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Dialectical
Behavioral Therapy
(DBT)
The Theory of DBT:
DBT maintains that
some people, due to their environment during their
early years and also due to biological factors are
more apt to react abnormally to emotional
stimulation. This type of person is more prone to
have their arousal level stimulated more quickly and
have that sense peak at higher levels. It also takes
more time for this type of person to return to a
normal baseline. This is why some people had CRISIS
STREWN LIVES and EXTREME EMOTIONAL LIABILITY
(emotions that shift rapidly). It has also been
noted that this person does not possess methods for
coping with these sudden intense surge of emotion.
DBT is a method for teaching skills that will help
with this task.
How it works:
Dialectical
Behavioral Therapy (DBT) consists of two parts:
Once-weekly
psychotherapy sessions in which a particular
problematic behavior or event from the past week is
explored in detail, beginning with the chain of
events leading up to it, going through alternative
solutions that might have been used, and examining
what kept the client from using more different
solutions to the problem:
Both
between and during sessions, the therapist actively
teaches and reinforces adaptive behaviors,
especially as they occur within the therapeutic
relationship. . . the emphasis is on teaching
patients how to manage emotional trauma rather than
reducing or taking them out of crises. . . .
Telephone contact with the individual therapist
between sessions is part of DBT procedures.
DBT targets
behaviors in a descending hierarchy: decreasing
high-risk suicidal behaviors decreasing
responses or behaviors (by either therapist or
patient) that interfere with therapy decreasing
behaviors that interfere with/reduce quality of life
decreasing and dealing
with post-traumatic stress response enhancing
respect for self acquisition
of the behavioral skills taught in group additional
goals set by patient Weekly
2.5-hour group therapy sessions in which
interpersonal effectiveness, distress
tolerance/reality acceptance skills, emotion
regulation, and mindfulness skills are sessions;
they refer patients in crisis to the individual
therapist.
SMART
RECOVERY
DIALECTICAL
BEHAVIORAL THERAPY
COGNITIVE
BEHAVIOR
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