I can understand the OPs reaction if culturally the suggestion of DBT has different implications than it does here. However the reaction from other posters to this suggestion is bizarre to me. Paula asked for advice and this suggestion makes sense based on the content of her posts. Of course it's her decision but it's not inappropriate to put the option out there. Just because her T and pdoc didn't suggest it doesn't mean much and is likely based on their own biases, not what might he helpful for their client (many Ts want to be "the one" who gets to help). If a client takes to DBT, they might stop seeing eye to eye with the individual T (especially a psychodynamic T) and that's not good for a Ts business. It's often an adjunct to individual therapy, but not always. Regardless, people are sharing information, nothing more.