ArtsAutosBooksBusinessEducationEntertainmentFamilyFashionFoodGamesGenderHealthHolidaysHomeHubPagesPersonal FinancePetsPoliticsReligionSportsTechnologyTravel

DBT Therapy for PTSD

Updated on January 1, 2014

DBT Therapy for PTSD

Living with post-traumatic stress disorder (PTSD) brings certain challenges such as fears, anxiety, and difficulty with relationships. To make matters worse, effective treatment options are rather limited. There are anti-anxiety medications and antidepressants that can help with managing the symptoms, but nothing has been designed to treat PTSD. Therapy is similar. Some therapeutic treatment has been created with PTSD in mind such as eye movement desensitization and reprocessing (EMDR) therapy. However, very few clinicians have been trained in these specialized therapy options.

However, a type of therapy can be effective even if it hasn't been structured specifically for PTSD. After spending time going through typical cognitive behavioral therapy in individual sessions and group sessions, I was left feeling that I wasn't getting anywhere. In the group setting, topics were addressed that had nothing to do with PTSD or my struggles. The individual sessions seemed aimless and more often than not, lacked any insight that could help in my day-to-day struggles.

Then, I learned about a type of therapy called dialectical behavior therapy (DBT). DBT was created for people with borderline personality disorder which was previously considered to be untreatable. Borderline personality disorder is in no way related to posttraumatic stress disorder. They are completely different disorders even though borderline personality disorder can stem from trauma. Still, I found the DBT therapy to be the best therapy for PTSD.

What is DBT?

DBT is all about equipping individuals with skills that they can use in their daily lives to help overcome the symptoms of their psychological disorders. Though it was designed for borderline personality disorder, it has been used for anxiety disorders, addiction, depression, bipolar disorder, and eating disorders. When participating in DBT therapy, the person must commit to attending group sessions and individual therapy sessions. During the group sessions, the focus is on learning the different skills. It is not a group of people sitting around talking about their childhoods or current conflicts. Though personal stories enter into the sessions, these are in relation to the skills being taught and learning how to apply them.

What are DBT Skills?

If you have PTSD, you may have experienced times when you feel overwhelmed with memories, fear, or other difficult thoughts and feelings. The intensity of these episodes can vary, but they often interfere with the ability to relate to others and work or home life. When I start to feel myself getting wrapped up in the negativity or fear from the PTSD, I pull out my list of DBT skills and see which ones may help me at that moment.

These skills are ways to cope with stress, change negative thinking, and communicate effectively. Mindfulness, interpersonal effectiveness, distress tolerance, and emotion regulation are the categories of DBT skills. Mindfulness skills help the person stay in the moment rather than getting caught up in ruminating. Opposite action and build mastery are two emotion regulation skills that I have found especially helpful. Build mastery involves doing things that make you feel competent and is essential for building a life worth living. For me, this often involves working on my art or poetry. Numerous activities can be used for this skill like hobbies, cooking or baking, learning a new language, or whatever the person feels good about practicing. Opposite action is a refusal to give in to emotionally driven behavior such as retreating to bed when feeling upset and doing something more productive and proactive instead.


Dialectical thinking is an understanding that things are not black and white. Two seemingly opposing views can both be true.

Examples related to my personal struggle with PTSD:

I tend to be afraid of people, but I want to be more social and a better friend.

I am most comfortable alone in a room where I feel safe, but being secluded limits my satisfaction with life.

I can be proud of my progress and recognize ways I want to change and grow.

Those examples point out areas where I can use a DBT skill to overcome my symptoms and expand my personal experiences. One of the best parts of the group sessions was hearing from others about how they applied the skills in their lives. These examples helped give me ideas of how to use the skills to deal with the anxiety and fear.

Not all skills have been helpful for me. I use what works. This therapy requires work. Not only did I have to attend therapy three hours a week, but there was homework and a form to fill out daily called a diary card. I have completed the therapy now, and I'm glad that I forced myself to put forth the effort to learn the skills and attend the sessions. I feel better equipped to handle the ups and downs of PTSD with DBT skills.


    0 of 8192 characters used
    Post Comment

    • livetech profile image

      Paul Levy 

      13 months ago from United Kingdom

      Yep! Although DBT was originally developed with those struggling with BPD, its applicable to many different kinds of people. Those practicing find they are capable of so much!

