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All About Dialectical Behavior Therapy In NYC

By Olive Pate


There are numerous mental health disorders that affect people of all ages. One of them is borderline personality disorder characterized by suicidal feelings, difficulty forming stable relationships, impulsiveness, loneliness and depression. One of the industrys commonly used method for treating this disorder is dialectical behavior therapy in NYC. Apart from BPO, the therapy is used to treat depression, substance abuse and anger incidences.

Dialectical behavior treatment comprises of four components: skills training, individual treatment, phone coaching and consultation team. Skills training group is a group with a leader and students where they are taught how to enhance their behavioral skills. It is like a class as students are given homework to practice, weekly meetings that last up to 24 weeks.

When therapy is concentrated on one single client, it is referred to individual therapy. Its purpose is to cultivate skills and help clients foster the skills to resolve challenges in their lives. Most sessions run once a week and may be used together with other programs in the treatment component. In phone coaching clients call in to ask for guidance on how to deal with specific issues that arise in their lives.

The last component of the treatment program is the therapist consultation team. These teams are basically for the therapist and not the client although their purpose is to benefit the latter. They help treatment providers to gain competency and focus while treating their patients. They may hold meetings once a week. They comprise of group leaders and individual therapist who share similar responsibility and commitment to their clients.

There are four important skills taught in a DBT treatment program. They include mindfulness, emotion regulation, distress tolerance and interpersonal effectiveness. The skills can be categorized into acceptance oriented and change-oriented skills. Mindfulness and distress tolerance belong to acceptance oriented skills while emotional tolerance and interpersonal effectiveness belong to change-oriented skills. Acceptance oriented skills teach clients what to accept to do to meet their set objectives. The other set of skills teaches clients what to change in order to reach their goals.

Dialectical therapy employs a hierarchy of treatment options to address problems that clients present. Top on the priority list is the need to address life-threatening behaviors. If a client is suicidal or has non-suicidal self-injury, the therapist needs to formulate treatment targets for this behaviour before any other. Also, cases of substance abuse, depression or anger issues have their own treatment options.

Treatment of therapy interfering behaviour comes next. This is where it addresses problems that interfere with the effectiveness of treatment. For instance, constant lateness to a session. The last on the priority list is the behaviors that interfere with quality of life, for instance, mental illness or inability to form stable relationships.

Dialectic therapy is effective in relieving symptoms associated with the borderline personality disorder such as non-suicidal self-injury and suicidal behaviour. It is also widely used in patients with cases of anger, depression and substance abuse. It aims to improve social and global functioning as well as cultivating acceptance and change-oriented skills. In the end, after gaining these vital skills, they now are able to live an almost normal life.




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