Dialectical Behaviour Therapy (DBT) was designed by Marsha Linehan. It shares similar traits with CBT, and was created as a treatment for those with Borderline Personality Disorder.
The aim of DBT is to teach the client to take control of their emotions and their lives; “clients are taught more skilful ways to regulate their emotions, deal with the distressing situations in their lives, and improve relationships with the people around them” (Baugh, 2006).
DBT consists of four key modules:
Focuses on what the client needs to do in order to be mindful and how they can do this
Helps the client to reduce their vulnerability to an emotional state of mind. This isachieved by providing methods to identify and label emotions, identifying the barriersin changing emotions and applying distress tolerance skills
Skills for accepting, finding meaning for, and tolerating distress
Assertiveness skills – i.e. saying ‘no’, making a request, and coping with problems
CBT originates from America in the 1960’s. It was developed by Aaron T. Beck at the University of Pennsylvania, “as a structured, short-term, present-orientated psychotherapy for depression, directed toward solving current problems and modifying dysfunctional thinking and behaviour”
CBT is the recommended treatment for a wide variety of psychiatric disorders; it is a therapy which has been extensively tested and has been found to be effective in the treatment of major depressive disorder, generalised anxiety disorder, panic disorder, social phobia, substance abuse, eating disorders, couples problems, and, inpatient depression. It is also being used as the sole treatment for other disorders including obsessive-compulsive disorder, posttraumatic stress disorder, personality disorders, recurrent depression, chronic pain, hypochondriasis, and schizophrenia(Beck, 1995:2).
The focus of CBT is how our thoughts (cognitions) affect both our emotions and behaviour, theaim is to therefore identify these destructive thinking patterns and develop a more realisticapproach.
Mentalization-Based Treatment (MBT)
Mentalization Based Treatment (MBT)is a psychodynamic approach originating in cognitive psychology and attachment theory (Bowlby, 1980; Borderline Personality Disorder Clinician Resource Centre, 2012; Freud, 1914). Professors Anthony Bateman and Peter Fonagy developed this therapy in the 1990’s. It has been suggested that MBT is client-centered as the approach focuses on the client’s understanding of how they perceive others and the client’s own intentions (Radley, 2014).