Dialectical Behavior Therapy : An Evidence Based Treatment For Borderline Personality Disorder

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Dialectical behavior therapy (DBT) is an evidence-based treatment for borderline personality disorder (BPD) and PTSD (Cukor, 2009). The therapy focuses on a balance between change and acceptance. DBT is combined with individual psychotherapy and building skills groups to regulate emotion, mindfulness and distress tolerance. There are two stages associated with DBT. The first entails the use of DBT for individuals with BPD with significant trauma histories and PTSD (Welch & Rothbaum, 2007). Patients who have completed Stage 1 treatments targets severe behavior decontrol but must stay on Stage 1, if they continue to experience emotion dysregulation. In Stage II DBT, individuals begin exposure to their trauma experience. No data has been accumulated studying this application (Welch & Rothbaum, 2007). Dialectical behavior therapies teach the patient techniques for managing strong emotions through trauma-focused methods. Prolonged Exposure therapy The article for the VA national center, Cognitive Changes during Prolonged Exposure versus Prolonged Exposure plus Cognitive Restructuring in Female Assault Survivors with Posttraumatic Stress Disorder, Schnurr examined the prolonged exposure treatments for female veterans after the war. Paula Schnurr explained the new series of using prolonged exposure training. The practice was used four days a week with two patients. The results of the exercise compared to other treatments showed that patients who completed at least eight sessions
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