Dialectical Behavior Therapy Strategies in the Management of Self-Harm Behavior in Patients with Eating Disorders

2005 ◽  
pp. 165-180
Keyword(s):  
Eating Disorders ◽  
Behavior Therapy ◽  
Dialectical Behavior Therapy ◽  
Self Harm ◽  
Therapy Strategies

Part 2: Borderline Personality Disorder and Its Clinical Management

2017 ◽  
Author(s):  
Robert Biskin ◽  
Joel Paris
Keyword(s):  
Borderline Personality Disorder ◽  
Personality Disorder ◽  
Behavior Therapy ◽  
Dialectical Behavior Therapy ◽  
Service Use ◽  
Age Groups ◽  
Borderline Personality ◽  
Stepped Care ◽  
Care Models ◽  
Self Harm

The treatment of patients with borderline personality disorder (BPD) has changed significantly over the past 25 years. The previous therapeutic pessimism about BPD treatment outcomes has become more optimistic with the development of a variety of specialized psychotherapies that have been shown to reduce self-harm, suicidality, and health service use as well as improve overall psychopathology. Dialectical behavior therapy was the first evidence-supported treatment, but it has been joined by mentalization-based psychotherapy and a variety of other treatments. Several common factors, including structured treatment approach, are likely important in the effectiveness of these treatments compared with unstructured comparators. Pharmacotherapy serves a more limited role in the treatment of BPD due to many methodological issues in the research and a lack of replication of studies. Judicious and rational use of pharmacotherapy is discussed, as well as suggestions for improving accessibility to specialized psychotherapies through the development of stepped care models. Improving access to care for patients with BPD, throughout all age groups, remains an important next step. This review contains 2 figures, 1 table, and 47 references. Key words: borderline personality disorder, dialectical behavior therapy, mentalization-based treatment, personality disorder, pharmacotherapy, psychotherapy, self-harm

Suicidality, Self-Injurious Behavior, and Eating Disorders

2017 ◽  
pp. 79-94
Author(s):  
Leslie K. Anderson ◽  
April Smith ◽  
Scott Crow
Keyword(s):  
Eating Disorders ◽  
Suicidal Ideation ◽  
Dialectical Behavior Therapy ◽  
Contingency Management ◽  
Evidence Based ◽  
Self Monitoring ◽  
Specific Diagnosis ◽  
Chain Analysis ◽  
Self Harm ◽  
Telephone Coaching

Regardless of specific diagnosis, individuals with eating disorders have strikingly high rates of self-injurious behavior and suicidal ideation. It is essential that clinicians working with individuals who have eating disorders conduct regular and thorough assessments of suicidality and self-harm in their patients and understand a variety of strategies for intervention with these problems. This chapter outlines evidence-based approaches to assessment and intervention with suicidality and self-harm. It discusses the literature on lethality assessment, no-suicide contracts, involving family, hospitalization, and means restriction. It also focuses on strategies from dialectical behavior therapy for managing both self-harm and suicide risk, such as contingency management, diary card self-monitoring, telephone coaching, and behavioral chain analysis.

A Systematic Review of Dialectical Behavior Therapy for the Treatment of Eating Disorders

2012 ◽  
Vol 20 (3) ◽  
pp. 196-215 ◽  
Author(s):  
Sarah M. Bankoff ◽  
Madeleine G. Karpel ◽  
Hope E. Forbes ◽  
David W. Pantalone
Keyword(s):  
Systematic Review ◽  
Eating Disorders ◽  
Behavior Therapy ◽  
Dialectical Behavior Therapy

Early Versus Later Improvements in Dialectical Behavior Therapy Skills Use and Treatment Outcome in Eating Disorders

2019 ◽  
Vol 43 (4) ◽  
pp. 759-768 ◽  
Author(s):  
Tiffany A. Brown ◽  
Anne Cusack ◽  
Leslie Anderson ◽  
Erin E. Reilly ◽  
Laura A. Berner ◽  
...  
Keyword(s):  
Eating Disorders ◽  
Treatment Outcome ◽  
Behavior Therapy ◽  
Dialectical Behavior Therapy ◽  
Skills Use

scholarly journals Mobile App Integration Into Dialectical Behavior Therapy for Persons With Borderline Personality Disorder: Qualitative and Quantitative Study (Preprint)

