this post was submitted on 17 Aug 2026
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me_irl
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Looked it up - dialectical behaviour therapy, apparently
instructions unclear, gave myself deep brain thrombosis
do you still have both of your shoes on? if so, then you're good 👍🏻
Yeah I was wondering maybe they meant cognitive behavioral therapy?
Both CBT and DBT are types of therapy that exist, so I see no reason to assume whoever wrote this didn't mean what they wrote.
Probably not. DBT is based off CBT but has some additional elements that can be super helpful for some people.
My wife is currently in it for PTSD and it's doing things for her that CBT would struggle with. It can also do everything CBT does, speaking as someone who had great benefits from CBT.
Yep yep!
CBT has worked very well for me and my (C)PTSD... its essentially a westernized version of the core of some Zen practices, sort of.
And yep, DBT is a sort of variant/evolution of DBT that involves different techniques, different sort of schedule... and apparently uses ... essentially 'stronger' sort of human hacks, basically, that can bring calm and help build internal structure/stability, via what I'd call funny quirks of human neuro-physiology, as well as basically being a structured space to process older traumas / intense emotions in.
CBT and DBT are also neat in that they are actually considerably empirically verified to actually work in their use cases, and at least CBT, hell I think nearly anyone who is frequently just stressed out could be helped by learning CBT, being taken through a few rounds of it till you can learn how to do it yourself.
A more qualified write up here:
https://www.choosingtherapy.com/dbt-vs-cbt/
I wasn’t aware of DBT as a therapy form until this comment chain, honestly, so I think I saw the original and assumed it was intended to be CBT but a typo got in the way.
Yeah it's less well known, I mostly originally knew about it because of my history of interaction with folks who have borderline personality disorder (it was originally developed to treat it). And yeah one of the really big things it does that cbt doesn't is working on emotional control with stuff like building distress tolerance.
It's definitely no fun, my wife is really not enjoying it, but it is really helping her.
I generally encourage anyone whose struggling with destructive thoughts/behavior or ptsd to give it a consideration
Dialectics saved my marriage and probably my life
Yeah from everything I've heard from folks who need it it's absolutely life-changing. My wife is definitely not enjoying it, but after only a few months we're seeing real improvements beyond what talk therapy had done for her (it had also been helpful).
And that's just for ptsd, a former friend with bpd went from destructive to themselves and those around them to significantly less so (they were still in treatment when we wound up going in different directions).