Dialectical Behavior Therapy Is A Second Wave Therapy

Dialectical Behavior Therapy (DBT) is a comprehensive cognitive-behavioral treatment developed by Marsha M. Linehan for the treatment of complex, difficult-to-treat mental disorders. Originally, DBT was developed to treat individuals diagnosed with borderline personality disorder (BPD; Carson-Wong, Rizvi, & Steffel, 2013; Scheel, 2000). However, DBT has evolved into a treatment for multi-disordered individuals with BPD. In addition, DBT has been adapted for the treatment of other behavioral disorders involving emotional dysregulation, for example, substance abuse, binge eating, and for settings, such as inpatient and partial hospitalization. Dimeff and Linehan (2001) described five functions

This article is about Dialectical Behavior Therapy (DBT) and its evidence based treatment for Borderline Personality Disorder (Chapman, PhD & Fraser, 2006). The article also discusses how DBT can be used to help parasuicidal women with borderline personality disorder (BPD) as well as those with Substance Use Disorders (SUDs), binge-eating disorders and depression in older folks (Chapman, PhD & Fraser, 2006). DBT includes aspects of cognitive-behavioral therapy, and cognitive restructuring. The five functions of treatment with DBT are also discussed; enhancing capabilities, generalizing capabilities, improving motivation and reducing dysfunctional behaviors, enhancing and maintaining therapist capabilities and motivation and structuring the environment.

Cognitive Behavioral Therapy is the inspired work of Albert Ellis and Aaron Beck which emphasizes the need for attitudinal change to promote and maintain a behavior modification (Nichols, 2010 p. 167). Ellis believed, people contribute to their own psychological problems, as well as specific symptoms, by the rigid and extreme beliefs they hold about events and situations (Cory 2012, p. 291). CBT is based on an educational model with a scientifically supported assumption that most emotional and behavioral responses are learned. Therefore, the goal of therapy is to assist clients unlearn their unwanted behaviors and to learn new ways of behaving and thinking when he/she is faced with an

From the time of the advent of Sigmund Freud’s psychoanalytic theory and therapy until now, psychologists have searched for new and better ways to both understand and treat the human psyche. Many psychologists have spent their lives analyzing the complexities of human thought, behavior, and interactions with societal influences in order to find new ways to guide humans towards a more fulfilling human experience. Throughout time, various theories and models of therapy have emerged, each with their strengths and weaknesses in their efforts to help humanity live more fulfilling lives. Psychoanalytic, Adlerian, existential, person-centered, gestalt, behavior, cognitive, cognitive behavior (CBT), reality, feminist, postmodern, and family systems approaches have all made important contributions towards the evolution of psychological theory and therapy. One of the most widely accepted and practiced forms of theory and therapy in today’s world of psychology is CBT. Cognitive-Behavior Therapy has a rich and storied history, contains more inherent strengths than weaknesses, and provides effective treatment for a variety of psychological conditions.

Mindfulness is another way of meditation. Meditation was used to seek to improve one’s psychological or physical health, or spiritual growth. (Brantley, 2007). The history of Mindfulness comes from Buddhism and his search for enlightenment and a foundation of the four noble truths. The Buddha teaching focus on the four noble truths which consist of knowing suffering exists, there is a cause of suffering, there is cessation of suffering and there is a path that leads to the cessation of suffering. (Van Gordon, 2015). The four noble truths were not only there to represent the Buddha’s experiential understanding of suffering, but also to express the truth (Van Gordon, 2015). Studies of Buddhism and the Four Noble Truths teach us that there is always going to be suffering in our life but to find ways to overcome suffering (Tsering, 2005).

Dialectical Behavior Therapy (DBT) is a comprehensive cognitive-behavioral treatment developed by Marsha M. Linehan for the treatment of complex, difficult-to-treat mental disorders. Originally, DBT was developed to treat individuals diagnosed with borderline personality disorder (BPD; Carson-Wong, Rizvi, & Steffel, 2013; Scheel, 2000). However, DBT has evolved into a treatment for multi-disordered individuals with BPD. In addition, DBT has been adapted for the treatment of other behavioral disorders involving emotional dysregulation, for example, substance abuse, binge eating, and for settings, such as inpatient and partial hospitalization. Dimeff and Linehan (2001) described five functions

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

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

The philosophical underpinning is learning human behavior. As humans we are not a product of sociocultural conditioning, “the person is the producer and the product of his or her environment” (Corey, 2013, p. 250). The two areas of development that represent behavior therapy is classical conditioning and operant conditioning, both focus their attention on learning. Lastly, cognitive behavior therapy has branched out from this therapy.

The following essay is a case study of a client named John who is suffering from major depression and was sent to see me for treatment by his concerned wife. I will provide brief background information about John then further discuss interventions and strategies I believe can be applied in each session with my client in order to make John's life more manageable. In the essay, I will be writing as the therapist, and the sessions are based on a ten week period.

Among the three main approaches to insight therapy (psychoanalysis, client-centered, or group therapy), the one that l believe has the most reasonable way to deal with psychological problems, is client-centered therapy. Client-centered therapy is an insight therapy that emphasizes providing a supportive emotional climate for clients, who play a major role in determining the pace and direction of their therapy (pg. 459). According to Carl Rogers, the man who devised client-centered therapy, three elements were necessary to promote positive changes in therapy: Genuineness (honest communication), Unconditional positive regard (therapist remains supportive, non-judgmental) and Empathy (therapist understands issues from client’s point of view) (pg. 460). In following these three elements, client and therapist were working together equally and helped client become more aware of themselves and even feel more comfortable with their therapist and the idea of therapy. Some people don’t seek help because they feel therapy might be too intimidating for them or it’s a step that they fear having to take. I can agree with this, because from my personal experience, l had pushed off therapy for so long because l was afraid to admit that l needed it.

The third wave of behavioral therapy includes acceptance and commitment therapy, dialectical behavior therapy, and mindfulness-based cognitive therapy. These types of therapies are designed to help people accept difficult life experiences and to persuade individuals to act on their core values. An evolution of cognitive-behavioral therapy, ACT, MBCT, and DBT not only include the thought process within the behavioral network, but mindfulness and acceptance as well. Instead of teaching people to control their thoughts and feelings in the case of CBT, ACT & DBT draws from far eastern philosophies of noticing and accepting the things in life that you cannot change.

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