Effects of Workshop Training in the Dialectical Behavior Therapy Prolonged Exposure Protocol on Clinician Beliefs, Adoption, and Perceived Clinical Outcomes

Author(s):  
Melanie S. Harned ◽  
Lorie A. Ritschel ◽  
Sara C. Schmidt
2017 ◽  
Vol 16 (3) ◽  
pp. 216-233 ◽  
Author(s):  
Emily Scheiderer ◽  
Jessica A. Carlile ◽  
Allison C. Aosved ◽  
Alycia Barlow

This article presents a case study illustration of integrated, concurrent dialectical behavior therapy (DBT) and prolonged exposure (PE), conducted within a Veterans Affairs health care system. Treatment in this case effectively reduced symptoms and improved overall quality of life. Based on clinical complexities encountered (e.g., substance use, nonsuicidal self-harm, treatment setting constraints), recommendations are provided for concurrent treatment of posttraumatic stress disorder and borderline personality disorder in veterans. Recommendations include consideration of flexibility in duration of pre-PE stabilization, modification of DBT phone coaching protocol, management of structural barriers to treatment access, full use of consultation, and coordination of clinician roles.


2018 ◽  
Vol 25 (3) ◽  
pp. 416-426
Author(s):  
Colleen M. Lang ◽  
Amanda J. Edwards ◽  
Melissa A. Mittler ◽  
Lauren Bonavitacola

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