Dialectical Behavior Therapy (DBT) is a research-backed form of therapy that was originally developed in the 1980s by Dr. Marsha Linehan. It was initially designed to help individuals who experience extremely intense emotions—especially those diagnosed with borderline personality disorder (BPD). Over time, DBT has evolved into a widely used and effective approach for treating a range of mental health concerns such as depression, anxiety, trauma, self-harming behaviors, and substance use challenges.
What sets DBT apart is its unique combination of mindfulness practices and behavioral techniques aimed at improving emotional and interpersonal functioning. The therapy emphasizes four primary skill areas: mindfulness, distress tolerance, emotion regulation, and interpersonal effectiveness. These pillars work together to help people navigate difficult emotions, manage stress in healthier ways, and build stronger relationships.
What Makes DBT Stand Out?
One of the defining features of DBT is its dialectical philosophy—the balance between two seemingly opposite ideas: acceptance and change. Rather than forcing clients to “fix” themselves right away, DBT first encourages them to acknowledge and validate their current feelings and experiences. At the same time, it supports them in making meaningful changes that align with their personal goals and values.
Dialectical Behavior Therapy is delivered through a structured and comprehensive format. Clients typically engage in individual therapy sessions, attend group skills training classes, and have access to phone coaching between sessions. This multi-layered approach offers consistent support and ensures clients can practice and reinforce the skills they are learning in real-life situations.
The Four Core DBT Skill Modules
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Mindfulness – Teaches clients how to be present in the moment without judgment, which can help them better understand their emotions and reactions.
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Distress Tolerance – Offers strategies for enduring painful or stressful situations without turning to impulsive or harmful behaviors.
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Emotion Regulation – Focuses on recognizing, naming, and managing strong emotions more effectively.
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Interpersonal Effectiveness – Helps individuals communicate more clearly, assert their needs, maintain self-respect, and set healthy boundaries in relationships.
Who Can Benefit from DBT?
While DBT was originally developed for individuals with BPD and those struggling with suicidal thoughts or self-harm, its scope has significantly expanded. Today, it is used to support people dealing with a wide range of challenges, including:
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Chronic emotional instability or mood swings
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Trauma and post-traumatic stress disorder (PTSD)
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Depression and anxiety disorders
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Substance use issues and eating disorders
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Ongoing relationship problems
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Difficulty coping with stress or crises
Studies have consistently shown that DBT can reduce symptoms such as depression, self-injury, and emotional dysregulation, leading to significant improvements in a person’s overall well-being.
Why Does DBT Work So Well?
DBT is grounded in both compassion and accountability. Clients feel seen and heard, which builds trust and motivation. At the same time, the therapy emphasizes concrete skills that individuals can use in their daily lives. From regulating emotions to building stronger relationships, DBT equips people with tools that lead to real, lasting change.
In addition, phone coaching provides immediate support during high-stress moments, allowing clients to apply what they’ve learned when it matters most. One study found that for older adults with treatment-resistant depression, combining DBT with medication significantly improved outcomes compared to medication alone.
DBT at Linanna Therapy in Coquitlam and Across BC
At Linanna Therapy, we provide affordable and accessible therapy services in Coquitlam and throughout British Columbia via online sessions. Our approach is DBT-informed, meaning we integrate the core elements of Dialectical Behavior Therapy into our counseling methods. Our services include:
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One-on-one therapy sessions, with the option to join DBT skills training groups
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Mindfulness exercises to enhance self-awareness
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Techniques for improving emotional regulation and handling distress
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Tailored support for individuals facing depression, trauma, self-injury, and emotional overwhelm
Our therapists are dedicated to helping clients build confidence, communicate effectively, and work toward emotional balance and healing.
Getting Started with DBT
If you’re interested in exploring Dialectical Behavior Therapy, the process begins with a consultation to discuss your goals and personal history. Together, we’ll create a customized treatment plan that may include individual therapy, group skills sessions, or both. As you progress, you’ll learn and practice the core DBT skills, apply them to real-world situations with the help of phone coaching, and receive ongoing support to maintain and strengthen your progress.
Book your session today and take the first step toward a more empowered and emotionally fulfilling life.
