Dialectical Behavior Therapy DBT for Borderline Personality Disorder

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Dialectical Behavior Therapy (DBT) for Borderline
Personality Disorder

• Marsha M. Linehan
• Presentation by Michelle La Puma

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DBT for Borderline Personality Disorder

• Tx is a broad array of cognitive and behavior
  therapy strategies.
• Different to traditional CBT as there is an
  emphasis on acceptance of the behavior,
  dialectic processes, the therapeutic relationship
  and therapy interfering behaviors.
• Delivered in 4 primary modes
• 1. Individual psychotherapy
• 2. Group skills training
• 3. Telephone consultation
• 4. Case consultation for therapists

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Skills Training Modules

• 1. Interpersonal chaos
• MODULE Interpersonal effectiveness training.
• 2. Impulsiveness
• MODULE Distress tolerance training.
• 3. Confusion about self, cognitive dysregulation
• MODULE Core mindfulness training.
• 4. Labile affect
• MODULE Emotion regulation training.

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Interpersonal Chaos

• Intense, unstable relationships trouble
  maintaining relationships panic, anxiety, and
  dread over relationships ending, frantic attempts
  to avoid abandonment.
• MODULE Interpersonal effectiveness training
• -Learning to deal with conflict situations, to
  get what one wants and needs, to say no to
  unwanted requests and demands. Focuses on
  maintaining self-respect and respect from others.
  

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Impulsiveness

• Problems with alcohol, drugs, eating, spending,
  spending sex, fast driving etc.
• MODULE Distress tolerance training
• -Learning to tolerate distress. Discuss the
  connection between inability to tolerate distress
  and impulsive behaviour which very often
  functions to reduce intolerable distress.

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Cognitive Dysregulation

• Problems experiencing or identifying a self a
  pervasive sense of emptiness problems in
  maintaining ones own feelings, opinions,
  decisions when around others.
• MODULE Core mindfulness training
• -Learning to go within to find oneself, and
  learning to observe oneself.

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Labile Affect

• Extreme emotional sensitivity, ups and downs,
  moodiness, intense emotional reactions chronic
  depression problems with anger (either
  overcontrolled or undercontrolled).
• MODULE Emotion regulation training
• -Learning to enhance control of emotions, even
  though complete emotional control cannot be
  achieved.

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Emotion Regulation Training

• Identifying and labeling emotions.
• Identifying obstacles to changing emotions.
• ? vulnerability to emotion mind.
• ? positive emotional events.
• ? mindfulness to current emotions.
• Taking opposite action.
• Applying distress tolerance techniques.