Dialectical Behavior Therapy

Cognitive behavioral therapy (CBT) has become a standard in addiction treatment. Rather than focusing on why you do what you do, CBT takes a closer look at the thoughts, feelings, and behaviors that have led you to where you are now. Dialectical behavior therapy is a form of CBT that has since become popular in helping people maintain relationships.

Learn more about dialectical behavior therapy, its modules, and how it can help you recover from substance abuse.

What is Dialectical Behavior Therapy (DBT)?

Dialectical behavior therapy (DBT) aims to teach people to accept change and where they are in the present moment. Dr. Marsha M. Linehan created dialectical behavior therapy in the late 1980s to treat borderline personality disorder (BPD). Whereas CBT focuses on your thoughts, behaviors, and feelings, DBT digs a little deeper. It teaches you how to improve your relationships, healthily cope with stress, and control your emotions.

This mode of CBT is focused on the theory of dialectics, or “balancing opposites.” The philosophy behind dialectics is that everything has opposites. Change happens when there’s a dialogue between these opposites.

Dialectical behavior therapy makes three assumptions:

Although DBT mainly treated BPD when it was first developed, it’s been adapted to treat many other mental health disorders. This includes addiction.

How Does Dialectical Behavior Therapy Work?

When enrolling in dialectical behavior therapy, you can expect three kinds of settings: 

Characteristics of DBT

Stages of Dialectical Behavior Therapy

The first stage of dialectical behavior therapy is to treat the most self-destructive behavior first. This can be a suicide attempt or any kind of self-harm. Here, your therapist aims to stabilize you and control some of your behaviors. 

After that, you’ll begin the second stage: addressing your quality-of-life skills. These are made up of the four modules we discussed earlier. At this point, you’re most likely going to bring up painful feelings, and you’ll safely explore any traumatic events in your life.

The third stage involves improving your self-esteem and focusing on your relationships. You’ll set goals during this stage to work on your happiness and stability. Your therapist will also maintain your progress at this point.

Finally, you’ll begin advancing your life to the next level. The goal of the final stage of DBT is to help you achieve an ongoing capacity for success.

Modules of Dialectical Behavior Therapy

Dialectical behavior therapy works through four main modules.

Interpersonal Effectiveness

People with borderline personality disorder usually have trouble maintaining relationships. Learning interpersonal effectiveness will help you become more assertive with your friends, family, and coworkers. At the same time, your relationships will remain healthy and positive.

You’ll also learn how to deal with difficult people in volatile situations and respect yourself.

One example of an exercise involving interpersonal effectiveness uses the acronym GIVE. This allows you to practice positive communication:


Mindfulness is a key component of dialectical behavior therapy. This is considered the foundation for the other three DBT modules. When you practice mindfulness, you learn to live in the moment and observe what’s going on inside and outside of yourself, without judgment. 

Learning mindfulness will help you stop engaging in impulsive behaviors and negative thought patterns in tough situations. Instead, you’ll learn how to slow down and develop healthy ways of coping. 

When you practice mindfulness in DBT, you’ll learn six core skills among these two categories: “what” skills and “how” skills. The “what” skills include “observe,” “describe,” and “participate,” and they are the answers to what you do to practice core mindfulness skills. The “how” skills are “one-mindfully,” “effectively,” and “non-judgmentally.” These are the answers to how you must practice core mindfulness. 

One way you can practice mindfulness in your sessions is to focus on your breathing. Notice how your belly rises and falls with each breath, as well as your inhaling and exhaling.

Emotion Regulation

When you have borderline personality disorder, you tend to have difficulty controlling your emotions. DBT will teach you how to handle any intense feelings you’ll have about a situation by identifying, naming, and changing them. When you do this, you’ll lessen your emotional vulnerability and have more positive experiences.

Opposite action is a common exercise for practicing emotion regulation. This involves doing the opposite of what you’re feeling. For example, if you’re feeling withdrawn and sad, make plans to see your friends and family instead of staying inside.  

Distress Tolerance

Like mindfulness, distress tolerance teaches you to accept yourself and your situation as it is right now. You learn how to tough out crises in four ways:

When you learn these techniques, you’ll be prepared to handle any intense emotions you have and be able to cope with them in a healthy manner. While most therapies tell you to change your distressing emotions, DBT teaches you to tolerate and accept these feelings. 

To practice distress tolerance, you can “put your body in charge.” By allowing your emotions to follow your body, you’ll distract yourself. Get up and walk around if you’re sitting, or go outside if you’re inside.

What Does Dialectical Behavior Therapy Treat?

Dialectical behavior therapy is mainly used to treat borderline personality disorder, but it can also treat a range of other mental health disorders. It’s mostly effective for the following:

What Are the Benefits of Dialectical Behavior Therapy?

Dialectical behavior therapy offers a multitude of benefits. Since it’s mostly used to treat people with borderline personality disorder, it can greatly improve how they interact in their relationships.

This mode of talk therapy also provides you with the strength to be more assertive and value yourself. Having self-respect is one of the keys to overcoming addiction. DBT also teaches you how to set goals for yourself to create a fulfilling and happy life. At the same time, you’ll learn to get rid of behaviors that aren’t productive and detract from your life.

How to Get the Most Out of a DBT Session

Find Substance Abuse Treatment in Los Angeles

Substance abuse can be a struggle, but you don’t have to worry. CNV Detox has several modes of addiction treatment that will fit any need. Located in beautiful Marina Del Rey, California, we provide detox in a safe, serene environment. 

Don’t wait to seek help for your substance use disorder. Contact us today to learn more about our services. You have the power to effect change in your life.