Dialectical Behavioural Therapy (DBT)


DBT is a form of Cognitive Behavioural Therapy that was original developed to treat people with Borderline Personality Disorder (BDP). DBT was originally developed as a treatment for people with BPD who frequently do not respond to other forms of therapy, such as, standard Cognitive Behavioural Therapy (CBT). DBT has since been shown to be a more effective treatment for a wide range of other mental health conditions than standard treatments.

DBT has been shown to be an effective treatment in helping people manage intense emotions, such as, impulsiveness, anger, fear, anxiety and low mood. DBT also helps people who experience relationship difficulties and habitual behaviours, such as substance misuse, OCD, Deliberate Self Harm and many others. 

Dialectical’ means learning to understand how two things that seem opposite could both be true. For example, accepting yourself and changing your behaviour might feel contradictory. But DBT teaches that it's possible for you to achieve both these goals simultaneously. Marsha Linehan, the research psychologist who developed DBT based it on the philosophical dialectical principle of hypothesis and antithesis, creating synthesis. Or to put it another way, that two things that seem to oppose each other can evolve or synthesis into something new. This synthesis helps people to regulate their emotions and thoughts by learning about triggers that lead to unhelpful and distressing emotionally reactive states. DBT helps people to develop understanding of the sequence of events and the skills necessary to manage these triggers more effectively. Helping them to manage their emotion, relationships and lives in more fulfilling ways. 


 


 


Our DBT Practitioner


  • Mark DeFreitas - BACP (Accred)

    I am a BACP Accredited Psychotherapist with specialist training in CBT and DBT, providing private therapy in King’s Heath, Birmingham, and online across the UK. Many people come to therapy feeling stuck despite their best efforts, and structured therapy can help you move forward with clarity and confidence.


    Therapy focuses on helping you develop practical skills to reduce distress, improve emotional stability, and create lasting change.


    In-person: The Well Health Centre, King’s Heath


    Online: Available across Birmingham and the UK


    Problems I Help With:


    I work with adults and young people experiencing a range of emotional and psychological difficulties, including:


    Anxiety • Depression • Panic • OCD • Social anxiety


    Emotional dysregulation • EUPD • PTSD


    Relationship difficulties • Low self-esteem • Anger • Substance misuse



    Evidence-Based CBT and DBT Therapy


    CBT and DBT are NICE-recommended, evidence-based therapies that help you change the patterns maintaining emotional distress.


    CBT helps you:


    Identify and change unhelpful thinking and behavioural patterns


    Reduce anxiety, avoidance, and emotional distress


    DBT helps you:


    Regulate emotions more effectively


    Tolerate distress without becoming overwhelmed


    Improve relationships and emotional stability


    Reduce emotional reactivity and impulsive patterns


    Fees


    CBT - £60 per 50-minute session


    DBT - £70 per 50-minute session


    DBT package available for individuals requiring skills-focused support


    Book a Confidential Initial Consultation


    This consultation helps us understand your difficulties and determine whether CBT or DBT is the right approach.


    Appointments are limited and early intervention improves outcomes.


    Email: markdefreitas66@gmail.com


    Phone: 07738835449


    Mark De Freitas


    Psychotherapist


    MBACP (Accred) - BACP Accredited