Dialectical behavior therapy (DBT) treatment is a cognitive-behavioral approach that emphasizes the psychosocial aspects of treatment. Used to treat a variety of mental health concerns, DBT focuses on four key principles. These concepts include mindfulness, distress tolerance, interpersonal effectiveness, and emotion regulation. All areas of DBT aim to strengthen relationships, to identify and tolerate pain, to stimulate awareness, and to recognize feeling. People who are sometimes diagnosed with borderline personality disorder experience extreme swings in their emotions, see the world in black-and-white shades, and seem to always be jumping from one crisis to another. Because few people understand such reactions — most of all their own family and a childhood that emphasized invalidation — they don’t have any methods for coping with these sudden, intense surges of emotion. DBT is a method for teaching skills that will help in this task.