Dialectical Behavior Therapy
Dialectical Behavior Therapy is an evidence based cognitive behavioral treatment developed by Marsha Linehan initially used to treat women diagnosed with borderline personality disorder. Research conducted in the early 1990's compared DBT versus treatment as usual (TAU) with a group of women diagnosed with borderline personality disorder. These initial DBT trials demonstrated that the women treated with DBT showed a marked decrease in angry outbursts, depression, anxiety, parasuicidal and suicidal gestures, and decreased inpatient hospitalizations. Since its inception DBT has been used effectively with teens, males, and individuals with substance abuse and eating disorders.
Stage one targets in DBT focuson acquiring, internalizing, and generalizing DBT skills. The four core skills are mindfulness, emotion regulation, distress tolerance, and interpersonal effectiveness. Walking the middle path and dialectics are taught as well as self compassion.
Stage two targets focus on decreasing PTSD using DBT-PE