Both DBT and CBT are evidence-based, skills-focused therapies. But they were developed for different purposes and work in different ways.
At Artisan Counseling, many of our counselors are trained in both approaches and can help you determine the best fit.
CBT at a Glance
Cognitive Behavioral Therapy focuses on identifying and changing unhelpful thought patterns.
Key characteristics:
- Structured and time-limited
- Goal-oriented
- Emphasizes cognitive restructuring
- Between-session homework
- Originally developed for depression
Best for: anxiety, depression, phobias, OCD, insomnia, specific behavioral patterns
Learn more: CBT Therapy
DBT at a Glance
Dialectical Behavior Therapy focuses on emotional regulation and balancing acceptance with change.
Key characteristics:
- Includes mindfulness foundation
- Four skill modules (mindfulness, distress tolerance, emotion regulation, interpersonal effectiveness)
- Often includes group skills training
- Strong emphasis on validation
- Originally developed for borderline personality disorder
Best for: emotional intensity, self-harm, BPD, eating disorders, chronic relationship conflict
Learn more: DBT Therapy
Side-by-Side Comparison
| Feature | CBT | DBT |
| Core Focus | Thought patterns | Emotional regulation |
| Acceptance Component | Moderate | Central |
| Group Skills Training | Rarely | Often included |
| Validation Emphasis | Some | Core element |
| Time Frame | Often shorter-term | Can be longer |
| Homework | Thought records, behavioral experiments | Diary cards, skill practice |
How They Overlap
- Both are rooted in the cognitive-behavioral tradition
- Both use skills-based approaches
- Both require active participation between sessions
- Both are evidence-based
You Don’t Have to Choose Alone
Many counselors draw from both approaches. Your counselor at Artisan Counseling can help you assess which framework fits your goals.
Other approaches that may complement either:
Contact us to schedule an initial assessment.
