Establishing Commitments in DBT

Stephanie Vaughn

Psychē, PLLC Vanderbilt University

Key Points

  1. The therapist and client relationship in DBT emphasizes mutual respect, with the client being the expert on their life and the therapist facilitating understanding and growth.
  2. Lisa’s DBT agreements and commitments include weekly individual and group sessions, addressing self-injurious behaviors, and adhering to the 24-hour rule after harmful acts.
  3. DBT requires collaboration, understanding, and consistent commitment from both therapist and client in order to be successful.
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Therapist and Client Relationship

To ensure a fruitful therapeutic experience, it was imperative that Lisa understood and accepted DBT agreements and commitments for a minimum period of one year. She needed to familiarize herself with her clinician’s personality, boundaries, and stance, including their sense of humor and preferences regarding contact hours.

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