Dialectical Behavior Therapy

for Borderline Personality Disorder

Status: Strong Research Support


Dialectical Behavior Therapy (DBT) was originally developed as an intervention for chronically suicidal individuals. DBT blends behavioral and crises intervention theories with an emphasis on acceptance and tolerance drawn both from Western contemplative and Eastern meditation practice. The theoretical framework emphasizes an exchange and negotiation between therapist and client, between the rational and the emotional, and between acceptance and change (hence the term "dialectical"). Treatment targets are agreed upon, with self-harm taking priority. The learning of new skills is a core component - including mindfulness (e.g., non-judgmental awareness of one’s own feelings and actions), interpersonal effectiveness (e.g. assertiveness and social skills), coping adaptively with distress and crises, and identifying and regulating emotional reactions. DBT involves both individual and group therapy.

Key References (in reverse chronological order)

Clinical Resources

Training Opportunities

The Behavioral Research and Therapy Clinics (BRTC) at the University of Washington is run by Marsha M. Linehan and offers a variety of training opportunities, as well as information about pre- and post-doctoral training opportunities in DBT throughout the United States.