Editing Dialectical behavior therapy (section)

==Overview==
DBT is sometimes considered a part of the [[Cognitive behavioral therapy#Merger of behavioral and cognitive therapies|"third wave" of cognitive-behavioral therapy]], as DBT adapts CBT to assist patients in dealing with stress.<ref>{{Cite journal |last1=Bass |first1=Christopher |last2=van Nevel |first2=Jolene |last3=Swart |first3=Joan |year=2014 |title=A comparison between dialectical behavior therapy, mode deactivation therapy, cognitive behavioral therapy, and acceptance and commitment therapy in the treatment of adolescents. |journal=International Journal of Behavioral Consultation and Therapy |volume=9 |issue=2 |pages=4–8 |doi=10.1037/h0100991}}</ref><ref>{{Cite journal |last1=Hofmann |first1=Stefan G. |last2=Sawyer |first2=Alice T. |last3=Fang |first3=Angela |date=September 1, 2010 |title=The Empirical Status of the 'New Wave' of Cognitive Behavioral Therapy |journal=Psychiatric Clinics of North America |language=en |volume=33 |issue=3 |pages=701–710 |doi=10.1016/j.psc.2010.04.006 |issn=0193-953X |pmc=2898899 |pmid=20599141}}</ref> DBT focuses on treating disorders that are characterised by impulsivity and emotional dysregulation.<ref>{{cite journal |last1=Gilbert |first1=Kirsten |last2=Hall |first2=Karyn |last3=Codd |first3=R Trent |title=Radically Open Dialectical Behavior Therapy: Social Signaling, Transdiagnostic Utility and Current Evidence |journal=[[Psychology Research and Behavior Management]] |date=8 January 2020 |volume=13 |pages=19–28 |doi=10.2147/PRBM.S201848 |pmid=32021506 |pmc=6955577 |issn=1179-1578 |doi-access=free }}</ref>

DBT strives to have the patient view the therapist as an accepting [[alliance|ally]] rather than an [[enemy|adversary]] in the treatment of psychological issues: many treatments at this time left patients feeling "criticized, misunderstood, and invalidated" due to the way these methods "focused on changing cognitions and behaviors."<ref name="ReferenceA"/> Accordingly, the therapist aims to accept and [[wikt:validate|validate]] the client's feelings at any given time, while, nonetheless, informing the client that some feelings and behaviors are [[maladaptive]], and showing them better alternatives.<ref name="nutshell" /> In particular, DBT targets self-harm and [[suicide attempt]]s by identifying the function of that behavior and obtaining that function safely through DBT coping skills.<ref>{{cite journal |last1=Clarke |first1=Stephanie |last2=Allerhand |first2=Lauren A. |last3=Berk |first3=Michele S. |title=Recent advances in understanding and managing self-harm in adolescents |journal=[[F1000Research]] |date=24 October 2019 |volume=8 |pages=1794 |doi=10.12688/f1000research.19868.1|pmid=31681470 |pmc=6816451 |doi-access=free }}</ref> DBT focuses on the client acquiring new skills and changing their behaviors,<ref>{{Cite journal |last1=Choi-Kain |first1=Lois W. |last2=Finch |first2=Ellen F. |last3=Masland |first3=Sara R. |last4=Jenkins |first4=James A. |last5=Unruh |first5=Brandon T. |date=February 3, 2017 |title=What Works in the Treatment of Borderline Personality Disorder |journal=Current Behavioral Neuroscience Reports |volume=4 |issue=1 |pages=21–30 |doi=10.1007/s40473-017-0103-z |pmc=5340835 |pmid=28331780}}</ref> with the ultimate goal of achieving a "life worth living".<ref name="ReferenceA"/>

In DBT's biosocial theory of BPD, clients have a biological predisposition for [[emotional dysregulation]], and their social environment validates maladaptive behavior.<ref>{{Cite journal |last1=Little |first1=Hannah |last2=Tickle |first2=Anna |last3=das Nair |first3=Roshan |date=October 16, 2017 |title=Process and impact of dialectical behaviour therapy: A systematic review of perceptions of clients with a diagnosis of borderline personality disorder |journal=Psychology and Psychotherapy: Theory, Research and Practice |volume=91 |issue=3 |pages=278–301 |doi=10.1111/papt.12156 |pmid=29034599 |s2cid=32268378|url=https://nottingham-repository.worktribe.com/file/888123/1/PPTRP.16.0155_R1%20Manuscript%20resubmission.pdf }}</ref>

DBT skills training alone is being used to address treatment goals in some clinical settings,<ref>{{Cite journal |last1=Valentine |first1=Sarah E. |last2=Bankoff |first2=Sarah M. |last3=Poulin |first3=Renée M. |last4=Reidler |first4=Esther B. |last5=Pantalone |first5=David W. |date=January 2015 |title=The Use of Dialectical Behavior Therapy Skills Training as Stand-Alone Treatment: A Systematic Review of the Treatment Outcome Literature |journal=[[Journal of Clinical Psychology]] |volume=71 |issue=1 |pages=1–20 |doi=10.1002/jclp.22114 |pmid=25042066}}</ref> and the broader goal of [[emotion regulation]] that is seen in DBT has allowed it to be used in new settings, for example, supporting [[parenting]].<ref>{{Cite journal |last1=Zalewski |first1=Maureen |last2=Lewis |first2=Jennifer K |last3=Martin |first3=Christina Gamache |date=June 2018 |title=Identifying novel applications of dialectical behavior therapy: considering emotion regulation and parenting |journal=[[Current Opinion in Psychology]] |volume=21 |pages=122–126 |doi=10.1016/j.copsyc.2018.02.013 |pmid=29529427 |s2cid=3838955}}</ref> There has been little study into adapting DBT into an online environment, but a review indicates that attendance is improved online, with comparable improvements for clients to the traditional mode.<ref>{{cite journal |last1=Lakeman |first1=Richard |last2=King |first2=Peter |last3=Hurley |first3=John |last4=Tranter |first4=Richard |last5=Leggett |first5=Andrew |last6=Campbell |first6=Katrina |last7=Herrera |first7=Claudia |title=Towards online delivery of Dialectical Behaviour Therapy: A scoping review |journal=[[International Journal of Mental Health Nursing]] |date=August 2022 |volume=31 |issue=4 |pages=843–856 |doi=10.1111/inm.12976|pmid=35048482 |pmc=9305106 }}</ref>