Dialetical Behavior Therapy DBT OT 460 A Suicidal

Dialetical Behavior Therapy (DBT) OT 460 A

ØSuicidal thoughts and actions and self-injurious behaviors OT 460 A ØConsidered to be a form of CBT ØDeveloped by Marsha Linehan ØCommonly used with people with Borderline Personality ØAlso used with people with Depression, Substance Abuse, and/or Eating Disorders ØFocus: 10/23/2012 DBT 2

DBT Definitions ØTheory: some people are prone to react in a more intense and out-of-the-ordinary manner towards certain emotional situations, primarily romantic, family, and friend relationships ØSome people’s arousal levels in emotional situations can increase far more quickly than others, attain a higher level of arousal, and take longer to return to normal levels Ø (Pscy. Central: http: //psychcentral. com/lib/2007/an-overview-ofdialectical-behavior-therapy/all/1/ OT 460 A Retrieved on October 22, 2012, from http: //blogs. psychcentral. com/anxiety/2010/02/what-does-dialecticalmean/ 10/23/2012 ØDialetics: represent the mind’s way of understanding concepts by understanding and appreciating their polar opposites (Elliott, C. (2010). What Does Dialectical Mean? . Psych Central. 3

OT 460 A ØSupport Oriented: help people identify strengths and builds on them ØCognitive-based: CBT strategies ØCollaborative: Requires constant attention to relationships between client and staff. Clients and staff are encouraged to work out problems with relationships with each other ØPeople role play new ways of handling relationships, strategies to soothe self, and have homework assignments 10/23/2012 DBT Characteristics 4

OT 460 A ØMindfulness: observe, describe, and participate ØInterpersonal Effectiveness: similar to assertiveness training and interpersonal problemsolving classes ØDistress Tolerance: ability to accept, in a nonevaluative and nonjudgmental fashion, both oneself and the current situation ØEmotional Regulation: identifying & labeling emotions; identifying obstacles to changing emotions; reducing vulnerability to the emotional mind; increasing positive events; applying distress tolerance techniques 10/23/2012 Four Modules of DBT 5

• Assertiveness training • Coping strategies • Interpersonal Skills • Groups address acquisition of skills and how they affect occupational performance • Must have a strong therapist-client relationship for validation and confrontation OT 460 A • Assessments that focus on function in occupations and contexts can provide relevant information • Interventions: 10/23/2012 OT Role 6