
Dialectical Behavioural Therapy (DBT) and Cognitive Behavioural Therapy (CBT) are two types of therapeutic approaches that share similarities but also have distinct differences. While both therapies are effective in treating mental health issues, they differ in their target populations, philosophical underpinnings, and treatment emphasis. DBT is a more specific form of CBT, with a stronger focus on emotional and social aspects, helping patients balance their emotions and improve their behaviour patterns. On the other hand, CBT is more goal-oriented, structured, and focused on changing negative thought patterns and behaviours.
Characteristics | Values |
---|---|
Type of therapy | Dialectical Behaviour Therapy (DBT) is a type of Cognitive Behavioural Therapy (CBT) |
Focus | DBT focuses on emotional and social aspects, while CBT is more about the patient's behaviours |
Goals | DBT has goals but they are not as firm and direct as CBT's |
Results | Research has found that CBT is the most effective option for generalized anxiety disorders, obsessive-compulsive disorders, and post-traumatic stress disorders. DBT is clinically proven to be effective for borderline personality disorder and substance use disorders |
Session length | CBT sessions are shorter than DBT sessions |
Group therapy | DBT typically involves group therapy, while CBT sometimes has group sessions |
Therapist's role | CBT therapists encourage patients to use critical thinking to develop healthier ways of thinking and behaving. DBT therapists help patients accept themselves and their environment |
Treatment length | CBT may last a few weeks, while DBT is often a months-long process |
What You'll Learn
DBT's focus on emotional regulation
Dialectical Behavioural Therapy (DBT) is a therapeutic approach that focuses on helping patients regulate their emotions and improve their interpersonal relationships. It was first used to treat borderline personality disorder but has since been adapted to treat other mental health disorders.
DBT is a type of Cognitive Behavioural Therapy (CBT) that emphasises acceptance and change. It teaches patients coping mechanisms for emotional regulation, distress tolerance, interpersonal effectiveness, and mindfulness. While both CBT and DBT target behaviour and thought, DBT places a stronger emphasis on emotional regulation and interpersonal relationships.
DBT helps patients learn how to manage their emotions so that intense emotions do not end up controlling the situation. They learn that they can choose how to react to negative/strong emotions and can also learn to avoid situations that they know will trigger strong emotions.
DBT also helps patients improve their interpersonal relationships through validation, acceptance, and behavioural changes. This therapy can help people who may lack useful coping skills and find that they move from one crisis to another.
Overall, DBT is a highly effective therapeutic approach for individuals who struggle with emotional regulation, self-harm, and suicidal thoughts. By focusing on mindfulness, acceptance, and the development of coping skills, DBT can help individuals improve their quality of life and achieve their goals.
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DBT's suitability for treating BPD
Dialectical Behaviour Therapy (DBT) is a type of talk therapy that is especially effective for treating people with Borderline Personality Disorder (BPD). DBT was first used to treat individuals with BPD and was developed in the early 1990s by American psychologist Marsha Linehan. It is currently the only empirically supported treatment for BPD.
DBT is based on cognitive-behavioural principles, which means it helps patients understand how thoughts affect emotions and behaviours. However, it is specifically adapted for people who experience emotions very intensely. The main goal of therapists who use DBT is to strike a balance between validation (acceptance) of who the patient is and their challenges, and the benefits of change. DBT therapists help patients learn new skills to improve emotion regulation.
The structure of DBT can vary, but it generally involves four types of sessions:
- Skills training in groups
- Telephone crisis coaching
- Individual therapy
- Group therapy
DBT has proven to be effective for treating and managing a wide range of mental health conditions associated with BPD, including:
- Post-traumatic stress disorder (PTSD)
- Substance use disorder
- Eating disorders, specifically binge eating disorder and bulimia
- Suicidal and self-harming behaviours
- Inpatient hospitalization
- Drug and alcohol misuse
- Depressive symptoms
The reason for DBT's effectiveness in treating BPD is that it helps patients learn healthier ways to cope with their intense, negative emotions. DBT teaches patients to accept their reality and make changes for the better when necessary. It helps patients who have developed patterns of intense emotional reactions and impulsive behaviours in response to feelings of pain and rejection.
Overall, DBT is a highly suitable treatment for BPD, as it addresses the specific needs of individuals with this disorder and provides them with the skills to manage their emotions and improve their overall well-being.
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CBT's goal-oriented approach
Cognitive Behavioural Therapy (CBT) is a short-term, goal-oriented approach that can help patients learn new coping skills and develop healthier habits. It is a highly structured form of therapy, with therapists using specific techniques to help patients achieve their goals.