    • FlourishAnyway profile image


      4 years ago from USA

      That's great that this has worked for you. It's important to keep trying until you find something that helps. I wish you the best in recovering and rebuilding.


    This website uses cookies

    As a user in the EEA, your approval is needed on a few things. To provide a better website experience, uses cookies (and other similar technologies) and may collect, process, and share personal data. Please choose which areas of our service you consent to our doing so.

    For more information on managing or withdrawing consents and how we handle data, visit our Privacy Policy at:

    Show Details
    HubPages Device IDThis is used to identify particular browsers or devices when the access the service, and is used for security reasons.
    LoginThis is necessary to sign in to the HubPages Service.
    Google RecaptchaThis is used to prevent bots and spam. (Privacy Policy)
    AkismetThis is used to detect comment spam. (Privacy Policy)
    HubPages Google AnalyticsThis is used to provide data on traffic to our website, all personally identifyable data is anonymized. (Privacy Policy)
    HubPages Traffic PixelThis is used to collect data on traffic to articles and other pages on our site. Unless you are signed in to a HubPages account, all personally identifiable information is anonymized.
    Amazon Web ServicesThis is a cloud services platform that we used to host our service. (Privacy Policy)
    CloudflareThis is a cloud CDN service that we use to efficiently deliver files required for our service to operate such as javascript, cascading style sheets, images, and videos. (Privacy Policy)
    Google Hosted LibrariesJavascript software libraries such as jQuery are loaded at endpoints on the or domains, for performance and efficiency reasons. (Privacy Policy)
    Google Custom SearchThis is feature allows you to search the site. (Privacy Policy)
    Google MapsSome articles have Google Maps embedded in them. (Privacy Policy)
    Google ChartsThis is used to display charts and graphs on articles and the author center. (Privacy Policy)
    Google AdSense Host APIThis service allows you to sign up for or associate a Google AdSense account with HubPages, so that you can earn money from ads on your articles. No data is shared unless you engage with this feature. (Privacy Policy)
    Google YouTubeSome articles have YouTube videos embedded in them. (Privacy Policy)
    VimeoSome articles have Vimeo videos embedded in them. (Privacy Policy)
    PaypalThis is used for a registered author who enrolls in the HubPages Earnings program and requests to be paid via PayPal. No data is shared with Paypal unless you engage with this feature. (Privacy Policy)
    Facebook LoginYou can use this to streamline signing up for, or signing in to your Hubpages account. No data is shared with Facebook unless you engage with this feature. (Privacy Policy)
    MavenThis supports the Maven widget and search functionality. (Privacy Policy)
    Google AdSenseThis is an ad network. (Privacy Policy)
    Google DoubleClickGoogle provides ad serving technology and runs an ad network. (Privacy Policy)
    Index ExchangeThis is an ad network. (Privacy Policy)
    SovrnThis is an ad network. (Privacy Policy)
    Facebook AdsThis is an ad network. (Privacy Policy)
    Amazon Unified Ad MarketplaceThis is an ad network. (Privacy Policy)
    AppNexusThis is an ad network. (Privacy Policy)
    OpenxThis is an ad network. (Privacy Policy)
    Rubicon ProjectThis is an ad network. (Privacy Policy)
    TripleLiftThis is an ad network. (Privacy Policy)
    Say MediaWe partner with Say Media to deliver ad campaigns on our sites. (Privacy Policy)
    Remarketing PixelsWe may use remarketing pixels from advertising networks such as Google AdWords, Bing Ads, and Facebook in order to advertise the HubPages Service to people that have visited our sites.
    Conversion Tracking PixelsWe may use conversion tracking pixels from advertising networks such as Google AdWords, Bing Ads, and Facebook in order to identify when an advertisement has successfully resulted in the desired action, such as signing up for the HubPages Service or publishing an article on the HubPages Service.
    Author Google AnalyticsThis is used to provide traffic data and reports to the authors of articles on the HubPages Service. (Privacy Policy)
    ComscoreComScore is a media measurement and analytics company providing marketing data and analytics to enterprises, media and advertising agencies, and publishers. Non-consent will result in ComScore only processing obfuscated personal data. (Privacy Policy)
    Amazon Tracking PixelSome articles display amazon products as part of the Amazon Affiliate program, this pixel provides traffic statistics for those products (Privacy Policy)