This chapter introduced DBT as an empirically supported treatment for those clients who have multiple, severe disorders. The treatment is multifaceted and involves five modes to address the functions needed to help suicidal clients. The chapter described the theory of dialectics and its place in the treatment. It is predominantly dialectics, the balancing of acceptance and change, which sets the treatment apart from other cognitive-behavioural treatments. Dialectical behaviour treatment is relatively new - its first study was published in 1993. More study is needed to analyse what makes DBT effective and to further determine its efficacy. Modifications have been created and studied and more are currently being researched. However, at this point, DBT is a treatment worthy of consideration for severely disordered populations.

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