CBT is a collaborative process between the therapist and the patient. The therapist works with the patient to identify their specific problems and goals, and together they develop a treatment plan. Sessions are structured and typically last between 45 and 60 minutes. CBT often involves homework assignments that help the patient to practice the skills they have learned in therapy in their daily life.
CBT is based on the idea that our thoughts, feelings, and behaviours are interconnected, and that by changing the way we think, we can change the way we feel and behave. It focuses on changing negative thought patterns and behaviours, helping patients to recognise and challenge negative thoughts and replace them with more positive and realistic ones.
CBT is often used to treat anxiety and depression, and has been shown to be effective in treating a wide range of mental health challenges, including anxiety disorders, depression, and Post-Traumatic Stress Disorder (PTSD). It can also be used to treat obsessive-compulsive disorder (OCD), phobias, panic disorder, and social anxiety disorder.
The success of CBT lies in its ability to help patients identify and change problematic patterns of thinking and behaviour, leading to a healthier and more realistic outlook on life. It provides patients with the tools and techniques needed to manage their thoughts and emotions effectively.
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CBT's focus on thought patterns
Cognitive Behavioral Therapy (CBT) is a form of talk therapy that focuses on changing negative thought patterns and behaviours. It is a short-term, goal-oriented approach that usually takes place in a one-on-one setting with a therapist. CBT is based on the idea that our thoughts, feelings, and behaviours are interconnected, and that by changing the way we think, we can change the way we feel and behave.
CBT sessions are structured and typically last between 45 and 60 minutes. The therapist and client work together to set an agenda for each session and review progress from the previous session. CBT often involves homework assignments that help the client to practice the skills they have learned in therapy in their daily life.
CBT identifies and challenges negative thought patterns to change behaviours and emotional responses. It helps people to identify when they are using cognitive distortions such as catastrophizing, mental filtering, and overgeneralization, and teaches them to drop these types of thinking. For example, an individual with perfectionism may have automatic thoughts about failure when something is not perfect. CBT teaches them to reframe these negative automatic thoughts.
CBT is often a short-form of therapy that teaches clients strategies and skills for improving their ability to handle problems in daily living. The focus is on thoughts, attitudes, and beliefs, and how they impact how we feel and behave. CBT calls on clients to become aware of their thoughts, identify distortions in thinking, and separate themselves from their thoughts.
CBT is typically completed after a short amount of time, usually within 6 to 20 weeks, as it focuses on specific problems with set goals in mind. It is highly structured and often involves work outside of therapy sessions.
CBT is considered the "gold standard" of psychotherapy treatment because a large amount of evidence-based research demonstrates its effectiveness. It is one of the most researched types of therapy and has been shown to be effective in treating a wide range of mental health challenges, including anxiety disorders, depression, obsessive-compulsive disorder (OCD), phobias, and post-traumatic stress disorder (PTSD).
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DBT's use of mindfulness
Dialectical Behaviour Therapy (DBT) uses mindfulness as a core component of improved emotion regulation. DBT teaches patients to be aware of their distress and unpleasant thoughts and feelings so that they can more effectively move forward with them or do something to help move past them. Mindfulness is taught and reviewed throughout DBT treatment, and it begins each skills training session. This is because all of the other emotion regulation skills in DBT hinge on being able to practice DBT mindfulness.
DBT defines mindfulness as observing, describing, and participating in the moment, as well as doing it non-judgmentally, doing one thing at a time, and doing what works for you (also known as "being effective"). Mindfulness is about noticing what is happening, including your distractions, thoughts, and feelings, both pleasant and unpleasant. It can include focusing on something specific, or narrowing your attention. Other times, mindfulness is about noticing everything around you, or expanding your attention.
Mindfulness can be practiced formally and informally. Formal mindfulness practices involve someone actively engaging in focusing their attention and their awareness. For example, you can be mindful by observing your breath, paying attention to what you feel in your body while doing so. Informal mindfulness practices can be done anytime throughout the day.
DBT uses mindfulness to help patients learn to accept themselves, feel safe, and manage their emotions to help regulate potentially destructive or harmful behaviours. DBT teaches patients to use specific mindfulness techniques to learn to live with pain in the world and accept how things are instead of suffering by trying to change them.
DBT uses mindfulness to help patients achieve a more balanced worldview. DBT helps patients find a way to accept themselves, manage emotions, and regulate destructive behaviour. DBT focuses more on emotional and social aspects, while CBT is more about the patient’s behaviours. DBT uses mindfulness philosophies to help patients accept themselves and their environment.
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