Dialectical Behaviour Therapy
Please note: this therapy treatment is currently suspended due to staff changes. Other evidence based interventions continue: MBT, STEPPS and schema. DBT will be reviewed once therapies team has been fully recruited to.
Dialectical Behaviour Therapy (DBT) is a specialist psychotherapy for clients with a diagnosis of borderline personality disorder (BPD) who are severely emotionally and behaviourally dysregulated (including chronic suicidality, self harm and extreme and problematic impulsive behaviour).
The therapy has a focus on teaching clients skills for managing emotions, relationships and destructive impulsive behaviours.
DBT follows a number of assumptions:
- People are doing the best that they can.
- People want to improve
- People need to increase their motivation and effort to find more effective solutions to their problems.
- People may not have caused all of their problems, but they have to solve them anyway.
- The lives of people who are suicidal are unbearable as they are currently being lived.
- People must learn new behaviours and ways of coping in therapy and in their day-to-day lives
- People cannot fail in DBT Therapists need support too
A quote from a service user who completed DBT: The diary cards were not easy to do, they were very stressful, but we came up with a way to make it work for me. The therapy has made a profound change to my life, more than expected. I don't drink anymore, my drug use has decreased significantly and I'm less aggressive. I problem-solve and step back more than I ever did. I feel happier generally with who I am. Therapy helped me understand my vulnerabilities and why I do things. There were times at the beginning I thought "Oh come on man, how is this going to help me!" but the change has been amazing and I'm glad I stuck it out. The therapy taught me how to have a sustainable approach to manage my emotions. Before I used to be a "weed whore" because I didn't know how to deal with my emotions but now I do.