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Background To Dialectical Behavioral Therapy 1

Background of DBT

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mandira fernando
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9 views3 pages

Background To Dialectical Behavioral Therapy 1

Background of DBT

Uploaded by

mandira fernando
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Background to Dialectical Behavioral Therapy

1. Definition

 Dialectical Behavior Therapy (DBT) is a form of CBT and a structured


psychotherapy program that trains the clients with skills to cope with
stress, regulate emotions, and improve their relationships
(Schimelpfening, 2023)

 Dialectical is merging to opposite concepts emphasizing aiding clients


to accept their reality of lives and behavior while teaching them to
learn how to change their life including unhealthy behaviors (Mind,
2022)

2. Development

 DBT was developed in 1970s by Dr. Marsha Linehan at University of


Washinton.

 Originally designed to treat severe suicidal clients with borderline


personality disorder (BPD) with the purpose of changing their negative
cognition and behaviors (changing skills).

 Later, Dr. Marsha incorporated acceptance skills that helped clients to


accept themselves, their emotions, thoughts, the world, and others
non- judgmentally integrated with changing skills (Chapman, 2006).

3. DBT skills and Strategies

 Distress Tolerance (how to get through an intense emotional


moment without making things worse)

 Emotional Regulation (recognize, accept, and managing intense


emotions)

 Interpersonal Effectiveness (focus on how to communicate your


needs effectively and confidently to others by maintaining the
relationship)
 Mindfulness (paying attention on purpose in the present moment
non- judgmentally)

4. Aims

a. Help individuals to improve their emotional and cognitive regulation.


b. Teaching clients to recognize, understand, label emotions, cognitions
nonjudgmentally and handle interpersonal situations that cause
negative emotions.
c. Train clients to manage and change intense emotions that cause
problems in their lives.
d. Focus on balance opposing forces; acceptance and change.

5. Effectiveness of DBT

 Effective for clients with difficulty in emotional regulation, and


presenting self-destructive behaviors (eating disorder, substance use
disorder).

 Effective for suicidal clients with comorbid behavioral issues.

 Research shows, DBT is effective to reduce clients;


 Suicidality
 Parasuicidal behaviors
 Treatment dropout
 Hospitalization
 Substance Use
 Depression, hopelessness, anger

6. DBT adaptations
 Substance Use.
 Adolescents and children.
 Binge eating.
 Bipolar Disorder.
 Couple Therapy.
 Inpatients.

7. DBT application
 Individual Therapy
 Weekly skill training groups
 Phone coaching
 Therapist consultation team
 Group therapy

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