Dialectical Behavior Therapy and Treatment of Emotion Dysregulation

2019 ◽  
pp. 462-476
Author(s):  
Alexander L. Chapman ◽  
Nora H. Hope
Keyword(s):  
Behavior Therapy ◽  
Dialectical Behavior Therapy ◽  
Emotion Dysregulation ◽  
Behavioral Treatment ◽  
Distress Tolerance ◽  
Therapy Group ◽  
Skills Training ◽  
Individual Therapy ◽  
Cognitive Behavioral Treatment ◽  
Multimethod Research

Developed to treat highly suicidal patients and often associated with the treatment of borderline personality disorder (BPD), dialectical behavior therapy (DBT) has evolved into a transdiagnostic treatment addressing emotion dysregulation. DBT is an emotion-focused, comprehensive cognitive-behavioral treatment including individual therapy, group skills training, between-session skills coaching (phone coaching), and a therapist consultation team. Several elements of DBT address emotion dysregulation directly or indirectly, including emotion regulation skills, distress tolerance strategies to dampen physiological arousal and curb impulses to engage in problematic behaviors, and individual therapy interventions to reduce emotion dysregulation. Growing evidence suggests that DBT may address behavioral, cognitive, physiological, and neurobiological aspects of emotion dysregulation. Future directions should include increasing multimethod research on the effects of DBT on emotion dysregulation, streamlining treatment, making DBT more efficient and targeted, and conceptualizing DBT’s place within the spectrum of other emotion-focused transdiagnostic treatments.

scholarly journals Dialectical behavior therapy skills training: Paving the way to healthy relationships

2018 ◽  
Vol 5 (1) ◽  
Author(s):  
Ricardo Lucena
Keyword(s):  
Interpersonal Relationships ◽  
Behavior Therapy ◽  
Dialectical Behavior Therapy ◽  
Health Care Professionals ◽  
Behavioral Treatment ◽  
Skills Training ◽  
Individual Therapy ◽  
Central Component ◽  
Cognitive Behavioral Treatment ◽  
Healthy Relationships

Dialectical behavior therapy (DBT) is a comprehensive multiple mode cognitive-behavioral treatment. It includes weekly individual therapy, weekly group skills training, and as-needed phone coaching along with therapist consultation team meetings. DBT skills training is a central component of DBT effectiveness. Skills training programs have been reported to be effective in different populations, such as health care professionals, caregivers of the elderly, and college students. Skills training has also been effective to treat individuals with a range of mental disorders. The overall objective of the workshop is to describe a set of behavioral, cognitive and dialectical skills which can facilitate the development and maintenance of healthy relationships. Participants will be able to apply the principles of dialects, validation and behavioral analysis to their thoughts and actions; be able to develop effective communication; and find a kernel of truth in other people’s views. The skills presented are important for individuals with or without a diagnosis of mental disorder, and they can be helpful in any relationship. There are three skill sets: dialectics, validation, and behavior change strategies. Taken together, the skills focus on balancing our own priorities with the demands of others in interpersonal relationships. During the ninety-minute interactive workshop, skills will be presented alongside individual and small group exercises given by one presenter. The language of the workshop will be English, however questions can be asked in French, Spanish or Portuguese and will be answered in English.

Dialectical Behavior Therapy of Borderline and Other Personality Disorders

2012 ◽  
pp. 784-794
Author(s):  
Thomas R. Lynch ◽  
Prudence F. Cuper
Keyword(s):  
Behavior Therapy ◽  
Dialectical Behavior Therapy ◽  
Behavioral Science ◽  
Behavioral Therapy ◽  
Therapy Group ◽  
Skills Training ◽  
Individual Therapy ◽  
Dialectical Philosophy ◽  
Consultation Team ◽  
Telephone Coaching

Dialectical behavior therapy (DBT) is a form of cognitive-behavioral therapy that draws on principles from Zen practice, dialectical philosophy, and behavioral science, and it is based on a biosocial model of borderline personality disorder. The treatment has four components—individual therapy, group skills training, telephone coaching, and therapist consultation team—and it progresses through four stages, depending on the client’s level of disorder. In the current chapter, we expand on the theory behind the treatment and the treatment structure, as well as present evidence for the efficacy of DBT from several randomized controlled trials. We also discuss implications for the use of DBT for multidiagnostic patients—including a review of a new adaptation of DBT for emotionally constricted and overcontrolled disorders.

