DBT Assumptions About Patients, Therapists, and Treatment

Stephanie Vaughn

Psychē, PLLC Vanderbilt University

Key Points

  1. DBT assumptions are beliefs that DBT clinicians must ascribe to in order to effectively treat patients.
  2. Patients are doing the best they can and want to improve.
  3. Patients need to do better, try harder, and be more motivated to change. They may not have caused all their problems, but they have to solve them anyway.
  4. The lives of suicidal borderline individuals are unbearable.
  5. Patients must learn new behaviors in all relevant contexts, and cannot fail in therapy.
  6. Therapists need support.

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DBT Assumptions About Patients, Therapists, and Treatment

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