by Fiona Scott | Aug 22, 2025 | Curiosity, Encouragement, Guidance, Mental Health, Self Care, Self Confidence, Tips
Many of us have heard of Cognitive Behaviour Therapy (CBT), which is a beneficial and effective therapy to help us change our thoughts and behaviours. However, you may have had Dialectical Behaviour Therapy (DBT) recommended to you and wondered ‘what’s the difference?’.
What’s different about Dialectical Behaviour Therapy?
DBT is one of several valuable therapies which came out of the CBT tradition. Dr. Marsha Linehan, who developed the DBT framework, started her career by working with some of the most distressing symptoms which we see as counsellors – suicide attempts, self-harm, addictions and hopelessness. Part of the reason she did that was because – well, she’d been there herself1.
What’s with that word: ‘dialectical’?
The ’dialectical’ in DBT just means opposing – and we come across so many examples of that in our own lives. In DBT, we recognize that there are some things about ourselves and our lives that we may not like, but we have to accept in order to make progress. On the other hand, there are things which we can change, and if we can, we must. This apparent contradiction between acceptance and change (and how to tell the difference), is super-important, and can be very empowering.
DBT is a skills-based therapy. This can seem daunting, because there are quite a few skills to learn, and a full course of DBT skills here at Alongside You takes 24 weeks. However, let’s break down why this may be necessary. We can probably all agree that circumstances in our childhood may get in the way of us learning certain skills (eg emotion regulation). This will mean that, as adults, we will have to learn those skills. We often feel great shame about not having all this ‘at our fingertips’ – but if nobody had ever taught us to read, would we really be surprised if we struggled? Of course not! So we can start removing the shame, and working on learning the skills that will allow us to thrive.
Do I have to have BPD to benefit from DBT?
If you Google DBT, you are going to see reference to Borderline Personality Disorder (BPD). Often, DBT is recommended for BPD which is a distressing condition resulting in difficulties regulating our emotions. It’s clear that adverse childhood experiences are implicated in this condition (some sources suggest up to 90% of clients with BPD have experienced childhood trauma2).
However, this is NOT the only reason to attend a DBT skills group. DBT is a safe and effective therapy for many problems, including:
- Anxiety
- Depression
- suicidal ideation
- self-harming
- rejection sensitivity dysphoria
- and many more3.
I can say, as someone who facilitates these groups, that I personally use these skills every single day of my life. They are practical, simple to understand and relatively easy to implement. That being said, as with every single therapy or intervention, we will get out of it exactly what we put in. The more we practice, the better we’ll get and the easier it will become.
Does it have to be in a group?
Before I became a counsellor, the idea of ‘group therapy’ was something I would totally have rejected. I had a LOT of preconceptions (mostly based on tv and movies!) and a fear of sharing my ‘stuff’ in public. However, having been part of several groups now, I have seen (and felt) the benefits of being in groups. Firstly, concerns about confidentiality can be worrying – however confidentiality is absolutely the first thing we cover in group. Remember, others will be as careful of keeping your stuff private as they hope you’ll be in keeping their info safe! More than anything else, having the opportunity to share your experiences with others who really ‘get it’ and won’t judge you is a truly validating and safe experience. Being able to learn from others’ experiences, have them learn from you and share your triumphs and failures in a supportive environment cannot be overstated. It really is kind of magical – and highly-effective.
Being Effective
Talking about being effective, that’s one of the words you’ll hear most frequently in DBT. Once we start letting go of that judgement (which means letting go of our iron grip on ‘good and bad’ or ‘right and wrong’), we need a helpful way to assess our behaviour and how well it serves us. Enter ‘effectiveness’. Are the behaviours we are exhibiting effective in getting what we want? Or do they make us less effective? It’s a very powerful way for us to evaluate what we’re doing, and how things change when we change.
Freedom Through Control
So, here’s the ultimate ‘dialectic’ (or opposing) concept. When we aren’t good at regulating our emotions, very often our emotions do the reacting and behaving for us. If you’ve ever felt like you are watching yourself having a meltdown while completely unable to do anything about it – your emotions are in the driving seat. Paradoxically, when we gain more control over our emotions, it allows us to choose our response and our behaviour. When we have choices, we gain true freedom. This absolutely does not mean that we learn to squash our emotions down, or ignore them – quite the opposite. By giving them permission to be felt, we can learn how to cope with unpleasant or upsetting feelings, and deal with them in a better way than acting out, hurting others or hating ourselves.
