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Dialectical Behavior Therapy or DBT was created by Marsha Linehan to fill a need that was left by CBT. DBT meets the needs of people with intense emotional states that decrease the quality of their lives. For this reason, DBT is well suited for Borderline Personality Disorder. The four key skill areas are as follows: Mindfulness, Distress Tolerance, Emotional Regulation, and Interpersonal Effectiveness.