Dialectical Behavior Therapy

Dialectical Behavioral Therapy (DBT) combines cognitive and behavioral therapy, balancing acceptance with change. DBT explores emotions, cognitions and behavior patterns. The term “dialectical” means a synthesis or integration of opposites.  Dialectical Behavior Therapy is an evidence-based treatment for persons with Borderline Personality Disorder (BPD) as well as other disorders that was developed by Marsha Linehan, PhD. Our therapists are trained from Behavioral Tech which was founded by the creator of DBT, Dr. Marsha Linehan.

Stacking stones

Borderline Personality Disorder (BPD) is a pervasive problem of the individual’s emotion regulation system often resulting in problems in relationships, impulsive behaviors, suicidal behaviors, cognitive dysregulation, black/white thinking patterns and severe difficulty with regulating emotions.

Dialectical Behavioral Therapy is a comprehensive program composed of weekly individual therapy, skills training group, and phone consultation between the patient and the therapist. It is required that any therapist providing DBT services is required to receive weekly consultation on a trained DBT consultation team. All members of our team participate in the DBT consultation team. We also coordinate with providers on a regular basis including hospitals, psychiatrists, therapists, schools, etc. for continuity of care.

Dialectical Behavior Therapy is based on 5 different types of dysregulation:

Emotion Dysregulation-Emotional sensitivity to stimuli, emotional reactivity, slow return to baseline, consistent negative emotional states such as anger, depression, anxiety or guilt and difficulty regulating emotions or stabilizing moods on their own

Cognitive Dysregulation-Black and white thinking patterns or all or nothing thinking, difficulty with conflict resolution or problem solving, invalidating oneself or other people, and family conflict

Behavioral Dysregulation-Impulsivity in different areas in life including self harm, suicidal attempts, not attending school or work, saying things without thinking, aggressive behaviors toward others, sexual behaviors, spending, and  substance use

Self Dysregulation-Emptiness, identity confusion, dissociation, unaware of emotions, thoughts or behaviors

Interpersonal Dysregulation-Fear of abandonment and efforts to avoid this, unstable or imbalanced relationships, interpersonal struggles, and trouble making/keeping relationships

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