Dialectical Behaviour Therapy
Dialectical Behaviour Therapy (DBT) is a comprehensive, multi-model treatment that was originally designed to treat individuals with chronic suicidal and self-injurious behaviour. Today, it is considered the gold-standard treatment for borderline personality disorder (BPD). From a DBT framework, impulsive and self-destructive behaviours are the result of problems with the emotion regulation system and chronic invalidation. Using sophisticated strategies and interventions, DBT focuses on increasing emotional functioning and building a life worth living. DBT is a modification of traditional CBT. DBT involves all the cognitive and behavioural techniques used in standard CBT and adds mindfulness approaches and acceptance-based practices.
Is DBT just for BPD?
Due to its success in treating self-destructive behaviours and difficulties with emotions, DBT has evolved into an effective treatment for psychological issues that are rooted in emotion regulation difficulties (e.g., bipolar disorder, eating disorders, substance abuse).
What is Standard DBT?
DBT is a multi-modal treatment. Individuals receiving DBT make a one-year commitment to attend:
- Weekly Individual Therapy with a DBT trained Therapist
- Weekly two-hour DBT skills training groups
- Telephone skills coaching as needed
- Therapist must attend weekly DBT consultation team
Treatment is most effective when all four modes are in place. One year of comprehensive DBT is associated with significant reductions in suicidal and self-injurious behaviour, fewer hospital admissions, less impulsivity, reduced anger, and better social functioning. There is also evidence that 20 weeks of DBT skills training can be effective for certain conditions. Contact us to learn more.
For more on DBT, please see this link – BTech Linehan.
Dr. Federici is currently involved with RO-DBT training with several colleagues in Ontario.
DBT Skills Training Group
As part of our comprehensive Dialectical Behavoiur Therapy program, we are offering a DBT Skills Training Group. Please click here for more information.