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Dialectical behavior therapy (DBT; Linehan 1993) is a behavioral treatment originally developed to treat highly suicidal, complex, and difficult-to-treat populations and since then expanded to treat a large range of other disorders. DBT as a comprehensive treatment is based on the view that all comprehensive treatments need to 1) improve motivation, 2) enhance capabilities, 3) increase generalization, 4) manage and/or provide environmental intervention, and 5) maintain skills and motivation of treatment providers. DBT combines the basic behavioral interventions of skills training, exposure-based procedures, cognitive modification, contingency management, and problem solving with validation, as well as Zen and other contemplative practices. DBT was the first psychotherapy to incorporate mindfulness as a component of treatment. Further, DBT has demonstrated the most evidence in the treatment of borderline personality disorder (BPD; Lynch et al. 2007; Stoffers et al. 2012), as well as strong evidence in treating suicidal patients (Brown and Green 2014; Ward-Ciesielski and Linehan 2014).
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