I could see how DBT could be done very badly. It could be very boring. It could be a lot of busy work and stressful homework. I belong to what is called a non-adherent group, which means the leader stick to the handouts, but they don’t really keep track of the diary card, they don’t enforce rules about socializing outside group, and they make the atmosphere less rigid. So, the therapists are making DBT work. It’s a case where the intervention has some merit, but only if it is applied correctly, and I don’t think Marsha Linehan (the creator of DBT) had it completely right.