Dialectical Behavior Therapy Group Skills Training in a Community Mental Health Setting: A Pilot Study

Developed to treat highly suicidal patients and often associated with the treatment of borderline personality disorder (BPD), dialectical behavior therapy (DBT) has evolved into a transdiagnostic treatment addressing emotion dysregulation. DBT is an emotion-focused, comprehensive cognitive-behavioral treatment including individual therapy, group skills training, between-session skills coaching (phone coaching), and a therapist consultation team. Several elements of DBT address emotion dysregulation directly or indirectly, including emotion regulation skills, distress tolerance strategies to dampen physiological arousal and curb impulses to engage in problematic behaviors, and individual therapy interventions to reduce emotion dysregulation. Growing evidence suggests that DBT may address behavioral, cognitive, physiological, and neurobiological aspects of emotion dysregulation. Future directions should include increasing multimethod research on the effects of DBT on emotion dysregulation, streamlining treatment, making DBT more efficient and targeted, and conceptualizing DBT’s place within the spectrum of other emotion-focused transdiagnostic treatments.

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A Pilot Study of 2 Brief Forms of Dialectical Behavior Therapy Skills Training for Emotion Dysregulation in College Students

Journal of American College Health ◽

10.1080/07448481.2014.907298 ◽

2014 ◽

Vol 62 (6) ◽

pp. 434-439 ◽

Cited By ~ 23

Author(s):

Shireen L. Rizvi ◽

Lauren M. Steffel

Keyword(s):

College Students ◽

Pilot Study ◽

Behavior Therapy ◽

Dialectical Behavior Therapy ◽

Emotion Dysregulation ◽

Skills Training

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Dialectical Behavior Therapy of Borderline and Other Personality Disorders

The Oxford Handbook of Personality Disorders ◽

10.1093/oxfordhb/9780199735013.013.0037 ◽

2012 ◽

pp. 784-794

Author(s):

Thomas R. Lynch ◽

Prudence F. Cuper

Keyword(s):

Behavior Therapy ◽

Dialectical Behavior Therapy ◽

Behavioral Science ◽

Behavioral Therapy ◽

Therapy Group ◽

Skills Training ◽

Individual Therapy ◽

Dialectical Philosophy ◽

Consultation Team ◽

Telephone Coaching

Dialectical behavior therapy (DBT) is a form of cognitive-behavioral therapy that draws on principles from Zen practice, dialectical philosophy, and behavioral science, and it is based on a biosocial model of borderline personality disorder. The treatment has four components—individual therapy, group skills training, telephone coaching, and therapist consultation team—and it progresses through four stages, depending on the client’s level of disorder. In the current chapter, we expand on the theory behind the treatment and the treatment structure, as well as present evidence for the efficacy of DBT from several randomized controlled trials. We also discuss implications for the use of DBT for multidiagnostic patients—including a review of a new adaptation of DBT for emotionally constricted and overcontrolled disorders.

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Evaluation of a Mindfulness-Based Intervention With and Without Virtual Reality Dialectical Behavior Therapy® Mindfulness Skills Training for the Treatment of Generalized Anxiety Disorder in Primary Care: A Pilot Study

Frontiers in Psychology ◽

10.3389/fpsyg.2019.00055 ◽

2019 ◽

Vol 10 ◽

Cited By ~ 12

Author(s):

María V. Navarro-Haro ◽

Marta Modrego-Alarcón ◽

Hunter G. Hoffman ◽

Alba López-Montoyo ◽

Mayte Navarro-Gil ◽

...

Keyword(s):

Primary Care ◽

Virtual Reality ◽

Anxiety Disorder ◽

Pilot Study ◽

Generalized Anxiety Disorder ◽

Behavior Therapy ◽

Dialectical Behavior Therapy ◽

Skills Training ◽

Generalized Anxiety ◽

Mindfulness Skills

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A Different Type of Supervision: Training Clinical Mental Health Counseling Interns in Dialectical Behavior Therapy

Journal of Mental Health Counseling ◽

10.17744/mehc.38.3.04 ◽

2016 ◽

Vol 38 (3) ◽

pp. 233-247 ◽

Cited By ~ 4

Author(s):

Thomas A. Field

Keyword(s):

Mental Health ◽

Behavior Therapy ◽

Dialectical Behavior Therapy ◽

Skills Training ◽

Mental Health Counseling ◽

Evidence Based Practices ◽

Health Counseling ◽

Psychiatric Setting ◽

Counseling Interns ◽

Basic Qualitative Study

A basic qualitative study examined the role of supervision in learning dialectical behavior therapy (DBT). Ten master's-level clinical mental health counseling interns completed in-depth interviews regarding their experiences of supervision when providing DBT skills training groups to adolescents in an inpatient psychiatric setting. Supervision was described as an activity in tandem with observation and shadowing, with the supervisor functioning as a consultant and teacher. Themes highlighted the importance of structure in mitigating trainee performance anxiety, and a focus on skills training during supervision. Implications for supervising counseling interns in evidence-based practices such as DBT are discussed.

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