The State of the Science: Dialectical Behavior Therapy

The first randomized clinical trial of Dialectical Behavior Therapy (DBT) for women with borderline personality disorder was published in 1991. Over the past 30 years, research on DBT has proliferated along with interest by clinicians and the public. In this State of the Science review, we provide a brief description of the treatment paradigm and its conceptual and theoretical underpinnings. We also briefly review the research conducted to-date on DBT across populations and settings, the vast majority of which demonstrates that it is effective at treating the behaviors that it targets. We also argue that, although DBT has been established as a “gold standard” treatment for certain populations and behaviors, there is much more research needed to answer critical questions and improve its efficacy.