Characteristics Of Dialectical Behavior Therapy

These senses of invalidation from the therapist often cause clients to withdraw from therapy, or attack the therapist. Secondly, it was extremely difficult for clinicians to teach and strengthen new skills at the same time as they are targeting and treating the client’s motivation to die and suicidal behaviors that appeared in the previous week. Finally, therapist may be reinforced for iatrogenic treatment, where they reward clients for ineffective treatment strategies and punish them for effective treatment strategies. To address these difficulties, Linehan developed several modifications which formed the basis of DBT. (Dimeff & Linehan, Dialectical behavior therapy in a nutshell, 2001)

Cognitive Behavioral Therapy in contrast to many other therapeutic frameworks has both an explicit rationale and an empirically demonstrable success rate. In addition to the wealth of published case histories there are a plethora of controlled studies attesting to the efficacy of CBT interventions with an equally diverse range of psychological and behavioral conditions. (Emmelkamp et al 1992).

CBT therapists use the first session or two to complete a problem analysis, perform a detailed assessment and create a case formulation with the client. The therapist seeks to identify: 1) the behaviors, emotions, and thoughts which make the situation a problem, 2) predisposing factors, often going back to childhood and adolescents, 3) precipitants, 4) protective factors, 5) triggers, 6) symptoms, and 7) maintenance cycles (O’Connell, 2012). This starts the session out with a very problem-focused discussion encouraging growth of the problem, with goal setting often not starting until the second

According to Waltz (2003), Dialectical Behavior Therapy (DBT) focused is on recognizing accepting and moderating emotional responses in clients. Its main goal is to teach the patient skills to cope with stress, regulate emotions and improve relationships with others. DBT is designed for use by people who have urges to harm themselves, such as those who self-injure or who have suicidal thoughts and

Strengths and Weaknesses As with any kind of treatment program Dialectical Behavior Therapy has both its strengths and its weaknesses. One of DBT strengths is that it is a flexible treatment. DBT can be designed to treat clients with different levels of complexity and severity of disorders. Another, its approach is eclectic, as integrates techniques and concepts from several theoretical backgrounds such as psychodynamic, strategic, client-centered, gestalt and system dynamics (Scheel, 2000).

Though several personality disorders are highly complex and a challenge to treat, there are effective treatments available (“Treating Borderline” 1). The various treatments are broken down by method, the first of which being cognitive behavioral therapy, which attempts to alter the conscious thoughts and behavioral patterns of patients (Daniel); (“Treating Borderline” 2). Cognitive behavior therapy itself is broken down into two therapies, dialectical behavioral therapy and schema-focused therapy (“Treating Borderline” 2). Dialectical behavioral therapy, developed by Dr. Linehan, is centered on the basis that personality disorders are formed when hypersensitive patients are in situations which lack the emotional support they require, therefore leading to their “inability to regulate emotions” (“Treating Borderline” 2). Thus, the treatment serves to help the patient gain control over their emotion and behavior (“Treating Borderline” 2). The treatment itself consists of group and individual sessions and typically lasts approximately one year (“Treating Borderline” 2). During the group sessions, patients learn to become more aware of their behaviors and emotions through sessions pertaining to “problem solving, mindfulness meditation, and breath training“(“Treating Borderline” 2). In personal sessions, referred to as psychotherapy, the psychiatrist explains to the patient how the lessons from the group therapy sessions are applicable

In it's simplest form, Cognitive Behavioral Therapy, (or CBT as it will be referred to from here on out), refers to the approach of changing dysfunctional behaviors and thoughts to realistic and healthy ones. CBT encompasses several types of therapy focusing on the impact of an individual's thinking as it relates to expressed behaviors. Such models include rational emotive therapy (RET), rational emotive behavioral therapy (REBT), behavior therapy (BT), Rational Behavior Therapy (RBT), Schema Focused Therapy, Cognitive therapy (CT). Most recently a few other variations have been linked to CBT such as acceptance and commitment therapy (ACT), dialectic behavioral therapy (DBT), and

An effective approach to therapy for treating borderline personality disorder (BPD) is integrative therapy. Dialectical behavior therapy (DBT) is a type of integrative therapy in which clients with BPD tend to respond well to. DBT uses several techniques to treat BPD such as, homework assignments, cognitive interventions, intensive individual therapy, and group sessions with other individuals with BPD. DBT is built around the concept of dialectics and uses the dialectical approach to recognize the all-or-nothing, black-or-white attitude that drives people suffering from BPD. DBT also strives to have the client view the therapist as an ally rather than an adversary.

