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DBT for Therapists and Clinicians

This document provides an overview of Dialectical Behavior Therapy (DBT), originally developed by Marsha Linehan for treatment of Borderline Personality Disorder (BPD). DBT is a cognitive behavioral treatment that combines standard CBT techniques with acceptance-based strategies. The core components of DBT treatment include weekly individual therapy, skills training groups, phone consultation, and a therapist consultation team. Research has found DBT significantly reduces suicide attempts, self-harm behaviors, and hospitalizations among those with BPD.

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537 views20 pages

DBT for Therapists and Clinicians

This document provides an overview of Dialectical Behavior Therapy (DBT), originally developed by Marsha Linehan for treatment of Borderline Personality Disorder (BPD). DBT is a cognitive behavioral treatment that combines standard CBT techniques with acceptance-based strategies. The core components of DBT treatment include weekly individual therapy, skills training groups, phone consultation, and a therapist consultation team. Research has found DBT significantly reduces suicide attempts, self-harm behaviors, and hospitalizations among those with BPD.

Uploaded by

nive1010
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd

Diecca

Bevial
Tery
(DT)
Inrucon

Originally a treatment for Developed By Marsha Cognitive Behavioral


BPD Linehan Treatment for Outpatient
Settings
Ter 1: Bioca Ter
Biogal & Soal cor
Afc Ec Otr
Pervasive Emotional Dysregulation stems from
a transaction over time between a biological
dysfunction in the emotion regulation system
and an invalidating environment.

Biogal resosin
Peviv Heightened Emotional Sensitivity
Emina Intense Emotional Responses
Dsegato Difficulty Coming Back to Baseline
Inlitig vinen
Emotional expression is not tolerated till high enough
Individual learns intense emotional expressions are
needed to communicate effectively, Vicious Cycle
Ter 2: Bevial hey
Evy ehir i Cud

We need to understand the factors contributing to


the development and maintenance of behaviors.

Len ew haor to


Rele l Dsuntol
Bevial Bevis
Tery
Sils rain &
Bevial cnies 
Mof Bevis
Ter 3: Diecca Pilopy
Evy ern i Csit of pon
& Por ors i Tsi
- Opposite Views can exist in a person at the
same time
- Each Polar Force is Incomplete on Its Own
- Each Force Has to be Balanced
- Therapist Tries to Induce Change, & Come
to Acceptance

“I wt o de” “ I wt o le”


“I wh o b ob” “I wt o se btac”
4 Mos o DT remet

Invial hep Gop kil Tanig

Pon onlato Te Costaon


Invial hep Seso
Diy ar
Self-Monitoring of Emotions, Problem Behaviors, Skills Use

Tags o Teten Hiarh


Reducing life threatening behaviors, reducing therapy interfering
behaviors, decreasing quality of life interfering behaviors, and
increasing behavioral skills.

Bevi Can Alsi


- Identify Links (Thoughts/Feelings/Behaviors/Events) leading to Behavior
- Behavior Consequences
- Solution Analysis (Identify Points of Intervention to Disrupt Problem
Behavior / Chain of Events)
Bevi Can Alsi xap
Gop kil Tanig

Midles Emin
Relaon

4 Mole
Inrerna Dits
Efcives 2.5 Hour Weekly Groups Torac
Approx 6 months to complete
Pon onlato
● Used on As-Needed Basis
● Helps Generalize Skills Outside of Therapy
● Clients call Therapist when they need help using a skill/ don’t know which skill
to use
● Duration 5-15 minutes
● Therapist assesses problem, identifies skills needed
● Purpose: Client may have already “solved” the situation in a maladaptive way
rather than seeking assistance AND Avoid Reinforcing Self-Injury through
Therapist Attention
Te Costaon
● 4 to 8 therapists weekly meetings for 1-2 hours

● Conducted by a leader who guides the team in a mindfulness exercise and


then sets the agenda according to members’ needs

● Team members may seek help applying DBT to individual cases or may ask
for support when feeling burned out

● Members offer consultation, constructive feedback, alternative viewpoints,


cheerlead each other

● Purpose: to enhance the therapists’ motivation and capability to deliver


effective treatment and to adhere to DBT principles
5 Fucon f B Teten

Inra Movaon Enne Cen Cabiti Geraze in to


fo Can Lag Enromt
Self-Monitoring Clients Lack Skills to Regulate Emotions Homework Assignments to Apply &
Keep Track of Treatment Targets Clients Engage in Skills Training Generalize in Daily Life
Collaborative Process

Srute nirmet Inra Teris Movaon


to inre gis & Copen
Modify Environment - Modify Social Working with Clients with High-Risk Behaviors
Circles, or Create Safe Environment is Stressful & Emotionally Taxing on Therapist,
for Client (EG with Self Harm Need Peer Support, Training, Validation
Tendencies)
5 Sag of remet
Pe-Teten Sag 1 Sag 2 Sag 3 Sag 4

0 1 2 3 4
Set Treatment Goals Reduce Behavioral Decrease Traumatic Improve Quality of Life Awareness of Self
Dyscontrol Emotional Experiences
Rearh inns
● Participants in the DBT condition had 1/2 as many suicide attempts, 2X likely to stay in treatment, had
reduced emergency department and inpatient psychiatric care use, and demonstrated less lethal or
medically risky suicide attempts

● Significant reductions in NSSI and ratings of depression

● BPD seems to respond well to structured treatments, dispelling long-held myth that BPD is untreatable.

● Note: Majority of BPD research has been conducted with entirely or primarily female populations :
There are no studies that specifically examine DBT in the context of minority or multicultural populations.
The gender bias is largely due to disproportionately higher rates of BPD diagnosis females as
compared to males.

● Future Research: Investigation of DBT in different minority and ethnic groups and more in-depth study
of gender differences are important areas for future research
Adtaon f B
Corid D & BD Etig isdes

Adesns Otr Apatos


Cophese V Copens o DT

● Comprehensive DBT - Multimodal (4 Modes)

● Components of DBT - Used In Independent Practice


(Establish connections in community, use web-based
technology, team etc)
Qutis
Wat e t pestig ypom & dinos?

Usg B aprah, ow ul yo coctuiz ine’s as?


(Ter / Hiarh of rol Bevis/ Sag of remet / Cin’s ol)

Wat ul be ur remet la?


(Soti Anyis/ Diy ar)
Rerec
● Rizvi, S. L., Steffel, L. M., & Carson-Wong, A. (2013). An overview of dialectical behavior
therapy for professional psychologists. Professional Psychology: Research and
Practice, 44(2), 73.

● Kottler, J. (2017). On being a therapist. New York, NY. Oxford University Press.
Psychoanalytic psychotherapy: A practitioner's guide. The psychoanalytic sensibility
(pp. 27-45).

● Free Images from pixabay.com


Tan Yo

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