What is Dialectical Behavioral Therapy?

Category: Psychotherapy

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Dialectical behavioral therapy (DBT) is a psychological method developed by Marsha M. Linehan. DBT combines cognitive and behavioral therapy, incorporating methodologies from various practices including Eastern mindfulness techniques.

Reported purpose & perceived effectiveness
Purpose Patients Evaluations Perceived Effectiveness
Borderline personality disorder 714 132
Support mental / emotional health 101 54
Major depressive disorder 76 58
Post-traumatic stress disorder 36 20
Generalized anxiety disorder 28 16
Bipolar disorder 20 9

Show all 127 reasons taken


  • Major
  • Moderate
  • Slight
  • None
  • Can't tell

Side effects

Side effects as an overall problem

Side effects as an overall problem
Severity Evaluations Percentage
Severe 4
Moderate 7
Mild 20
None 168

Commonly reported side effects and conditions associated with Dialectical Behavioral Therapy

Side effect Patients Percentage
Depressed mood 4
Flashbacks 4
Overwhelming emotions 3
Agitation 2
Anticipatory anxiety 2
Fatigue 2

Show all 21 reported side effects

Dosages

Based on patients currently going to Dialectical Behavioral Therapy

Dosage Patients Percentage
weekly 1
daily 1
monthly 1
unspecified 1

Why patients stopped taking Dialectical Behavioral Therapy

Multiple reasons could be selected

Reason Patients Percentage
Other 64
Felt finished with this treatment 60
This particular therapist or program didn't seem to help 21
This type of therapy or counseling didn't seem to help 21
Expense 18
Completed the number of sessions covered by my insurance 16
Doctor's advice 13
I didn't have enough time 11
Change in health plan coverage 9
Found another therapist or program I preferred 9
No convenient appointments available 8
Course of treatment ended 5
Did not seem to work 1
See all 167 patients who've stopped going to Dialectical Behavioral Therapy

Duration

Currently going to Dialectical Behavioral Therapy

Duration Patients Percentage
1 - 6 months 1
1 - 2 years 1
2 - 5 years 2
5 - 10 years 1
10 years or more 1

Stopped going to Dialectical Behavioral Therapy

Duration Patients Percentage
Less than 1 month 14
1 - 6 months 51
6 months - 1 year 37
1 - 2 years 34
2 - 5 years 24
5 - 10 years 3
10 years or more 2
Adherence
Adherence Evaluations Percentage
Always 90
Usually 85
Sometimes 18
Never taken as prescribed 6
Burden
Burden Evaluations Percentage
Very hard to take 28
Somewhat hard to take 63
A little hard to take 65
Not at all hard to take 43
Cost per month
Cost per month Evaluations Percentage
$200+ 9
$100-199 12
$50-99 7
$25-49 10
< $25 72
Not specified 89
Last updated:

14 patient evaluations for Dialectical Behavioral Therapy

Apr 30, 2018 (Started Oct 15, 2016)

  • Effectiveness
    Moderate (for borderline personality disorder)
  • Effectiveness
    Slight (for self medicating)
  • Side effects
    None
  • Adherence
    Usually
  • Burden
    A little hard to take
Dosage: 120 min Weekly
Advice & Tips: I've been in DBT for 1 1/2 years now. I'm almost finished. I just can't remember my skills when I need them. I highly recommend the class for anyone with BPD. It teaches you how to bring your emotions down to a fairly manageable level and helps you to get a life worth living.
Cost: < $25 monthly

Jan 12, 2017 (Started Oct 15, 2016)

  • Effectiveness
    Moderate (for borderline personality disorder)
  • Side effects
    None
  • Adherence
    Usually
  • Burden
    Somewhat hard to take
Dosage: 120 min Weekly
Advice & Tips: If you want to make your life worth living and are serious about changing your life, this is the place to do it. The staff are very caring individuals.
Cost: < $25 monthly

  • 0 helpful marks

Feb 6, 2017 (Started Sep 15, 2013)

  • Effectiveness
    Moderate (for borderline personality disorder)
  • Side effects
    None
  • Adherence
    Sometimes
  • Burden
    Somewhat hard to take
Advice & Tips: This treatment requires a lot of work from the service user/patient but is effective.
Cost: < $25 monthly

  • 0 helpful marks

Jan 17, 2017 (Started Oct 31, 2012)

  • Effectiveness
    Major (for borderline personality disorder)
  • Effectiveness
    Moderate (for major depressive disorder)
  • Effectiveness
    Major (for outburst of anger)
  • Side effects
    None
  • Adherence
    Always
  • Burden
    A little hard to take
Dosage: 90 min Weekly
Advice & Tips: This was my second time in a DBT Skills group. This group was run exactly how the treatment is supposed to be run: with diary cards, coaching, homework, and a certified DBT counselor (unlike my last group). I was in this group for 2 and a half years, and I can't believe how much I have changed and all that I have gotten out of the group. I feel the most important aspect is to stay persistent in attending the groups and attempting to do the homework and skills, even when it felt impossible or if it had to be done 5 minutes before the start of group. I didn't realize was in it, but my bad habits such as my anger, self-injury, binge drinking and self-criticism have decreased significantly. I don't feel as destructive and am not able to not react as if everything was a catastrophe. I just feel more in control of my life. It was very important to be surrounded by other women/(occasional men) in the group who were struggling with the same issues, and with similar family backgrounds which we could all relate. I felt less alone/crazy being there. I am still continuing with my weekly therapist with my DBT therapist, but I am doing a lot better and do not experience as much suffering as I used to. I am not cured of Borderline Personality Disorder or depression, but I feel more able to cope. I feel more confident in having relationships now and being able to deal with interpersonal problems and asking for things. I am still struggling with existential depression, and mood swings but a lot less than what I remember. I still am working on the skills with my therapist and incorporating in my life. Also, the new edition of DBT is a lot better, so I got to go through the old modules and the new one. I would recommend to anyone who has tried or is looking to try DBT to find an"official" group that is more than a couple months long, and it with a therapist who is specialized in DBT and follows the treatment by the books. You need a lot of time to establish the skills or they aren't going to stick. Overall, being in the group has made a major impact on my quality of life. I will miss the support!
Cost: $100-199 monthly

Jan 16, 2013 (Started Oct 31, 2012)

  • Effectiveness
    Moderate (for borderline personality disorder)
  • Side effects
    None
  • Adherence
    Usually
  • Burden
    A little hard to take
Dosage: 90 min Weekly
Advice & Tips: Solidified and created an accountability for DBT skills. I like the group therapy atmosphere. I had a hard time keeping up with the diary cards, but I think this treatment helped me the most realize that I need to meditation everyday
Cost: $100-199 monthly

  • 1 helpful mark
Last updated:
Showing 3 of 14 patient evaluations for Dialectical Behavioral Therapy