About DBT

Dialectical Behavioral Therapy (DBT) is a type of cognitive behavioral therapy which tries to identify and change negative thought patterns and pushes for positive behavioral changes. DBT skills are proven to be beneficial for those diagnosed with...

  •  Borderline Personality Disorder (BPD)
  •  Schizophrenia
  •  Anxiety
  •  Depression
  •  Obsessive Compulsive Disorder (OCD)
  •  PTSD & C-PTSD

DBT skills are also useful for just about anyone! Even those who are not diagnosed with a mental illness at all. The skills taught in DBT are full of useful techniques anyone can add to their toolbox.

Read the latest research on DBT:

Goodman, M, Banthin, D, Blair, NH, Mascitelli, KA, Wilsnack, J, et al. (2016). A randomized trial of dialectical behavior therapy in high-risk suicidal veteransJournal of Clinical Psychiatry, 77, 1591-1600.

Barnicot, K, Savill, M, Bhatti, N, & Priebe, S (2014). A pragmatic randomized controlled trial of dialectical behaviour therapy: Effects on hospitalisation and post-treatment follow-upPsychotherapy and Psychosomatics, 83, 192-193.

Pistorello, J, Fruzzetti, AE, Maclane, C, Gallop, R, & Iverson, KM (2012). Dialectical behavior therapy (DBT) applied to college students: A randomized clinical trialJournal of Consulting and Clinical Psychology, 80, 982-994.

Priebe, S, Bhatti, N, Barnicot, K, Bremner, S, Gaglia, A et al. (2012). Effectiveness and cost-effectiveness of dialectical behaviour therapy for self-harming patients with personality disorder: A pragmatic randomized controlled trialPsychotherapy and Psychosomatics, 81, 356-365.

Feigenbaum, J, Fonagy, P, Pilling, Jones, Wildgoose et al. (2011). A real-world study of the effectiveness of DBT in the UK National Health ServiceBritish Journal of Clinical Psychology, 51, 121-141.

Koons, CR, Robins, CJ, Tweed, JL, Lynch, TR, et al. (2001). Efficacy of Dialectical Behavior Therapy in women veterans with borderline personality disorderBehavior Therapy, 32, 371-390.

Research: Adults with BPD

*Listed in reverse chronological order

Linehan, MM, Korslund, KE, Harned, MS, Gallop, RJ, Lungu, A, Neacsiu, AD et al. (2015). Dialectical behavior therapy for high suicide risk in individuals with borderline personality disorder: A randomized clinical trial and component analysisJAMA Psychiatry, 72, 475-482.

Carter, GL, Willcox, CH, Lewin, TJ, Conrad, AM, & Bendit, N (2010). Hunter DBT Project: Randomized controlled trial of dialectical behaviour therapy in women with borderline personality disorderAustralian and New Zealand Journal of Psychiatry, 44, 162-173.

McMain, SF, Links, PS, Gnam, WH, Guimond, T, Cardish, RJ, Korman, L., & Streiner, DL (2009). A randomized trial of dialectical behavior therapy versus general psychiatric management for borderline personality disorderAmerican Journal of Psychiatry, 166, 1365-1374.

Linehan, MM, McDavid, JD, Brown, MZ, Sayrs, JH, & Gallop, RJ (2008). Olanzapine plus dialectical behavior therapy for women with high irritability who meet criteria for borderline personality disorder: A double-blind, placebo-controlled pilot studyJournal of Clinical Psychiatry, 69, 999-1005.

Clarkin, JF, Levy, KN, Lenzenweger, MF, & Kernberg, OF (2007). Evaluating three treatments for borderline personality disorder: A multiwave studyAmerican Journal of Psychiatry, 164, 922-928.

Linehan, MM, Comtois, KA, Murray, AM, Brown, MZ, Gallop, RJ, et al. (2006). Two-year randomized controlled trial and follow-up of DBT vs therapy by experts for suicidal behaviors and BPDJAMA Psychiatry, 63, 757-766.

Verheul, R, van den Bosch, LM, Koeter, MW, De Ridder, MA, Stijnen T et al. (2003). Dialectical behaviour therapy for women with borderline personality disorder: 12-month, randomized clinical trial in the NetherlandsBritish Journal of Psychiatry, 182, 135-140.

van den Bosch, LM, Verheul, R, Schippers, GM, & van den Brink, W (2002). Dialectical Behavior Therapy of borderline patients with and without substance use problems: Implementation and long-term effectsAddictive Behaviors, 27, 911-923.

Linehan, MM, Dimeff, LA, Reynolds, SK, Comtois, KA, Welch, SS et al. (2002). Dialectical behavior therapy versus comprehensive validation therapy plus 12-step for the treatment of opioid dependent women meeting criteria for borderline personality disorderDrug and Alcohol Dependence, 67, 13-26.

Linehan, MM, Schmidt, H, Dimeff, LA, Craft, JC, Kanter, J, & Comtois, KA (1999). Dialectical behavior therapy for patients with borderline personality disorder and drug-dependenceAmerican Journal of Addictions, 8, 279-292.

Linehan, MM, Heard, HL, & Armstrong, HE (1993). Naturalistic follow-up of a behavioral treatment for chronically suicidal parasuicidal borderline patientsArchives of General Psychiatry, 50, 971-974.

Linehan, MM, Armstrong, HE, Suarez, A., Allmon, D, & Heard, HL (1991). Cognitive-behavioral treatment of chronically parasuicidal borderline patientsArchives of General Psychiatry, 48, 1060-1064.

