Dialectical behavior therapy (DBT) is a therapeutic approach specifically designed to treat emotional dysregulation, conflict within relationships, and impulsive behavior. Initially developed for those with borderline personality disorder, DBT has been found to be effective in treating a variety of mental health conditions, including substance use disorder.
RCA uses a DBT-informed approach in our treatment programs to help patients develop skills to manage emotions, cope with distress, and improve relationships. Here’s everything you need to know about DBT and how it can play a role in substance use disorder recovery.
The Four Tenets of DBT
1. Mindfulness
Being in the present moment without judgment or resistance is a key aspect of DBT. This allows people in recovery to become more aware of their emotions, thoughts, and behaviors to better understand and manage them.
Mindfulness can involve:
- Breathing exercises.
- Meditation.
- Observing and describing thoughts and feelings without judgment.
- Grounding techniques, such as focusing on the present moment using sensory awareness.
Acknowledging the present moment without trying to change it can be a powerful tool for people who are struggling with cravings, triggers, or other challenges in recovery.
2. Distress Tolerance
Often, those living with substance use disorder struggle to tolerate distressing emotions and situations without turning to drugs or alcohol. DBT teaches skills to manage intense emotions without resorting to unhealthy coping mechanisms.
Some techniques used in distress tolerance include:
- Accepting reality as it is.
- Distracting oneself through activities or hobbies.
- Self-soothing techniques like deep breathing or listening to calming music.
- Improving the moment by finding positive aspects or reframing negative thoughts.
Recovery can be full of challenges, but finding tools to lean on during times of distress is part of the process.
3. Emotion Regulation
Through DBT, patients learn how to identify and label their emotions, as well as develop strategies to manage them in healthy ways. Emotions don’t always reflect reality, and learning to regulate them can help patients make better decisions in recovery.
Emotion regulation techniques may include:
- Increasing positive emotions through activities like exercise or spending time with loved ones.
- Decreasing negative emotions by identifying and challenging unhelpful thoughts or using relaxation techniques.
- Changing emotional responses by reevaluating the situation or responding differently.
If these seem like the principles of cognitive behavioral therapy (CBT), that’s because DBT was developed using CBT principles specifically for those with borderline personality disorder. However, the focus on emotional regulation and mindfulness sets DBT apart from traditional CBT.
4. Interpersonal Effectiveness
Substance use disorder can cause conflict in any type of relationship. DBT teaches skills to improve communication and maintain healthy relationships while setting boundaries and asserting one’s needs.
Interpersonal effectiveness techniques may include:
- Learning how to say no.
- Using “I” statements to express feelings instead of blaming others.
- Understanding different communication styles and finding ways to connect with others effectively.
Healthy relationships are key in recovery, and developing these skills can help patients build strong support systems during their journey.
Frequently Asked Questions about DBT
How is DBT different from other types of therapy?
DBT is a unique form of therapy that combines elements from cognitive-behavioral therapy, mindfulness techniques, and Eastern traditions. It’s structured, skills-based, and emphasizes the importance of validation and acceptance while also encouraging change.
Who can benefit from DBT?
DBT has been found to be effective in treating a variety of mental health conditions, including addiction, depression, anxiety, and post-traumatic stress disorder (PTSD). It can also be helpful for people seeking personal growth and improved relationships.
What is a typical DBT session like?
DBT sessions typically follow a structured format that includes reviewing homework from the previous session, learning new skills or coping strategies, practicing these skills through role-playing or real-life application scenarios, and setting goals for the next session. Sessions may also include mindfulness exercises such as deep breathing or
What does it mean to be DBT-informed?
At RCA, our treatment programs are DBT-informed, meaning that we use elements of DBT in combination with other evidence-based practices to create a comprehensive and personalized treatment plan for each patient. Aspects of DBT may be incorporated into individual therapy sessions, group therapy, and other treatment modalities.
Facts About DBT
- DBT was initially developed by psychologist Dr. Marsha Linehan in the late 1980s to treat borderline personality disorder.
- It has since been adapted and found to be effective for many other mental health conditions, including substance use disorder.
- DBT is based on the premise that people can make positive changes in their lives despite ongoing challenges and difficulties.
- In addition to skills-based techniques, DBT also emphasizes building a strong therapeutic relationship between therapist and patient.
Ready to Learn More About DBT and Substance Use Disorder Recovery?
If you or a loved one is struggling with substance use disorder, RCA is here to help. Our evidence-based treatment programs, including DBT-informed care, can provide the support and resources needed for lasting recovery. Call 833.926.5486 to speak with a member of our team and learn more about how we can help you on your journey toward healing.
