Dialectical behaviour therapy (DGT)

DGT is a form of psychotherapy that helps people cope better with intense emotions and stressful situations. The therapy focuses on finding a balance between acceptance and change. This is done through concrete skills that help you manage your emotions, communicate more effectively and deal with difficulties in a healthy way. Originally developed for people with borderline personality disorder, DGT is now also used for other psychological problems, such as depression, anxiety disorders and addictions.

The core of DGT

DGT combines elements of cognitive behavioural therapy with mindfulness and acceptance-focused techniques. The therapy focuses on four core skills:

• Mindfulness: Awareness of thoughts and feelings without judging them.
• Emotion regulation: Recognising, understanding and managing intense emotions.
• Interpersonal skills: These are ways to improve relationships, set boundaries and communicate effectively.
• Distress tolerance: Dealing with difficult situations without destructive reactions.

How does DGT work?

Therapy is usually offered in a combination of group sessions and individual sessions. In the group sessions, participants learn skills through practical exercises and homework assignments. Individual therapy provides opportunities to apply these skills in daily life and discuss personal challenges. Telephone/online coaching is often also available to support clients in difficult moments.

A typical DGT treatment lasts about six months, with participants learning and practising new skills in steps. The emphasis is on consistently applying these skills in daily life so that behavioural change becomes sustainable.

Practical example of dialectical behavioural therapy

Picture this: Lisa, a young woman of 27, struggles with extreme mood swings and impulsive behaviour. She struggles to maintain relationships and often feels overwhelmed by her emotions. Through DGT, Lisa gradually learns how to recognise and manage her feelings. She learns how to communicate in a healthy way and discovers that she does not have to suppress her emotions, but can regulate them. After a few months, she notices that her relationships improve and she feels less overwhelmed by stressful situations.

Effectiveness and scientific evidence

Research shows DGT can bring significant improvements in people with emotional instability and self-harming behaviour From a study published in Behavior Research and Therapy showed that DGT could reduce suicidality in clients with borderline personality disorder with 50%. Moreover, the techniques of DGT are applicable to different target groups, which is why the therapy is increasingly recommended within mental health services.

Find a suitable therapist

Want to find out if DGT is right for you? On our website, you can easily find therapists who specialise in this form of treatment. Check the overview and contact a professional that suits you directly.