The main goal of CBT is to help individuals and families cope with their problems by changing their maladaptive thinking and behavior patterns and improve their moods (Blackburn et al, 1981). Intervention is driven by working hypotheses (formulations) developed jointly by patient, his/her family and therapist from the assessment information. Change is brought about by a variety of possible interventions, including the practice of new behaviors, analysis of faulty thinking patterns, and learning more adaptive and rational self-talk skills. (Hawton, Salkovskis, Kirk, and Clark, 1989).

In this paper, I will be discussing Dialectical Behavior Therapy. This will include an explanation of what is dialectical behavior therapy, the origins of dialectical behavior therapy, the history and development of the therapy, the components dialectical behavior therapy, the common applications of the therapy and examples of use in the clinical setting. This paper will explain why dialectical behavior therapy is an effective treatment modality for many disorders, including mental health and substance use and in which instances dialectical behavior therapy is not an effective treatment choice.

First, a little bit about the interviewee - Dr. Young received a Master’s in Advanced Practice Psychiatric Nursing from Husson University in 2005. As a psychiatrist, she prescribes medications to clients, but also does psychotherapy during sessions. My goal for the interview was to determine the population Dr. Young works with, the therapies and techniques she uses, how she views human nature, and her overall philosophy when it comes to therapy. I quickly discovered that Dr. Young uses dialectical behavior therapy (DBT) with clients, most of whom have borderline personality disorder. Dr. Young emphasized that in addition to using empirically supported techniques, developing and maintaining a strong therapeutic relationship with a client is an important aspect of her psychotherapy sessions.

Dialectical Behavior therapy. Is a type of cognitive behavior psychotherapy? Furthermore, when borderline personality was brought about in the 1980’s

251).” Clients are taught to practice mindful exercises in which they are focus on the present moment with acceptance. This means that the client does not run away from their current reality, the look at the present moment without negative emotions such as judgment and criticism. A new approach within behavior therapy that uses mindfulness is Dialectical Behavior Therapy (DBT). In this therapy is a combination of psychotherapy and behavior therapy, in which the goal is to alleviate the client from emotion pain (Corey, 2013). DBT is helpful with survivors of sexual abuse because it teaches them how to allow themselves to relive the traumatic experience in a manner that is not harmful. If an a traumatic memory or feeling suddenly presents itself the client through mindfulness exercises the client is thought to not run away from it but to explore it (Decker & Naugle,

CBT is an integrated approach using various combinations of cognitive and behavioral modification interventions and techniques (Myers, 2005). The aim is to change maladaptive patterns of thinking and behaving that impact clients in the present (Weiten et al., 2009). From a cognitive behavioral perspective Jane would be diagnosed as having faulty thinking and dysfunctional behavioral issues suffering from depression, and anxiety in the form of Agoraphobia (Weiten et al., 2009).

Dialectical behavior therapy (DBT) treatment is a cognitive-behavioral approach that emphasizes the psychosocial aspects of treatment. The theory behind the approach is that some people are prone to react in a more intense and out-of-the-ordinary manner toward certain emotional situations, primarily those found in romantic, family and friend relationships. DBT theory suggests that some people’s arousal levels in such situations can increase far more quickly than the average person’s, attain a higher level of emotional stimulation, and take a significant amount of time to return to baseline arousal levels. (Staff, 2013) People who are sometimes diagnosed with borderline personality disorder experience extreme swings in their emotions, see the world in black-and-white shades, and seem to always be jumping from one crisis to another. Because few people understand such reactions — most of all their own family and a childhood that emphasized invalidation — they don’t have any methods for coping with these sudden, intense