You and your therapist will discuss your specific difficulties and set goals for you to achieve. CBT and DBT is not a quick fix - it involves hard work during and between sessions e.g. keeping track of what you are thinking, feeling and doing, or trying out new ways of thinking or acting.
Your therapist will not make decisions for you. They will help you decide what difficulties you want to work on in order to help you improve your situation. Your therapist will be able to advise you on how to continue using CBT/DBT techniques in your daily life after your treatment ends.
CBT and DBT has a good evidence base for a wide range of mental health problems in adults, older adults, children and young people.
This research has been carefully reviewed by the National Institute for Health and Clinical Excellence (NICE), who provide independent, evidence-based guidance for the NHS on the most effective ways to treat disease and ill health.
pros and cons of CBT and DBT
Cognitive behavioural therapy (CBT) and Dialectical behavioural therapy (DBT) can be as effective as medicine in treating some mental health problems, but it may not be successful or suitable for everyone.
some of the advantages of CBT/DBT include:
- it may be helpful in cases where medicine alone has not worked
- it can be completed in a relatively short period of time compared with other talking therapies
- the highly structured nature of CBT (there is less structure within DBT theory) means it can be provided in different formats, including in groups, self-help books and apps (you can find mental health apps and tools in the NHS apps library)
- it teaches you useful and practical strategies that can be used in everyday life, even after the treatment has finished