Evidence-Based Therapy

What is DBT?

Dialectical Behavior Therapy (DBT) is an evidence-based psychotherapy developed by Dr. Marsha Linehan in the 1980s. Originally created to treat borderline personality disorder, DBT has since been proven effective for a wide range of challenges.

DBT helps you build a life worth living by teaching practical skills for managing emotions, navigating relationships, and tolerating distress—all while practicing mindfulness and self-compassion. Curious how we translate these principles into a daily routine? Take a look at the WithMarsha walkthrough.

Core Principles

DBT is built on three foundational principles that guide every skill and practice.

Dialectics

Finding balance between acceptance and change. Both validating your experience AND working toward growth.

Validation

Acknowledging that your feelings and reactions make sense given your history and current situation.

Behavioral Science

Using proven techniques from cognitive-behavioral therapy adapted for emotional sensitivity.

The Four Modules of DBT

DBT is organized into four skill modules, each addressing a different aspect of emotional wellbeing.

Mindfulness

The foundation of DBT. Learn to observe and describe experiences without judgment, staying present in each moment.

Key Skills

Wise MindObserve & DescribeOne-MindfullyNon-Judgmentally

Emotion Regulation

Understand and manage your emotions effectively. Learn to reduce vulnerability and increase positive feelings.

Key Skills

Understanding EmotionsReducing VulnerabilityABC PLEASEOpposite Action

Distress Tolerance

Build resilience to get through crises without making things worse. Learn to accept reality as it is.

Key Skills

TIPPSelf-SootheACCEPTSRadical Acceptance

Interpersonal Effectiveness

Strengthen relationships while maintaining self-respect. Learn to ask for what you need and say no effectively.

Key Skills

DEAR MANGIVEFASTBuilding Relationships

Who Can Benefit from DBT?

While originally developed for specific conditions, DBT skills are now used by people facing many different challenges.

Intense or overwhelming emotions
Difficulty in relationships
Self-harming behaviors
Depression and anxiety
PTSD and trauma
Eating disorders
Substance use challenges
Anyone wanting to improve emotional regulation

Important: WithMarsha teaches DBT skills but is not a substitute for therapy. If you're struggling with serious mental health challenges, we encourage you to work with a qualified mental health professional alongside using this app. Review our full disclaimer and keep our crisis resources on hand if you need immediate help.

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