Is suffering inevitable? Is pain inevitable? In DBT, we teach that pain in life is inevitable but that suffering is not. Suffering, from this perspective, happens when we experience “ordinary life pain” and then reject that pain or the circumstances causing it. This concept has been a focal point in therapy and in my consulting practice...

    Despite the leaps and bounds the field has made, in large part due to the life work of people like Marsha Linehan, I am still disappointed (and concerned) by the prevalent judgement and emotion dysregulation that persists among healthcare practitioners when they hear the term borderline personality disorder (BPD). Eyes roll, sighs suddenly...

Dialectical behavior therapy (DBT) is guided by a number of core assumptions about the nature of human behavior and about the process of treatment. Over the next few weeks, I will describe each in turn. One that is high on my list right now, however, is the treatment assumption that clients cannot fail DBT. People often...