Dialectical behavior therapy (DBT) and cognitive behavioral therapy (CBT) are two primary therapeutic modalities. CBT is one of the most commonly used approaches in therapy today, with DBT closely following. While both share similarities, they also have a few differences. How is DBT different from CBT?

What is CBT?

Cognitive behavioral therapy, or CBT, is often considered the “gold standard” for psychotherapy. CBT emphasizes the connection between your thoughts, feelings, and behaviors. It operates on the premise that identifying unhealthy thoughts and replacing them with healthier thinking patterns leads to changed behavior. Extensive evidence-based research confirms its effectiveness for various conditions and disorders. It is often the first modality used for anyone seeking general therapy until determining whether more effective approaches exist.

What is DBT?

Dialectical behavior therapy, or DBT, is a subtype of CBT. The approach is based on the principles of CBT but focuses on developing four primary skills: mindfulness, interpersonal effectiveness, emotional regulation, and distress tolerance. Originally designed as a treatment approach for individuals with borderline personality disorder, it has since expanded to use with other mental health disorders.

What Are the Differences between DBT & CBT?

Despite their similarities, DBT and CBT have some notable discrepancies. So, how is DBT different from CBT?

CBT is a more generalized approach to therapy

CBT operates on a general set of principles that apply to a wide range of people. Clinicians can then narrow their treatment scope depending on individual needs.

DBT is a specialized facet of CBT

DBT is a specialized approach that works best for individuals whose emotional dysregulation severely affects their relationships, work, and overall quality of life.

CBT is a short-term, goal-oriented approach

CBT is mainly used for short periods and focuses on achieving specific goals using present-day solutions. People then apply the skills learned in CBT to their lives independently.

DBT is an ongoing modality for long-term use

DBT is a more acute approach to treatment and works best for people who display high-risk behaviors. It is a long-term approach that emphasizes developing emotional regulation to achieve overarching emotional and social goals. 

CBT focuses on cognition and logic

CBT is a straightforward method that employs logic and cognition to change behavior quickly and focuses less on the emotional aspects of situations.

DBT emphasizes emotional regulation and well-being

DBT is centered around identifying and regulating emotions, which is especially useful in circumstances where logic is difficult to apply. Emotional regulation is a crucial life skill, and DBT specializes in helping individuals develop it.

Finding the right approach for you

You may be wondering whether CBT, DBT, or another therapeutic approach is the best solution for you. Thankfully, you don’t have to determine which modality best suits your needs — that’s what Lifeskills South Florida is here for. Depending on your circumstances and situation, we can help you identify which solution will provide the best path forward.

If you’re ready to seek help, contact us through our contact form. Our understanding team at Lifeskills South Florida will connect you with the program you need so you can start on your path to wellness today.

References

1. National Institute of Mental Health. (2022). Borderline Personality Disorder.