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 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.

scholarly journals Reviewing the availability, efficacy and clinical utility of Telepsychology in dialectical behavior therapy (Tele-DBT)

2021 ◽  
Vol 8 (1) ◽  
Author(s):  
Hanneke van Leeuwen ◽  
Roland Sinnaeve ◽  
Ursula Witteveen ◽  
Tom Van Daele ◽  
Lindsey Ossewaarde ◽  
...  
Keyword(s):  
Virtual Reality ◽  
Dialectical Behavior Therapy ◽  
Clinical Utility ◽  
Skills Training ◽  
Individual Therapy ◽  
Face To Face ◽  
Empirically Supported ◽  
Search Terms ◽  
Consultation Team ◽  
Search And Selection

Abstract Background Telepsychology is increasingly being implemented in mental health care. We conducted a scoping review on the best available research evidence regarding availability, efficacy and clinical utility of telepsychology in DBT. The review was performed using PRISMA-ScR guidelines. Our aim was to help DBT-therapists make empirically supported decisions about the use of telepsychology during and after the current pandemic and to anticipate the changing digital needs of patients and clinicians. Methods A search was conducted in PubMed, Embase, PsycARTICLES and Web of Science. Search terms for telepsychology were included and combined with search terms that relate to DBT. Results Our search and selection procedures resulted in 41 articles containing information on phone consultation, smartphone applications, internet delivered skills training, videoconferencing, virtual reality and computer- or video-assisted interventions in DBT. Conclusions The majority of research about telepsychology in DBT has focused on the treatment mode of between-session contact. However, more trials using sophisticated empirical methodologies are needed. Quantitative data on the efficacy and utility of online and blended alternatives to standard (i.e. face-to-face) individual therapy, skills training and therapist consultation team were scarce. The studies that we found were designed to evaluate feasibility and usability. A permanent shift to videoconferencing or online training is therefore not warranted as long as face-to-face is an option. In all, there is an urgent need to compare standard DBT to online or blended DBT. Smartphone apps and virtual reality (VR) are experienced as an acceptable facilitator in access and implantation of DBT skills. In addition, we have to move forward on telepsychology applications by consulting our patients, younger peers and experts in adjacent fields if we want DBT to remain effective and relevant in the digital age.

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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