Clarify Counselings 4 Different DBT programs
After assessment, the therapists on the Consultation Team work together to decide whether a client could benefit from the standard Dialectical Behavior Therapy (DBT) Program or an adaptation of DBT. All the DBT programs include the following four components:
- individual therapy for the identified client
- skills training classes for the client (and parents of child & adolescent clients)
- skills coaching calls as needed between sessions
- support for the therapist & client from the Consultation Team (consisting of the Clarify Counseling & Three Springs DBT therapists), which meets weekly
Standard DBT Program
Standard DBT was originally developed by Dr. Marsha Linehan to treat chronically suicidal women & is a well-established model for treating Borderline Personality Disorder. Further research has shown it to be an effective treatment for many other disorders including depression, and certain anxiety disorders (Panic Disorder, Generalized Anxiety Disorder, & Obsessive-Compulsive Disorder). Generally, standard DBT is helpful for treating disorders which include the experience of emotions being out of control.
RO-DBT Founder Thomas Lynch
This recent adaptation of DBT was developed in the UK by Dr. Thomas Lynch and has been shown by research to effectively treat emotional over-control. Self-control is thought desirable & under-controlled behavior is often censored. However, too much self-control is associated with social isolation, poor interpersonal relations & contributes to difficult-to-treat conditions including anorexia nervosa, chronic depression and several personal disorders other than Borderline Personality Disorder.
Adolescent DBT (DBT-A) Program
An adaptation of DBT was created to treat emotional instability in adolescents by Dr. Alec Miller & Dr. Jill Rathus. In this program, the teen receives one-on-one treatment, but skills training is done with the teen & parents together in a multi-family skills class. In this format, families can support each other while all learning and using the same skills, so that skillful behaviors can be rewarded & family conflict is reduced. The skills portion of this program is 24 weeks.
It is not uncommon during treatment for special family sessions to be needed to identify & resolve patterns of behavior which interfere with achieving specific goals. The teen’s therapist works with the teen & the consultaion team to determine when family sessions may be helpful.
DBT for Children (DBT-C) Program
This latest adaptation for DBT was shown by research to be effective in 2015 by Dr. Francheska Perepletchikova. Dr. Perepletchikova developed this treatment for children ages 6-12 years with a variety of diagnoses. In this program, there are three portions to each 90-minute session:
- the child receives one-on-one treatment to look at problem behaviors & discuss which skills to use
- the child and parents receive skills training to learn new skills together
- parents receive parent training sessions to learn how to apply dialectics in parenting their child, as well as behavior change techniques to assist with managing difficult behavior.
Additional Services – Education for Family / Significant Others
Periodically, classes for family members and significant others of individuals in Clarify’s Standard DBT Program are offered. This 4-part series of classes is designed to help families understand how to work more effectively with their family member in treatment. Therapy and specific guidance about a particular client’s case is not provided during these sessions.
Topics covered include:
- the biosocial theory of problem development & maintenance
- crisis survival strategies
- simple principles of behavior management
- the importance of balancing the acceptance of reality with the need for change
We also offer this education as needed one-on-one with clients’ family members and significant others when the classes are not currently available or support is needed for clients in the Radically-Open DBT Program. In order to protect the therapist-client relationship, this one-on-one education is provided by a therapist on the team who is not seeing the client for individual therapy.