“dialectical” means the synthesis of opposites and helps describe the skill and the mission of this therapy - the practice and goal is to simultaneously accept the current situation while acknowledging that it must change. DBT was initially created to work with chronically suicidal borderline clients, and entails 4 major aspects: behavioral skills training, phone coaching and individual therapy and lastly, therapist support through ongoing consultation. While DBT has been shown to be effective in drug dependence, depression, PTSD and eating disorders, it is commonly the first and foremost milieu for borderline treatment. DBT has been designed for outpatient therapy, but some residential treatment facilities have used it and have significant training and are listed in the Behavioral Tech Directory. Some of the programs on this site are listed.