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Fundamentals of Dialectical Behavior Therapy (DBT)

7 Sections

History of DBT: Origins and Foundations

Dialectics in DBT: Balancing Acceptance and Change

The Biosocial Model in DBT: Emotion Dysregulation and Invalidating Environments

The Structure of Standard DBT: The Four Skill Modules

The four Stages and Targets of DBT Treatment

DBT Assumptions About Patients, Therapists, and Treatment

Stage Targets and Goals in DBT: Creating a Life Worth Living

Guide to DBT Skills Training Group

8 Sections

DBT Skills Group: Rules and Resources

DBT Skills Training in Group: The Four Modules

Addressing Potential Problems in DBT Skills Group Sessions

Mindfulness Skills in DBT: The Three States of Mind

Mindfulness Skills Training in DBT: The What and How Skills

DBT Interpersonal Effectiveness Skills: Managing Relationships and Strategies for Communication

DBT Emotion Regulation Skills: Emotion Psychoeducation and Mindfulness

DBT Distress Tolerance Skills: Tip Skill, Stop Skill, and More

DBT Individual Therapy Overview

5 Sections

The Role of the Individual DBT Therapist

DBT Agreements and Commitment Strategies: Pre-Treatment and Beyond

Overview of DBT Individual Session Structure

Using Diary Cards in DBT

The DBT Hierarchy: Prioritizing Treatment Targets

The Importance of Intersession Contact in DBT

5 Sections

Intersession Contact and Telephone Coaching in DBT

Telephone Coaching in DBT: Applying Skills to Prevent Full-Blown Crises

Intersession Contact in DBT: Orienting and Introducing the Patient

The 24-hour rule in DBT: Rationale of Life-Threatening Behavior Reinforcement

Observing Limits, Liability, and Other Concerns in DBT Intersession Contact

Identifying & Addressing Therapy-Interfering Behaviors

5 Sections

Three Types of Therapy-Interfering Behavior (TIB) in DBT

Addressing TIBs in DBT: Operational Definition and Behavioral Chain Analysis

Identifying and Targeting TBIs in DBT: Creating Operational Definitions With Patients

Four Tips for DBT Therapists About TIBs

TIBs of the Therapist: Balancing Change and Acceptance

Dialectical Dilemmas & the Role of Validation

8 Sections

Dialectical Dilemmas in DBT: Three Pairs of Problematic Behavioral Patterns

Emotional Vulnerability and Self-Invalidation: Opposite Ends of a Dialectical Dilemma

Unrelenting Crisis and Inhibited Grieving: Avoidance Reinforced in a Dialectical Dilemma

Active Passivity and Apparent Competence: The Dialectical Dilemma of Helplessness and Competence

Validation in DBT: Basics and Purpose

Invalidation and Emotional Dysregulation in DBT’s Biosocial Model

Types of Validation in DBT: Emotional, Behavioral, and Cognitive Validation

Six Levels of Validation in DBT: From Awareness to Radical Genuineness

Quiz: DBT in Practice: Mastering the Essentials

Evaluation: DBT in Practice: Mastering the Essentials

Return to DBT in Practice: Mastering the Essentials

Home » Courses » DBT in Practice: Mastering the Essentials » DBT Individual Therapy Overview

The DBT Hierarchy: Prioritizing Treatment Targets

Stephanie-Vaughn

Meet Your Instructor: Stephanie Vaughn, Psy.D.

Psychē, PLLC Vanderbilt University

Key Points

1- In DBT there are 3 categories of targets:

Life-threatening behavior
Therapy-interfering behavior
Quality-of-life-interfering behavior

2- Imminent and upcoming risk takes precedence for discussion over past patient behavior and urges.

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