Posted by BirdSong on June 12, 2009, at 20:43:47
In reply to Re: I'd like to do some DBT » Deneb, posted by Phillipa on June 12, 2009, at 19:52:07
While your pdoc may know of DBT, your pdoc is not doing DBT with you.
True DBT is a team approach and involves two components although "phone coaching" is sometimes considered a third component.
An important goal of DBT is to develop client's minds through the teaching of interpersonal skills, emotion regulation skills, mindfulness and acceptance skills, and distress tolerance skills.
The components of DBT are: (1) individual therapy and (2) group therapy where skills are learned
1. Individual Therapy.
Consists of teaching skills and adaptive behavior both within therapy sessions and between therapy sessions. Contact with therapist between session is highly encouraged and permitted. Therapy sessions occur weekly (sometimes bi-weekly) in which a particular problematic behavior or event from the past week is explored in detail, beginning with the chain of events leading up to it, going through alternative solutions that might have been used, and examining what kept the client from using more adaptive solutions to the problem. You do worksheets, keep diary cards, etc.The emphasis is on teaching clients to manage emotional issues rather than rescuing them out of crisis.
In addition, the therapist and client work towards improving the use of skills that are learned in weekly group. Often, skills group is discussed and obstacles to acting skillfully are addressed. The skills are practiced both in session and outside of session using frequent phone contact.
2. Group therapy.
Weekly 2-2.5 hour group therapy sessions in which interpersonal effectiveness, distress tolerance/reality acceptance skills, emotion regulation, and mindfulness skills are taught. The skills are taught and practiced. Most DBT groups use the DBT workbooks and exercises and follow the stages to a 't'.Both of these are required for DBT. It is very organized.
poster:BirdSong
thread:900611
URL: http://www.dr-bob.org/babble/social/20090604/msgs/900687.html