What Is Radically Open DBT (RO-DBT)?

Radically Open Dialectical Behavior Therapy (RO-DBT) is an evidence-based treatment developed by Dr. Tom Lynch and colleagues, designed for people who struggle with too much self-control and have difficulty with flexibility and being too rigid.

Self-control is usually seen as a strength. But when it becomes rigid perfectionism, emotional inhibition, or social withdrawal, it can lead to loneliness and chronic distress. Overcontrol is often linked to conditions such as anorexia, obsessive-compulsive personality traits, chronic depression, anxiety disorders, and autism spectrum presentations.

RO-DBT helps people loosen rigid patterns, build authentic connection, and live with greater flexibility.

Rather than focusing only on emotion regulation, RO-DBT targets social connection as the key pathway to healing. Research shows that individuals who are highly overcontrolled often experience heightened threat sensitivity, making it harder to feel safe and connected with others.

RO-DBT teaches:

  • Flexible emotional expression

  • Social signaling skills (both verbal and non-verbal)

  • Strategies that activate the brain’s social-safety system

  • “Radical openness” — the willingness to learn from feedback and step into the unknown

The goal isn’t less self-control. It’s balanced self-control-so you can stay grounded while also feeling connected, open, and engaged in your life.

You can read more about RO-DBT here.