Dialectical Behaviour Therapy

What is Dialectical Behaviour Therapy (DBT)?

DBT is offered across Lancashire by the Personality Disorders Managed Clinical Network (PDMCN)

DBT is a type of talking therapy aimed at helping people to learn how to achieve “behavioural stability” – that is, to replace impulsive, risky or somehow damaging ways of coping with less harmful and more skilful ones ones.

It is usually aimed at treating people who engage in life threatening behaviours (self harm; suicidal thoughts and behaviours) and those who experience their emotions very intensely.  The aim being to help a person to develop a life worth living.

DBT has four elements –

Individual Therapy – this consists of weekly sessions with an individual therapist.  Working towards goals to help achieve a life worth living.  You will be required to complete weekly diary cards to monitor problem behaviours, emotions and urges.  This information helps to decide what you will work on in each session.

Skills Training – this consists of weekly teaching sessions that cover four modules and the group is run like a class where the leader teaches skills.  The behavioural skills taught are -

Mindfulness; Interpersonal Effectiveness; Emotion Regulation and Distress Tolerance and involves weekly homework and skills practice.

Telephone Coaching – This is offered by individual therapists and involves offering structured support to help teach people to use their new skills in real life situations.  It is focused on providing people with in the moment coaching on how to cope effectively between sessions.

Therapist Consultation Team – DBT therapists work in teams and meet weekly for supervision.  The consult team is designed to help therapists discuss issues and concerns, help them to treat people more effectively, stay motivated and competent and share responsibility.
 

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