Dialectical Behavior Therapy
for Addiction
DBT combines elements of cognitive-behavioral therapy, mindfulness techniques, and dialectics to address the complex challenges and underlying issues associated with addiction.
At Principles Recovery Center, our therapists use DBT in our outpatient treatment programs, in both individual therapy sessions as well as group skills training sessions. In these groups, clients learn specific skills such as distress tolerance, emotion regulation, interpersonal effectiveness, and mindfulness.

What is DBT for Addiction?
DBT for addiction is a specialized treatment approach that combines elements of cognitive-behavioral therapy (CBT) and dialectical behavior therapy (DBT). It was originally developed to treat individuals with borderline personality disorder who were also struggling with substance abuse. It has since been adapted for use in treating various types of addiction.
The main goal of DBT for addiction is to help individuals develop skills to regulate their emotions and behaviors to reduce harmful substance use. This includes learning how to cope with difficult emotions without turning to drugs or alcohol, as well as developing healthier ways of managing stress and regulating impulses.
Both individual and group therapy sessions may focus on identifying triggers for substance use and developing strategies to manage cravings. Skills training may include mindfulness techniques, distress tolerance skills, and interpersonal effectiveness skills.
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How Does DBT Work?
DBT for addiction helps individuals learn skills that can help them cope with intense emotions, improve relationships, and manage difficult situations.
The first step in DBT for addiction is creating a strong therapeutic alliance between the therapist and the individual receiving treatment. The therapist provides validation and acceptance while also challenging unhelpful thoughts and behaviors. This creates an environment where the individual feels safe to explore their emotions without fear of judgment.
Next, individuals are taught four core modules: mindfulness skills, interpersonal effectiveness skills, emotion regulation skills, and distress tolerance skills. These skills are designed to help individuals learn how to manage their emotional responses and cope with challenging situations effectively.
A unique aspect of DBT is its focus on balancing opposing concepts, or “dialectics.” For example, one debate often explored in DBT is accepting oneself while also striving for change. Through this process of finding a balance between opposites, individuals can learn how to validate their own experiences while still working towards personal growth.
What Are the Goals of DBT?
The main goal of DBT for addiction is to help individuals build a life worth living. This involves learning skills to manage intense emotions, improve relationships, and cope with difficult situations.
Here are some specific goals of DBT:
- Reduce self-destructive behaviors: Individuals with addiction or mental illness may engage in self-harm behaviors such as cutting or suicidal thoughts. DBT helps individuals learn healthier coping mechanisms to deal with intense emotions and reduce these harmful behaviors.
- Improve emotional regulation: People in addiction treatment may experience extreme emotions that are difficult to manage. Through DBT, individuals learn skills to regulate their emotions and tolerate distressing situations.
- Enhance interpersonal skills: Relationships can be challenging for people going through addiction treatment due to unstable moods and intense reactions. DBT teaches individuals how to communicate effectively, set boundaries, and maintain healthy relationships.
- Increase mindfulness: Mindfulness techniques are a key component of DBT. They help individuals become aware of their thoughts and feelings without judgment or reaction, which can ultimately lead to improved emotional control.
- Build self-respect and self-acceptance: Many people in addiction treatment struggle with low self-esteem and a negative self-image. DBT works towards building a sense of self-respect and acceptance through validating one’s experiences and choices.
These goals are achieved through individual therapy sessions as well as group skills training sessions. DBT also helps clients develop a support system to use after treatment ends.
Benefits of DBT
One of the main goals of DBT for addiction is to help individuals better manage their emotions. Through various skills and techniques, clients learn how to identify, understand, and regulate their emotions more productively.
People with mental health or substance use issues may engage in self-harming behaviors as a way to cope with intense emotions. DBT teaches alternative coping mechanisms and strategies to reduce self-harm behaviors.
Clients in DBT learn how to communicate effectively and develop healthy relationships by improving their interpersonal skills. This can lead to better relationships with family, friends, and coworkers.
DBT incorporates mindfulness practices such as meditation and breathing exercises to help individuals become more aware of their thoughts, feelings, and surroundings. This can improve overall well-being and decrease anxiety and stress.
Studies have shown that DBT is effective in reducing suicidal thoughts and behaviors in individuals with addiction and other mental health disorders.
DBT for addiction provides clients with practical tools they can use in their daily lives to cope with difficult situations or triggers that may arise.
DBT is a flexible treatment approach that can be adapted to meet each client’s individual needs. For example, our dual diagnosis program in south Florida incorporates DBT into our treatment.
Who is a Good Candidate for DBT?

Dialectical behavior therapy (DBT) is a therapeutic approach that is especially helpful for individuals who struggle to manage intense emotions and impulsive behaviors. Some common traits that make someone a good candidate for DBT include:
- History of self-harm or suicidal thoughts: DBT can help individuals learn healthy coping skills and reduce the risk of self-harm.
- Intense emotional reactivity: DBT can teach clients how to identify their emotions, tolerate distress, and respond more mindfully.
- Impulsive behaviors: DBT aims to increase self-awareness and impulse control.
- Difficulty maintaining relationships: DBT helps individuals develop healthy communication skills and improve interpersonal relationships.
- Chronic feelings of emptiness: DBT helps individuals address this emptiness by building a sense of self-worth and creating a life worth living.
Anyone who wants to improve their emotional regulation skills and learn healthy ways of coping with distressing situations can benefit from DBT. Our intensive treatment programs use DBT to treat various mental health conditions, making it a suitable option for many individuals.
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Addiction Therapy at Principles Recovery Center

At Principles Recovery Center, our team of experienced therapists utilizes addiction therapies such as cognitive-behavioral therapy (CBT), dialectical behavior therapy (DBT), and motivational interviewing to help clients understand their addiction and develop healthy coping mechanisms. These therapies have been proven to be successful in treating addiction by promoting self-awareness, identifying triggers, and developing relapse prevention strategies.
If you or a loved one is struggling with addiction, consider reaching out to Principles Recovery Center for professional and personalized treatment. Contact us to achieve long-term recovery through our specialized addiction treatment programs in south Florida.
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