I want to write a proper comment, but I’ll spend way too long obsessing over how to write it, so… 1. Marsha Linehan came from privilege. She did not experience the hardship that many folks who are referred to DBT have faced (and often continue to face while in treatment). Someone laid it out here: https://empathyinthecontextofphilosophy.com/2020/05/10/saint-linehan-marsha-linehan-dishes-on-what-she-had-to-survive-to-innovate-her-way-to-dbt/ 2. The emphasis on doing things the way Saint Marsha wants them done, and seeking her approval, is disturbing to me. The Marsha worship is gross in general. It’s bordering on a cult. 3. DBT, by the book, doesn’t provide space or accommodations for people who experience executive dysfunction, have learning disabilities, etc. The skills can be useful but the program rarely is.