Category: Treatment - DBT
Keywords: DBT (Dialectical Behavior Therapy) | Borderline Personality Disorder | Suicide
Presentation Type: Special Session
Level of Familiarity: Basic
Dialectical behavior therapy (DBT) is a transdiagnostic modular behavioral intervention that integrates principles of behavioral science with those of Zen mindfulness practice to provide a synthesis of change and acceptance both at the level of the treatment provider’s actions and at the level of new behaviors taught to clients. The treatment was designed originally to treat individuals with high risk for suicide ordinarily associated with high emotion dysregulation. Because of its association with intentional self-injury and high rates of suicide, most of the DBT suicide research to date has been done with individuals meeting criteria for borderline personality disorder (BPD). The modular design of the treatment, together with emphases on both protocol-based and principle-based approaches to treatment, has led to a number of studies indicating that DBT is effective with a range of less severe disorders such as treatment-resistant depression, substance dependence, eating disorders, and other disordered behavioral patterns. To date, over 17 RCTs have been conducted on DBT across a range of investigators. At present, it is one of the few treatments that has been replicated as effective for both reducing risk of suicide and for treating BPD. Current questions of importance have to do with determining mechanisms of action in DBT and developing guidelines for who needs what components of the treatment for how long. The answers here are not clear. Preliminary hypotheses and data addressing these questions will be presented.
Recommended Reading: Linehan, M. M. (1993). Cognitive Behavioral Treatment of Borderline Personality Disorder. New York: Guilford Press.
Linehan, M.M. (2014). DBT® Skills Training Manual Second Edition. New York: Guilford Press.
Linehan, M.M. (2014). DBT® Skills Training Handouts and Worksheets, Second Edition. New York: Guilford Press.
University of Washington, Seattle
Friday, November 17
11:00 AM – 12:00 PM
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