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Home > Blog

How DBT Helps People with Borderline Personality Disorder

August 11, 2024  |  John Malanca

August 11, 2024 by John Malanca Leave a Comment

Article Topics

  • What Is Dialectical Behavior Therapy (DBT)?
  • How BPD Affects Daily Life
  • Four Core Modules of DBT
    • 1. Mindfulness
    • 2. Distress Tolerance
    • 3. Emotion Regulation
    • 4. Interpersonal Effectiveness
  • Why DBT Works for BPD
  • Expectations in DBT
  • Bottom Line
Woman experiencing Anxiety and Panic Attack

Borderline Personality Disorder (BPD) is an emotional rollercoaster, with no brakes. In life, one minute we are good and the next minute we are angered, frightened, or depressed. The relationships turn out to be insecure, and a minor problem in real life causes a strong reaction. However, things can improve, and oftentimes, it begins with an effective treatment known as Dialectical Behavior Therapy (DBT).

The development of DBT has been specifically targeted at individuals with BPD.  Over the years, it has helped thousands of individuals to regain control over their lives. In this article, we will see what DBT is and why it works so well in dealing with this disorder.

What Is Dialectical Behavior Therapy (DBT)?

DBT is a cognitive behavioral treatment that involves the integration of two key ideas: acceptance and change. Dialectical is a term that is interpreted as the balancing of two notions that are opposed to each other. It assists individuals to become comfortable with what they are feeling in that particular moment, while still working toward healthier behavior and thought patterns. Such balance is important in making people with BPD feel they are not misinterpreted and misunderstood, without feeling stuck.

DBT was developed by a psychologist named Dr. Marsha Linehan in the 1980s. It was initially designed to treat patients with long-term suicidal feelings and erratic emotions. It is regarded as the gold standard to treat BPD.

How BPD Affects Daily Life

People with BPD often deal with:

  • Extreme mood swings
  • Intense fear of abandonment
  • Impulsive behavior
  • Unstable relationships
  • Self-harming or suicidal thoughts
  • A shaky sense of identity

Such symptoms can be overwhelming for the affected person and other members around them. In untreated cases, BPD may result in severed relationship lines, loss of jobs, and mental disorders in a crisis.

Four Core Modules of DBT

DBT is not merely talking; it is a skill-based approach. It imparts pragmatic resources so that individuals can manage their feelings, relations, and life pressure in a better way. It has four major modules:

1. Mindfulness

This teaches one to be present. Rather than having to make decisions based on impulse or being consumed by too many emotions, individuals are taught to look at themselves and consider their thoughts and feelings unconditionally.

2. Distress Tolerance

Life has curveballs. It is a skill to endure an emotional crisis without exacerbating the situation emotionally, such as in the form of self-harm, substance abuse, or temper tantrums.

3. Emotion Regulation

BPD comes with extreme and rapid alternating moods. This module educates you on how to deal with those emotions and control them before they get out of control.

4. Interpersonal Effectiveness

People with BPD can find relationships to be a strong stressor. This is the aspect of DBT that is concerned with boundary setting, requests, and self-respect in challenging situations.

Why DBT Works for BPD

BPD is not being too emotional or sensitive. It is a severe mental disorder that is based on emotional suffering. The idea is not to fix people with DBT. It assists them in developing talents in order to lead better lives.

This is the secret of its working:

  • Structured: DBT has a logical step-by-step process that develops with time.
  • Supportive: Clients receive coaching and group support, not just weekly therapy sessions.
  • Skill-oriented: Clients do not discuss problems but apply those skills that can result in a definite change.
  • Validating: DBT tells you your pain is real, but also nudges you along into more healthy reactions.

Studies have indicated that DBT decreased suicidal behavior, hospitalizations, and emotional distress among individuals with BPD. It also enhances the general living standards.

Expectations in DBT

A typical DBT consists of:

  • Personal meetings once per week
  • Skills training for groups once a week
  • Real-life phone coaching

It can be a dedication, but according to many, it was the first time they ever felt like they could be seen, understood, and capable of change.

Bottom Line

Borderline Personality Disorder does not need to be on top of your life. Healing is not a fairytale, it is real with the best support and right tools in place, and the right mindset, it is possible. The Dialectical Behavior Therapy provides individuals with BPD the management needed to deal with emotions, improve relationships, and, lastly, find peace with themselves.

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Filed Under: Depression Tagged With: Anxiety, Borderline Personality Disorder, DBT, Dialectical Behavior Therapy, distress tolerance, Dr. Marsha Linehan, Emotion Regulation, Interpersonal Effectiveness, mindfulness, mood, Personality Disorder, self-harming, Stress, suicide, United Patients Group

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In Loving Memory of Corinne Malanca

I am deeply saddened to share the news that my best friend, my wife, my business partner….

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