Reply to DBT increases anxiety, depression and family conflict

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[quote=Anonymous]DBT is a very specific type of therapy originally developed for those with Borderline Personality Disorder, but they found it quite helpful for those struggling with intense emotions with depression, etc. There are many useful aspects of it and it the research with BPD has been pretty positive.

I don't think it was ever intended to be taught to all. DBT is best suited for those with extreme challenges with emotional regulation. CBT is better for the general population to help prevent depression and manage anxiety and the research with that is pretty positive.

Some apsects of DBT can be useful for anyone, but some of the skills taught in DBT seem off for most people. The "interpersonal effectriveness" skills can be so easily misapplied to the wrong situation. They list goals as things like obtaining your rights, and getting someone to do something for you. That is useful for someone who is severely impaired in this area, but the first step should always be understanding the relationship and if your desires are even appropriate.

For example, I have a sibling with major interpersonal issues that result in explosive relationships. My brother and I distanced ourselves and never felt close. She would have these DBT style confrontations with us without understanding she has abusive our whole life (she is oldest) and we do not want a relationship. There is no fixing a close relationship to make it better. There is no closeness. She would start making friends with someone and use the skills right away and created drama. A person who barely knows you and was willing to go to coffee doesn't want to to have a full discussion of how it makes you feel when she can't be available for your ever request to get together or she won't watch your cat.[/quote]

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