DBT Treatment Stages and Primary Treatment Targets Flashcards Preview

Child Psychopathology Final > DBT Treatment Stages and Primary Treatment Targets > Flashcards

Flashcards in DBT Treatment Stages and Primary Treatment Targets Deck (11):

Pretreatment stage:

Orientation and commitment to treatment,

Agreement on goals

Inform and Orient adolescent and family to DBT

Secure adolescent's, family and therapist's commitment treatment


Stage 1:

Obtaining basic capacities

Increasing safety

Reducing behavioral risk

Decrease life-threatening behaviors

Decrease therapy interfering behaviors

Decrease quality of life interfering behaviors

Increase behavioral skills

Increase skill acquisition, strengthening, and generalization (see 5 core skills card)


Stage 2

Decrease avoidance of emotional experience and post traumatic stress


Stage 3

Increase respect for self

Achieve individual goals


Stage 4

Resolve a sense of incompleteness

Find freedom and joy


Mindfulness Skills

Being present in the moment and understand the signs of unregulated emotions


Emotion Regulation Skills

Coping with difficult situations

Large focus on physical health:
*Eating properly
*Getting enough sleep
*Taking medication
*Avoiding drug use


Interpersonal Effectiveness Skills: DEARMAN

Interactions with others are often negative triggers for impulsive behaviors

The purpose is to teach adolescents how to interact more effectively with others, and enable them to feel more supported by others.

Describe--stick to the facts

Express--"I" statements, stay away from "you should"

Assert--ask for what you want or say "no" clearly, no mind reading

Reinforce--reinforce the person ahead of time by explaining the positive effect of getting what you want

Mindful--ignore attacks, focus on what you want,

Appear Confident--eye contact, confident tone, no whispering/mumbling

Negotiate--be willing to give to get, ask for input, offer alternative solutions; know when to agree to disagree and walk away


Distress Tolerance Skills

The ability to recognize urges such as self-harm and suicide, and consciously control them


Walking the Middle Path Skill

Kids and parents learn how to validate one another

How to compromise and negotiate

How to see the other person side of things

More about acknowledging multiple truths in the teenagers' and the parents' worldview as opposed to
"I'm right and you're wrong"


5 Core Skills


Interpersonal effectiveness

Emotion regulation

Distress tolerance

Walking the middle path