Skip to content

Understanding CBT vs DBT, Find the Effective Treatment for You

Whether you are seeking therapy for anxiety, depression, borderline personality disorder, or any other mental health condition, understanding the fundamental aspects of CBT vs DBT can empower you to choose the most effective treatment path.


CBT vs DBT Overview

The abundance of options can be overwhelming when it comes to finding the right therapeutic approach for addressing mental health concerns. Two prominent methods often emerge in discussions are Cognitive Behavioral Therapy (CBT) and Dialectical Behavior Therapy (DBT). While they share similarities, understanding the distinctions between CBT vs DBT is crucial in determining which approach may be the most effective for you.

In this article, we will delve into CBT vs DBT providing an in-depth overview of each therapeutic approach. We will explore their core principles, techniques, and applications, enabling you to understand these treatment modalities comprehensively. Furthermore, we will highlight the key differences between CBT vs DBT, guiding you in making an informed decision about which approach may best suit your needs.

Whether you seek therapy for anxiety, depression, borderline personality disorder, or any other mental health condition, understanding the fundamental aspects of CBT vs DBT can empower you to choose the most effective treatment path.

What is CBT (Cognitive Behavioral Therapy)?

Cognitive Behavioral Therapy (CBT): CBT is a widely used therapeutic approach that focuses on identifying and challenging negative thoughts and beliefs that contribute to emotional distress and problematic behaviors. It is based on the idea that our thoughts, emotions, and behaviors are interconnected, and by changing our thoughts, we can positively impact our feelings and actions.

CBT aims to help individuals develop practical skills to manage their thoughts and emotions effectively. It involves a structured and goal-oriented approach, where therapists work collaboratively with clients to identify and modify negative thinking patterns and behavioral responses. Techniques commonly used in CBT include cognitive restructuring, behavioral activation, and problem-solving strategies.

DBT therapy (Dialectical Behavior Therapy) focuses on emotional regulation, distress tolerance, mindfulness, and interpersonal effectiveness, while CBT therapy (Cognitive Behavioral Therapy) focuses on identifying and challenging negative thoughts and behaviors to improve emotional well-being.

CBT therapy, or Cognitive Behavioral Therapy, is a therapeutic approach that focuses on identifying and challenging negative thoughts and behaviors to improve emotional well-being. It aims to modify cognitive distortions and develop effective coping strategies. CBT is widely applicable to various mental health conditions and is well-known for its effectiveness in treating anxiety disorders, depression, and phobias.
CBT therapy, or Cognitive Behavioral Therapy, is a therapeutic approach that focuses on identifying and challenging negative thoughts and behaviors to improve emotional well-being.

Get Help. Get Better. Get Your Life Back.

Searching for Accredited Dual Diagnosis Mental Health Centers Near You?

Even if therapy failed previously, or are in the middle of a difficult crisis, we stand ready to support you. Our trusted behavioral health specialists will not give up on you. When you feel ready or just want someone to speak to about counseling alternatives to change your life call us. Even if we cannot assist you, we will lead you to wherever you can get support. There is no obligation. Call our hotline today.

FREE 24/7 Dual Diagnosis Mental Health Services Hotline

CBT vs DBT Fact Sheet

Dialectical Behavior Therapy (DBT):

DBT was originally developed for borderline personality disorder (BPD) but has since been adapted for other conditions involving emotional dysregulation. It combines acceptance and validation strategies with cognitive and behavioral techniques. DBT focuses on four key areas: mindfulness, distress tolerance, emotional regulation, and interpersonal effectiveness. It helps individuals develop skills to manage intense emotions, tolerate distress, regulate emotions, and improve relationships.

Cognitive Behavioral Therapy (CBT):

CBT is a widely used therapy that focuses on the relationship between thoughts, emotions, and behaviors. It aims to identify and challenge negative or unhelpful thoughts and beliefs and replace them with more positive and realistic ones. CBT is effective for various mental health conditions, including anxiety disorders, depression, and phobias. It involves structured sessions and homework assignments to modify thought patterns and behaviors and develop coping skills.

