What is Dialectical Behavior Therapy (DBT)?

This video describes dialectical behavior therapy. Dialectical behavior therapy (DBT) is a modality that was created by Marsha Linehan in the 1980s and it was specifically designed to treat individuals with borderline personality disorder. Even more specifically it treats the characteristic of suicidal tendencies that sometimes observed in borderline personality disorder. DBT is a particularly complex modality. It has a number of different components that were borrowed from a number of other theories and modalities. It is generally thought of as a program only modality, although there are versions of it that can be delivered by an individual clinician. From a client's point of view DBT has three main activities: individual therapy (usually about two hours a week), group counseling (an hour and a half to two and a half hours a week) and telephone coaching (available 24/7). From the therapist point of view, you have those three components and a therapist consultation component. There are five functions to DBT. The first is enhancing capabilities and this is really skills training. This skills training has four modules known as the “four modules of DBT.” This includes mindfulness, distress tolerance, emotion regulation, and interpersonal effectiveness. The second function is generalizing capabilities. The third function is improving motivation and reducing dysfunctional behavior. The fourth function is enhancing and maintaining therapist capabilities and motivation, and this is met through support training and encouragement to the therapist.
Dialectical behavior therapy is based on three theories, biosocial theory, dialectical philosophy, and behavior therapy. The biosocial theory has to do with emotional vulnerability, which is related to the invalidating experiences that we believe may lead to or at least may contribute to the development of borderline personality disorder. Dialectical philosophy is about the tension between acceptance and the desire to change. This tension is experienced by the client and by the therapist. Behavior therapy has lot of the techniques from other behavioral modalities including cognitive restructuring, components of exposure therapy, and adaptive responding.

Пікірлер: 36

  • @austinyoung88
    @austinyoung8811 ай бұрын

    I’ve been practicing for a few years and always struggled to understand what DBT has to offer beyond just combining a bunch of already good concepts on their own. Thanks for confirming that.

  • @kaitlynsantola433
    @kaitlynsantola4335 жыл бұрын

    I enjoyed learning more about DBT. I previously did some research for another class. I like that therapists are provided support. I also like that clients go through both individual therapy and group therapy.

  • @johnharrisjr2808
    @johnharrisjr28086 жыл бұрын

    This video gave a good explanation of Dialectical Behavior Therapy (DBT). I didn't realize this modality was to specifically treat individuals with borderline personality. I also didn't know that it was a program only modality comprised of a treatment team. We are using this modality in our research proposal about anger. It will be interesting to see what we find

  • @yusefendure
    @yusefendure5 жыл бұрын

    This video was extremely informative. Thank you.

  • @KatJ3st
    @KatJ3st2 жыл бұрын

    Now if only this treatment was actually accessible to more people, not just those with money.

  • @wandamixon5360
    @wandamixon53605 жыл бұрын

    I like that this modality was created specifically for Borderline Personality Disorder. This overview is helpful in that the complex components are easier to comprehend. I understand that it is typically delivered through a team. I would like to hear more about individual delivery of DBT.

  • @virginiamurrey9139
    @virginiamurrey91395 жыл бұрын

    I had not known much about DBT, this video did a great job at explaining what it is. I am interested in leaning more on the content of the five functions.

  • @kittenkong
    @kittenkong3 жыл бұрын

    South Pacific private, (SPP), in Curl Curl, Sydney, Australia is exactly everything that you described. I didn’t even know it was DBT. Clients a mix of bi polar, anxiety, depression, personality and psychiatric distortions, (disorder offends me), an array of addicts living all together. Is so impactful, Felt like I was reprogrammed… Amazing! Just goes to show how living in a village type situation pretty much is the cure for so many of these things. The brain, mind and soul really is not meant to live anonymously like the way we do… surrounding one another yet in isolation… and it has easily been like that long before COVID.. where is my village.. oh look it’s inside that bottle of meds

  • @kimheadland9224
    @kimheadland92244 жыл бұрын

    Thank you very much for this video Kim

  • @50hellkat2
    @50hellkat25 жыл бұрын

    You do not have to have Borderline Personality Disorder to benefit from these concepts. Anybody can.

  • @AWanderingEye
    @AWanderingEye5 жыл бұрын

    After recently completing a treatment program for MDD which incorporated some aspects of DBT, I am looking forward to continuing my study. Due to expense, it will have to be independent study. I like the multi pronged approach with support to clinician and am surprised that clinician support isn't required in all other treatment modalities. Just seems common sensical. I can see the content being part of general HS mental health programming, too. The content, role playing and reflection aspects are ways to connect with different learning styles and reinforce absorbing information long term.

  • @jillbeck6917
    @jillbeck69175 жыл бұрын

    Very interesting. I was not familiar with DBT previously. I can see how a complex disorder such as BPD would require a complex treatment that requires multiple practitioners and facets. I am glad to hear about the required therapist support component. It is important to remember that the therapist is human and is effected by the course of therapy also.

