Therapy, explained
Dialectical behavioral therapy (DBT)
TherapiesEpisode 27 minOctober 21, 2025

Dialectical behavioral therapy (DBT)

Acceptance and change are not opposites. DBT teaches you to hold both at once: this is how I feel, and I can still act skillfully.

dbtemotionsregulationdistress tolerance

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About this episode

Have you ever felt like your emotions were in control instead of you? In this episode, let's delve into Dialectical Behavioral Therapy (DBT), the emotional sibling of Cognitive Behavioral Therapy (CBT)!

Key takeaways

  1. 1

    Wise mind is where emotion mind and reasonable mind overlap.

  2. 2

    Distress tolerance skills exist for the moments when solving the problem is not an option yet.

  3. 3

    Validation comes before any skill. You cannot regulate what you refuse to acknowledge.

Try this tonight

The next time a feeling crests, try the cold-water version of TIPP: splash cold water on your face for thirty seconds and notice your heart rate settle.

Journal prompt

“Which two truths about my situation feel contradictory right now, and can both be true?”

Write about it

Framework from this episode

Emotions5 min

Wise mind

Find the overlap between what you feel and what you know.

Use it when

Emotion is driving, or logic has gone cold and dismissive.

  1. 1Ask: what is emotion mind saying right now? Write it without editing.
  2. 2Ask: what would reasonable mind add? Facts only.
  3. 3Sit for one breath in the space between them.
  4. 4Ask: what do I know to be true, deep down? That is wise mind.
  5. 5Take the smallest action wise mind suggests.