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    Dan Braun DBT Presentation 6 17

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    Jaime Taylor
    The document describes Dialectical Behavior Therapy (DBT), which incorporates dialectics, Zen traditions, and cognitive behavioral therapy to treat clients with attributes like unstable self-image, impulsivity, mood instability, and recurring self-harm. DBT therapy assumes clients are doing their best and want to improve, teaches mindfulness and interpersonal effectiveness skills, and includes individual therapy, group skills training, telephone consultation, and therapist consultation meetings.

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    Dan Braun DBT Presentation 6 17

    Uploaded by

    Jaime Taylor
    52 views20 pages
    The document describes Dialectical Behavior Therapy (DBT), which incorporates dialectics, Zen traditions, and cognitive behavioral therapy to treat clients with attributes like unstable self-image, impulsivity, mood instability, and recurring self-harm. DBT therapy assumes clients are doing their best and want to improve, teaches mindfulness and interpersonal effectiveness skills, and includes individual therapy, group skills training, telephone consultation, and therapist consultation meetings.

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    The document describes Dialectical Behavior Therapy (DBT), which incorporates dialectics, Zen traditions, and cognitive behavioral therapy to treat clients with attributes like unstable self-image, impulsivity, mood instability, and recurring self-harm. DBT therapy assumes clients are doing their best and want to improve, teaches mindfulness and interpersonal effectiveness skills, and includes individual therapy, group skills training, telephone consultation, and therapist consultation meetings.

    Copyright:

    © All Rights Reserved
    Download as PPT, PDF, TXT or read online from Scribd
    Download as ppt, pdf, or txt
    52 views20 pages

    Dan Braun DBT Presentation 6 17

    Uploaded by

    Jaime Taylor
    The document describes Dialectical Behavior Therapy (DBT), which incorporates dialectics, Zen traditions, and cognitive behavioral therapy to treat clients with attributes like unstable self-image, impulsivity, mood instability, and recurring self-harm. DBT therapy assumes clients are doing their best and want to improve, teaches mindfulness and interpersonal effectiveness skills, and includes individual therapy, group skills training, telephone consultation, and therapist consultation meetings.

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    Dialectical Behavior Therapy:

    (DBT)
    Philosophy and Applications
    DBT Clientele Attributes

    • Unbalanced interpersonal relationships


    • Unstable self-image
    • Impulsivity
    • Recurring suicidal or self-harming behavior
    • Mood instability
    • Perfectionism
    • Attachment / abandonment issues
    • Borderline traits
    DBT Incorporates:

    • Dialectics
    • Zen tradition
    • Cognitive behavioral therapy
    DBT Philosophy
    Dialectical Worldview

    • Interconnectedness
    • Opposing forces.
    – Thesis – Antithesis – Synthesis – Thesis – Etc.
    • Walking the middle path.
    • Change is constant.
    – Example: Cutting relieves emotional pain versus
    health implications and dangers= Finding healthy
    ways to relieve emotional pain.
    Choose the Dialectical Statement

    • People hate me / everyone thinks I am the


    coolest / some people enjoy being around me and
    others do not.

    • I can’t do anything right / I have strengths and


    things I am learning / I have it all figured out

    • There are things I like and dislike about others/ I


    hate them / They are so perfect
    DBT Philosophy
    Zen Tradition
    • Mindfulness
    – Wide mind
    – Non-judgmental stance
    – Observing
    • Acceptance as a balance to change
    • Irreverence versus warmth
    • Radical acceptance
    – Example: Clients may not have caused all of their
    own problems, AND they have to solve them anyway.
    DBT Filosophy
    Cognitive Behavioral Therapy
    • Thoughts, feelings, behaviors.
    • Eliminate negative secondary gains.
    – Example: Crisis call to therapist after self-
    harming, therapist will ensure 911 is called
    and call will end.
    • Behavior skills training.
    – Example of Dear Man
    Mindfulness Activity

    What Skills:How Skills:


    Observe: Pay attention to what is Non-Judgmentally: See and do not
    going on around you. 5 senses. evaluate. Do not judge your judging.
    Describe: Use words to say what Stay Focused: Do one thing at a time,
    you are observing. let go of distraction, concentrate.
    Participate: Enter the experience Do What Works: Act skillfully, play by
    fully. the rules, let go of feelings that hurt you.
    Biosocial Theory of BPD

    • Emotional vulnerability
    • Invalidating environments.
    • Biological issues.
    • One cannot ignore the 75% prevalence of
    sexual abuse among those diagnosed with
    BPD.
    DBT Therapy Assumptions
    • Clients are doing the best they can.
    • Clients want to improve.
    • Clients need to do better, try harder, and be more
    motivated to change.
    • Clients must learn new behaviors in all relevant contexts.
    • Clients cannot fail in DBT.
    • Clients may not have caused all their problems, and they
    have to solve them anyway.
    • The lives of suicidal BPD clients are unbearable as they
    are currently being lived.
    Modes of DBT
    Individual Therapy
    • Individual therapist is main contact.
    • Commitment to program and safety
    • Eliminate life threatening and therapy-interfering
    behaviors.
    • Improve quality of life.
    – PTSD treatment, application of skills, and self concept
    development.
    – Processing is to take place in individual therapy.
    Links and Chains Mad Lib
    Modes of DBT
    Group Skills Training
    In parallel with individual therapy – skills focus.

    •Core mindfulness
    •Interpersonal effectiveness
    •Emotional regulation
    •Distress tolerance
    •Walking the middle path
    Interpersonal Effectiveness Activity

    •Validation Exercise
    Modes of DBT
    Telephone Consultation
    • Individual therapist contact.
    • Support and assistance with skills before
    crisis.
    • Clear limits and boundaries.
    Distress Tolerance Activities
    • Radical Acceptance
    • Ice
    • Pros and Cons of unhealthy behavior
    Modes of DBT
    Therapist Consultation Meeting
    • Weekly meetings
    – Team acquires skills
    – Provides support
    – Integrates DBT philosophy
    – Plans treatment for clients.
    Emotional Regulation Activity

    • Rope Challenge
    DBT at Children’s Outpatient
    • 16 weeks of skills group. No more than 2 client
    absences.
    • Open ended with entry dates every 4 weeks.
    • Mandatory guardian and client attendance.
    • Staff supervision one hour weekly.
    • YOQ monitoring.
    • 2 hours of group and family/individual session
    weekly.
    • Broadened client symptomology.
    References
    • Linehan, M. (1993a). Cognitive- behavioral
    treatment of borderline personality disorder.
    New York, NY: The Guilford Press

    • Linehan, M. (1993b). Skills training manual for


    treating borderline personality disorder. New
    York, NY: The Guilford Press

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