  • @wardellwhittaker859
    @wardellwhittaker8595 жыл бұрын

    I can see why a group effort is needed in DBT. BPD is a very difficult disorder to treat and a team approach will help the client and the therapist.

  • @dHunter94
    @dHunter945 жыл бұрын

    DBT appears to be a very complex treatment with various components taken from other modalities. I do like that this therapy is directed toward personality disorders because many of the theories studied so far appear to more so be designated toward treating depression, anxiety, and other more apparent mental health conditions. As a whole, this therapy is a bit difficult for me to follow, likely because it has not been discussed as in-depth as others. However, this video did an excellent job of helping me to understand the vital main components of DBT, and I will likely use this video for a refresher, as needed, in the future.

  • @julesjgreig
    @julesjgreig11 ай бұрын

    Good summary, thank you very much

  • @msjahnavi
    @msjahnavi4 жыл бұрын

    Thank you!

  • @amiraibrahim3589
    @amiraibrahim35895 жыл бұрын

    One of the recommended psychotherapy managements for Borderline Personality Disorder is the Mentalisation based therapy . I would like to ask what's Mentalisation based therapy ?

  • @rosalinddavies8466
    @rosalinddavies84664 жыл бұрын

    Developing resilience

  • @h1jen1x
    @h1jen1x4 жыл бұрын

    The complexity, time and commitment required for this treatment sounds discouraging if I had BPD.

  • @milanic7267
    @milanic7267 Жыл бұрын

    Hi, I'm not from an English speaking area, but as I understand DBT has its limitations. What modalities produce results in BPD therapy?

  • @alexmurphy5289
    @alexmurphy5289 Жыл бұрын

    What is the best treatment for BPD, Dr. Grande? Genuinely curious now as a counselor in training. Thanks

  • @johnthomas6849
    @johnthomas68493 жыл бұрын

    My wife went through DBT and individual counseling and the result was I was the problem and she hated me.

  • @JeffreyWilliams-dr7qe
    @JeffreyWilliams-dr7qe4 ай бұрын

    I am receiving the DBT budget module.

  • @toddboothbee1361
    @toddboothbee13614 жыл бұрын

    Should I use DBT to prevent myself from developing BPD? I'm aware that inoculation is important.

  • @hannachacha7864

    @hannachacha7864

    4 жыл бұрын

    Todd Boothbee Personality disorders don't develop in adulthood, that's why there's such a strong emphasis on BPD caused by childhood trauma.

  • @NighthawkMS
    @NighthawkMS5 жыл бұрын

    After studying this for our research proposal last semester, I wonder if DBT could be modified in any way to treat other personality disorders, or if they are so uniquely complex that techniques of DBT would not be modifiable.

  • @prayingforhealing4039
    @prayingforhealing40392 жыл бұрын

    Never head of DBT used in such a manner. I have run into the group DBT and found it useless. What you describe seems to be more effective.

  • @TYGZus777
    @TYGZus77711 ай бұрын

    Dr. Grande, if DBT is too complex and doesn't hold as much scientific merit as other modalities, what modalities would you recommend for more long-term effectiveness in treating a person with suicidality, addictions, and borderline behaviors???

  • @susanb4816
    @susanb48162 жыл бұрын

    so if you cannot afford treatment, what can you do?

  • @HBJC
    @HBJC11 ай бұрын

    P.s. you don’t have to have the whole program to improve. Educate yourself to the best of your ability and try IFS, EMDR, and groups that have compassionate and self education goals. Knowledge is power. The more you know the easier it will be for you to search out the right help and recognize it when you see it.

  • @msconnleon
    @msconnleon Жыл бұрын

    This sounds like very expensive timely therapy I don't think somebody with borderline personality who struggles with keeping a single job could even have access to this

  • @keshavfulbrook6698
    @keshavfulbrook669811 ай бұрын

    "recognizes that it (BPD) can be difficult to treat" 'Can be' seems like a mild statement 😂.

  • @merleackeret8652
    @merleackeret86526 жыл бұрын

    What would Hans Eysenck have said of DBT? not very much I think. Furthermore, CBT Ellis only painted a behaviorist whitewash over a superstructure built by Aaron and Julian Beck not very creditworthy I should say

  • @kellykirkpatrick8978
    @kellykirkpatrick89784 жыл бұрын

    It seems as though you're not terribly enthused about this form of treatment or at least that's how you're coming off to me which is fine but I disagree I can see this form of treatment having a huge benefit for many people and I'm talking outside of the diagnosis of BPD I can see this working for all sorts of different personalities What I'd like to see is a new mode of delivery I'm eating take all the principles tater tot and get them out of the box the tight little box that they're already in and put them into a group setting much like you would find in AA Let the people teach the principles like it's done in AA I can see it really working with the support of your peers keeping you in line helping you through your struggles 24 hours a day seven days a week 365 days a year you've got the people take it out of the hands of the therapist because they're the ones that make it difficult take money out of the picture and Wallah there you have it no offense to therapist psychologist psychiatrist who are trying to make a living but I could really see this working