Center for Healthy Eating and Activity Research
Dialectical Behavior Therapy (DBT)

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Treatment Overview

Dialectical Behavior Therapy (DBT) is a type of therapy specifically designed to help individuals manage and regulate their emotions more effectively. The primary goal of DBT in the context of eating disorders is to provide people with healthier, more adaptive strategies for coping with intense emotions and distress, rather than turning to food as a means of coping.

Here’s a further breakdown of how DBT works:

Understanding Dialectics: The term “dialectical” refers to the process of integrating opposing concepts, like acceptance and change. DBT helps individuals understand and accept their feelings and behaviors while simultaneously working to change them.

Core Components: DBT includes several key components:

Mindfulness: Learning to be fully present in the moment and aware of one’s environment, thoughts, and feelings without judgment.

Emotion Regulation: Developing skills to manage and change intense emotions that are causing problems in a person’s life.

Distress Tolerance: Enhancing the ability to tolerate and survive difficult situations without resorting to unhelpful behaviors, like overeating.

Interpersonal Effectiveness: Building skills to communicate more effectively and assertively in relationships, thus reducing the stress and emotional turmoil that can trigger disordered eating.

Application to Eating Disorders: In the context of eating disorders, DBT focuses on identifying the emotional triggers that lead to disordered eating patterns. It then teaches skills to deal with these triggers in a healthier way. For example, instead of using food to cope with stress or negative emotions, individuals learn to use mindfulness to recognize their feelings, emotion regulation skills to process them, and distress tolerance skills to withstand the urge to engage in unhealthy eating behaviors.

Overall, DBT aims to provide individuals with practical tools and strategies to handle emotional distress without relying on food, thereby promoting healthier eating habits and improving overall mental health.