DBT for Depression: Biosocial Assessment

Dennis-Hannon

Center for Psychological Growth and Resilience, LLC

Key Points

  1. Biosocial theory explains that emotional dysregulation problems are caused by biological predisposition toward higher emotional sensitivity, combined with an invalidating environment preventing the individual from learning effective emotion regulation skills.
  2. In Jackie’s case, mental health problems presented by her mother and siblings are signs of biological predisposition which, combined with the invalidating environment in which she grew up, contributed to her recurring depression and history of alcohol use.
  3. Compounding stressors included high-demand obligations, health issues, negative self-appraisals, and a challenging relationship with her mother as an adult.
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Clinical Conceptualization

Conceptualization is a tool for exploring why this had happened to Jackie. A clinical formulation was built using a biopsychosocial lens and the biosocial theory of emotion dysregulation, to better understand how her symptomatology and patterning emerged.

Biosocial Theory

This theory was developed by Marsha Linehan, the creator of DBT, to explain the manifestation of emotion dysregulation, primarily in borderline personality disorder. It posits that interaction between biological disposition and social environment can contribute to an individual’s inability to regulate their own emotional states and inhibit impulsive behaviors.

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