Addiction to drugs and alcohol can feel overwhelming, but Dialectical Behavior Therapy (DBT) offers a powerful way to regain control. Originally developed for people struggling with borderline personality disorder (BPD), DBT has become an effective tool for treating substance use disorders (SUDs). This therapy helps people learn to manage emotions, triggers, and destructive behaviors, making it a valuable approach in addiction recovery.
What is DBT?
DBT is a type of cognitive-behavioral therapy (CBT) that focuses on two main ideas:
- Acceptance – Acknowledging and understanding thoughts, emotions, and behaviors without judgment.
- Change – Developing healthier ways to cope with stress, cravings, and difficult situations.
Unlike traditional therapy, DBT is highly structured and teaches specific skills in four key areas, known as the DBT skill modules.
DBT Skill Modules for Addiction Recovery
1. Mindfulness
- Helps individuals stay present in the moment instead of reacting impulsively.
- Encourages self-awareness, reducing the urge to turn to drugs or alcohol to escape.
Example: A person in recovery can use deep breathing or grounding exercises to manage cravings.
2. Distress Tolerance
- Focuses on coping with pain or discomfort without turning to substances.
- Teaches healthy distractions like taking a cold shower, engaging in a hobby, or listening to music.
Example: Instead of drinking after a stressful day, a person can practice self-soothing techniques.
3. Emotion Regulation
- Helps people identify and control extreme emotions that can lead to relapse.
- Encourages a balanced lifestyle through exercise, proper sleep, and healthy eating.
Example: A person feeling overwhelmed by sadness can use journaling or talking to a friend instead of using drugs.
4. Interpersonal Effectiveness
- Teaches communication and boundary-setting skills.
- Helps individuals build healthy relationships instead of toxic, enabling ones.
Example: A person in recovery can learn to say no when pressured to use substances.
How DBT Helps with Addiction Treatment
1. Reduces Impulsive Behaviors
DBT teaches impulse control, helping people pause and think before acting on cravings. This can prevent relapses triggered by stress, boredom, or peer pressure.
2. Addresses Underlying Mental Health Issues
Many people with addiction also struggle with anxiety, depression, PTSD, or trauma. DBT helps them work through these issues without relying on drugs or alcohol.
3. Strengthens Motivation to Stay Sober
DBT helps individuals develop a “clear mind” by recognizing why they want to recover and setting goals for their future.
4. Enhances Problem-Solving Skills
Instead of avoiding problems, DBT teaches healthy coping strategies. This leads to long-term emotional stability and relapse prevention.
Who Can Benefit from DBT in Addiction Recovery?
DBT is especially helpful for:
- People with co-occurring mental health disorders (dual diagnosis).
- Individuals who struggle with self-harm or suicidal thoughts.
- Those who have difficulty managing emotions and relationships.
- People who tend to relapse due to stress or emotional instability.
DBT in Rehab: What to Expect
Many rehab centers and outpatient programs incorporate DBT into their treatment plans. Here’s what it typically involves:
- Individual Therapy – One-on-one sessions with a therapist to work on personal challenges.
- Group Therapy – Learning DBT skills with others in a supportive environment.
- Phone Coaching – Some programs offer real-time guidance for handling triggers.
- Homework Assignments – Practicing DBT skills in everyday situations.
Combining DBT with Other Treatments
DBT works well when combined with:
- Medication-Assisted Treatment (MAT) for managing cravings.
- 12-Step Programs like AA or NA for peer support.
- Holistic Therapies such as yoga, meditation, or acupuncture.
Final Thoughts
DBT provides practical tools to help individuals manage emotions, improve relationships, and develop healthy coping skills for long-term sobriety. If you or a loved one is struggling with addiction, consider finding a rehab program that offers DBT as part of treatment.
Need Help?
Asheville Recovery Center offers DBT-based addiction treatment programs. Contact us today to learn how we can help you build a healthier, sober life!