DBT treatment is designed to help with extreme emotional instability, which clinicians call “dysregulation” — the inability to manage intense emotions. Dysregulation leads to impulsive, self-destructive, or self-harming behaviors. The focus of DBT is to teach adolescents techniques to help them recognize and understand their emotions without judgment (the mindfulness component) and also to give them skills and techniques to effectively manage those emotions and change behaviors in ways that will improve their lives. But it takes work and commitment from both the adolescents and their caregivers.