DBT Therapy

DBT Therapy (Informed Approach): Creating a DBT Workbook of Our Own
The DBT workbook, created by Marsha Linehan as part of Dialectical Behaviour Therapy (DBT), was developed after observing that certain populations who experienced intense emotions did not respond well to traditional behavioural therapies that aimed to change thoughts to influence feelings and behaviours.
She proposed that we can find acceptance for our thoughts and emotional experiences, and even if these thoughts or feelings can’t always change, there are ways to commit to choosing more adaptive behaviours and healthier life paths. The techniques I use in my practice are adapted from her DBT workbook and manual, and I provide DBT worksheets for clients.
Read on to learn more about the core skills DBT therapy seeks to foster.
Mindfulness
DBT teaches us to lengthen the space and time between a thought or feeling and our subsequent action or reaction to that thought or feeling. Mindfulness is used by us to observe the thoughts passing through us and the sensations experienced by our bodies nonjudgmentally, with full awareness, with curiosity, gently releasing the need to respond to them immediately.
Distress Tolerance
Sometimes we encounter a problem with no resolution, or at least no realistic ability to resolve it in the moment then and there; distress tolerance skills are intended to get us through that moment. They are designed to be used in the short term and support us through resisting the problem with an urge that might have consequences for us or cause us to behave out of alignment with our values. These skills help get us to a point where we may access clearer decision making.
Emotional Regulation
These skills focus on, over time, helping us take agency over our emotional experiences; they are designed to reduce the suffering certain emotions can instill in us by teaching us to name them, describe them, analyze them, understand them, and then respond mindfully.
Interpersonal Effectiveness
Those of us who feel controlled by our emotions and impulses can at times find that our relationships are impacted; interpersonal effectiveness skills build on the core three before it to help us assert our needs, manage relational conflict, while showing respect for self and others.
Connect For a Consultation
If learning, practicing, and refining the above core skills would be of interest to you, feel free to access my contact form to connect for a 20-minute virtual consultation. Please allow for 24 hours to receive a response. If you’re in an emergency, please call 911 or make your way to your closest hospital emergency department.
DBT FAQs
What Do you Mean by a DBT Informed Approach?
DBT therapy techniques may play a more central or less central role in my work with clients depending on what they’re coming to therapy for and what they’re struggling with. Classically, DBT has a structure, order, and didactic quality, using a DBT workbook and worksheets in a fixed way, which may be indicated to best support some people. If you’re interested in exploring the above core skills in a manner that is more flexible or integrative, you may reach out to me to see whether an informed approach would be right for you.
What Experience Do you Have with DBT?
I hold a certificate in DBT Informed Practice from Adler Graduate Professional School’s continuing education program for health care providers.
What is DBT Used to Treat?
As a behavioural therapy technique, DBT focuses on teaching and practicing skills designed to contain and grow our capacities to navigate high emotional intrusion and overwhelm, impulsivity and reactivity, tendencies towards maladaptive coping, and challenges with interpersonal relationships. It takes an action-oriented approach in effort to address difficulties in the person’s present day, holding that our struggles may be valid while emphasizing the agency we do have.
Can a DBT Therapist Diagnose?
Diagnosis is a controlled act reserved for medical doctors. Where specialized knowledge is required, it may be performed by a psychiatrist or psychologist. Only these health care professionals may diagnose a mental health disorder. As a psychotherapist, diagnosis is not within my scope of practice. I may use DBT skills to support you in addressing mental health challenges where teaching the skills could be of benefit, whether or not you have a diagnosis.
Is There a Limit to the Number of DBT Sessions you Offer?
In private practice, I do not issue a session cap to clients; typically, DBT therapy is done intensively within a time limited structure, but because I take an informed approach, we can take our time refining the skills where they could address your unique situation. When you’re ready, we may move towards therapy closure or explore options for a different therapeutic approach.
Do you Take Crisis Calls?
As a therapist in private practice, I am unable to guarantee availability for a crisis call. I endeavor to offer appointments to clients experiencing a period of need within 48 business hours. In moments of crisis, clients are encouraged to consult their established safety plan, phone 988, or 911 in the event of an emergency. They may also use the Toronto Distress Centres Helpline at 416 408-4357, or The Gerstein Centre’s Helpline at 416 929-5200.
Where can I find More Structured DBT Support?
Some structured DBT options are offered locally through CAMH’s borderline personality disorder clinic, Layla Care’s DBT Skills Group, and through The Ontario DBT Centre.
What are the components of DBT therapy?
DBT therapy is based on core skills that help individuals manage intense emotions and improve relationships. These components include mindfulness, distress tolerance, emotional regulation, and interpersonal effectiveness.
What are DBT therapy techniques?
DBT therapy techniques involve mindfulness, distress tolerance, emotional regulation, and interpersonal effectiveness. These techniques help individuals manage their emotions, respond effectively to situations, and improve their relationships with others.
What is Mindfulness in DBT therapy?
Mindfulness in DBT therapy involves observing thoughts, feelings, and physical sensations nonjudgmentally and with full awareness. It helps individuals increase their awareness of the present moment and build a space between emotions and reactions.
How does DBT therapy help with emotional regulation?
DBT therapy helps with emotional regulation by teaching individuals how to name, describe, and understand their emotions. Over time, this helps reduce emotional suffering by allowing individuals to respond to tough situations rather than react impulsively.
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