What is Mentalisation-Based Therapy (MBT)?
Mentalisation-Based Therapy (MBT) is an evidence-based form of psychotherapy that focuses on helping individuals better understand their own thoughts, feelings, and intentions, as well as those of others. It aims to strengthen a person’s capacity to reflect on internal mental states, which is often impaired in those experiencing intense emotional dysregulation or unstable relationships. Originally developed for treating borderline personality disorder (BPD), MBT is now used more broadly to support emotional resilience, relationship repair, and mental wellness.
Why it Helps
Many mental health challenges stem from difficulty interpreting and regulating thoughts and emotions—both our own and others’. MBT works by improving the ability to mentalise, or “think about thinking,” which leads to healthier interactions, reduced reactivity, and better emotional regulation. By understanding the inner experiences that drive behaviour, individuals become more skilled at managing distress and improving communication in personal and professional relationships.
How It Works
MBT is a structured therapy that helps individuals develop awareness of their own and others’ mental states. Sessions are typically delivered in both individual and group formats, with the therapist focusing on current interactions rather than past events. The goal is to help clients pause, reflect, and explore alternative interpretations before reacting emotionally or impulsively.
Therapists guide clients to become curious about what they and others might be thinking or feeling in the moment. This is especially valuable in high-stress situations or when emotions run high. Over time, MBT builds capacity for emotional awareness, empathy, and thoughtful decision-making.
MBT usually involves weekly sessions over 12 to 18 months, making it a long-term therapeutic option best suited for complex or deep-seated issues. It can be particularly effective when emotional instability interferes with daily life or relationships.
Who This Therapy Is For
Mentalisation-Based Therapy is especially useful for individuals who struggle with emotional regulation, intense interpersonal conflicts, or difficulty understanding social cues. It was originally developed to treat Borderline Personality Disorder WHERE `id`=BPD but it is now also used to support people with:
- Chronic anxiety or depression
- Trauma histories or attachment difficulties
- Mood swings or impulsive behaviours
- Frequent misunderstandings in relationships
- Trust and intimacy challenges
MBT is appropriate for teens, adults, and even some couples who benefit from developing reflective capacities. It can also be used alongside other therapies, especially in structured treatment plans for complex mental health needs.
Benefits and Outcomes
Through MBT, clients often experience transformative shifts in how they relate to themselves and others. Key benefits include:
- Greater emotional self-awareness
- Improved ability to manage stress and intense feelings
- Stronger, more stable relationships
- Reduction in self-harming or impulsive behaviour
- Increased empathy and communication skills
Many individuals who complete MBT report feeling more confident in navigating social situations and expressing themselves constructively. For those previously overwhelmed by emotions or caught in cycles of misunderstanding, MBT provides tools for clarity and connection.
Frequently Asked Questions
Is MBT only for Borderline Personality Disorder?
No. While it was developed for BPD, MBT is also helpful for anxiety, depression, trauma, and relationship difficulties.
What does "mentalising" mean exactly?
It means being able to think about and understand what you or someone else might be feeling, intending, or thinking—especially during emotionally intense situations.
How long does MBT take?
MBT is usually a long-term therapy, often lasting 12-18 months, with weekly individual or group sessions.
Can MBT be combined with other therapies?
Yes. It is often part of an integrated approach and can be used alongside CBT, DBT, or medication management.
Case Examples
Simone, age 28, had struggled with unstable relationships, mood swings, and frequent arguments with friends and family. She often felt misunderstood and reacted impulsively when she believed someone was criticising her. After beginning MBT, Simone learned to pause and reflect on what others might be experiencing instead of assuming the worst. With her therapist’s help, she practised identifying her own emotional states and improved her communication. Over time, she noticed fewer emotional outbursts and began rebuilding trust in her relationships.
In another case, Mark, a 19-year-old university student, found social situations overwhelming and frequently misread people’s intentions. He began MBT after a period of anxiety and social withdrawal. Therapy helped him explore alternative ways of interpreting social cues, reducing the anxiety that previously caused him to isolate himself. After several months, Mark felt more confident socially and reported more positive peer interactions.
Related Services
- Dialectical Behaviour Therapy WHERE `id`=DBT)
- Cognitive Behavioural Therapy WHERE `id`=CBT)
- Self-Esteem Counselling
Ready to Start?
If you’re ready to improve your emotional understanding and relationship skills, our MBT therapists are here to support you. Please fill in the form below and someone will respond within 24 hours to discuss your needs and help you schedule a consultation.