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DBT uses a multitude of techniques such as behavioral therapy, strategies that improve coping and regulation of emotion, and mindfulness skills. The significance of DBT is apparent as it is the only treatment shown to be effective in reducing suicidal behavior.
The first three modules of DBT increase distress tolerance and emotion regulation skills in the individual, paving the way for work on symptoms such as intrusions, self-esteem deficiency, and interpersonal relations. [54] Noteworthy is that DBT has often been modified based on the population being treated.
The goal of all DBT treatment approaches is to reduce the ineffective action tendencies linked to dysregulated emotions. DBT is based on a biosocial theory of personality functioning in which the core problem is seen as the breakdown of the patient's cognitive, behavioral and emotional regulation systems when experiencing intense emotions.
Dialectical behavior therapy (DBT), on the other hand, focuses on developing skills in four main areas: interpersonal communication, distress tolerance, emotional regulation, and mindfulness, aiming to equip individuals with BPD with tools to manage intense emotions and improve interpersonal relationships. [172] [173] [170]
Emotional regulation and communication skills are linked to secure attachment, which has been related to higher partner support as well as openness in discussing negative experiences and resolving conflict. [49] On the other hand, emotional dysregulation has a negative impact on relationships.
Functionally, emotion regulation can also refer to processes such as the tendency to focus one's attention to a task and the ability to suppress inappropriate behavior under instruction. Emotion regulation is a highly significant function in human life. [6] Every day, people are continually exposed to a wide variety of potentially arousing stimuli.
The client is taught skills that help them cope with their stressors. These skills are then practiced in the space of therapy. These skills involve self-regulation, problem-solving, interpersonal communication skills, etc. [242] The third and final phase is the application and following through of the skills learned in the training process.
Greenberg has posited six principles of emotion processing: (1) awareness of emotion or naming what one feels, (2) emotional expression, (3) regulation of emotion, (4) reflection on experience, (5) transformation of emotion by emotion, and (6) corrective experience of emotion through new lived experiences in therapy and in the world. [35]