Phone consultation and burnout among providers of dialectical behaviour therapy

2021 ◽  
Author(s):  
Allison K. Ruork ◽  
Qingqing Yin ◽  
Alan E. Fruzzetti
Keyword(s):  
Behaviour Therapy ◽  
Dialectical Behaviour Therapy

Dialectical Behaviour Therapy Skills Training Groups for Common Mental Health Disorders: A Systematic Review and Meta-Analysis

2020 ◽  
Author(s):  
Chantal P Delaquis ◽  
Kayla M. Joyce ◽  
Maureen Zalewski ◽  
Laurence Katz ◽  
Julia Sulymka ◽  
...  
Keyword(s):  
Mental Health ◽  
Emotion Regulation ◽  
Meta Analysis ◽  
Skills Training ◽  
Mental Health Disorders ◽  
Behaviour Therapy ◽  
Dialectical Behaviour Therapy ◽  
Transdiagnostic Treatment ◽  
Training Groups ◽  
Health Disorders

Context: Emotion regulation deficits are increasingly recognized as an underlying mechanism of many disorders. Dialectical behaviour therapy (DBT) holds potential as a transdiagnostic treatment for disorders with underlying emotion regulation deficits.Objective: Systematically review the evidence for DBT skills training groups as a transdiagnostic treatment for common mental health disorders via meta-analysis. Study Selection: Randomized control trials (RCTs) of DBT skills training groups for adults with common mental health disorders, and no comorbid personality disorder, were included. Data Synthesis: Twelve RCTs met inclusion criteria (N = 425 participants). DBT had a moderate-to-large effect on symptom reduction (g = 0.79, 95% CI [0.52, 1.06], p < .0001). Improvements in emotion regulation yielded a small-to-moderate effect (g = 0.48, 95% CI [0.22, 0.74], p < .01). Results showed significant effects of DBT on depression (g = 0.50, 95% CI [0.25, 0.75], p = .002), eating disorders (g = 0.83, 95% CI [0.49, 1.17], p = .001) and anxiety (g = 0.45, 95% CI [0.08, 0.83], p = .03).Conclusions: Findings suggest DBT is an effective treatment for common mental health disorders and may be considered as a promising transdiagnostic therapy.

Adapted dialectical behaviour therapy skills group service evaluation

2021 ◽  
Vol 15 (1) ◽  
pp. 1-7
Author(s):  
Robert John Searle ◽  
Ianiv Borseti
Keyword(s):  
Intellectual Disability ◽  
Psychological Intervention ◽  
Training Group ◽  
Skills Training ◽  
Well Being ◽  
Service Evaluation ◽  
Behaviour Therapy ◽  
Dialectical Behaviour Therapy ◽  
Content Type ◽  
Friedman Analysis

Purpose The purpose of this paper is to determine the effectiveness of an adapted dialectical behaviour therapy (DBT) treatment programme for individuals with an intellectual disability, via completion of a service evaluation. Design/methodology/approach Outcome measurements were competed at pre-, post- and 12 months follow-up, and the effectiveness of the intervention was assessed using a Friedman analysis. Findings Findings demonstrated that the treatment group showed significant differences in their “psychological distress” scores, but no significant differences were found in their “psychological well-being”, “anxiety” or “quality of life” (WHO-QOL) scores over time. Originality/value Overall, the current study adds to the small but growing literature that supports using the skills training group part of DBT as a stand-alone psychological intervention when working with people with an intellectual disability.

Modifying CBT to Meet the Challenge of Treating Emotion Dysregulation

2018 ◽  
pp. 106-118
Author(s):  
Jennifer H. R. Sayrs ◽  
Marsha M. Linehan
Keyword(s):  
Emotion Dysregulation ◽  
World View ◽  
Therapy Session ◽  
Behaviour Therapy ◽  
Dialectical Behaviour Therapy ◽  
Essential Component ◽  
Solution Generation ◽  
Flexible Thinking

Dialectics are a cornerstone of dialectical behaviour therapy (DBT; Linehan, 1993), and are considered an essential component of treating emotion dysregulation. Incorporating dialectics may enhance therapeutic collaboration, increase flexible thinking, and maximize solution generation. This chapter briefly describes a dialectical world view, then lays out steps for incorporating dialectics into a therapy session, including adopting a dialectical world view, maintaining balance in treatment, working toward synthesis whenever polarization occurs, and utilizing dialectical strategies. Dialectical strategies are any strategies that involve looking for what is left out, synthesizing two poles, and allowing the synthesis to move the interaction forward to a new position. These strategies include magnifying the tension between opposites (such as devil’s advocate and extending strategies), entering the paradox (such as ‘and versus but’ and ‘making lemonade out of lemons’ strategies), and the use of metaphors. While these strategies were developed within DBT, other treatments utilize dialectical approaches, as well.

Behavioural Foundations of DBT

2017 ◽  
pp. 68-90
Author(s):  
Alexander L. Chapman
Keyword(s):  
Evidence Based ◽  
Case Formulation ◽  
Behaviour Therapy ◽  
Dialectical Behaviour Therapy ◽  
Behavioural Theory ◽  
Evaluation Of Evidence ◽  
Ongoing Assessment

This chapter discusses and illustrates how behavioural theory and science guide many aspects of Dialectical Behaviour Therapy (DBT). Behavioural theory informs the DBT approach to case formulation, the ongoing assessment of behaviour throughout therapy, and the selection, implementation, and evaluation of evidence-based interventions. As described later in this chapter, behavioural theory also influences the style and “flavour” of DBT sessions. As the focus of the first stage of DBT often focuses on the treatment of suicidal and self-injurious behaviour, the chapter emphasizes these behaviours via several examples, and also touches upon some other common behaviours targeted in DBT.

Mechanisms of Change in Dialectical Behaviour Therapy

2017 ◽  
pp. 514-532
Author(s):  
Tali Boritz ◽  
Richard J. Zeifman ◽  
Shelley F. McMain
Keyword(s):  
Attentional Control ◽  
Research Evidence ◽  
Coping Skills ◽  
Mechanisms Of Change ◽  
Future Research ◽  
Clinical Implications ◽  
Adaptive Coping ◽  
Behaviour Therapy ◽  
Dialectical Behaviour Therapy ◽  
Client Change

Research on processes and mechanisms of change aim to explain how and why an intervention leads to change. Despite some theoretical and empirical progress in understanding processes and mechanisms of change in Dialectical Behaviour Therapy (DBT), this remains an understudied area in the DBT literature. This chapter considers how DBT conceptualizes the etiology and maintenance of dysfunction, and how active ingredients in DBT treatment produce client change. It proposes four key mechanisms of change that have been a focus of scientific efforts in DBT research: (1) increased awareness and acceptance of emotion; (2) increased attentional control; (3) increased ability to modulate emotion; and (4) increased use of adaptive coping skills. Next, it reviews the research evidence to support these putative mechanisms of change. Finally, it discusses clinical implications of this research, and propose recommendations for future research on mechanisms of change in DBT.

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