Dialectical behavior therapy (DBT)

Dialectical behavior therapy (DBT) helps people who feel intense emotions that are hard to manage. It teaches simple, practical skills to manage stress, get through tough moments and improve relationships. At Optum Behavioral Care, therapy may use DBT or CBT skills as part of your care.

DBT helps you accept how you feel, while learning ways to make positive changes. Many people find DBT helpful when emotions feel intense or overwhelming.

What to expect during DBT

DBT focuses on accepting your feelings while learning new skills. DBT helps you notice and accept your thoughts and feelings, while also learning how to respond in more helpful ways.

DBT often starts with a conversation where your therapist learns what you are going through and what you want help with. A therapist may also talk with you about whether DBT or another type of support would work best for you.

Standard DBT follows a set program and may have specific requirements before you begin. It often includes individual therapy, group skills training and support to help you use skills in daily life. Many therapists teach DBT skills during individual therapy, even if you are not in a full DBT program.

Sessions often focus on learning and practicing DBT skills, such as:

Noticing emotions and how you react to them
Managing stress in safer ways
Improving communication with others

Some programs use short check in surveys to see how you are doing over time. These results can help you and your therapist make changes to your care if needed.

How long DBT lasts can vary from person to person. Some people learn a few DBT skills in therapy. Others participate in a longer, structured DBT program. Your therapist will recommend the type of support that best fits your needs.