What did DBT originally aim to treat?

Dialetical Behavior Therapy (DBT) was originally developed to specifically address the needs of individuals with chronic suicidal behaviors, particularly those diagnosed with borderline personality disorder (BPD). The therapy was created by Marsha Linehan in the late 1980s as a way to help these individuals develop skills to manage their emotions and reduce self-destructive behaviors. The aim was to provide a structured framework that combines cognitive-behavioral techniques with mindfulness practices, allowing patients to better navigate emotional turmoil and interpersonal challenges that often accompany chronic suicidal thoughts and behaviors.

In contrast, other options such as chronic anxiety, substance abuse disorders, and generalized depression were not the initial focus of DBT. While DBT has since been adapted for use with various mental health conditions, its foundational goal was to enhance the treatment for those at greatest risk of self-harm and suicide.