Peter Attia· MD
so at its most concrete level it really is working with thoughts and behaviors that in the present that are contributing to your problems right now so it's very much an active problem-solving approach and i think what is um with people who don't have a lot of experience with therapy or receiving mental health treatment they might have an idea based on the media or tv or movies that the best therapy is one where you just go in and talk about whatever's on your mind and cbt and similarly dbt is much more structured and and guided than that and the other the other distinguishing feature i will say about cbt and dbt is that it's evidence-based meaning that we construct treatments in a way that we could measure its effectiveness and if we find that something is not effective for people then it's not likely to stay in the therapy that's that's our goal anyway is to be as empirical in our and scientific in our approach as possible