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The difference between cognitive therapy and dialectical behavior therapy, and how to choose between them

  • Nov 27, 2025
  • 1 min read



Many people face psychological and emotional challenges that require effective therapeutic intervention. Among the most popular and proven types of psychotherapy are cognitive therapy (CBT) and dialectical behavior therapy (DBT). While they share some similarities, each has a different methodology and set of goals suited to specific cases. In this article, we will explain the differences between CBT and DBT and help you choose the most appropriate type for you or your loved ones.

What is cognitive therapy?


Cognitive therapy is a type of psychotherapy that focuses on modifying negative or unrealistic thoughts that influence emotions and behavior. This therapy is based on the idea that thinking directly affects mental state, and that changing thoughts can improve mood and behavior.


How does cognitive therapy work?


  • Identifying negative thoughts

  • The challenge of these ideas

  • Replacing them with positive thoughts

  • Developing coping skills


Examples of using cognitive therapy


  • Treating depression by modifying pessimistic thoughts.

  • Helping people with anxiety to reduce excessive risk-taking.

  • Supporting patients with eating disorders to change their self-perception.


What is dialectical behavior therapy?


Dialectical behavior therapy is a type of psychotherapy that combines cognitive and behavioral therapy techniques with an emphasis on accepting feelings and changing at the same time. It was developed specifically to treat personality disorders, particularly borderline personality disorder, but it is also used in other cases.


Advantages of Dialectical Behavior Therapy


  • Focus on the balance between acceptance and change

  • Teaching emotional regulation skills

  • Improving social relationships

  • Crisis Management


Examples of using dialectical behavior therapy


  • Treatment for borderline personality disorder.

  • Helping people who suffer from severe anger outbursts.

  • Supporting addicts in controlling destructive behaviors.


 
 
 

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