In Dialectical Behavioral Therapy (DBT), therapists endeavor to assist clients in developing a synergistic and cooperative cognitive dynamic. This dynamic enables individuals to critically examine ostensibly contradicting personal experiences or phenomena and integrate them harmoniously to construct a holistic worldview.

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DBT facilitates one to practice self-acceptance and initiate self-change through obtaining relevant skills and cultivating dialectical thinking. 

Dialectical Behavior Therapy (DBT)  for BPD

Bonavitacola, L., Miller, A. L., McGinn, L. K., & Zoloth, E. C. (2019). Clinical guidelines for improving dialectical thinking in DBT. Cognitive and Behavioral Practice, 26(3), 547-561.

Clinical Guidelines for Improving Dialectical Thinking in DBT (Bonavitacola et al., 2019)

1. Skill training group
2. Individual psychotherapy 
3. Telephone consultation/coaching
4. Therapist consultation team

4 Components of Traditional DBT

A dialectical dilemma refers to the conflicting internal psychological states commonly experienced by individuals diagnosed with Borderline Personality Disorder. In this state, conflicting thoughts, emotions, or motivations coexist in awareness, causing substantial inner turmoil, emotional distress, and challenges in arriving at a single decision or action. 

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