1 / 23

DBT and Recovery

DBT and Recovery. Michelle Rollins, MA, LPC, CACIII Jennifer Leeson, MSW, LCSW. Objectives. Explain basic tenets of DBT Discuss fundamental components of recovery Discuss 4-step process of hope Discuss what helps and hinders in the recovery process. Dialectical Behavior Therapy.

cyrus-walter
Download Presentation

DBT and Recovery

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. DBT and Recovery Michelle Rollins, MA, LPC, CACIII Jennifer Leeson, MSW, LCSW

  2. Objectives • Explain basic tenets of DBT • Discuss fundamental components of recovery • Discuss 4-step process of hope • Discuss what helps and hinders in the recovery process

  3. Dialectical Behavior Therapy

  4. What is DBT? • Developed at the University of Washington by Marsha Linehan, Ph.D. • Empirically-supported “modified” cognitive behavioral treatment for borderline personality disorder • Particular efficacy in consumers with chronic suicidal or self-harming behaviors • Provides tools and strategies to improve quality of life, facilitate change, manage crises, and eliminate dysfunctional behaviors

  5. Research on DBT • Originally validated in two RCTs comparing DBT to TAU in BPD and BPD + SA • DBT patients vs TAU patients • Less likely to drop out of treatment • Fewer/less medically severe self-harm behaviors • Fewer/shorter inpatient hospitalizations • Greater scores of global and social adjustment

  6. Research on DBT • Other empirical studies comparing DBT to TAU • Decreased suicidal ideation • Decreased depression, hopelessness, anger • Greater treatment retention

  7. Biosocial theory of BPD • Emotion dysregulation • Biological disposition + environmental context • Emotional vulnerability • High sensitivity/intense response to stimuli • Slow return to baseline after emotional arousal

  8. Modes of delivery in DBT • Outpatient individual psychotherapy • Outpatient group skills training • Telephone consultation • Case consultation for therapists • Ancillary treatment

  9. Skills modules in DBT • Core Mindfulness • Goal: to develop a lifestyle of participating with awareness • Identity disturbance; feelings of emptiness • Interpersonal Effectiveness • Goal: to apply specific skills in interpersonal encounters to obtain objectives by asking or saying no, maintain the relationship, maintain self-respect, analyze the situation and determine goals • Unstable relationships; efforts to avoid loss

  10. Skills modules in DBT • Emotion Regulation • Goal: to apply specific skills to identify, label, and regulate emotions within a context of self-validation and non-judgment • Affective instability; problems with anger • Distress Tolerance • Goal: to apply specific skills to tolerate and survive crises and to accept oneself and the current situation in a nonjudgmental fashion • Impulsivity; self-harm behaviors

  11. Recovery

  12. What is recovery? • MHCD definition of recovery: An ongoing process of self-directed healing and transformation (adopted from Pricilla Ridgeway)

  13. Fundamental components • Self-direction • Determining own path of recovery • Individualized/person-centered • Multiple paths to recovery based on individual strengths • Empowerment • Authority to participate in decisions

  14. Fundamental components • Strength based • Valuing/building on talents, coping abilities, etc. • Peer support • Encouragement, sense of belonging • Respect • Eliminating stigma, self-acceptance

  15. Fundamental components • Responsibility • Personal responsibility to promote self wellness • Holistic • Mind, body, spirit, community • Non-linear • Growth, setbacks, learning from experience

  16. Fundamental components • Hope • Catalyst of the recovery process

  17. Four step process to hope • Empathize with reality of despair • Establish legitimacy of need to ask for extensive help • Identify meaningful, attainable measures of successful progress • Emphasize a hopeful vision of pride and dignity

  18. What helps in recovery? • Belief that recovery is possible • Positive expectations • Caring attitude • Being treated with respect • Well trained staff • Fostering self-empowerment

  19. What hinders recovery? • Staff who are burned out • Mistrust, paternalism, superiority • Coercion • Not understanding consumers’ experiences

  20. Wrap-up Questions and Feedback

  21. Contact information-DBT • Michelle Rollins • michelle.rollins@mhcd.org • 303-504-1054 • Jennifer Leeson • jennifer.leeson@mhcd.org • 303-504-1067

  22. Contact information-recovery • Roy Starks (specific recovery information, measurement/outcomes) • roy.starks@mhcd.org • 303-504-1721 • Jay Flynn (general recovery questions, training) • jay.flynn@mhcd.org • 303-504-1035

  23. DBT Resources • Behavioral Tech Website: http://behavioraltech.org/ • Dimeff, L.A. & Koerner, K. Eds. (2007). Dialectical Behavior Therapy in Clinical Practice: Applications across Disorders and Settings. New York: Guilford Press. • Linehan, M.M. (1993).Cognitive-Behavioral Treatment of Borderline Personality Disorder. New York: Guilford Press. • Linehan, M. M. (1993). Skills Training Manual for Treating Borderline Personality Disorder. New York: Guilford Press. • Miller, A.; Rathus, J.H., & Linehan, M.M. (2006). Dialectical Behavior Therapy with Suicidal Adolescents. New York: Guilford Press.

More Related