Sunday 28 August 2016

By Catherine Carter


Basically, dialectical behavior therapy or DBT is a type of a cognitive behavioral psychotherapy and is usually intended to cure borderline personality disorders. From the time it was developed, this therapy has been used on other types of mental disorders. This therapy use an approach that stresses on the various psychosocial aspects of a treatment. Nevertheless, you can use dialectical behavior therapy in NYC for treatment on other disorders like substance dependence, depression, post-traumatic stress and eating disorders.

DBT uses a cognitive-behavioral approach in its treatment. This is because it is argued that some people are likely to react in a highly tense and an unordinary manner on certain emotional situations. Primarily, such emotions are such as those tied to family, romantic and friend relationships. The DBT theory also suggests that the level of arousal for some people in such situations may increase much faster compared to the level of emotional stimulation of an average person.

Individuals established to have disorders of borderline personality could experience severe emotional sways, see shades of white and black as appearance of the world or even perceive that they are leaping from crisis to crisis. Since a number of people never understand such reactions, they usually are deficient of ways of handling such intense and sudden surge in emotions. DBT as a technique presents skills that assist in this kind of task.

Generally, the term dialectical relate to synthesis or integration of opposites. In DBT, the basic dialectic is between the seemingly opposite strategies of acceptance as well as change. For example, therapists entertain clients as they are, although the clients need to acknowledge they need to change in order to achieve their goals. On the other hand, strategies and skills that are taught in the DBT are usually balanced on acceptance and change.

Usually, patients receiving DBT have a variety of problems that demand treatment. In New York, the therapy utilizes a sequence of treatment objectives to help a therapist establish the order of addressing the problems. Life-threatening behaviors are the first objectives employed. Such behaviors that may lead to death will be a first target in addition to other forms of suicidal communication, self-inflicted suicidal or non-suicidal injuries, suicidal ideation or other habits that can result in bodily harm.

The second target is the behaviors that interfere with the therapy. These are behaviors that usually interfere with how the patient receive effective treatment. Such behaviors could either be on the side of the patient, therapist or both. For instance, canceling appointments, being late for the sessions, as well as not collaborating towards achieving treatment goals.

Therapists also use quality life behavior as the third treatment objective. Here, behaviors that may cause interference in the quality life of patients are handled. These behaviors may include mental disorders, housing and financial problems and relationship problems.

DBT therapists employ skills acquisition as the fourth treatment target. This target is intended for the clients to acquire other skillful behaviors that replace the ineffective ones thereby helping them to achieve their objectives. Normally, the therapist addresses the problem in the order above. For instance, suicidal behaviors are addressed first, since the DBT would be ineffective in case the patient dies, or does not attend the sessions.




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