I’m Interested – Now What?
Here is a link to an interview with Dr. Marsha Linehan which explains the essence and basics of DBT4. If you are interested in joining our fall group (starting October 28th), please contact us here to find out more. We look forward to answering any questions you might have!
Citations
1 Full Audiobook (Ed.). (2025, June 12). Building a Life Worth Living: A Memoir Audiobook by Marsha M. Linehan. YouTube. https://www.youtube.com/watch?v=j4x11qE6F-0&ab_channel=FullAudiobook
2 Bozzatello, P., Rocca, P., Baldassarri, L., Bosia, M., & Bellino, S. (2021). The Role of Trauma in Early Onset Borderline Personality Disorder: A Biopsychosocial Perspective. Frontiers in Psychiatry, 12, 721361. https://doi.org/10.3389/fpsyt.2021.721361
3 Core Evidence & Research. Behavioural Tech Institute. (n.d.). https://behavioraltech.org/evidence/
4 HSE Ireland. (2014, December 14). Marsha Linehan – Interview. YouTube. https://www.youtube.com/watch?v=fR7Oi0cyoVo&ab_channel=HSEIreland
by Lauren Tiede | Jul 15, 2025 | Curiosity, Encouragement, Guidance, Mental Health, Self Care, Self Confidence, Tips
Living authentically will vary from person to person. But an overarching explanation is living in a way that is aligned with your values and beliefs, rather than listening to and conforming to external expectations and pressures. It involves choosing with intention and accepting our vulnerability and imperfections. It is the courage to be who you are, by being honest with yourself and listening to yourself, even when you’re feeling sad, scared, or unsure. It’s not about constantly chasing happiness or avoiding discomfort, but about being present and true, even when it’s hard. This might look like saying, “This is what I actually feel,” instead of, “This is what I should feel.”
Why is it hard to live authentically?
Living in a world that constantly tells us who to be can make it challenging to connect with what we truly want or who we are. Other factors, like culture, societal expectations, childhood experiences, and trauma, can also make it challenging to live authentically. These external influences can leave us feeling like we have to perform or hide who we are to be accepted and liked.
But living authentically doesn’t mean doing everything on your own or shutting people out. It also doesn’t mean ignoring others’ opinions or advice, it’s about finding a balance. It means being open to feedback that helps you grow, without letting it shut out your own voice. It’s about being who you are, messy, growing, and just as you are.
Signs you may be living inauthentically
As we are being flooded with messages telling us who to be, how we should look, what success should mean, and how we’re supposed to feel or act, over time, all these messages can pull us away from who we really are. We adapt, we perform, we try to fit in. And often, we end up pushing down parts of ourselves to please others or meet expectations. While this might help us feel accepted, they can take a toll on ourselves. We may struggle with depression, low self-esteem, and feel disconnected from relationships. We can’t deeply connect with others if we are hiding our true selves.
Common signs of inauthentic living
- Feeling a lack of direction and purpose
- Feeling like something is missing
- Constantly seeking external validation
- Suppressing your opinion to please others
- Constantly comparing yourself to others
- Living by “shoulds”
- Having difficulty making decisions
Ways to start living authentically
Living authentically doesn’t mean being bold all the time or rejecting every outside expectation. It’s more about making small, intentional choices that reflect what really matters to you, your values, even when it’s uncomfortable. And that often starts with simply noticing when you’re overriding your needs, when you’re performing, or when you’re living by “shoulds” that were never really yours to begin with.
