DBT Dialectical Interventions

United States Department of Homeland Security

Key Points

  1. One of the hallmark symptoms of PTSD is self-blame.
  2. Responsibility pie is an intervention to determine how much responsibility for the trauma the client attributes to people.
  3. Clients with high self-blame will give themselves the biggest piece of the pie.
  4. Interventions to reflect on assigned responsibility for the trauma include Socratic questioning, using the phrase “I am confused”, and the best friend role play.
  5. Interventions to model dialectics include fortunately/unfortunately, dialectical synonyms, and pros and cons.
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