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DBT LP 2

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37 views8 pages

DBT LP 2

Uploaded by

Nada Khan
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as PDF, TXT or read online on Scribd
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Dialectical

Behaviour Therapy
(DBT)
Information leaflet
What does Dialectical mean?
Dialectical means: Arriving at a middle ground or agreement
when there are oppositional views.

What is Dialectical Behaviour Therapy (DBT) and what is it


for?
Dialectical Behaviour Therapy (DBT) is a treatment developed
for people who experience difficulties in managing their
emotions and who have found unhelpful ways of coping which
include self-harm, attempted suicide, chaotic and risky
behaviours.

It is based on the view that in order to improve their lives, a


person needs to accept themselves as they are, whilst at the
same time working to change.

People who may benefit from DBT are likely to have behaviours
consistent with the diagnosis of Emotionally Unstable
Personality Disorder (EUPD) such as:
 Reacting more easily to stress
 Self-harm or suicidal behaviours
 Staying upset for longer before calming down
 Problems with anger, can have problems with positive
emotions as well
 Fear of abandonment
 Difficulties in communicating when emotionally upset
 Sense of emptiness or not being sure who you are
 May dissociate or become paranoid when under stress

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What are the main elements of DBT?

Full programme DBT is made up of all the components listed


below:

1. DBT individual therapy is focused on decreasing self-


harming and suicidal behaviours and helping you to apply
new skills to specific situations in your everyday life.
Individual therapy generally takes place once a week for as
long as you are in therapy and runs alongside the skills
training group.

2. DBT skills training group is focused on teaching


behavioural skills. The group is run like a class where the
group facilitator teaches skills and sets homework for you to
practise these skills in everyday life. Groups meet once a
week for 2.5 hours

3. DBT phone coaching is when you can telephone your


therapist between sessions to access help to use your skills
effectively to cope with challenging situations that can arise
in your everyday life.

4. Therapist consultation. Consultation is where therapists


receive supervision from other clinicians. Supervision allows
the therapists to engage with each other to reflect on their
clinical practice and helps them to maintain and improve their
own skills.

The provision of DBT differs across NTW services. If you are


interested in this therapy, your care team will be able to advise
you on what is available in your locality.

3
How does it work?
Some people’s lives can feel unbearable. DBT aims to help
people decrease their emotional suffering and help build a life
worth living.

DBT is a structured therapy which includes a focus on


cognitions (thoughts), emotions and beliefs incorporating a
dialectical philosophy.

DBT works by teaching people specific skills to deal effectively


with themselves and with the world around them. In particular,
DBT treatment focuses on:

Core Mindfulness
Mindfulness is central to DBT. It focuses on states of mind
known as “emotional mind” and “rational mind” and attempts to
balance these two to create a third state of mind known as
“wise mind”. Mindfulness helps people observe and label their
emotions and feelings and develop an understanding of their
own behaviours.

Interpersonal Effectiveness
This is learning how to be effective in getting your needs met,
saying no, making relationships work and being able to deal
with people whilst maintaining self-respect and meeting goals.

Emotion Regulation
This helps people get to know and understand their emotions. It
also teaches skills to enable people to deal with intense and
painful emotional states, and helps people put things in place
that will bring about more positive emotions in the longer term.

Distress Tolerance
This teaches what to do when things are difficult but can’t be
changed. It also teaches how to tolerate difficult feelings,
without resorting to impulsive strategies or ways that only make
things worse in the long term.

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What will I be expected to do?
If DBT is available in your area, you can discuss your interest in
DBT, or it may be suggested to you as a treatment option.

If agreed it is a suitable time, a referral to your local DBT


service will be made. There is a period of pre-treatment so you
and a DBT therapist can further explore if it is a suitable time for
DBT, and an appropriate therapy for your needs.

It is then hoped that you would commit to treatment, to attend


regular one to one sessions with an individual therapist and to
attend group skills training sessions.

You may also get telephone coaching with your one to one
therapist if they are able to provide this.

To get the most from therapy the use of a weekly diary card is
used as well as there being an expectation that you try out new
skills.

What are the benefits and risks to therapy?


Participating in therapy may result in a number of benefits.
Primarily the aim of therapy is to enable you to engage in more
helpful behaviours instead of suicidal and self-harming
behaviours and develop a life worth living. Participating in
therapy may also involve some discomfort and sometimes you
can feel you are getting worse before you are getting better.

5
How effective is DBT?
DBT has been found to be effective for people with Emotionally
Unstable Personality Disorder (EUPD). DBT is also recognised
as being effective for other disorders such as substance abuse,
depression, eating disorders and post-traumatic stress disorder.

References
A full list of references is available on request from the Patient
Information Centre
Tel: 0191 246 7288

Interpreters
Staff can arrange an interpreter if you need one.

6
What if I have a comment, suggestion, compliment or
complaint about the service?
If you want to make a comment, suggestion, compliment or
complaint you can:
 talk to the people directly involved in your care
 ask a member of staff for a feedback form, or complete a
form on the Trust website www.ntw.nhs.uk (click on the
‘Contact Us’ tab)
 telephone the Complaints Department Tel: 0191 245 6672
 email complaints@ntw.nhs.uk Please note that information
sent to the Trust via email is sent at your own risk
 We are always looking at ways to improve services. Your
feedback allows us to monitor the quality of our services and
act upon issues that you bring to our attention.
You can provide feedback in the following ways:
- the quickest way for you to do this is to complete our short
online survey at
www.ntw.nhs.uk/poy
- complete a Points of You survey, available on wards,
reception areas or from staff.
- some areas of the Trust have electronic feedback touch
screens, staff can help you
to use these.

Contact information
Please contact your care co-ordinator for further information.

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Further information about the content, reference sources or
production of this leaflet can be obtained from the Patient
Information Centre. If you would like to tell us what you think
about this leaflet please get in touch.

This information can be made available in a range of formats on


request (eg Braille, audio, larger print, easy read, BSL or other
languages). Please contact the Patient Information Centre Tel:
0191 246 7288

Published by the Patient Information Centre


2019 Copyright, Northumberland, Tyne and Wear NHS
Foundation Trust
Ref, PIC/770/0519 May 2019 V2
www.ntw.nhs.uk Tel: 0191 246 7288
Review date 2021

@ntwnhs NTWNHS
8

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