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Dialectical behavior therapy (DBT) is an evidence-based [1] psychotherapy that began with efforts to treat personality disorders and interpersonal conflicts. [1] Evidence suggests that DBT can be useful in treating mood disorders and suicidal ideation as well as for changing behavioral patterns such as self-harm and substance use. [2]
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 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. [171] [172] [169]
Emotional dysregulation plays a role in nonconsensual and violent sexual encounters. Emotional regulation skills prevent verbal coercion by regulating feelings of sexual attraction in men. [57] Consequently, a lack of emotional regulation skills can cause both internalizing and externalizing behaviors in a sexual context.
An alternative and simpler definition is "Seeing others from the inside and ourselves from the outside." The object of treatment is that patients with BPD increase their mentalization capacity, which should improve affect regulation, thereby reducing suicidality and self-harm, as well as strengthening interpersonal relationships.