Comparisons between CBT vs. DBT. vs. ACT

Mental health issues such as anxiety, depression, and personality disorders can significantly impact a person's life. While traditional talk therapies such as psychoanalysis have been used for decades to treat these conditions, newer therapeutic modalities such as Cognitive Behavioral Therapy (CBT), Dialectical Behavior Therapy (DBT), and Acceptance and Commitment Therapy (ACT) have gained popularity in recent years. Each of these therapies has its unique approach and techniques. This article will explore the differences between CBT, DBT, and ACT.

What is CBT?

CBT stands for Cognitive Behavioral Therapy, a talk therapy focusing on the relationship between thoughts, feelings, and behaviors. The basic premise of CBT is that our thoughts and beliefs influence our emotions and behaviors. Therefore, we can change our emotional reactions and behaviors by identifying and changing negative or distorted thoughts.

CBT is a structured and goal-oriented therapy that typically involves identifying negative thought patterns and learning strategies to replace them with more positive, realistic thoughts. This process can help individuals overcome various mental health issues, including anxiety, depression, and other mood disorders.

CBT techniques may include cognitive restructuring, behavioral experiments, exposure therapy, and mindfulness-based techniques. CBT can be delivered in individual or group therapy sessions, and the length of therapy can vary depending on the individual's needs and the severity of their symptoms.

CBT has been extensively researched and effectively treats various mental health conditions. It is often used with other treatments, such as medication or other types of therapy, to provide comprehensive care for individuals with mental health issues.

What is DBT?

DBT stands for Dialectical Behavior Therapy, a type of therapy that Marsha Linehan developed to treat individuals with borderline personality disorder (BPD). DBT is a comprehensive therapy that includes a range of techniques to help individuals regulate their emotions, reduce impulsive behaviors, and improve their interpersonal relationships.

DBT combines elements of cognitive-behavioral therapy (CBT) with mindfulness and interpersonal skills training. DBT teaches individuals to identify and regulate emotions, tolerate distress, and communicate effectively. It is typically a longer-term therapy delivered in individual or group sessions.

The core components of DBT include:

  • Mindfulness: developing awareness of thoughts, feelings, and sensations in the present moment without judgment
  • Distress Tolerance: learning to tolerate and accept difficult emotions without engaging in harmful behaviors
  • Emotional Regulation: developing skills to regulate and manage intense emotions
  • Interpersonal Effectiveness: learning to communicate effectively and maintain healthy relationships with others

DBT effectively treats various mental health issues, including borderline personality disorder, self-harm behaviors, substance abuse, eating disorders, and depression. DBT is often used with other treatments, such as medication or other types of therapy, to provide comprehensive care for individuals with complex mental health needs.

What is ACT?

ACT stands for Acceptance and Commitment Therapy, which is a type of therapy that focuses on acceptance, mindfulness, and values-based action. The core premise of ACT is that psychological suffering is caused by attempts to avoid or control unwanted thoughts and emotions and that acceptance of these experiences is a more effective way to improve psychological well-being.

ACT uses mindfulness techniques to help individuals become more aware of their thoughts and emotions and to develop a non-judgmental and accepting attitude towards them. The therapy also emphasizes the importance of identifying and living following personal values, which can help individuals find meaning and purpose.

The core components of ACT include:

  • Acceptance: developing a non-judgmental and accepting attitude towards unwanted thoughts and emotions
  • Mindfulness: developing awareness of thoughts, feelings, and sensations in the present moment without judgment
  • Cognitive Defusion: learning to observe thoughts as mental events rather than as absolute truths
  • Values Clarification: identifying and living following personal values
  • Committed Action: taking action towards living a meaningful life following personal values

ACT effectively treats various mental health issues, including anxiety disorders, depression, and chronic pain. It is typically delivered in individual or group therapy sessions and is often used with other treatments, such as medication or other types of therapy.

Comparison between CBT, DBT, and ACT

CBT, DBT, and ACT are all types of therapy that aim to improve mental health by changing how individuals think and behave. However, they differ in their approach and techniques used. Here is a comparison between CBT, DBT, and ACT:

  1. Focus: CBT focuses on identifying and changing negative thought patterns and behaviors. DBT focuses on improving emotion regulation, reducing impulsive behaviors, and developing interpersonal skills. ACT focuses on developing acceptance, mindfulness, and values-based action.
  2. Techniques: CBT uses cognitive restructuring, behavioral experiments, exposure therapy, and mindfulness-based techniques. ACT uses techniques such as acceptance, cognitive defusion, mindfulness, values clarification, and committed action. DBT uses mindfulness, distress tolerance, emotional regulation, and interpersonal effectiveness techniques.
  3. Duration: CBT is typically a shorter-term therapy, ranging from 6-20 sessions, depending on the individual's needs. DBT is typically a longer-term therapy, ranging from 6-12 months or longer. ACT can be either short-term or long-term, depending on the individual's needs.
  4. Applicability: CBT effectively treats various mental health issues, including anxiety disorders, depression, and other mood disorders. ACT effectively treats various mental health issues, including anxiety disorders, depression, and chronic pain. DBT is designed to treat individuals with borderline personality disorder, self-harm behaviors, substance abuse, eating disorders, and depression.
  5. Approach: CBT is a structured, goal-oriented therapy that identifies and changes negative thought patterns and behaviors. DBT is a comprehensive therapy that includes a range of techniques to help individuals regulate their emotions, reduce impulsive behaviors, and improve their interpersonal relationships. ACT is a mindfulness-based therapy that emphasizes the importance of accepting unwanted thoughts and emotions and acting towards living a meaningful life according to personal values.

CBT, DBT, and ACT share similarities in that they focus on changing how individuals think and behave but differ in their approach, techniques, duration, and applicability. Working with a mental health professional is important to determine which type of therapy is most appropriate for individual needs.

Grouport offers CBT online group therapy and DBT skills groups

Grouport Therapy offers online cognitive behavioral therapy (CBT) groups for those struggling with anxiety, depression, PTSD and trauma. Through our online group therapy sessions, members learn how to integrate CBT techniques into their daily lives, empowering them to recognize triggers, challenge negative thought patterns, and adopt more positive behaviors to recover from and manage their symptoms.

Led by a licensed therapist, our weekly group sessions are conducted remotely for the convenience of our members. Feedback from participants indicates that 70% experienced significant improvements within just 8 weeks.


Don't face these challenges alone. Join our community and embark on your journey towards meaningful, lasting change and renewed hope. You can explore a wide range of group topics and options here. Sign up for one of our groups today and work together towards a brighter future.

Join a DBT Group Support Session

We offer DBT group therapy online to improve emotion regulation, distress tolerance, mindfulness, & interpersonal skills. Get effective and affordable treatment.

Space is limited, so reserve your seat today.