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Dialectical vs Cognitive Behavioral Therapy for BPD

Dialectical Behavioral Therapy, or DBT, was developed by Dr. Marsha Linehan in the late 1980s. It was initially designed to treat individuals with borderline personality disorder but has since been adapted for various other mental health conditions, such as self-harm, substance abuse, and eating disorders. Dialectical means to be concerned with or acting through opposing forces, where two opposing thoughts can be present at the same time.

  • Cognitive-behavioral therapy and dialectical-behavioral therapy are two of the most popular treatment modalities for addictions.
  • This type of therapy focuses on some of the common symptoms of BPD including impulsivity, exaggerated mood changes, unstable relationships, poor sense of self, and the fear of abandonment.
  • In comparison, Dialectical Behavior Therapy tends to span a more extended period due to its comprehensive skill-building component.
  • This article aims to compare CBT and DBT, highlighting their similarities and differences in theoretical underpinnings, therapeutic approaches, and overall effectiveness.
  • Like cognitive-behavioral therapy, dialectical-behavioral therapy is based on the idea that people change not just physically but also mentally and emotionally.

Over time, it has proven effective for a broader range of conditions, including self-harm, substance abuse, and eating disorders. DBT and DBT-informed treatments demonstrated high levels of feasibility, acceptability, and effectiveness, with reductions in global eating pathology and behaviors across eating disorders. Support for the effectiveness of DBT and DBT-informed interventions was strongest for BN and BED with consistent reductions in or abstinence from binge eating by the end of treatment, and significant reductions in purging for those with BN.

History of CBT and DBT

DBT helps you learn how to regulate emotions, stay in the present moment, deal with crises, and be effective in your relationships. CBT has been shown to be effective in treating depression, anxiety disorders, substance use problems, relationship issues and eating disorders. DBT is typically used for individuals who have multiple mental health issues. DBT was originally designed for a very specific patient population—women with borderline personality disorder who had ongoing suicidal thoughts and self-harm behaviors. This type of therapy is used to help people who have difficulty regulating their emotions or are exhibiting self-destructive behaviors such as eating disorders, substance-use disorders, or those who exhibit self-harming behavior. Like cognitive-behavioral therapy, dialectical-behavioral therapy is also a type of therapy that can be particularly beneficial for people in early stages of treatment.

If you’re looking for an online group therapy session to practice dialectical behavior therapy, the Grouport DBT series by Grouport Therapy is the perfect solution. Our 12-week program equips participants with new skills to replace negative dialectical behavioral therapy behaviors and emotions that can cause daily life and relationship issues. Cognitive Behavior Therapy (CBT) and Dialectical Behavior Therapy (DBT) are evidence-based forms of psychotherapy stemming from the cognitive-behavioral tradition.

Dialectical Behavior Therapy vs. Cognitive Behavioral Therapy

Mindfulness is a concept that was introduced through Buddhism and meditation. Cognitive-behavioral therapy is a gold standard talk therapy in the world of psychology today. It has roots in stoicism, which is an ancient Greek philosophy that deals with perceptions, action, and will.

  • During individual therapy, people typically work on emotional regulation, traumatic experiences, and other issues that arise.
  • They are considered to be part of a family of interventions operating on the belief that changing maladaptive behaviors can help decrease problematic behaviors and emotional distress.
  • Our goal is to teach members how to incorporate CBT techniques into their daily lives so that they can identify triggers, challenge negative thought patterns, and adopt more positive behaviors to recover from and manage their symptoms.
  • It’s geared toward individuals that are experiencing more severe, unstable, or harmful behaviors.
  • CBT is a structured, goal-oriented, problem-focused treatment involving a collaborative relationship between the therapist and the client.
  • CBT aims to replace distorted thinking patterns with healthier, more realistic ones.

The commitment to attending multiple therapy sessions and skills training groups can be time-consuming. This level of dedication may pose challenges for individuals with busy schedules or limited resources. Therapists tailor the treatment to each individual’s unique needs and goals.

What are the benefits and risks of dialectical behavior therapy (DBT)?

Additionally, a 2021 study of 1,589 participants examined the effects of CBT on anxiety symptoms. The results indicated a significant decrease in symptoms of depression and anxiety among participants experiencing moderate to severe anxiety. While both CBT and DBT can be effective for treating depression, the evidence behind CBT in treating depression is more exhaustive. Whether you’re dealing with grief, want to improve your coping strategies, or you’re just feeling down – BetterHelp makes starting therapy easy. This article discusses the key components of DBT, conditions treated with this type of therapy, and its effectiveness.

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