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DBT: An Overview
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Dialectical Behavior Therapy
Briana Spivey
Dialectical Behavior Therapy
- A type of cognitive behavioral therapy (CBT)
- Treatment is the synthesis of the change in behavior therapy and the acceptance
- Intended to help suicidal women
What is DBT?
Who is the founder?
Dr. Marsha Linehan
Founder and developer of Dialectical Behavioral Therapy (DBT)
How does it help?
What does it do?
- DBT is intended to help provide patients with skills to handle emotions along with maintaining healthy interpersonal relationships
- Places an emphasis on psychosocial aspects of treatment
- Encompasses 3 sections that come together to help the individual live a better and more meaningful life.
- Heavy focus on mindfulness
Populations that most benefit
Who does it help?
- Borderline Personality Disorder
- Individuals who self-harm or experience "problem behaviors"
- Feelings of uncontrollable emotions
- Difficulty with family, friend, and other relationships
4 Skills
1. Mindfulness
2. Distress Tolerance
3. Emotion Regulation
4. Interpersonal Effectiveness
Skills
Mindfulness
Essential skill taught in skills group
Practice of being in the present moment and being fully aware
No rejection or judgment
Acceptance skill
Distress Tolerance
- Tolerate pain, not changing the pain when in difficult situations
- Find meaning for difficult situations
- Maximize the chances that a person's goals in a specific situation are met.
- Typically been tackled by religious and spiritual communities
Emotion Regulation
- Consists of changing emotions one wants to change
- Learning how to properly label emotions
- Increasing mindfulness to CURRENT emotions.
- Fact checking
- Opposite action: acting opposite to emotional urge
Interpersonal Effectiveness
Interpersonal Effectiveness
Managing what you want and what others want from you
Learning to cope with interpersonal conflict
DEAR MAN skills
FAST skills
Case Studies
There is very little research examining the research of DBT effectiveness among African American women
Study 1
Study 2
Black Women
Koons, C. R., Robins, C. J., Tweed, J. L., Lynch, zt. R., Gonzalez, A. M.,... & Bastian, L. A. (2001). Efficacy of dialectical behavior therapy in women veterans with borderline personality disorder. Behavior therapy, 32, 371-390.
- Examined the effectiveness of DBT compared to TAU for 6 months.
- Found that DBT was effective in decreasing suicidal ideation, feelings of hopelessness, depression and anger expression
- Sample was 25% African Ameericna veterean women with Borderline Personality disorder
Iverson, K. M., Shenk, C., & Fruzzetti, A. E. (2009). Dialectical behavior therapy for women victims of domestic abuse: A pilot study. Professional Psychology: Research and Practice, 40, 242-248.
- Examines the effectiveness of a 12-week DBT intervention among female domestic violence survivors
- 3% of the sample were women of color
- Found that depressive symptoms decreased, reduced hopelessness, and psychiatric distress
A
Q
&
Why do you think African American women are not more involved in DBT groups?
How can we encourage African American women to engage in DBT?
Q&A
References
Iverson, K. M., Shenk, C., & Fruzzetti, A. E. (2009). Dialectical behavior therapy for women victims of domestic abuse: A pilot study. Professional Psychology: Research and Practice, 40, 242-248.
Koons, C. R., Robins, C. J., Tweed, J. L., Lynch, zt. R., Gonzalez, A. M.,... & Bastian, L. A. (2001). Efficacy of dialectical behavior therapy in women veterans with borderline personality disorder. Behavior therapy, 32, 371-390.
Linehan, M. M. (2014). DBT Skills Training Manual, Second Edition. New York: Guilford Press.