6 thoughts on “Finding the Dialectic in Dialectical Behavior Therapy (DBT)

  • April 6, 2010 at 2:11 pm

    I’ve found that when therapists fail to keep a good balance on the dialectic of acceptance and change, they usually error in the direction of too much emphasis on change and too little on acceptance. After all, therapists want to see things happen so it’s easy for them to be seduced into pushing for too much change before their clients are ready.

  • April 7, 2010 at 11:26 am

    My understanding of DBT is that it is a core approach to achieving stability, even happiness, by teaching a fine-tuned self-awareness along with personalized adaptive strategies to deal with change.

    The difficulty with DBT, and many other tools for mental health support, is that it is associated with a “pathology” such as Borderline Personality Disorder. Granted, that for purposes of appeasing insurance companies, those labels seem to be crucial. But the label(s) can completely deter those who need help, know they need help, but cannot deal with a label.

    For instance, DBT is being used effectively by people with Aspergers. Those with AS who are high functioning are often (understandably) resistant to even being associated with an autism spectrum disorder, and thus even more resistant, to a therapy developed for BPD. With all due respect to Linehan’s work, I wish mental health professionals would work on making effective therapies more friendly to those who shy away from labels.

    It is ironic that DBT, which in many ways is a training course in resilience for those who struggle with emotional balance and perspective, seems irrevocably linked to a specific “disorder.” This makes it appear very inflexible, which it is not, when led by a therapist skilled in DBT.

    My own perspective is from trying to get a teenager with Asperger’s who can seem “normal” much of the time when stress is low, who so desperately wants to be “normal” that he sacrifices self-awareness on a daily basis, and who is in absolute terror of being discovered by his peers. Remove the labels that infer pathology, mental health problems, etc. Replace them with something more inviting and empowering and many young wounded warriors in hiding and in dire need of help might step out of the shadows.

  • May 30, 2010 at 6:15 pm

    how do i join your organization and do online dbt chat group. i have some experience in a group setting and i am in therapy with a dbt therapist
    please let me know.

    thanx very much for your time
    very much

    • May 31, 2010 at 6:02 pm

      I don’t currently have a DBT chat group, but you can continue to read my blogs and comment. As you comment, others are likely to respond. I’ll keep your email and let you know if I start up a DBT chat or come across one.

      Thanks for reading.

  • January 2, 2012 at 3:46 pm

    I am looking for a DBT therapist in the Owensboro, Kentucky area. Any help would be appreciated.


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