People rarely arrive at therapy looking for theory. They come because something keeps repeating, and they are tired of feeling caught in it. Cognitive behavioral therapy, often shortened to CBT, offers a practical way of understanding those patterns and changing them. It is a structured, goal-oriented form of talk therapy with strong evidence behind it for concerns such as anxiety disorders, depression, grief, stress, insomnia, chronic pain, and many mental health conditions.

In high stress moments, it’s common for emotions to feel intense and the space between feeling and acting seems too narrow. Dialectical Behavior Therapy (DBT) is a skills-based therapy grounded in mindfulness and behavioral change, and developed for helping with mental health conditions that cause intense emotions and have difficulty with emotional regulation skills such as borderline personality disorder or people with suicidal behaviors.

Dialectical Behavior Therapy (DBT), was developed for people who experience intense emotions and have difficulty with emotional regulation. It is most often associated with borderline personality disorder, though it is widely used with teens, adults, couples, and families facing emotional reactivity, relationship strain, trauma, and mood-related concerns.

Cognitive behavioral therapy (CBT) and dialectical behavior therapy (DBT) are often mentioned in the same breath, which can make them sound interchangeable. In practice, they are not. 

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