OverviewofDialecticalBehaviorTherapy-MHCD…：辩证行为疗法-微空心阴极放电的概述….pptVIP

DBT and Recovery Michelle Rollins, MA, LPC, CACIII Jennifer Leeson, MSW, LCSW Objectives Explain basic tenets of DBT Discuss fundamental components of recovery Discuss 4-step process of hope Discuss what helps and hinders in the recovery process Dialectical Behavior Therapy What is DBT? Developed at the University of Washington by Marsha Linehan, Ph.D. Empirically-supported “modified” cognitive behavioral treatment for borderline personality disorder Particular efficacy in consumers with chronic suicidal or self-harming behaviors Provides tools and strategies to improve quality of life, facilitate change, manage crises, and eliminate dysfunctional behaviors Research on DBT Originally validated in two RCTs comparing DBT to TAU in BPD and BPD + SA DBT patients vs TAU patients Less likely to drop out of treatment Fewer/less medically severe self-harm behaviors Fewer/shorter inpatient hospitalizations Greater scores of global and social adjustment Research on DBT Other empirical studies comparing DBT to TAU Decreased suicidal ideation Decreased depression, hopelessness, anger Greater treatment retention Biosocial theory of BPD Emotion dysregulation Biological disposition + environmental context Emotional vulnerability High sensitivity/intense response to stimuli Slow return to baseline after emotional arousal Modes of delivery in DBT Outpatient individual psychotherapy Outpatient group skills training Telephone consultation Case consultation for therapists Ancillary treatment Skills modules in DBT Core Mindfulness Goal: to develop a lifestyle of participating with awareness Identity disturbance; feelings of emptiness Interpersonal Effectiveness Goal: to apply specific skills in interpersonal encounters to obtain objectives by asking or saying no, maintain the relationship, maintain self-respect, analyze the situation and determine goals Unstable relationships; efforts to avoid loss Skills modules in DBT Emotion Regulation Goal: to apply specific skills to iden