2019 ◽  
Author(s):  
Stephen F Austin ◽  
Jens Einar Jansen ◽  
Charlotte Juul Petersen ◽  
Rasmus Jensen ◽  
Erik Simonsen
Keyword(s):  
Mental Health ◽  
Behavior Therapy ◽  
Dialectical Behavior Therapy ◽  
Mental Health Problems ◽  
Mobile App ◽  
Common Source ◽  
Transfer Of Knowledge ◽  
Therapy Strategies ◽  
And Behavior ◽  
Therapy Treatment

BACKGROUND The advancement of and access to technology such as smartphones has implications for psychotherapeutic health care and how interventions for a range of mental health disorders are provided. OBJECTIVE The objective of this study was to describe the experiences of participants while using a mobile phone app that was designed to enhance and support dialectical behavior therapy for personality disorders. METHODS A combination of in-depth interviews and questionnaires were used to capture the experiences of participants who used the app while undergoing dialectical behavior therapy treatment. A mixed methods approach was used; qualitative data from the interviews were analyzed using thematic analysis and were combined with quantitative data from the questionnaires. RESULTS Participants (N=24) who were receiving dialectical behavior therapy used the trial app. Participants (n=20) completed an evaluation questionnaire and a subset of this group (n=8) participated in semistructured interviews. Major themes that were identified from the interviews were (1) an overall positive experience of using the app—participants perceived that the app facilitated access and implementation of dialectical behavior therapy strategies (to regulate mood and behavior in challenging situations)—and (2) that the app provided a common source of information for patient and therapist interactions—app-based interactions were perceived to facilitate therapeutic alliance. Qualitative themes from the interviews were largely congruent with the quantitative responses from the questionnaires. CONCLUSIONS Participants welcomed the integration of technology as a supplement to clinical treatment. The app was perceived to facilitate and support many of the therapeutic techniques associated with dialectical behavior therapy treatment. The incorporation of technology into psychotherapeutic interventions may facilitate the transfer of knowledge and strategies that are learned in therapy to use in real-world settings thereby promoting recovery from mental health problems.

scholarly journals Comparative Effectiveness of Cognitive-Behavioral Therapy and Dialectical Behavior Therapy on Emotion Regulation, Positive and Negative Affection, Aggressive and Self-Harm Behaviors of 13-16-Year-Old Female Students

2020 ◽  
Vol 7 (9) ◽  
pp. 20
Author(s):  
Sara Ghorbani ◽  
Alireza Salemi Kameneh ◽  
Alireza Motahedy ◽  
Zahra Alipour
Keyword(s):  
Emotion Regulation ◽  
Cognitive Behavioral Therapy ◽  
Behavior Therapy ◽  
Dialectical Behavior Therapy ◽  
Emotional Regulation ◽  
Behavioral Therapy ◽  
Female Students ◽  
Cognitive Behavioral ◽  
Significant Difference ◽  
Self Harm

This study was aimed to compare the effectiveness of cognitive-behavioral therapy with dialectical behavior therapy on emotion regulation, positive and negative affection, aggressive and self-harm behaviors of 13 to 16-year-old female students. The results showed that both CBT and DBT have a significant effect on increasing emotional regulation and positive affect, and decreasing negative affect, reducing aggressive behavior and self-harm. Also there was no significant difference between two treatments in increasing the positive affection and decreasing negative affection, but the effect of DBT on increasing emotional regulation and reducing self-harm and aggressive behaviors was significantly more than CBT.

Dialectical Behavior Therapy

2010 ◽  
pp. 401-416
Author(s):  
Eunice Y. Chen ◽  
Debra Safer
Keyword(s):  
Eating Disorders ◽  
Randomized Controlled Trial ◽  
Behavior Therapy ◽  
Dialectical Behavior Therapy ◽  
Research Evidence ◽  
Controlled Trial ◽  
Borderline Personality ◽  
Randomized Controlled ◽  
Promising Treatment ◽  
Trial Evidence

This chapter provides a description and reviews the research evidence for the adaptation of Dialectical Behavior Therapy (DBT) for eating disorders (EDs). First, the chapter briefly describes the standard DBT program as originally developed for women with borderline personality disorder (BPD). Second, the rationale for the adaptation of DBT for EDs is reviewed. Third, the DBT model of maintenance and etiology of EDs is discussed. Fourth, the randomized controlled trial evidence for DBT for BPD is reviewed as well as that for DBT for EDs. Finally, the DBT program for EDs is outlined. It is concluded that DBT is a promising treatment for EDs, worthy of further investigation with this population.

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