This article needs more medical references for verification or relies too heavily on primary sources. The stages used in dialectical liles arnold sex offender treatment therapy.
DBT was developed in the late 1980s by Marsha M. Linehan observed “burn-out” in therapists after coping with “non-motivated” patients who repudiated cooperation in successful treatment. DBT strives to have the patient view the therapist as an ally rather than an adversary in the treatment of psychological issues. In DBT’s biosocial theory of BPD, clients have a biological predisposition for emotional dysregulation, and their social environment validates maladaptive behavior. Self-injurious and suicidal behaviors, or life-threatening behaviors, take first priority. Second in priority are behaviors which, while not directly harmful to self or others, interfere with the course of treatment. A group ordinarily meets once weekly for two to two and a half hours and learns to use specific skills that are broken down into four skill modules: core mindfulness, interpersonal effectiveness, emotion regulation, and distress tolerance.
A therapist consultation team includes all therapists providing DBT. The meeting occurs weekly and serves to support the therapist in providing the treatment. Phone coaching is designed to help generalize skills into the patient’s daily life. Phone coaching is brief and limited to a focus on skills. DBT, and also provide practice with regulating emotions and behavior in a social context.