DBT Trauma Treatment Phase Two: Trauma Processing

Kirby-Reutter

United States Department of Homeland Security

Key Points

  1. The first phase of trauma treatment can be addressed through DBT skills. This phase focuses on basic stabilization.
  2. The second phase focuses on trauma processing. You will use your preferred trauma model, such as somatic experiencing or brainspotting.
  3. Despite the focus on trauma processing, the client will still need to apply the skills learned in phase one, and may need to develop more DBT skills. Therapists may also need to draw upon DBT skills during the second phase, to restabilize and support clients overwhelmed by trauma processing.
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Trauma Processing and Final Considerations

We have now covered each of the five main skill sets in DBT: mindfulness, distress tolerance, emotion regulation, dialectical thinking, and interpersonal effectiveness. The main aim was to help Maria self-regulate to the point where we could engage in trauma work, the second phase of treatment.

For that phase you, as a trauma specialist, will of course adopt the trauma model in which you’re trained. But you’ll also keep doing what you did in phase one. Maria needs to keep practicing the DBT skills she’s already learned, and may need to learn new ones. Phase one skills focused on stabilization, but if new situations arise, other skills may become relevant.

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