Dialectical Behavioral Therapy ( Dbt )

Cognitive Behavior Therapy (CBT) addresses dysfunctional emotions, maladaptive behaviors, and cognitive processes. This is an effective treatment for patients who are dealing with anxiety and depression. CBT refers to a group of psychotherapies that incorporate techniques from cognitive therapy and behavior therapy. Albert Ellis and Aaron Beck are the two psychologists who came up with therapies. Beck developed the cognitive therapy (CT) that focuses on changing the client’s unrealistic maladaptive beliefs and thoughts in order to change the individual’s behavior and emotional state. To help CT is directive collaboration by help teach the client correct their distorted thinking and perception of self,

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

These can typically last from one year to a year and half that includes individual or group therapy. It mainly concentrates on the maladaptive thoughts. Behavioral techniques are incorporated into therapy, such as homework assignments and role playing. Sabine Keller et al mentions that DBT has five components that are essential for it to be effective: individual therapy, skills training group therapy, therapists’ consultation, phone consultation between each session, and the structure of the client’s environment (Keller, et al., 2017). DBT is a complicated therapeutic treatment since it combines four modes (individual therapy, group skills training, constant phone support and consultation meetings) as well as four modules (conscientiousness, distress tolerance, social relationship influence and regulation of emotions). As stated by Thomas A. Field, the reasoning for the modality is to allow the clients to discover how to develop coping skills to manage emotional distress (Field, 2016).

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 (CBT) is ubiquitous and a proven approach to treatment for a host of diverse psychological difficulties (Wedding & Corsini, 2014). There are copious of acceptable created experiments that show to be highly useful in treating anxiety disorders through GAD Generalized Anxiety Disorder approach (Fawn & Spiegler, 2008). The purpose of this assignment is to expound on the client’s demography and demonstrating concern. The first procedure in this assignment will consist of the required informed consent and the client background information. Thus, a succinct discretion of the theoretical framework of CBT will describe the theoretic framework of CBT therapy expended in this assignment (Wedding & Corsini, 2014; Fawn & Spiegler, 2008). The next steps will adherent on how information regarding the clients past and present is problematic amalgamated to form an evaluation and to construct the client’s treatment. In the midst of assessment or the evaluation process and schema is implemented to create the sessions, examination, and provide feedback throughout each session.

I will be collaborating with The National Institute of Mental Health for the funding of the research project. The research will attempt to identify what factors determine whether someone with PTSD will respond well to Cognitive Behavioral Therapy (CBT) intervention, aiming to develop more personalized, effective and efficient treatments. The mission of this project is to transform the understanding and treatment of mental illnesses through basic and clinical research, paving the way for prevention, recovery, and cure (National Institutes of Health, 2013).

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).

While using Dialectical Behavior Therapy, it has a couple special theories. The biosocial theory deals with whenever the client is most likely born with a predisposition toward emotional vulnerability. The theory itself deals with how issues from borderline personality develops. When the client lives in an unstable environment, the structure of the home living can affect their mental minds. The client's mind can cause them to become very destructive and affect their relationships with others and most likely diagnose them with personality disorder. (Dialectical Therapy) “DBT draws mindfulness techniques from Zen Buddhism in order to use here-and-now presence of mind to help people in therapy objectively and calmly assess situations” (Dialectical

Marsha Linechan in an attempt to restructure traditional Cognitive Behavioral Therapy (CBT) to better treat female borderline personality disordered clients. This treatment focuses on a subject group that has high levels of emotional reactivity with skills taught that can help manage the emotional response and perception of triggering stimulus. Dr. Linechan’s primary goal was to impart skills into the client so as to manage the stressors of their life outside and without the need of therapy (Bass, Van Nevel, & Swart, 2014). Review of Dr. Linechan’s theory found that within this third wave therapy style there were three constructs built out of CBT framework that allowed the gestation of emotional regulatory and stabilization skills. The three primary goals Dr. Linchan implemented educational dialectics, radical acceptance and validation all rooted within the theoretical and manualized treatment of CBT (Bayles, Blossom, & Apsche, 2014). Currently DBT is considered one of the most frequently investigated therapy styles for the treatment of borderline personality disorder, specifically in its handling of the extreme emotional dysregulation which contribute to the suicidality of those diagnosed with this disorder (Bass, Van Nevel, & Swart, 2014; Kliem, Kröger, & Kosfelder, 2010). Meta-analysis conducted examining DBT’s effectiveness in both randomized, non-randomized, control, and not controlled studies have found that DBT exhibits an overall moderate effect, r=.56 (Kliem, Kröger, & Kosfelder,

(Linehan et. al, 1999; Koons et. al, 2001; & Linehan, Dimeff, Reynolds, Comtois, Welch, Heagerty, et al, 2002). Koons et. al(2001), looked at a sample of twenty women veterans who met the criteria for borderline personality disorder. Half of the women received DBT while the other half received treatment as usual (TAU). According to Koons et. al(2001), "Of the 11 variables patients in DBT changed significantly more than did the patients in TAU on 4 variables(suicidal ideation, hopelessness, Beck depression, and anger out). On 4 others only patients in DBT condition changed significantly..(number of parasuicides, number of hospitalizations, anger in, and dissociation"(p.384). In other words those in DBT showed significant more positive change in 8 of the 11 variables than those patients in TAU. Linehan et. al(1999) did a randomized sample of people diagnosed with BPD and SUD. Half of the sample received DBT while the other half received DBT. 64% of those receiving DBT stayed in treatment while only 27% of patients in TAU stayed. Those in DBT also had significant loss in drug abuse than those who received TAU. Those in DBT compared to those in TAU also had greater increases in social adjustment. Linehan et. al, (2002) did a study on a randomized sample of people diagnosed with BPD and SUD who either

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

This disorder has been the focus of different and significant research because results suggest that 2.7 percent of adults in the United State meet diagnostic criteria for BPD (Tomko, Trull, Wood, & Sher, 2014). Borderline personality disorder (BPD) is a severe form of psychopathology characterized by a long standing pattern of difficulties in interpersonal relationships, impulsiveness, and instability of moods, identity disturbance, self-harm, and a high rate of suicidal behavior. The instability of moods is the deadline of this personality disorder because it is very difficult for people to control anger depression and anxiety (Rathus, 2014). This can affect the workplace and daily life since it is employees with borderline personality traits are challenging for management. Although there can sometimes be overt evidence of impulsive or disruptive behavior, the problems are more often manifest in more subtle ways. Appropriate limit setting is essential, with a focus on proper workplace conduct, completion of assigned tasks, and due consideration of coworker feelings (Ogden, & Prokott,

A major focus will be on the rational emotive behavioral therapy (REBT), while incorporating other behavioral and cognitive techniques relevant in supporting Jane (Corey, 2005) A cognitive counsellor would facilitate a guided discovery and Socratic dialogue to gather information about past events (Weiten et al., 2009). Therefore, signaling evidence of potential cognitive distortions Jane has learnt and integrated that may have established rigid and unrealistic thoughts patterns. Hence, the goal is to replace these distortions with constructive automatic thoughts and core schemas by obtaining new ways to think and behave (Weiten et al., 2009). A counsellor would help Jane to identify cognitive distortions that contribute to behavioral problems and

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.