What are DBT Diary Cards?

DBT Diary Cards

Dialectical Behavior Therapy (DBT) diary cards are a fundamental component of DBT. A Dialectical Behavior Therapy (DBT) diary card allows individuals undergoing DBT use to track their emotions, behaviors, and skills used throughout the week. These cards are essential tools in DBT, helping both therapists and clients to observe patterns, track progress, and identify areas needing attention.

A typical DBT diary card includes sections for:

  • Date and Times: For tracking when entries are made.

  • Emotions: Clients can note down their emotions and rate their intensity. Different clients might track different emotions, depending on their needs.

  • Urges: Tracking urges to engage in harmful behaviors (e.g., self-harm, substance use) and whether these urges were acted upon.

  • Behaviors: Noting specific behaviors, both helpful and harmful.

  • DBT Skills Used: Clients can list which DBT skills they used each day and how effective they were.

DBT diary cards are critical for several reasons:

  • Self-Monitoring: They encourage clients to observe and note their feelings, thoughts, and behaviors daily, fostering a heightened awareness of their emotional patterns and triggers.

  • Behavioral Analysis: By tracking urges to engage in harmful behaviors and noting whether these urges were acted upon, diary cards help in identifying and understanding behavioral patterns, contributing to more targeted interventions.

  • Therapeutic Feedback: They provide therapists with detailed insights into their clients' week, which can be invaluable during therapy sessions for discussing challenges, progress, and areas needing further attention.

  • Enhanced Self-awareness: Regularly tracking emotions, behaviors, and skill application increases clients' self-awareness, enabling them to recognize and articulate their needs and progress more effectively.

  • Facilitates Communication: They serve as a communication bridge between clients and therapists, ensuring that therapy sessions are focused, efficient, and tailored to address the most pressing issues.

  • Promotes Accountability: The act of daily recording encourages clients to take responsibility for their recovery process, reinforcing the practice of DBT skills in real-world scenarios.

  • Evidence of Progress: Over time, diary cards become a record of the client's journey, highlighting areas of improvement, patterns of behavior, and the evolving effectiveness of skill use. This evidence can be motivating for both the client and therapist, providing a concrete measure of progress.

DBT diary cards are a vital tool in the DBT process, offering a structured method for clients to track their emotional and behavioral experiences. They play a crucial role in enhancing therapeutic outcomes by promoting self-awareness, facilitating targeted therapy sessions, and supporting clients in their journey toward emotional regulation and improved mental health.

Download our blank, printable DBT diary card (pdf).

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What are DBT Consultation Teams?

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The Science Behind Dialectical Behavior Therapy (DBT)