By Sheri Van Dijk MSW
In the culture of ACT Made Simple, DBT Made Simple is a handbook for therapists looking to comprehend and practice the 4 dialectical habit treatment (DBT) talents in person remedy. DBT is an efficient remedy for borderline character ailment, self-injury, chemical dependency, trauma concerning sexual abuse, and diverse temper disorders.
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Additional info for DBT Made Simple: A Step-by-Step Guide to Dialectical Behavior Therapy
When clients are regularly engaging in or experiencing urges to engage in suicide, self-harm, substance use, and other self-destructive behaviors, not only are they not ready, it’s actually unsafe to do this kind of work. Of course, as Linehan (1993a) notes, that doesn’t mean the client’s trauma history is ignored during stage 1. If the client brings up these issues in session, the therapist validates the pain and suffering the client has experienced, but the focus remains on the present—how the trauma is probably contributing to problem behaviors and the skills the client can use to help reduce these behaviors.
For example, say a client has recently asked you to see him for therapy sessions more frequently and you refused the request, stating that you only see clients once a week. The client then attempts suicide and is hospitalized for two weeks, and while in the hospital he contacts you and again asks you to see him twice per week for the time being to help him through this crisis. If you agree, you supply positive reinforcement for his suicide attempt by giving him something he wants as a result of suicidal behavior.
27 DBT Made Simple Consultation to the Client Like observing your limits, the DBT concept of consultation to the client can help minimize burnout and enhance your effectiveness in therapy. In essence, consultation to the client means that the role of the individual therapist is to teach the client how to interact with others, rather than telling others how they should interact with the client or intervening on the client’s behalf. In other words, people should be consulting the client about her needs, rather than consulting with you.
DBT Made Simple: A Step-by-Step Guide to Dialectical Behavior Therapy by Sheri Van Dijk MSW