DBT Assumptions: The Cornerstones of Therapy

Stephanie Vaughn

Psychē, PLLC Vanderbilt University

Key Points

  1. DBT therapists adhere to a set of core assumptions that influence their interactions and therapeutic perspective.
  2. The exploration and realization of a life worth living is a cornerstone of DBT, aligning therapeutic skills with personal objectives.
  3. Motivation for both therapist and client is pivotal in DBT and is continually nurtured throughout the therapeutic process.
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DBT Assumptions

When orienting a client such as Lisa to DBT, the therapist isn’t simply presenting agreements and commitments. They adopt a specific attitude and set of beliefs known as DBT assumptions. These are not exclusive to DBT but are essential for its practitioners. The beliefs help the clinician to remain effective, particularly during challenging sessions, and are frequently discussed during therapist peer consultations. No matter the data observed during a session, the therapist retains the following assumptions.

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