DBT Treatment Dynamics: Client Goals and Interfering Behaviors

Key Points

  1. Adriana’s personal goals are differentiated from the behaviors that interfere with achieving these goals, guiding the treatment focus.
  2. Stage 1 of DBT addresses life-threatening, therapy-interfering, and quality-of-life-interfering behaviors, which are essential before proceeding to targeted PTSD treatment.
  3. Initially unreported by Adriana, PTSD was later identified as a critical factor affecting her quality of life, shaping the course of her treatment.
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Adriana's Treatment Goals

Adriana entered treatment with several personal goals, including being a better mother, returning to work, improving her marriage, forming closer friendships, and reducing her need for perfection. It's crucial to distinguish between these goals, the client's aspirations for their life, and the targets, which are the behaviors or issues impeding these goals.

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