View Full Version : What Is Dialectical Behavioral Therapy?

08-01-05, 12:11 AM
from Qutayba Abdullatif & Nicole Bekman
Dialectical Behavioral Therapy (DBT) is a method of treatment that was devised by Marsha Linehan, faculty at the University of Washington in Seattle, for the treatment of borderline personality disorder (BPD). Typically clients with BPD, as defined in DSM-IV, are notoriously difficult to treat (Linehan 1993a). They often do not attend regularly, frequently fail to respond to therapeutic efforts and make considerable demands on the emotional resources of the therapist (particularly when suicidal and parasuicidal behaviors are prominent). The effectiveness of DBT has been demonstrated in many controlled studies across different research groups. Because of this success and due to similar behavior patterns, DBT is now being used in many settings as a viable therapy for the treatment of bipolar disorder.

Treatment in DBT has four parts, which are all important to effective treatment:

* Individual Therapy

* Telephone Contact

* Therapist Consultation
- good communication between group therapist and individual therapist is essential to the successful outcome of DBT.

* Skills Training
- Conducted by a behavioral technician or another therapist usually in a group context.
- Conducted in weekly sessions of 2.5 hours with a break half way through each session.
- The focus is on learning and practicing adaptive skills, not personal or specific complaints of the clients and thus, any specific or personal issues are redirected to be discussed in individual therapy.

There are four modules in DBT group skills training:

* Core Mindfulness Skills
- These are derived from Buddhist meditation techniques to enable the client to become aware of the different aspects of experience and to develop the ability to stay with that experience in the present moment.
- Treatment lasts for about 2-3 weeks.

* Interpersonal Effectiveness Skills
- These focus on effective ways of achieving one's objectives with other people: to ask for what one wants effectively, to say no and be taken seriously, to maintain relationships and to maintain self-esteem in interactions with other people (comparable to assertiveness training).
- Treatment lasts for about 8 weeks.

* Emotion Modulation Skills
- These skills are ways of coping with intense emotional experiences and their causes. # They also allow for an adaptive experience and expression of intense emotions.
- Treatment lasts for about 8 weeks.

# Distress Tolerance Skills
- These include techniques for putting up with, finding meaning for, and accepting distressing situations if there is no conceivable solution at present.
- Treatment lasts for about 8 weeks.

Matt S.
03-17-06, 05:56 PM
I attempted dbt for 4 years and didn't grasp the concept i was a cutter and an anorexic as a teen but OCPD was what they correctly dx'd me as after the dbt failure... i stated to my therapist that "i followed the rules down to a "t" and it still was incomprehensable for me... i guess the only interpersonal problems i have are when authority goes against rules or people that are "below rank" refuse to follow them... there is ambivalence but my issue is a cross between having complete control and a desire to be dominated to "do things the perfect way" and getting praise for it... but i wasn't a borderline because I'd hide to cut,was addicted to the rush, rather than the act or the fantasizing of being "rescued" or harming as a form of revenge and to give it up i had to be told by someone that was "authority" that it was out of control and i stopped...

06-05-06, 02:53 AM
good i stumbled across this one. I was actually searchin for it

06-16-06, 08:19 PM
Yes this is a good form of treatment for anyone. :)I went throught DBT in Illinois for the first time. I admitted myself to a physchiatric hospital and went through an extensive groups all day and homework in the work manual.:rolleyes: I was there for 2 months the first year and then the following year my dr asked me back. I went and was there for 4 months. :p

The hospital i was at was a good learning time for me but I also had other issues away from my parents.... The second year the program was geared differently each of us had a therapist , counselor, nurse assigned to us and a pychiatrist. The group were all day and some at night. We had art therapy if we were given a level 2 to go out of the lodge. It was the best thing i had encounter in my life. I hope all of you give it a try it is worth it.:):foot::foot::rolleyes::p:confused::confused: