DBT for Substance Abuse: Treatment Formulation

Laura-Petracek2

Private Practice

Key Points

  1. Establishing clear treatment goals is essential for addressing life-interfering, therapy-interfering, and quality-of-life-interfering behaviors.
  2. Dialectical behavior therapy (DBT) focuses on the development of skills in mindfulness, distress tolerance, emotion regulation, and interpersonal effectiveness.
  3. DBT is an evidence-based therapy designed to address complex emotional and behavioral challenges, providing a hierarchy of treatment targets that prioritizes issues.
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Establishing Treatment Goals

In Michael’s journey to overcome addiction, it was crucial to establish clear treatment goals. Dr. Petracek identified and defined goals based on her comprehensive assessment of his situation and needs. One of the key challenges is his addiction, so a primary focus was reducing life-interfering behaviors such as substance abuse and inconsistent employment. They caused emotional distress and also brought about legal troubles that strained his relationships.

Reducing life-interfering behaviors was just one aspect of the treatment plan. Dr. Petracek needed to address therapy-interfering behaviors such as lack of cooperation and inconsistent attendance. She also emphasized the importance of improving quality-of-life-related behaviors, including establishing healthy relationships, engaging in meaningful activities, and managing daily stress. These are vital for Michael to experience a sense of purpose and fulfillment in life.

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