
DBT Adherent refers to a specific way of delivering Dialectical Behavior Therapy (DBT) that adheres strictly to the original protocols and methods developed by Dr. Marsha Linehan. DBT is a comprehensive, evidence-based therapy designed to help individuals, particularly those with Borderline Personality Disorder (BPD), manage emotions, cope with stress, and improve relationships.
Key Elements of DBT Adherence:
Structured Components:
- Individual Therapy: Weekly sessions focusing on individual needs and goals.
- Skills Training Group: Weekly group sessions where clients learn and practice DBT skills in four modules: mindfulness, distress tolerance, emotion regulation, and interpersonal effectiveness.
- Phone Coaching: Clients have access to their therapist between sessions for coaching on applying DBT skills in real-life situations.
- Consultation Team: Therapists meet regularly with a DBT consultation team to support each other in adhering to the DBT model and to provide the best possible care to their clients.
DBT Skills:
- Mindfulness: Enhancing awareness and focus on the present moment.
- Distress Tolerance: Developing techniques to tolerate pain and distress without making things worse.
- Emotion Regulation: Understanding and managing intense emotions.
- Interpersonal Effectiveness: Improving communication and relationship skills.

Therapeutic Strategies:
- Validation: Acknowledging and accepting clients’ feelings and experiences.
- Dialectics: Integrating opposing viewpoints and finding balance between acceptance and change.
- Behavioral Analysis: Identifying and understanding the factors that lead to problematic behaviors.
- Cognitive Restructuring: Challenging and changing unhelpful thoughts and beliefs.
Commitment to Principles:
- Adherence to the DBT Manual: Following the treatment manual closely to ensure consistency and effectiveness.
- Regular Training and Supervision: Therapists receive ongoing training and supervision to maintain their skills and adherence to the DBT model.
- Outcome Monitoring: Regularly assessing client progress and making data-driven adjustments to the treatment plan.
Benefits of DBT Adherence:
- Consistency and Reliability: Ensures that clients receive a consistent and reliable form of treatment that has been proven effective through research.
- Improved Outcomes: Adherence to the DBT model has been shown to lead to better treatment outcomes, including reduced self-harm, suicidal behaviors, and hospitalizations.
- Professional Standards: Therapists who adhere to the DBT model demonstrate a high level of professionalism and commitment to providing the best possible care.
In summary, DBT Adherence means delivering Dialectical Behavior Therapy in a way that strictly follows the established protocols, ensuring that clients benefit from a structured, evidence-based approach to treatment.
Middle Path Counseling MO/KS is Fully Adherent and would love to meet with you or your organization to talk about Partnering with us.
