Dialectical behavior therapy was developed for people whose emotions escalate fast, land hard and take a long time to come back down. It teaches concrete skills in four areas: mindfulness, distress tolerance, emotion regulation and interpersonal effectiveness.[1]
The "dialectic" is the balance the whole model rests on: you are doing the best you can right now, and some things still have to change. Both are true.
For addiction, distress tolerance is usually the entry point. Cravings and emotional spikes are survivable events with a beginning and an end, and there are skills that get you through the twenty minutes that matter.
We deliver DBT as a skills curriculum inside our programs rather than as a standalone comprehensive DBT program — if you need full adherent DBT with phone coaching, we will say so during your assessment and help you find it.