Depression and Anxiety Treatment: Dialectical Behavior Therapy

Dialectical Behavior Therapy (DBT) is a form of cognitive-behavioral treatment developed by Marsha M. Linehan, initially aimed at treating individuals with borderline personality disorder. It has, however, proven effective for treating a range of other conditions, notably depression and anxiety.

DBT incorporates the standard cognitive-behavioral techniques for emotion regulation and reality testing while integrating new strategies like mindfulness, acceptance, and focusing on dialectics – the process of finding balance, avoiding extremes, and synthesizing opposite concepts. These components collectively make DBT an innovative and comprehensive approach towards managing depression and anxiety.

Acceptance:

In terms of depression, DBT focuses on the acceptance and change dialectic. The goal is to help patients accept their experiences and feelings while working to change their negative thought patterns and behaviors. By doing so, they can break free from the cycle of depression. DBT provides tools to manage painful emotions and decrease conflict in relationships, elements often associated with depressive disorders.

Emotional Regulation:

DBT’s emphasis on emotional regulation is particularly useful in dealing with anxiety. Techniques such as mindfulness help patients focus on the present, alleviating worries about the future. Anxiety often stems from an overactive fight-or-flight response, and DBT aids in calming this response, allowing individuals to better manage their reactions to stressors.

Treatment:

A typical DBT treatment for depression and anxiety involves individual therapy, group skills training, phone coaching, and therapist consultation. The group skills training is essential as it teaches behavioral skills in four modules: mindfulness, distress tolerance, emotion regulation, and interpersonal effectiveness.

Mindfulness:

Mindfulness, the core skill, teaches individuals to be fully present in the moment, thereby helping to manage depressive rumination and anxious preoccupation. Distress tolerance equips individuals with crisis survival strategies and the ability to accept and tolerate distress. Emotion regulation focuses on identifying and managing emotional reactions – an essential skill for anyone battling depression or anxiety. Interpersonal effectiveness helps patients navigate relationships and social situations, which can often be a source of stress and trigger for depressive or anxious episodes.

DBT’s effectiveness for treating depression and anxiety is backed by multiple scientific studies. In these studies, DBT has consistently shown to reduce symptoms of depression and anxiety, improve emotional regulation, and enhance overall quality of life.

While the journey to recovery can be challenging, DBT equips individuals with the tools and strategies to navigate their path. It’s a comprehensive, evidence-based therapy that brings hope to those struggling with depression and anxiety. This therapeutic approach helps individuals find balance, improve emotional resilience, and ultimately lead a life worth living.

Sincerely,
Claudia Coxx, MSW, LMSW
248-860-2024 Ext. 505
Office Hours: Tu 3p-6p, W-Th 11a-7p; Fri 11a-5p; Sat 10a-1p