One of the main goals in counseling is to help you build a life worth living.
Dialectical Behavior Therapy (DBT) is a therapy we offer in our Manhattan, NY office that can help you achieve fulfillment in your daily life and look forward to each day with a renewed purpose. It was created by Dr. Marsha Linehan for her chronically depressed clients grappling with suicidal ideation and emotional dysregulation.
The ”DB” acronym may be explained as the following:
- “D” stands for “Dialectical”. It means that two things which are opposites can be true at the same time. We believe that everyone is doing their best in their life and feel that they need to do better.
- “B” in DBT stands for “Behavior”. This includes all their actions, thoughts, and emotions. Each behavior is caused. Patients are helped by understanding and changing these causes rather than blaming and judging.
DBT benefits patients with the following histories:
- multiple past hospitalizations
- tried therapy many times with no success
- difficulty regulating extreme emotions
- low self-esteem
- unstable relationships
- impulsive or self-destructive behaviors
A term that is often used in DBT is “emotional dysregulation”. This is when their emotions become so overwhelming that moods change quickly. They feel uncontrollable. Outbursts of anger, intense sadness, or fear may occur. Dysregulation also may cover cognitive, behavioral, interpersonal, and fragmentation. (We will discuss these in future blogs.)
DBT is also used for patients with eating disorders, bipolar disorder, major depression, anxiety, PTSD, impulsivity, and a myriad of other disorders. However, while there are many different treatments under the “DBT” brand, most are not committed to the original model. (The Counseling Center Group maintains a strict adherence to all DBT protocols.)
There are four components of comprehensive DBT:
- Weekly DBT Skills Training in a group setting enhances capabilities by providing practical skills that will create stronger relationships, build self-esteem, effectively problem solve, set and achieve your goals, and rediscover hope.
- Weekly Individual Therapy focuses on applying learned skills to specific challenges. Motivation is enhanced which enables the patient to apply the skills to daily life.
- Phone Coaching between sessions enables the patient to generalize the skills acquired in life. The goal is to provide coaching on using skills when needed most in daily life. In-the-moment support is given by phone, text, email, or other forms of electronic communication.
- Therapist participation in a Consultation Team. A community of therapists supports a community of clients. It utilizes the same DBT strategies and principles for use in its complex work. The consultation team helps DBT therapists maintain motivation, increase competency, and stay committed to the treatment protocol.
There are other aspects of DBT that we will cover in future blogs. The Counseling Center Group of NY highly recommends this treatment and has licensed, experienced counselors.
If you are interested in DBT, contact us for a consultation. Call (888) 604-6776. We are offering in-person and telehealth appointments at both locations. DBT is offered at our Manhattan, and Harrison, NY offices.