With mindfulness being a buzz word these days, many therapists are incorporating mindfulness skills, or even DBT skills, into their practice, but what exactly does this mean? Are you obtaining the full benefits of mindfulness or DBT this way? As a therapist who is fully trained in DBT and understands the power and benefits of a structured DBT program, I can provide the opportunity to obtain DBT according to Marsha Linehan standards. I have been trained and am also currently working towards certification with a Linehan-certified DBT therapist, Casey Limmer.
Dialectical Behavioral Therapy (DBT) in its standard form includes 5 components. Each component is intended to meet a specific function of therapy to best support the client and ensure he or she is receiving the best treatment possible: individual therapy, a weekly skills group, between sessions coaching calls, case management, and DBT consultation team.
The main goal of DBT is to help clients build "a life worth living." In DBT, the client and therapist work together to set goals that are meaningful to the client. Often, this will involve first working on ways to decrease harmful behaviors and replacing them with effective, life-enhancing behaviors. Then, after this is able to be achieved, clients work towards full emotional experiencing, defining life goals, building self-respect, and finding deeper meaning through a sense of connectedness.
Individual therapy is focused on enhancing client motivation and helping clients apply the DBT skills to specific challenges and stressful events in their lives.
Enhances client's capabilities by teaching the behavioral skills. Skills training is frequently taught in groups that last for approximately 1.5 hours and meet weekly. It takes 24 weeks to complete a full cycle of the four modules.
DBT uses coaching via phone or text between sessions to provide in-the-moment support to help clients generalize skills to real life situations. These are 5-10 minute calls to help clients use coping skills when they are overwhelmed by thoughts, emotions, or destructive urges before the problem behavior occurs. Coaching calls are skills-oriented, not intended to be phone therapy.
Case management strategies are used in DBT to help the client manage his or her own life, such as their physical and social environments. The therapist applies the same dialectical, validation, and problem-solving strategies in order to teach the client to be his or her own case manager. The therapist only intervenes when absolutely necessary. This is designed to help the client enhance his or her own capabilities in building their life worth living.
The DBT consultation team is intended to support DBT providers in their work; it's almost like therapy for the therapist. The consultation team meets on a weekly basis and is designed to help therapists stay motivated and competent so they can provide DBT clients with the best treatment possible.
DBT is an evidence-based treatment for individuals struggling with:
Borderline Personality Disorder (BPD)
Chronic suicidal behavior
Self-injurious behavior
DBT has also shown efficacy with:
Substance abuse
Eating disorders
Depression
Post-traumatic stress
Any other disorder characterized by pervasive emotion regulation