DBT First Sessions: Assessment, Agreement, and Therapy-Interfering Behavior

Stephanie Vaughn

Psychē, PLLC Vanderbilt University

Key Points

  1. It is important that the therapist makes a genuine first impression and establishes a non-threatening therapeutic relationship.
  2. The therapist mentions DBT commitments and the importance of obtaining the client’s agreement, typically within the first few sessions.
  3. The therapist aims to reinforce the client’s capacity to trust their own wise mind, and encourages mutual respect for differing opinions while striving for validation of both perspectives.
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