REBEL---I meant explain the following BS.
Dialectical behavioral therapy (DBT) is a psychological method developed by Marsha M. Linehan to treat persons with borderline personality disorder (BPD).[1] Research indicates its application to also be effective in treating patients who represent varied symptoms and behaviors associated with spectrum mood disorders, including self-injury.[2] Key elements DBT practitioners emphasize include, behaviorist theory, dialectics, cognitive therapy, and, DBT's central component, mindfulness.
There are two essential parts of the treatment, and without either of these parts the therapy is not considered "DBT adherent."
1. An individual component in which the therapist and client discuss issues that come up during the week, recorded on diary cards and follow a treatment target hierarchy. Self-injurious and suicidal behaviors take first priority, followed by therapy interfering behaviors. Then there are quality of life issues and finally working towards improving one's life generally. During the individual therapy, the therapist and client work towards improving skill use. Often, skills group is discussed and obstacles to acting skillfully are addressed.
2. The group, which ordinarily meets once weekly for two to two-and-a-half hours, learns to use specific skills that are broken down into four modules: core mindfulness skills, emotion regulation skills, interpersonal effectiveness skills and distress tolerance skills.