Acceptance and Commitment Therapy (ACT):

ACT is a therapy that combines acceptance, mindfulness, and commitment to promote psychological flexibility. It focuses on accepting complex thoughts and emotions rather than trying to control or eliminate them. ACT helps individuals clarify their values and commit to action aligned with those values, even in discomfort. It emphasizes mindfulness, acceptance, and cognitive defusion techniques to reduce the impact of unhelpful thoughts and behaviors.

DBT (Dialectical Behavior Therapy), CBT (Cognitive Behavioral Therapy), and ACT (Acceptance and Commitment Therapy) have all been shown to be effective in treating various mental health conditions.

CBT vs DBT Statistics

When considering different therapeutic approaches, it’s valuable to examine the statistical evidence supporting their effectiveness. In the case of Cognitive Behavioral Therapy (CBT) and Dialectical Behavior Therapy (DBT), numerous studies have shed light on their impact in treating various mental health conditions.

  1. Borderline Personality Disorder (BPD):
    • DBT was initially developed for individuals with BPD and has shown significant efficacy in reducing self-harm, suicidal behaviors, and improving overall functioning.
    • Studies have reported that around 50-60% of individuals with BPD who undergo DBT experience a reduction in self-harm and suicide attempts.
  2. Substance Use Disorders (SUD):
    • DBT has been adapted for individuals with substance use disorders and has demonstrated effectiveness in reducing substance abuse and improving treatment outcomes.
    • Research suggests that DBT can lead to significant reductions in substance use and improve overall treatment retention rates.
  3. Eating Disorders:
    • DBT has shown promise in the treatment of eating disorders, such as bulimia nervosa and binge eating disorder.
    • Studies have indicated that DBT can lead to a reduction in binge eating episodes and other eating disorder symptoms.

60-80%

Approximately 60-80% of individuals who receive CBT experience significant reductions in anxiety symptoms.

Source: WHO

70%

CBT has been extensively studied and has demonstrated effectiveness in treating depression.

Source: CDC

50-60%

Studies indicate that approximately 50-60% of individuals who receive CBT experience significant improvement in PTSD symptoms.

Source: NIHM


What is DBT (Dialectical Behavior Therapy)?

Dialectical Behavior Therapy (DBT): DBT, developed by Dr. Marsha M. Linehan, was initially designed to treat individuals with borderline personality disorder (BPD) but has since been adapted to address various mental health conditions. DBT combines elements of cognitive-behavioral techniques with mindfulness practices and incorporates a strong emphasis on acceptance and validation.

DBT focuses on enhancing skills in four key areas: mindfulness, distress tolerance, emotional regulation, and interpersonal effectiveness. Mindfulness helps individuals become more aware of their thoughts, emotions, and sensations in the present moment. Distress tolerance skills teach individuals how to cope with intense emotions without engaging in harmful behaviors. Emotional regulation skills assist individuals in managing and understanding their emotions better. Interpersonal effectiveness skills aim to improve communication, assertiveness, and relationship-building abilities.


DBT therapy (Dialectical Behavior Therapy) focuses on emotional regulation, distress tolerance, mindfulness, and interpersonal effectiveness, while CBT therapy (Cognitive Behavioral Therapy) focuses on identifying and challenging negative thoughts and behaviors to improve emotional well-being.
DBT therapy (Dialectical Behavior Therapy) focuses on emotional regulation, distress tolerance, mindfulness, and interpersonal effectiveness, while CBT therapy (Cognitive Behavioral Therapy) focuses on identifying and challenging negative thoughts and behaviors to improve emotional well-being.
Ryan Zofay forming a circle and hugging friends.

End the Emotional Pain. Get Your Life Back.

Feeling Depressed, Anxious or Struggling with Mental Health Illness? Get Safe Comfortable Mental Health Dual Diagnosis High-Quality Therapy From Counselors That Care. Begin Your Recovery Now.

