How Dialectical Behavior Therapy Works at THIRA Health

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Focusing on

How things are learned

Behavior therapy is based on the study of how things are learned.

  • It focuses on bringing about change by helping people learn new ways of coping.
  • It focuses on specific goals that can be realistically attained.
  • DBT, and other behavior therapies, emphasize making change through practicing new skills to change how you think, act and feel.
  • In this way DBT is more of a “doing” rather than a “talking” therapy.

Inclusive assumptions as DBT is used

DBT Assumptions About Patients
• Patients in DBT have lives that are unbearable as they are currently being lived.
• Patients in DBT are doing the best they can.
• Patients in DBT want to improve.
• Patients in DBT need to do better, work harder, and be more motivated to change.
• Patients in DBT must learn and practice new behaviors in all areas of their lives.
• Patients do not fail at DBT.
DBT Assumptions about Therapy
• The most caring thing a DBT therapist can do is help patients change in ways that bring them closer to their own ultimate goals.
• Clarity, precision, and compassion are of the utmost importance for therapists when conducting DBT.
• The therapeutic relationship is a real relationship between equals: one who is expert on change and one who is expert on themselves.
• Principles of behavior are universal, affecting therapists no less than patients.
• DBT therapists need support and work collaboratively as part of the treatment team.
• DBT therapists can fail.
• DBT can fail even when therapists do not.
DBT Therapists
• Make every reasonable effort to conduct competent and effective therapy and strive to excel in helping their patients.
• Obey standard ethical and professional guidelines.
• Respect the integrity and rights of the patient.
• Maintain confidentiality except when a violation is needed to prevent harm to the patient or others.
• Obtain consultation when needed.

DBT in the THIRA IOP includes:

Individual Therapy: 1x/week

Problem-solving therapy focused on identifying desired areas for change, specific problem behaviors, individual goals, and building a “Life Worth Living.”

DBT Skills Training Groups: 3x/week (EIOP), 5x/week (MIOP)

A structured skills training group that teaches essential strategies for regulating emotions, tolerating distress, increasing mindfulness, and being more effective in interpersonal communication.

DBT Phone Coaching & Consultation

Receive phone support and coaching from your therapist between sessions (during business hours) to encourage the practice of skillful behaviors in the context of “real-life.” Availability contingent upon therapist schedule.

DBT Consultation Team for therapists

The therapy team meets weekly to assist each other in providing effective and compassionate treatment, drawing from the combined experience of collaborative experts.

DBT in the THIRA PHP includes:

Individual Therapy: 1x/week

Problem-solving therapy focused on identifying desired areas for change, specific problem behaviors, individual goals, and building a “Life Worth Living.”

DBT Skills Training Groups: 2-3x/day

A structured skills training group teaching essential strategies for regulating emotions, tolerating distress, increasing mindfulness, and being more effective in interpersonal communication.

PHP Milieu Coaching: as needed

Receive support and coaching on skills use from clinical staff to encourage the practice of new behaviors in the context of “real-life.”

DBT Consultation Team for therapists

The therapy team meets weekly to assist each other in providing effective and compassionate treatment, drawing from the combined experience of collaborative experts.

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