how beneficial is DBT for borderline personality disorder ?
Dialectical Behavior Therapy (DBT) is a modified variation of Cognitive Behavior Therapy (CBT). DBT was specifically designed to address the needs of clients diagnosed with Borderline Personality Disorder (BPD) by using a collaborative approach. The term "Dialectical" refers to the merger of two conflicting ideas, acceptance, and change. Clients who are considered for DBT will be assessed to determine the status of their motivation for change. Motivation for change is based upon the following five states of change: 1) precontemplation, 2) contemplation, 3) preparation, 4) action, and 5) maintenance. Precontemplation refers to a person not yet acknowledging that there is a problem behavior that needs to be changed. The Contemplation stage occurs when an individual acknowledges that there is a problem but is not yet ready or sure of wanting to make a change. During the Preparation stage describes when a person is getting ready to change. The Action stage (sometimes referred to as willpower) emerges when one is ready to change. Maintenance occurs when an individual works to maintain the behavior change. DBT focuses on skills like mindfulness or living in the present, regulating emotions, tolerating distress, and effectively managing relationships with others. DBT is currently the only evidence-based treatment for borderline personality disorder.
BetterHelp is a teletherapy platform that offers access to a licensed counselor who can help to facilitate DBT. Once you are assigned to a counselor, the counselor will begin by getting to know you better. After the counselor has been able to properly assess you, a plan of direction for your treatment will be generated so that your therapist can monitor and track your progress. Your counselor will work with you on the specific areas mentioned above by helping you understand the therapeutic techniques encompassed by DBT. Similarly, your therapist may provide you with homework to help reinforce the techniques you are taught during your session(s).
You will only be able to determine if these services are of value once you have decided you are ready to fully invest your time and energy during your journey of change. Know that any counseling services whether they are in-office or via telehealth, you must be willing to engage both during therapy and outside of therapy. In other words, it is imperative that you also work to implement appropriate changes to your behavior in your everyday life.