Hotline (855) 940-6125

The Key Differences of CBT vs DBT

CBT (Cognitive Behavioral Therapy) and DBT (Dialectical Behavior Therapy) are two distinct therapeutic approaches that have notable differences. Understanding these differences is essential in determining which approach may be the most suitable for your needs. Here are the key differences between CBT vs DBT:

  1. Focus and Application:
  • CBT primarily focuses on identifying and challenging negative thoughts and beliefs to modify behaviors and emotions. It is effective for various mental health conditions, including anxiety disorders, depression, and phobias.
  • DBT emphasizes acceptance, validation, and mindfulness practices in addition to addressing negative thoughts and behaviors. It was initially developed to treat borderline personality disorder (BPD) and has been adapted for other conditions involving emotional dysregulation and self-destructive behaviors.
  1. Emphasis on Acceptance:
  • CBT generally aims to change negative thinking patterns and replace them with more positive and realistic thoughts. It places less emphasis on acceptance of distressing emotions and experiences.
  • DBT places a significant emphasis on acceptance and validation of one’s emotions and experiences. It focuses on developing skills to tolerate and manage intense emotions without resorting to harmful behaviors.
  1. Mindfulness Practices:
  • While CBT acknowledges the role of mindfulness, it often integrates it as one of many techniques. It may use mindfulness exercises to increase awareness of thoughts and emotions.
  • DBT heavily incorporates mindfulness practices as a core component. It involves learning and practicing mindfulness techniques to cultivate nonjudgmental awareness of the present moment, fostering emotional regulation and distress tolerance.
  1. Treatment Structure:
  • CBT is typically structured and time-limited, consisting of a specific number of sessions focused on addressing particular issues or goals. It often follows a problem-solving approach.
  • DBT is more comprehensive and includes individual therapy, skills training groups, phone coaching, and therapist consultation teams. This multifaceted structure provides ongoing support and focuses on skill development across various areas of functioning.
  1. Target Populations:
  • CBT is widely applicable and beneficial for a range of mental health conditions, including anxiety, depression, eating disorders, and substance abuse.
  • DBT was originally developed for individuals with borderline personality disorder (BPD) and has since been adapted for other conditions involving emotional dysregulation, self-harm, and suicidal behaviors.

The choice between CBT vs DBT depends on individual needs, preferences, and the specific mental health condition being addressed. Consulting with a mental health professional can help determine which approach is most suitable for you and lead to effective treatment outcomes.

First-class Facilities & Amenities

World-class High-Quality Mental Health Services & Behaviroal Health Substance Abuse Treatment

Rehab Centers Tour

Renowned Mental Health Centers. Serene Private Facilities. Inpatient Rehab Programs Vary.

Mental Health Helpline (855) 940-6125

Proven recovery success experience, backed by a Team w/ History of:

  • 15+ Years Experience
  • 100s of 5-Star Reviews
  • 10K+ Recovery Successes
  • Low Patient to Therapist Ratio
  • Comprehensive Dual-Diagnosis Treatment
  • Complimentary Family & Alumni Programs
  • Coaching, Recovery & Development Events
  • Comfortable Onsite Medical Detox Center

DBT vs CBT for ADHD

DBT (Dialectical Behavior Therapy) may be more beneficial for individuals with ADHD who struggle with emotional dysregulation and relationship difficulties, while CBT (Cognitive Behavioral Therapy) may be more suitable for addressing cognitive challenges, impulsivity, and specific behavioral issues associated with ADHD.
DBT (Dialectical Behavior Therapy) may be more beneficial for individuals with ADHD who struggle with emotional dysregulation and relationship difficulties, while CBT (Cognitive Behavioral Therapy) may be more suitable for addressing cognitive challenges, impulsivity, and specific behavioral issues associated with ADHD.

