section 5

Question 1

development of DBT?

Answer 1

• Marsha Linehan
• grew out of a study from CBT
• originally used to treat people with BPD/chronic suicidality

Question 2

structure of DBT

Answer 2

individual therapy: 1 hr/week
group skills training: 1.5 - 2 hrs/week
consultation team: 1-2 hrs/week
telephone coaching: as needed
optional: parent training/family therapy for adolescents

Question 3

typical time for DBT

Answer 3

6 months for adolescents
1 year for adults

Question 4

DBT team agreements

Answer 4

dialectical agreement - agree a dialectical philosophy: there isn’t an absolute truth, or is truth all relative. When caught between two conflicting opinions, we agree to look for the truth in both positions

phenomenological empathy agreement: all thing being equal, agree to search for non judgemental interpretations of our patients, our own, and other members’ behavior, this will be a validating environment

Question 5

dialectics lesson 1

Answer 5

stresses interrelatedness and wholeness; assumes a systems perspective on reality

treatment implications:
disorder is systematic
teach biosocial theory of etiology
development and maintenance of disorder is transactional

Question 6

dialectics lesson 2

Answer 6

reality is not stati, but is comprised of internal opposing forces

treatment implications:
search for what is left out
function behavior
whats being reinforced

Question 7

core strategies in DBT?

Answer 7

1. problem solving
2. validation

Question 8

DBT skills training group format

Answer 8

mindfulness: 5 min
homework review: 50 mins
break: 10 min
didactic/new teaching: 50 min

Question 9

distress tolerance?

Answer 9

crisis survival strategies: tolerate short term pain without using behaviors

guidlines for accepting reality: tolerate long term pain without using behaviors