As its name suggests, Dialectical Behavior Therapy (DBT) is influenced by the philosophical perspective of dialectics: balancing opposites. The therapist consistently works with the individual to find ways to hold two seemingly opposite perspectives at once, promoting balance and avoiding black and white – the all-or-nothing styles of thinking. In service of this balance, DBT promotes a both-and rather than an either-or outlook. The dialectic at the heart of DBT is acceptance and change. DBT provides clients with new skills to manage painful emotions and decrease conflict in relationships. DBT focuses on providing therapeutic skills in four key areas: improving one’s ability to accept and be present in the current moment; distress tolerance; emotion regulation; and interpersonal effectiveness that addresses one’s communication skills. DBT treatment consists of individual therapy and skills group sessions.