The choice between DBT and CBT for ADHD depends on individual needs, preferences, and the specific challenges experienced with ADHD symptoms. Consider the following factors:

  • Emotional Dysregulation: If emotional regulation difficulties, intense mood swings, or self-destructive behaviors are significant concerns, DBT may be beneficial.
  • Cognitive and Behavioral Challenges: If struggles related to attention, executive functioning, impulsivity, or behavioral control are primary concerns, CBT may be more suitable.
  • Personal Preferences: Reflect on your learning style, comfort with group therapy, and openness to mindfulness practices, as DBT incorporates these elements more prominently.

DBT vs CBT vs ACT

Focus and Application:

  • DBT: Primarily focuses on emotional dysregulation, self-destructive behaviors, and difficulties in relationships. Originally developed for borderline personality disorder (BPD), it has been adapted for other conditions involving emotional challenges.
  • CBT: Focuses on identifying and challenging negative thoughts and behaviors to improve emotional well-being. Widely applicable across various mental health conditions, including anxiety, depression, and phobias.
  • ACT: Emphasizes acceptance of difficult thoughts and emotions while committing to value-based actions. It aims to enhance psychological flexibility and reduce the impact of unhelpful thoughts and behaviors. Effective in treating conditions such as anxiety, depression, and chronic pain.

Treatment Format:

  • DBT: Typically involves a comprehensive treatment approach, including individual therapy, skills training groups, phone coaching, and therapist consultation teams.
  • CBT: Often conducted through individual therapy sessions with structured goals and homework assignments to practice learned skills.
  • ACT: Primarily offered through individual therapy sessions, focusing on fostering psychological flexibility and value-based actions.

Mindfulness and Acceptance:

  • DBT: Incorporates mindfulness practices as a core component to cultivate nonjudgmental awareness and acceptance of emotions and experiences.
  • CBT: Utilizes mindfulness techniques as part of the therapeutic process but focuses primarily on cognitive restructuring and behavior modification.
  • ACT: Places significant emphasis on mindfulness and acceptance techniques to promote psychological flexibility and reduce attachment to unhelpful thoughts.

World-class, Accredited, 5-Star Reviewed, Effective Mental Health Dual Diagnosis Programs. Complete Integrated Inpatient Rehab with Free Post Discharge Therapy Planning.

CALL (855) 940-6125

End the Emotional Pain Rollercoaster. Gain Stability & Happiness Through Recovery Treatment. Start Mental Health Counseling Today. Get Free No-obligation Guidance by Behaviroal Health Specialists Who Understand Mental Health Recovery.

How to Choose Between DBT vs CBT for Your Treatment

Choosing between DBT (Dialectical Behavior Therapy) and CBT (Cognitive Behavioral Therapy) for your treatment requires careful consideration of various factors. Here are some steps to help you make an informed decision:

  • Assess Your Treatment Goals: Clearly define your treatment goals and what you hope to achieve through therapy. Consider the specific challenges you face and the areas you want to address, such as emotional regulation, interpersonal relationships, cognitive distortions, or specific behavioral patterns.
  • Understand the Therapeutic Approaches: Educate yourself about DBT and CBT by reading books, articles, or reputable online resources. Gain an understanding of the principles, techniques, and goals of each therapy. This knowledge will enable you to make an informed choice based on your specific needs.
  • Personal Preferences: Reflect on your own preferences and learning style. DBT often incorporates group therapy, mindfulness practices, and validation techniques. CBT focuses more on structured individual sessions and homework assignments. Think about which therapeutic format aligns better with your comfort level and willingness to engage in different techniques.
DBT therapy, or Dialectical Behavior Therapy, is generally considered more suitable for individuals with borderline personality disorder (BPD). DBT's emphasis on emotional regulation, distress tolerance, mindfulness, and interpersonal effectiveness aligns well with the treatment needs of individuals with BPD.
DBT therapy, or Dialectical Behavior Therapy, is generally considered more suitable for individuals with borderline personality disorder (BPD). DBT’s emphasis on emotional regulation, distress tolerance, mindfulness, and interpersonal effectiveness aligns well with the treatment needs of individuals with BPD.

