DBTPTBS

DBTPTBS, short for Dialectical Behavior Therapy for Posttraumatic Stress Disorder, refers to an integrated psychotherapeutic approach that adapts standard dialectical behavior therapy (DBT) to address posttraumatic stress symptoms. It is designed for individuals who experience substantial emotion dysregulation in the context of trauma-related distress, and it is often considered for patients who may also exhibit self-harm risk, complex trauma histories, or comorbid personality features.

The development of DBTPTBS centers on combining the core skills of DBT—mindfulness, distress tolerance, emotional regulation, and interpersonal effectiveness—with trauma-focused components intended to target PTSD symptoms. The therapy typically emphasizes a structured, collaborative format that includes individual sessions and group skills training, with attention to therapist availability for skills coaching outside regular sessions. The goal is to reduce PTSD symptom severity while improving emotion regulation and functional outcomes.

Delivery and training for DBTPTBS require clinicians to be proficient in DBT fundamentals and to integrate trauma-focused strategies in a way that aligns with DBT principles. Treatment protocols may vary in the specific trauma-focused elements used, but common elements include exposure or cognitive processing techniques alongside DBT skills practice.

Evidence and status: DBTPTBS has been explored in clinical research and practice as a potential option for patients with PTSD, particularly when emotion dysregulation and behavioral risk are prominent. Early findings from smaller studies and program evaluations suggest possible benefits in reducing PTSD symptoms and maladaptive behaviors, but larger, methodologically rigorous trials are needed to establish its efficacy and generalizability. As with many integrated therapies, availability depends on clinician training and local clinical guidelines.