DBT is an evidence-based model of treatment designed by Dr. Marsha Linehan to help patients build meaningful lives and improve their ability to regulate emotions. DBT guides patients through identifying patterns in thinking, behavior, emotions, and interpersonal interactions that contribute to problems in living. Once identified, the goal is to change these patterns using coping skills. The “D” in DBT refers to dialectics, the presence or co-occurrence of two seemingly contradictory or opposing concepts simultaneously. DBT centers on the dialectic of acceptance and change and encourages individuals to walk the middle path between the two, working to balance acceptance (“I’m doing the best I can,” “this is how things are right now”) and change (“I need to try different for things to be different”). DBT comprises four central tenets to help people accept and change: Mindfulness, Distress Tolerance, Interpersonal Effectiveness, and Emotion Regulation.