The component parts of DBT

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Individual therapy begins with a comprehensive assessment of the client to identify problems, strengths, history and former treatment. Treatment goals are collaboratively established. We use diary cards to track one"s emotions, problem behaviors, behaviors one wants to develop (e.g. conflict resolution, assertiveness), the skills the person has been using and if they are working. When a problem behavior shows up, we conduct an analysis to identify what is influencing that behavior to occur and what skills and strategies one might use to avoid the problem behavior. Consequently, in future situations one can more easily identify when they are heading toward problem behaviors and how to avoid them.DBT was developed by Marsha Linnehan, PhD, who wanted to develop a treatment for Borderline Personality Disorder (BPD). DBT is very effective, not only for BPD, but for a wide variety of problems, including depression, eating disorders, substance abuse and "multi-diagnostic, difficult-to-treat" patients.
Research studies comparing DBT to standard cognitive behavioral therapy (CBT) or to psychodynamic therapy have shown DBT to be more effective. Clients get better faster and retain gains made. Follow-up measures of symptoms conducted at 6, 12 and 18 months post treatment show clients become even more effective/less symptomatic after discharge. It doesn"t matter the diagnosis, or even if there is no diagnosis. If one has a model of strategies and skills to deal effectively with the inevitable stress that is part and parcel to the human experience, one is better equipped to manage life more effectively and learn to create "a life worth living"."

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