Experience Transformative Recovery at the We Level Up Treatment Center.

See our authentic success stories. Get inspired. Get the help you deserve.

We Level Up Treatment Centers for Drug Alcohol Rehab Detox Behavioral Mental Health Dual Diagnosis Therapy We Level Up Treatment Centers for Drug Alcohol Rehab Detox Behavioral Mental Health Dual Diagnosis Therapy We Level Up Treatment Centers for Drug Alcohol Rehab Detox Behavioral Mental Health Dual Diagnosis Therapy
Hotline (855) 940-6125

Start a New Life

Begin with a free call to a behavioral health treatment advisor. Learn more about our dual-diagnosis programs. The We Level Up treatment center network delivers recovery programs that vary by each treatment facility. Call to learn more.

  • Personalized Care
  • Caring Accountable Staff
  • World-class Amenities
  • Licensed & Accredited
  • Renowned w/ 5-Star Reviews

We’ll Call You


We Level UP FL Center for Dialectical and Cognitive Behavioral Therapies

Whether you are seeking help for emotional dysregulation, relationship difficulties, or other challenging issues, We Level UP FL Center provides evidence-based therapies tailored to your unique needs. Experience the transformative power of their specialized programs and take a significant step forward in your mental well-being journey.

  1. what is DBT therapy vs CBT?

    DBT therapy (Dialectical Behavior Therapy) focuses on emotional regulation, distress tolerance, mindfulness, and interpersonal effectiveness, while CBT therapy (Cognitive Behavioral Therapy) focuses on identifying and challenging negative thoughts and behaviors to improve emotional well-being.

  2. What is the main difference between CBT vs DBT?

    CBT primarily focuses on identifying and challenging negative thoughts and behaviors to improve emotional well-being. DBT aims to balance the acceptance of emotions while promoting behavioral change and skill development.

  3. Which therapy is more suitable for individuals with borderline personality disorder (BPD)?

    DBT was specifically developed for individuals with BPD and has been shown to be highly effective in treating this condition.

8 Steps & Tips for Maintaining Your Mental Wellbeing Informative Video

Video Script

We at We Level Up FL are dedicated to personalized mental health services tailored to each person’s unique needs. Our experienced team collaborates closely with clients to create therapy programs that address their challenges and align with their goals. With empathy and support, we empower individuals to take an active role in their mental health journey by providing tools and strategies. We encourage exploration, self-discovery, and growth in a safe and nurturing environment. We understand that everyone is different, so we listen attentively and develop customized therapy plans based on individual concerns, strengths, and aspirations.

YouTube video
Search We Level Up FL Drug & Alcohol Rehab / Detox & Mental Health Understanding CBT vs DBT, Find Effective Treatment for You Topics & Resources
Sources
  1. Beck, J. S. (2011). Cognitive behavior therapy: Basics and beyond. Guilford Press. Learn More: CBT vs DBT
  2. Linehan, M. M. (2015). DBT skills training manual (2nd ed.). Guilford Press. Learn More: CBT vs DBT
  3. Hofmann, S. G., Asnaani, A., Vonk, I. J. J., Sawyer, A. T., & Fang, A. (2012). The efficacy of cognitive behavioral therapy: A review of meta-analyses. Cognitive Therapy and Research, 36(5), 427-440. Learn More: CBT vs DBT
  4. Swales, M. A., & Heard, H. L. (2009). Dialectical behavior therapy. American Psychological Association. Learn More: CBT vs DBT
  5. Rathus, J. H., & Miller, A. L. (2014). DBT skills manual for adolescents. Guilford Press. Learn More: CBT vs DBT
  6. National Institute for Health and Care Excellence. (2009). Borderline personality disorder: Treatment and management. Clinical Guideline 78. Retrieved from https://www.nice.org.uk/guidance/cg78 Learn More: CBT vs DBT