DBT is a research-based, cognitive behavioral treatment to help clients with suicidal and self-harm behaviors often seen in borderline personality disorder. DBT has been modified as a treatment for other complex and challenging behavioral health disorders that involve emotional dysregulation, such as dual diagnoses, PTSD, eating disorders and severe mood disorders. The term "dialectical" comes from the idea that bringing together two opposites in therapy, acceptance and change, brings better results than either one alone.

CBT is a broad framework, and within that framework, elements of DBT can be utilized and support people’s recovery efforts. For example, if mindfulness is discussed as part of a CBT session, specific DBT mindfulness skills could be used if it would be helpful and support the person’s recovery needs. CBT will remain the HHSC supported EBP for LOC 2 and will not be replaced with DBT.