How do we treat Borderline


Dialectical Behavioral Therapy …

building a Life Worth Living

DBT uses the theory of Wise Mind (Linehan 1993) – the part of our mind where ‘Emotional Mind’ (thoughts based on our feelings) and ‘Reasonable Mind’ (rational thinking part) merge together.

Emotion Mind

  • Thinking and behaviour controlled by emotional state
  • Thoughts are unhelpful and distressing
  • Difficult to think logically and rationally
  • Facts are distorted to fit with current distress
  • Opinions
  • Strong emotions drive strong behaviour
  • What I want to do

Reasonable Mind

  • Intellectual, scientific
  • Logical and rational thinking
  • Factual thinking, based on evidence
  • Able to plan how to respond
  • Focuses attention
  • Cool in approaching problems
  • What I should do

Wise Mind

  • Integrates Emotion Mind and Reasonable Mind
  • Adds intuitive knowing to emotional distress and logical analysis
  • The calm that follows a storm
  • Sees or knows something directly and clearly
  • Grasps the bigger picture, rather than just parts
  • Ensures needs of both Emotion Mind and Reasonable Mind are met: Reasonable Mind is right, but Emotion Mind needs to be soothed
  • What’s the most appropriate and effective skills that I could use for this situation?
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