DBT is an evidence based treatment designed to help manage impulsive behaviors, emotional responses, and self-destructive urges. DBT was originally developed by Marsha Linehan, Ph.D., ABPP, as a comprehensive cognitive-behavioral treatment. Empirical research has shown that DBT can also help address a variety of other concerns including eating disorders, anxiety disorders, and mood disorders. DBT skills can help you manage stress and live a healthier, more meaningful life.
A dialectical approach aims to achieve a synthesis among seemingly opposite positions. A core "dialectical dilemma" in DBT is the need to combine acceptance and change.
OUR DBT TEAM IS INTENSIVELY TRAINED BY THE LINEHAN INSTITUTE/BEHAVIORAL TECH.
You can learn more about comprehensive DBT programs here.
Our Adolescent DBT Program is based on the "DBT Skills Manual for Adolescents" by Rathus and Miller (2015). Our 24-week comprehensive program is delivered in a "multi-family" format and includes the several components listed below:
DBT FOCUSES ON THE ACQUISITION OF 4 CRITICAL SKILL SETS:
Multifamily Skills Classes
Stage 1 & 2:
Monday 6-7:30 PM
- Wednesday 5-6pm
WHAT DO I NEED TO KNOW IF I REFER SOMEONE FOR COMPREHENSIVE DBT ?
- According to Linehan (1993), the consultation-to-the-patient approach is "quite different from, and sometime diametrically opposite to, the behaviors expected of mental health professionals." Unlike the traditional medical model, "the role of the therapist is to consult with the patient about how to manage other people, rather than to consult with others about how to manage or treat the patient" (Linehan, 1993, p. 411). "The consultation-to-the-patient approach is designed to make sure that if the individual [patient] is not the expert on herself now, she becomes the expert" (Linehan, 1993, p. 422). In other words, DBT providers do not intervene or solve problems for the patient. Because of this approach, our Providers do not speak to family members or other treatment providers without the individual patient being present for or leading the conversation.
PAUSING TREATMENT WITH OTHER THERAPISTS
Because of the intensive nature of DBT (i.e., individual therapy, skills class, phone coaching, etc.) and consultation-to-the-patient approach, we STRONGLY suggest individuals in this treatment "press pause" with their other therapists. DBT aims to aid individuals in using DBT skills to manage all of their environment which can be difficult when a patient has multiple individual therapists.
Linehan, M.M. (1993). Cognitive-Behavioral Treatment of Borderline Personality Disorder. New York: Guilford.
What's Phone Coaching in DBT?
- Individuals who participate in Comprehensive DBT may call their individual therapist in order to get help applying and generalizing skills they learn in skills training to their everyday life. Parents will be assigned their own phone coach (i.e., the family therapist) who is different than the adolescent phone coach.
- There are three main purposes of phone coaching:
- Replace behaviors that could lead to ineffective acts or suicidal gestures.
- Get feedback and suggestions while practicing your skills.
- Relationship repair with your therapist.
- Phone coaching is not:
- A suicide hotline.
- Therapy over the phone (e.g. extra individual therapy sessions discussing abstract concerns).
- A way to soothe yourself when you feel bored or lonely, or have no one to talk to.
- 24-Hour Rule:
- Your DBT therapist will not allow any phone contact during the 24-hours after a patient has last engaged in self harm. If a patient harms themselves and are in need of imminent medical care, please go to your nearest emergency department or call 911.