January 31st, 2007


Dialectical Behavior Therapy

I keep finding myself thinking that I wish I'd found DBT years ago, but it wasn't really around years ago, so there's not much that I could have done. Dr. Marsha Linehan (of the UW - I do try to support locals) published the foundation text Cognitive-Behavioral Treatment of Borderline Personality Disorder in January 1993. It was a modality originally developed (per the title) to treat Borderline Personality Disorder, but over the years its use has been expanded to successfully treat other disorders as well. (Apparently the publishers thought putting "Dialectical" on the cover would hurt sales, hence the CBT of the title.) So the upshot is I probably came across it about as early as I could have done.

Which is why I'm making this a public post. It's the first breath of hope I've had in a long time, in part because it is so eminently practical. It is skills-based, and focuses on the effective. It also emphasizes mindfulness, which I'm finding is essentially paying-the-f**k-attention, more of which I have always thought to be needed in the world. (Which means that I need to learn it as well, because I can't ethically expect behavior from others that I'm unwilling to practice myself.)

So anyway, that's what I've been doing with my (mental) life.