Dialectical Behavior Therapy

2017 ◽  
Author(s):  
Shireen L. Rizvi ◽  
Kristen M. Roman
Keyword(s):  
Behavior Therapy ◽  
Dialectical Behavior Therapy ◽  
Behavioral Treatment ◽  
Randomized Clinical Trials ◽  
Research Literature ◽  
Emotional Dysregulation ◽  
Psychosocial Treatment ◽  
Worth Living ◽  
Cognitive Behavioral Treatment ◽  
Life Worth Living

Dialectical behavior therapy (DBT) is an evidence-based, psychosocial treatment originally developed for suicidal individuals with borderline personality disorder (BPD). It is now broadly seen as the treatment of choice for individuals with BPD. DBT is a comprehensive, cognitive-behavioral treatment designed to help a client achieve a “life worth living.” Research on DBT’s effectiveness is compelling and was the first to empirically demonstrate that individuals with BPD and severe emotional dysregulation and/or suicidal behavior could be effectively treated with a psychosocial therapy. As the research literature on DBT continues to grow, it will be important to move beyond randomized clinical trials comparing DBT to control treatments and instead focus on identifying important predictors and mediators of change. This chapter describes the foundation and theoretical underpinnings of DBT, provides details about the structure of DBT in all its components, and summarizes some existing research. A detailed case example is provided.

scholarly journals Dialectical Behavior Therapy Skills Training as a Standalone Therapy: a Scoping Review Protocol

2021 ◽  
Author(s):  
Branden Thorsteinson ◽  
M. Natalie Husarewycz ◽  
Hal Loewen ◽  
Maclean Thiessen
Keyword(s):  
Behavior Therapy ◽  
Dialectical Behavior Therapy ◽  
Scoping Review ◽  
Emotion Dysregulation ◽  
Skills Training ◽  
Future Research ◽  
Summary Table ◽  
Problems In Living ◽  
Scoping Reviews ◽  
Core Elements

Abstract Background: Dialectical Behavior Therapy (DBT) Skills Training (DBT-ST) is one of the four core elements of standard DBT. Studies show that standalone DBT-ST appears to be a promising treatment in patients with emotion dysregulation by teaching them skills needed to change patterns associated with problems in living. It is not clear who benefits from this treatment and which components are most beneficial. Relevant studies will be easily navigated once mapped and summarized in this proposed scoping review.Methods:The proposed scoping review will be conducted following Joanna Briggs Institute (JBI) methodology for scoping reviews. Medical literature databases including MEDLINE, PsycINFO, EMBASE, CINAHL, SCOPUS, Web of Science, and Cochrane will be searched. Papers retrieved will be screened for inclusion by two independent reviewers and data will be extracted and reported in a summary table with supporting narrative. We aim to include all English academic papers addressing standalone DBT-ST including studies utilizing quantitative, qualitative, and mixed methods approaches. Discussion:The objective of this scoping review is to explore the literature, map, and summarize evidence pertaining to DBT-ST to help guide future research and treatment.

scholarly journals Multilevel Associations of Daily Skill Use and Effectiveness With Anxiety, Stress, and Depression in a Transdiagnostic Sample Undergoing Dialectical Behavior Therapy Skills Training

2020 ◽  
Author(s):  
Matthew W. Southward ◽  
Jeremy William Eberle ◽  
Andrada D. Neacsiu
Keyword(s):  
Negative Affect ◽  
Behavior Therapy ◽  
Dialectical Behavior Therapy ◽  
Emotion Dysregulation ◽  
Training Group ◽  
Skills Training ◽  
Group Level ◽  
Perceived Effectiveness ◽  
Skills Training Group ◽  
Perceived Emotion

Dialectical Behavior Therapy (DBT) is relatively effective at treating disorders of emotion dysregulation. However, given researchers’ focus on group-level differences within disorder-specific treatments, it is unclear which transdiagnostic mechanisms influence these effects. Participants (n=19, Mage=31.8, 68% female, 95% Caucasian) with elevated emotion dysregulation completed daily reports of DBT skill use, perceived effectiveness, anxiety, stress, and depression during a DBT skills training group (1,344 observations). We tested whether within-person skill use was associated with same-day negative affect, predicted next-day changes in negative affect, and was moderated by perceived emotion regulation effectiveness. Participants used more within-person skills on days of greater stress and anxiety, which predicted next-day decreases in stress and anxiety. On days of high, but not low, perceived effectiveness, people used more skills in response to more intense negative affect. The use, and perceived effectiveness, of more skills may be mechanisms by which DBT skills groups promote improved emotional functioning.

scholarly journals Dialectical Behavior Therapy Group Skills Training for Bipolar Disorder

2017 ◽  
Vol 48 (4) ◽  
pp. 557-566 ◽  
Author(s):  
Lori Eisner ◽  
David Eddie ◽  
Rebecca Harley ◽  
Michelle Jacobo ◽  
Andrew A. Nierenberg ◽  
...  
Keyword(s):  
Bipolar Disorder ◽  
Behavior Therapy ◽  
Dialectical Behavior Therapy ◽  
Therapy Group ◽  
Skills Training ◽  
Group Skills
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