It can begin with teasing apart your values and beliefs from those that have been imposed on you. This can be challenging, as we are constantly being overwhelmed with messages from a young age. But living authentically involves small, honest actions. It’s about being real, even if that means disappointing others to stay true to yourself. This could look like:
- Taking a moment to reflect on your values, what matters to you, rather than what you’ve been told should matter
- Noticing when you feel like you’re performing or putting on a front for others
- Taking a small step by saying no when you don’t have the capacity
- Giving yourself permission to rest without feeling guilty
While living authentically can sound easy, life is not always that simple and neat. Instead, it’s messy, constantly evolving and changing. Living authentically is not a one-time achievement, it’s a lifelong journey. So, if I were to say what living authentically means for me now, my answer would be pretty different from what it was a few years ago, and will likely be different a few years from now.
So, if you feel like you’re not living authentically, give yourself a break and some compassion. It’s common to lose touch with yourself from time to time, especially in a world that constantly pulls you in different directions. Living authentically isn’t a destination or a fixed state, it’s a practice. It’s something we return to again and again. Noticing that you’re out of alignment is already a powerful first step. You don’t have to overhaul your life overnight or even in a few days, just one honest choice at a time can begin to bring you back to yourself.
If you would like support in identifying your values and finding strategies to live authentically, contact us to learn how our team of counsellors can help.
by Nik Stimpson | May 24, 2023 | Anxiety, Counselling, Dialectical Behaviour Therapy, Mental Health, Self Confidence, Stress, Therapy, Tips
Do you find yourself constantly worrying about every possible scenario that could go wrong? You’re not alone. Constant worrying, overthinking, and feeling out of control can take a big toll on your mental health and well-being. This makes it incredibly difficult to focus on daily tasks or enjoy life to its fullest. But there is a solution: Coping Ahead is an effective technique from Dialectical Behaviour Therapy (DBT) that helps you prepare for stress and manage emotions ahead of time.
Eventualities
When I was 19 years old I learned to pilot gliders (airplanes without engines, also called sailplanes). Before each flight, we would always go through our pre-flight checks, even if the aircraft had just landed from a previous flight. We would make sure all of the controls worked as expected, the instruments were reading correctly, and of other important things worth double-checking when you’re propelling yourself two thousand feet into the sky!
The very last step of every pre-flight check was to review “eventualities.”
Though it’s been many years now since I last flew, I still remember vividly what I would say out loud to myself at this step, time and time again:
“If a wing drops on the launch and I cannot recover, I will release the launch cable and land ahead. At a safe height and speed I will start to climb. In the event of a launch failure, I will release the cable and lower the nose to a recovery attitude, and gain sufficient speed before maneuvering. I will land ahead if possible. Otherwise, I will turn downwind, which today is [left or right] and complete an abbreviated circuit or find a safe landing solution. The wind today is ___ knots which means my minimum approach speed is ___ knots.”
Coping Ahead saves time and effort.
The reason for talking through these eventualities in so much detail on the ground is that you’ve already made all of your decisions in the event of an emergency. In an unlikely situation where the pressure is on and seconds count, you don’t need to waste precious time or mental effort deciding what to do. You’ve already thought it through, and simply must follow your plan.
And this skill isn’t just for pilots! In DBT, coping ahead is an emotion regulation skill that can help you rehearse strategies ahead of time to better handle stressful situations or uncomfortable emotions. By visualizing and planning out how you will cope with challenging situations in advance, you start to feel more confident in your ability to face them, boosting your self-esteem and reducing stress.
What’s the difference between Coping Ahead and overthinking?
Overthinking is a common response to stress that can be counterproductive. It is also a common feature of anxiety that involves dwelling on worst-case scenarios, often leading to a cycle of negative thoughts and emotions. It can be triggered by a wide range of every-day stressors or perceived threats.
On the other hand, rather than going in circles about problems, Coping Ahead involves thinking about solutions. It is a deliberate and proactive skill, rather than a reactive response that actually impairs your problem-solving abilities.
How do I learn to Cope Ahead?
If you want to learn how to Cope Ahead, there are some practical tips you can try.
- Identify potential stressors in your life, such as upcoming deadlines or social events.
- Plan coping strategies that work for you, such as deep breathing, positive self-talk, or seeking support from friends.
- Rehearse your coping strategies in your mind, visualizing yourself using them and picturing how they will help.
- Lastly, remember to take some time to relax and ground yourself. Well done!
