![core components of a dialectic core components of a dialectic](https://i0.wp.com/mindsplain.com/wp-content/uploads/2019/11/DBT_What_How_Skills_Pinterest.png)
The standard DBT treatment package consists of weekly individual therapy sessions (approximately 1 hour), a weekly group skills training session (approximately 1.5–2.5 hours), and a therapist consultation team meeting (approximately 1–2 hours). Ultimately, this work culminated in a comprehensive, evidence-based, cognitive-behavioral treatment for borderline personality disorder (BPD). As such, DBT came to rest on a foundation of dialectical philosophy, whereby therapists strive to continually balance and synthesize acceptance and change-oriented strategies. Most notably, Linehan weaved into the treatment interventions designed to convey acceptance of the patient and to help the patient accept herself, her emotions, thoughts, the world, and others. Through an interplay of science and practice, clinical experiences with multiproblematic, suicidal patients sparked further research and treatment development. Initially, these interventions were so focused on changing cognitions and behaviors that many patients felt criticized, misunderstood, and invalidated, and consequently dropped out of treatment altogether.
![core components of a dialectic core components of a dialectic](https://www.radicallyopentampa.com/wp-content/uploads/sites/575/2019/10/RO-small-faces.png)
Linehan combed through the literature on efficacious psychosocial treatments for other disorders, such as anxiety disorders, depression, and other emotion-related difficulties, and assembled a package of evidence-based, cognitive-behavioral interventions that directly targeted suicidal behavior. Dialectical behavior therapy (DBT) 1 evolved from Marsha Linehan's efforts to create a treatment for multiproblematic, suicidal women.