My experience with DBT is that they choose not to acknowledge psychosis and prefer to believe everything can be solved by changing your thinking. I think DBT definitely has a place in bipolar treatment but it’s not the end all and be all that advocates say it is. I harmed myself severely while in a dbt program and they dismissed me for attention seeking. I was hospitalized with mixed episode psychosis a couple of weeks later. I could have avoided the psychosis part if they had taken me seriously.

I won’t return to that program. And I refuse to be placed in any solely dbt based program. I just won’t go.