Dialectical Behavior Therapy (DBT) (2018 Rerun)
Added 2024-05-19 11:00:05 +0000 UTC[Rerun] Dr. Kirk Honda and Bob discuss Dialectical Behavior Therapy (DBT)
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July 2, 2018
The Psychology In Seattle Podcast ®
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Comments
Certainly anyone could get the skills manual and go through it on their own, though I would recommend getting the teaching manual to go along with it as the skills manual is lean on instruction and guidance, and the teaching manual provides a lot of guidance to new teachers learning both the curriculum and how to teach it. In my opinion learning skills on one's own is as you say more difficult without the structure, support, and accountability of a class/group. But there isn't anything in there that a motivated autodidact couldn't pick up and practice. One bit of advice - read the instructions carefully and follow them to the letter. That way you can be sure you are practicing the skill as it is meant to be done and removing as much personal bias as possible. Individual DBT and skills training are two different species - like other individual therapies, an individual DBT session agenda is specific to a client's needs/goals, whereas skills training class is centered around teaching the skills curriculum. Standard DBT incorporates both components. There is unpublished research that suggests skills training without individual therapy is almost as good as standard DBT, though take that with a grain of salt: the subject population was limited to women who met criteria for borderline personality disorder who also had recent suicidal or self-harm behavior. As far as I know there is no research on other populations and so generalizing to a different or greater population is not without unforeseeable error potential. That said, in the last couple years many DBT clinics in the Seattle area have expanded to offer a skills-only option. The DBT skills training clinic I ran for years offered this skills-only approach, though I did require that my students maintain individual therapy of some kind during their tenure in the class. My anecdotal experience was that it was helpful to many of my students, most of whom did not match that research population. I believe the main active ingredient was the sense of community we developed - I think having a place where my students felt like insiders with one another went pretty far in keeping them energized in their efforts to learn/apply their skills, and was probably more important than actually teaching skills (though of course that curriculum remained central to our focus).
Bob Goettle
2024-05-20 22:44:18 +0000 UTCCan/do individuals get the handbook and go through it self-directed? What would the research say about people doing the modules self-directed? (Provided the individuals can actually follow through, which I think would be much more difficult than if you were in a class.) The first time I was in therapy for a few years it was dbt individual. Interesting to hear how the skills classes are more effective than individual alone.
Teo
2024-05-20 18:54:48 +0000 UTC
