Cognitive Behavioral Therapy (CBT) and
Dialectical Behaviour Therapy (DBT) are two of the most commonly practiced psychotherapy approaches. However, very few of us know what they involve.
Cognitive behavioral therapy (CBT) is a short-term, goal-oriented form of psychotherapy that takes a hands-on approach to problem-solving. The theory behind CBT posits that our thoughts, feelings, and behaviours are interconnected, and therefore impact each other. Thus, the objective is to learn ways to alter patterns of thinking and behavior in order to impact our feelings. CBT works by helping individuals to challenge distorted thinking, through highlighting core beliefs that an individual has formed throughout their life. CBT is often utilized to treat a wide range of concerns, from unhealthy sleeping habits (like insomnia or hypersomnia) and relationship issues, to clinical disorders such as depression, anxiety, and PTSD.
Alternatively, dialectical behavior therapy (DBT) seeks to build upon the theory of CBT and improve its viability. Additionally, it seeks to address particular concerns that the author of DBT, Marsha Linehan, saw as shortfalls in CBT. DBT therefore differs from CBT in that it emphasizes the psychosocial perspectives of treatment and how an individual interacts in interpersonal relationships. DBT hypothesizes that practicing awareness of yourself and others, as well as adjusting unhealthy behaviours, will produce change in the way you think about relationships. This is often done through completing four treatment modules:
mindfulness, distress tolerance, emotion regulation, and interpersonal effectiveness. DBT was initially created to assist and treat individuals with
borderline personality disorder, but is presently utilized to treat a wide range of concerns such as
suicidal ideation,
self-harm behaviours, eating disorders, mood disorders (like
depression or bipolar disorder), and
PTSD.
Both CBT and DBT recognize the importance of investigating an individual’s history and to assist clients in understanding how their past may be affecting their current circumstances. In any case, discussion of one’s past isn't a center in either frame of treatment, nor is it a distinction between the two modalities.
Deciding whether cognitive-behavior therapy (CBT) or dialectical behavior therapy (DBT) is right for you is a decision best made with the help of an experienced therapist. Both of these modalities have evidence-based research supporting their efficacy and have been demonstrated to assist individuals with a wide variety of mental health concerns. However, any effective psychological treatment should be tailored to the specific needs of the individual it is serving. If you are interested in learning more about CBT or DBT, or are interested in engaging in one of these types of therapy,
contact us for more information!

Written By: Sumbel Malik, M. Psy. Candidate, B. A. (Hons)
Edited/Reviewed by:
Chantal Legere, M. Psy. Candidate, B.A. (Hons)
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Frequently Asked Questions
Complex trauma encompasses prolonged exposure to traumatic events, usually starting in childhood and involving repeated incidents of abuse, neglect, or violence. Unlike single-incident trauma, it's chronic and repetitive, including experiences like domestic or community violence exposure.
Healing from within is paramount for those grappling with complex trauma. This process delves into internal wounds, nurturing resilience through self-compassion, mindfulness, and supportive networks. Individuals can navigate recovery with greater strength and clarity by prioritizing inner healing.
Healing modalities encompass various approaches, such as trauma therapy, art therapy, yoga, and EMDR, tailored to individual needs. Integrating these modalities for comprehensive healing allows individuals to address various aspects of their trauma and develop a holistic toolkit for coping and resilience.
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