be made based on the unique needs of each patient. 
 

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References:

  1. Peprah K, Argáez C. Dialectical Behavioral Therapy for Adults with Mental Illness: A Review of Clinical Effectiveness and Guidelines. Canadian Agency for Drugs and Technologies in Health; 2017. 
  2. Dialectical behavior therapy fact sheets. Association for Behavioral and Cognitive Therapies. Accessed April 23, 2024. http://www.abct.org/Information/?m=mInformation&fa=fs_DIALECTICAL 
  3. Panos PT, Jackson JW, Hasan O, Panos A. Meta-analysis and systematic review assessing the efficacy of dialectical behavior therapy (DBT). Res Soc Work Pract. 2014;24(2):213-223. doi:10.1177/1049731513503047 
  4. Swales M. Dialectical behaviour therapy: description, research and future directions. Int J Behav Consult Ther. 2009;5(2):164-177. doi:10.1037/h0100878. 
  5. Zargar F, Haghshenas N, Rajabi F, Tarrahi MJ. Effectiveness of dialectical behavioral therapy on executive function, emotional control and severity of symptoms in patients with bipolar I disorder. Adv Biomed Res. 2019;8:59. doi:10.4103/abr.abr_42_19 
  6. Eisner L, Eddie D, Harley R, Jacobo M, Nierenberg AA, Deckersbach T. Dialectical behavior therapy group skills training for bipolar disorder. Behav Ther. 2017;48(4):557-566. doi:10.1016/j.beth.2016.12.006 
  7. Goldstein TR, Fersch-Podrat RK, Rivera M, et al. Dialectical behavior therapy for adolescents with bipolar disorder: results from a pilot randomized trial. J Child Adolesc Psychopharmacol. 2015;25(2):140-149. doi:10.1089/cap.2013.0145 

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