If you are struggling with…
- Overthinking
- Low self-confidence
- Anxiety
- A sense of low control in your life
- Borderline personality disorder (BPD)
- Other conditions that cause intense emotional reactions to common life stressors
…then consider seeking support from a mental health professional. Coping Ahead is a skill that can be learned and practiced, and therapy can provide a safe and supportive environment for developing this skill. Contact our clinic to learn more about how we can help.
by Andrew Neufeld | May 24, 2018 | Case Studies, Encouragement, Positive, Self Confidence
My family and I have been watching the reincarnation of American Idol recently, and the finale was this week. Much to Meg’s great pleasure, Maddie Poppe won. As usual, the show was full of twists and turns, silliness, and some incredible musicianship. I’ve enjoyed the fact that they’re allowing contestants to use musical instruments in this go ‘round – and I personally loved the resurgence of classic rock through the contestant, Cade Foehner. As I sat there watching the finale last night I reflected on the season and something struck me, and it was rather surprising.
See, the title of this blog isn’t just clickbait. The three judges this year on American Idol were Lionel Ritchie, Katy Perry, and Luke Bryan. While each of these musicians and artists are icons in their own right, particularly Lionel, I noticed something that made me pause. I’d previously grown tired of American Idol because it was overly negative, Simon Cowell was rather irritating to me, and I didn’t like the absence of instruments. This season, the judges were very positive, the personalities of the judges clicked well, and there were musical instruments involved. What I noticed, however, is that it was overly positive. Granted, each of the final 24 contestants was very talented, there weren’t an abundance of critiques.
My belief is the constructive criticism is crucial to personal and professional growth. These contestants are on the show because they’ve “made it,” and know it all; they’re there to learn and, hopefully, make it as a professional musician and artist. Much to my surprise, I found Katy Perry to be the most helpful judge and the one who offered the most useful feedback to the contestants. I’ll admit, this took me by surprise – before this when I thought of Katy Perry I thought of teen pop anthems, and some weird looking sharks roaming the stage. So as the season finished last night, my thoughts went to wondering, “what can we learn about life from Katy Perry?”
I’ve picked three things that stood out to me that we can learn from the quirky being that is Katy Perry.
Be yourself
One thing that we learn pretty quickly in watching Katy Perry in her live shows, or on American Idol, is that she is an odd duck. She’s quirky, she marches to the beat of a different drum, and let’s face it, she’s downright odd sometimes. But, she’s unique and there’s nobody else like her. She knows who she is at the moment, and she embodies that with all that she has.
Our wellbeing depends on our acceptance of self. Now, I have no idea how accepting of herself Katy Perry actually is because I’ve never even had a conversation with her. From outward appearance, however, she seems to own her own quirkiness and oddities and has a clear idea of who she is at the moment. If we can do just this – accept ourselves and own who we are at the moment, it will have a positive effect on our wellbeing.
Tell the truth
Contrary to some of the other judges, I found that Katy was pretty up-front in her truth-telling with contestants. If they nailed the performance, she told them; if the performance stunk, she wasn’t afraid to speak the truth. Knowing where we stand in relationships, in our work environments, and in our pursuit of dreams requires honest, open feedback from those around us. In return, those around us depend on the same.
If we can surround ourselves with people who we can speak truth to, and who will do the same for us in return, we can grow and move forward in life and have confidence in where we stand in our progression. How do we do speak the truth when it’s difficult though?
Encourage others as a matter of practice
As constructive and critical as Katy Perry was this season, she has coupled the criticism with encouragement. It was clear in her feedback that she was giving it so that the contestant could grow and get better at their craft. If we can provide constructive criticism along with encouragement, we will encourage growth in others. If we surround ourselves with those that can do this for us, we’ll get the same in return.
Sometimes it’s hard to learn who we are and accept ourselves; sometimes we aren’t sure how, to tell the truth to others or to ourselves; sometimes we have a hard time being encouraging because we’re stressed out; sometimes we don’t have a community around us that encourages us. This is where a registered clinical counsellor can be helpful sometimes. Sometimes we need that outside perspective on some of these issues or some guidance and encouragement on how to organize our lives so we have what we need to grow. If this is you, we’d love to help. Feel free to contact us.
