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
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,
CBT has a number of strengths; first beginning with its capacity to yield empirical results as to its effectiveness. Countless studies have shown CBT to be the most effective treatment for anxiety and depression (e.g., Oei & McAlinden, 2014; Tolin, 2010); this is likely the result of a number of factors. CBT is a collaborative, educational, time-limited model that demystifies the therapy process; changes are made with clients, not to clients, the strategies learned equip clients to better navigate current and future difficulties, and the setting of goals allows clients to clearly see their progress (Corey, 2013; Skinner & Wrycraft, 2014). An additional strength of CBT for anxiety and depression is its applicability to both individuals and groups; group CBT has a number of auxiliary benefits including, vicarious learning, a sense of cohesiveness that can increase motivation, social interaction and the opportunity to help others (Oei & McAlinden, 2014).
According to Sharf, (2008) the eye movement desensitization and reprocessing (EMDR) was designed to treat posttraumatic stress disorder. EMDR requires that the clients visualize an upsetting memory and accompanying physical sensations. The clients repeat negative self-statements that they associate with the scene. The procedure is repeated again and again until the client’s anxiety is reduced. EMDR focuses on desensitizing strong emotional reasons in clients and help them to reframe their belief systems to accommodate new emotional states (Sharf, 2008).
It is important when working with clients that consideration is given to the methods and approaches used with regards to specific client’s needs and personality as well as consideration regarding presenting issues. Here a case study of Jane is used to argue /evaluate and assess how both a psychodynamic counselor and cognitive behavioral therapist (CBT) would view the case study of Jane from their perspectives. Consideration will be given from both a psychodynamic approach and CBT approach of how a therapist might work with Jane. The main similarities and differences of both the psychodynamic and CBT approaches will be analyzed. This will lead into an evaluation of which is the most appropriate approach in working with Jane by
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).
DBT is designed to treat clients at all levels of severity and complexity of disorders. A growing body of empirical studies has examined DBT. DBT has been the subject of the most study and is the most widely used (Carson-Wong, Rizvi, & Steffel, 2013).
Those with DBT have been found to have greater reductions in drug use, suicidal and self harming behavior. This could suggest that DBT allows for greater emotional health and sobriety for those diagnosed with borderline personality disorder.
Over the course of my career I have been trained in interventions from various theoretical orientations, with particular emphasis on Cognitive Behavioral Therapy (CBT). I always find myself gravitating to the structure of CBT, which in order to be effective, requires collaboration between the provider and patient to identify maladaptive patterns of thoughts, emotions, and behaviors within the context of the individual’s environment. The CBT approach has a wide array of carefully constructed exercises, in addition to various protocols, to help clients evaluate and change their thoughts and behaviors.
The groups consist of therapy, educational and Dialectical Behavior Therapy (DBT) groups. During these groups, we teach skills such as mindfulness, distress tolerance, interpersonal effectiveness skills and positive coping
When I was in high school, I was fortunate enough to encounter the best student-counselor relationship and was helped in more ways than I could imagine. Looking back, the treatment style that worked best on me during therapy was cognitive-behavioral therapy. I think it is extremely important that I am able to apply this theoretical orientation to my own life before I can apply it in treatment with my clients. Increasing my own thought and awareness will enable me to think not only outside of the box, but prepare me with potential situations that I might experience with client. To ensure effectiveness, I will utilize the basic principles of CBT and its treatment strategies. Another important factor that I will refer to so that I ensure effectiveness IS understanding the limitations that comes with CBT. I believe that understanding the limitations will help me understand whether if CBT will be effective for different types of clients. For example, clients who are
The objective of any counseling intervention is to create efficacy with their client in their ability to stop using substances to in order to meet and adhere to personal goals and values in pursuit of enjoying life within society constructs. Cognitive behavioral therapy (CBT) and motivational interview (MI) are two therapies used to assist individual and families with changing behavior and actions with adults and adolescent displaying substance use disorder (SUD). Consequently, many psychosocial, mental health care approaches have shown encouragement in reducing SUD adolescent and family therapies. CBT offers a logical approach for administering methodology that may show congruency for adolescent SUD given the high-risk behaviors and maladaptive
In this paper I will be developing an assessment and intervention plan for the African American male that is on probation and is required to attend therapy due to his anger and violent behavior. The male client attempts to having a temper which is causing arguments in his relationship with his girlfriend and now domestic violence. He states that he feels that he is always in the wrong place at the wrong time which causes conflicts and problems in his life.
A well known treatment is dialectical Behavioral therapy, option referred to as DBT. Essentially this Practice of therapy used in attempt to redirect feelings and practice setting emotional boundaries. while this is a lifelong disorder that begins at a young age. it has intensely limited research and development of ways diagnosed. this is partially Due to the fact the disorder within itself.
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).