What is all Expected in a DBT Program?

Dialectical Behavior Therapy (DBT) is a specialized type of cognitive-behavioral therapy that was originally developed to treat borderline personality disorder (BPD). Over time, it has been found effective for various other mental health issues, especially for individuals struggling with emotion dysregulation, impulsive behavior, and difficulties in relationships. A standard treatment plan for adult clients undergoing DBT typically includes the following components:

1. Individual Therapy: Regular individual therapy sessions are a core part of DBT. During these one-on-one sessions, the therapist works with the client to identify specific issues they are facing, set treatment goals, and develop personalized strategies to manage emotional challenges and improve coping skills.
2. Group Skills Training: Group skills training is an essential component of DBT. Clients attend weekly group sessions where they learn and practice four sets of skills:
   • Mindfulness: Focusing on the present moment without judgment.
   • Distress Tolerance: Coping with crises and intense emotions without making things worse.
   • Emotion Regulation: Identifying and understanding emotions and learning healthy ways to manage them.
   • Interpersonal Effectiveness: Improving communication and relationship skills.
3. Phone Coaching: DBT often includes phone coaching, where clients have the option to call their therapist between sessions for assistance in managing difficult situations or crises effectively.
4. Consultation Team Meetings: DBT therapists typically participate in a consultation team where they receive supervision and support from other DBT therapists. These meetings help the therapist stay effective and motivated in their work with clients.
5. Diary Card: Clients may be asked to keep a diary card to track their emotions, behaviors, and use of DBT skills. This helps them and their therapist monitor progress and identify areas for improvement.
6. Chain Analysis: Chain analysis is a method used in DBT to examine problematic behaviors, emotions, and thoughts that occur in specific situations. It helps clients and therapists understand the triggers and consequences of behavior and develop alternative responses.
7. Gradual Exposure: For clients dealing with specific fears or avoidance, gradual exposure techniques may be incorporated to help them face and manage these situations.
8. Therapeutic Relationship: The therapeutic relationship in DBT is characterized by validation, acceptance, and a balance of support and challenge. The therapist validates the client’s emotions and experiences while also encouraging change and personal growth.

The duration of DBT treatment can vary depending on the individual’s needs and progress. It is typically conducted over several months, and in some cases, it may extend to a year or more.

It’s essential to remember that each person’s treatment plan is tailored to their unique circumstances and goals. Therefore, the specifics of a DBT treatment plan for an adult client may vary from case to case.