So What is DBT?

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 28^th), 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

What Does it Mean to Live Authentically?

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.