At the outset of treatment, clients have a 90-minute consultation with a DBT therapist. An important initial part of treatment is evaluating the “goodness of fit” between DBT and the client’s problems and treatment goals. To this end, we assess for the presence of the following problem areas:
We have found that the use of special commitment strategies is very important in the pre-treatment phase of DBT therapy. That is, we ask clients to commit to making certain behavioral changes even though they have not yet learned how to make such changes. We do this because of the ample evidence suggesting that people are more likely to behave in a particular way if they agreed to do so beforehand. Clients are asked to agree to all aspects of treatment as described below, and his/her individual therapist will help to anticipate and problem-solve any potential treatment barriers (e.g., missing sessions due to transportation problems, staying silent in sessions, feelings of hopelessness).
In weekly individual therapy, DBT therapists will help the client to:
Clients are also required to attend a weekly skills training class. The class meets for two hours each week over a seven-month period of time, and typically includes 5-9 members. It is led by two skills trainers who combine lecture, discussion, and practice exercises in order to teach the following skill modules:
Telephone coaching with the therapist is designed to promote skills use where it matters most–in the real world. When clients feel “stuck” and unsure what to do, they are encouraged to contact their individual therapist for help in applying their newly learned DBT skills in “real time.”
Family therapy occurs on an as-needed basis to increase behavioral skill use within the family system, improve communication between family members, and to reduce family interactions that interfere with either the adult’s or their family’s quality of life.
Once clients have completed the weekly skills training class, they can “graduate” to a DBT Graduate Group. The graduate group is a 90-minute group that occurs once weekly for 16 weeks, with the opportunity to re-contract for additional time if there are clear treatment goals identified. The primary goals of our Graduate Groups are to:
To achieve these goals, the group leaders encourage participants to employ all of their newly learned DBT skills, with extra attention being paid to the use of validation and problem-solving skills with each other. Each week, participants are required to identify home practice assignments tailored to assist them in reaching their longer term goals.
All DBT therapists at CBC participate in a weekly, two-hour consultation meeting. The DBT treatment team meets weekly to assist each other in providing effective, efficient, and compassionate treatment. We spend time problem-solving difficulties that interfere with client progress in treatment and help keep each other practicing within a dialectical framework.
Please contact our Director of Intake Services at 212-595-9559 (ext.5) or 914-385-1150 (ext.1), or fill out the form above, with any questions regarding eligibility, for further information, or to make a referral. If you are a current patient at CBC, please speak to your individual therapist to see how this group may be of added benefit to you.