Dialectical Behavior Therapy

Dialectical Behavior Therapy

Dialectical Behavior Therapy Borderline Personality Disorder General Overview Marsha Linehan (1993). Recommended readings. Orientation combines

systemic/transactional approach, CBT, Buddhism, and principles of Dialectics. Developed for use with persons with BPD, but has also been applied to suicidal behavior in adolescents and bulimia. Borderline individuals are the psychological equivalent of thirddegree-burn patients. They simply

have, so to speak, no emotional skin. Even the slightest touch or movement can create immense suffering. --Marsha Linehan Linehans Theory of the Development of BPD Based on a bio-social theory of BPD.

The Dialectical Dilemma of Persons with BPD Inappropriate blame of other vs. In appropriate blame of self. Inhibited grieving vs. Unrelenting crisis. Active passivity vs.

Apparent competence. Therapists Working Assumptions about the Client 1) The client wants to change, and despite appearances, is trying his/her best as a particular time. 2) His/Her behavior pattern is understandable given his/her background and present

circumstances. 3) In spite of this, he/she needs to try harder if things are to improve. 4) Clients can not fail at DBT. Therapists Dialectical Style Reciprocal communication vs. Irreverent communication. Accepting of the client as he/she is, but

encouraging change. Centered and firm, yet flexible when the circumstances require it. Nurturing, but benevolently demanding. Clients and Therapists Agreements To work in therapy for a specified period of time, and to attend the majority of therapy

session. If suicidal or para-suicidal behaviors are present, he/she must agree to work on reducing these. To work on therapy interfering behaviors. To attend skills training. Modes of Treatment 1. Individual therapy.

2. Group skills training. 3. Telephone contact. 4. Therapist consultation. Skills Training 1. Core mindfulness skills. 2. Interpersonal effectiveness. 3. Emotion modulation skills. 4. Distress tolerance skills.

http://www.dbtselfhelp.com/html/dbt_skills__defined_.html http://www.behavioraltech.com/index.cfm Individual Therapy Stages of therapy. Hierarchy of therapy targets. Treatment strategies. Stages of Therapy

Pre-treatment. Stage 1: focus on suicidal behaviors and therapy interfering behaviors. Stage 2: focus on PTSD related problems. Stage 3: focus on self-esteem and individual treatment goals. Hierarchy of Therapy Targets

Decreasing suicidal behaviors. Decreasing therapy interfering behaviors. Decreasing behaviors that interfere with quality of life. Increasing behavioral skills. Decreasing behaviors related to post-traumatic stress. Improving self-esteem. Individual targets negotiated with the client. Treatment Strategies Contingency management.

Cognitive therapy. Exposure based therapies. Pharmacotherapy. Recommended Readings Dimeff et al. (2007). Dialectical Behavior Therapy in Clinical Practice: Applications across Disorders and Settings.

Linehan (1993). Cognitive-Behavioral Treatment of Borderline Personality Disorder. McKay et al. (2007). Dialectical Behavior Therapy

Workbook: Practical DBT Exercises for Learning Mindfulness, Interpersonal Effectiveness, Emotion Regulation, & Distress Tolerance . Moonshine (2008). Dialectical Behavior Therapy Volume 2 Companion Worksheets.

Recently Viewed Presentations

  • Definition

    Definition

    Taste. Taste receptor cells are found in the taste buds, palate and early parts of the digestive system like the larynx and upper esophagus. oo ma me
  • Title Layout - University of California, San Diego

    Title Layout - University of California, San Diego

    Reduction of corner links to partial order. Four trees (special case of corner links) is sufficient to represent non-degenerate floorplans. Characterization of valid floorplans in the partial order representation. Partial order representation can give absolute coordinates and dimensions of all...
  • Business Law 1

    Business Law 1

    dead sister in an antique locket but the judge thinks he is looking at his pocket watch. Then Nick goes into a long rant about participating in a Madden Challenge, the NFL video game for prize money ($100,000) and that...
  • Název Vzdělávacího Materiálu Či Digitálního Učebního Materiálu

    Název Vzdělávacího Materiálu Či Digitálního Učebního Materiálu

    INSECTA 3. ledna 2014 VY_52_INOVACE_210225 Autorem materiálu a všech jeho částí, není-li uvedeno jinak, je Mgr. Jana Dümlerová Slezské gymnázium, Opava, příspěvková organizace.
  • Apresentação do PowerPoint

    Apresentação do PowerPoint

    Ciências da Natureza e suas Tecnologias - Ciências Ensino Fundamental, 6º Ano As camadas da terra e seus elementos * CIÊNCIAS, 6º Ano do Ensino Fundamental As camadas da Terra e seus elementos As camadas da Terra e seus elementos...
  • Italy - Year 8

    Italy - Year 8

    It can be a dangerous place to live! There are also volcanoes in the area. The lava and ash weather down to make deep and fertile soils in volcanic areas. Great for growing crops! Map of Italy Italy - Year...
  • Community Task Force on Oral Health for Individuals

    Community Task Force on Oral Health for Individuals

    Consumer Perceptions & Satisfaction Purpose of workgroup: To describe the perceptions and satisfaction with oral health status and available resources for individuals with developmental disabilities Work Group Members Karen Black, Public Relations Director, EIOH Lenora A. Colaruotolo, Social ...
  • Physical Properties

    Physical Properties

    Boiling point is unchanging under constant conditions for a given substance and therefore can be used as a physical property for identification of the substance. Boiling point. Boiling Point is the temperature at which a liquid boils.