Research: DBT for Adolescents

*Listed in reverse chronological order

Elizabeth McCauley, PhD; Michele S. Berk, PhD; Joan R. Asarnow, PhD et al (2018). Efficacy of Dialectical Behavior Therapy for Adolescents at High Risk for Suicide: A Randomized Clinical Trial. JAMA Psychiatry. Published online June 20, 2018. doi:10.1001/jamapsychiatry.2018.1109

Mehlum, L, Ramberg, M, Tørmoen, AJ, Haga, E, Diep, LM, et al. (2016). Dialectical behavior therapy compared with enhanced usual care for adolescents with repeated suicidal and self-harming behavior: outcomes over a one-year follow-upJournal of the American Academy of Child & Adolescent Psychiatry, 55, 295-300.

Goldstein, TR, Fersch-Podrat, RK, Rivera, M, Axelson, DA, Merranko, J, Yu, H, Brent, DA, & Birmaher, B (2015). Dialectical behavior therapy for adolescents with bipolar disorder: Results from a pilot randomized trialJournal of Child and Adolescent Psychopharmacology, 25, 140-149.

Mehlum, L, Tørmoen, AJ, Ramberg, M, Haga, E, Diep, LM et al. (2014). Dialectical Behavior Therapy for adolescents with repeated suicidal and self-harming behavior: A randomized trialJournal of the American Academy of Child and Adolescent Psychiatry, 53, 1082-1091.

Research: DBT for PTSD

*Listed in reverse chronological order

Harned, MS, Korslund, KE, & Linehan, MM (2014). A pilot randomized controlled trial of Dialectical Behavior Therapy with and without the Dialectical Behavior Therapy Prolonged Exposure protocol for suicidal and self-injuring women with borderline personality disorder and PTSDBehaviour Research and Therapy, 55, 7-17.

Bohus, M, Dyer, AS, Priebe, K, Kruger, A, Kleindienst, N et al. (2013). Dialectical behaviour therapy for post-traumatic stress disorder after childhood sexual abuse in patients with and without borderline personality disorder: A randomised controlled trialPsychotherapy and Psychosomatics, 82, 221-233.

Research: DBT as Treatment

*Listed in reverse chronological order

BORDERLINE PERSONALITY DISORDER

McMain, SF, Guimond, T, Barnart, R, Habinski, L, Streiner, DL. (2017). A randomized trial of brief dialectical behaviour therapy skills training in suicidal patients suffering from borderline disorderActa Psychiatrica Scandinavica, 135, 138-148.

Soler, J, Pascual, JC, Tiana, T, Cebria, A, Barrachina, J et al. (2009) DBT skills training compared to standard group therapy in borderline personality disorder: A 3-month randomised controlled clinical trialBehaviour Research and Therapy, 47, 353-358.

EATING DISORDERS

Safer, DL, Robinson, AH, & Jo, B. (2011). Outcome from a randomized controlled trial of group therapy for binge eating disorder: comparing dialectical behavior therapy adapted for binge eating to an active comparison group therapyBehavior Therapy, 41, 106-120.

Hill, DM, Craighead, LW, & Safer, DL (2011). Appetite-focused dialectical behavior therapy for the treatment of binge eating with purging: a preliminary trialInternational Journal of Eating Disorders, 44, 249-261.

Safer DL, Telch CF, & Agras WS. (2001). Dialectical behavior therapy for bulimia nervosaAmerican Journal of Psychiatry, 158, 632-634.

Telch, CF, Agras, WS, & Linehan, MM (2001). Dialectical behavior therapy for binge eating disorderJournal of Consulting and Clinical Psychology, 69, 1061-1065.

ADHD

Fleming, AP, McMahon, RJ, Moran, LR, Peterson, AP, & Dreessen A. (2015). Pilot randomized controlled trial of dialectical behavior therapy group skills training for ADHD among college studentsJournal of Attentional Disorders, 19, 260-271.

Hirvikoski T, Waaler E, Alfredsson J, Pihlgren C, Homstrom, A, et al. (2011). Reduced ADHD symptoms in adults with ADHD after structured skills training group: results from a randomized controlled trialBehaviour Research and Therapy, 49, 175-185.

MOOD DISORDERS

Van Dijk, S, Jeffrey, J, & Katz, MR. (2013). A randomized, controlled, pilot study of dialectical behavior therapy skills in a psychoeducational group for individuals with bipolar disorderJournal of Affective Disorders, 145, 386-393.

Harley R, Sprich S, Safren S, Jacobo M, & Fava M. (2008). Adaptation of dialectical behavior therapy skills training group for treatment-resistant depressionJournal of Nervous and Mental Disease, 196, 136-143.

Lynch, TR, Morse, JQ, Mendelson, T, & Robins, CJ. (2003). Dialectical behavior therapy for depressed older adults: a randomized pilot studyAmerican Journal of Geriatric Psychiatry, 11, 33-45.

TRANSDIAGNOSTIC

Uliaszek, AA, Rashid, T, Williams, GE, Gulamani, T. (2015). Group therapy for university students: A randomized control trial of dialectical behavior therapy and positive psychotherapyBehaviour Research and Therapy, 77, 78-85.

Neacsiu, AD, Eberle, JW, Kramer, R, Wiesmann, T, & Linehan, MM. (2014). Dialectical behavior therapy skills for transdiagnostic emotion dysregulation: A pilot randomized controlled trialBehaviour Research and Therapy, 59, 40-51.

Bradley, RG & Follingstad, DR. (2003). Group therapy for incarcerated women who experienced interpersonal violence: a pilot studyJournal of Traumatic Stress, 16, 337-340.

Research: DBT for Children

*Listed in reverse chronological order

Perepletchikova, F, Nathanson, D, Axelrod, S, Merrill C, Walker, A, Grossman, M, et al. (2017). Randomized clinical trial of Dialectical Behavior Therapy for pre-adolescent children with disruptive mood dysregulation disorder: feasibility and outcomesJournal of the American Academy of Child & Adolescent Psychiatry, 56, 832-840.