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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 » Fundamentals of Dialectical Behavior Therapy (DBT)

Dialectics in DBT: Balancing Acceptance and Change

Stephanie-Vaughn

Meet Your Instructor: Stephanie Vaughn, Psy.D.

Psychē, PLLC Vanderbilt University

Key Points

Dialectics and DBT involve bringing together opposites in considering what’s being left out.
Dialectical dilemmas are behavioral patterns noticed in individuals with BPD. The patient fluctuates between two ends of each dilemma.
Balancing the dialectical dilemmas is a task of therapy.

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