Intensive programme in dialectical behaviour therapy
10 Jays Street
What is an intensive programme in dialectical behaviour therapy?
Dialectical Behaviour Therapy (DBT) is the most researched treatment for people who experience difficulties in regulating their emotions. It was originally developed by Dr Marsha Linehan for individuals meeting criteria for Borderline Personality Disorder. DBT is effective for people who experience overwhelming emotions and want to learn more skilful ways of managing intense suffering, reduce disruptions to their personal relationships and improve their social functioning, decrease impulsivity and build lives that they will experience as worth living.
Intensive twice weekly DBT programme consists of weekly individual therapy and skills classes divided into four modules. This intensive therapy was designed to enhance people's skills in regulating their emotions and behaviour and was shown effective in reducing suicidal behaviour, non-suicidal self-injury as well as improving social and overall functioning. DBT is now used in a variety of psychological treatments including treatment for eating disorders and mood disorders. Recent research also suggests its effectiveness with sexual abuse survivors, post-traumatic stress disorder and substance dependency.
What will I learn?
There are four DBT skills modules which are based on the updated 'DBT Skills Training Manual' by Marsha Linehan (2014). Each of these modules is to be attended as part of the full DBT programme.
- Core mindfulness consists of three to four weekly sessions and is designed to teach you how to increase your awareness levels, focus better, train your attention, decrease reactivity and judgmentalness and be more accepting of current moment experiences.
- Distress tolerance module lasts for seven weeks and is centred on accepting difficult situations and emotions and finding ways to survive and tolerate the moment without engaging in problematic behaviours such as self-harm.
- Emotion regulation entails nine weekly classes and involves learning to recognise and label current emotions, identify obstacles to changing emotions, reduce emotional reactivity, increase positive emotions, and change emotions that are unhelpful or unwarranted.
- Interpersonal effectiveness is spread over seven weeks and teaches effective strategies for asking for what you need, saying no, setting boundaries and coping with interpersonal conflict. This module is of particular relevance to individuals who experience their relationships as chaotic, intense and unstable, and it teaches strategies for maintaining balanced relationships.
How will I learn?
New skills are presented each week and homework is assigned for participants to practice during the week. Homework is reviewed at the next class. People who commit to the full DBT programme (both individual therapy and skills groups) will have access to phone skills coaching which can be accessed at times of heightened distress seven days a week. This helps to generalise the newly acquired knowledge and accelerate the effective use of skills. The goal of DBT classes is for people to gain new skills, get better at the skills they have and be able to use the skills when they are really needed, such as during times of intense emotion, crisis or conflict.
Who should join the programme?
DBT programme is a NICE-recommended treatment for people meeting criteria for borderline personality disorder, also known as emotion regulation disorder. Some of our clients, although don't meet the full criteria for this diagnosis, identify with some of the traits and find the treatment helpful. Therefore, DBT can be of help to people who experience problems with self-harm, extreme emotional sensitivity, mood swings, anger, recurrent depression, anxiety, intense or chaotic relationships, impulsivity and stress. People who would like to be assessed can arrange a medical review with our associate psychiatrist Dr Ivan Zammit.
Where do sessions take place?
Skills classes take place in Kings Cross. Individual therapists from our team are based across various locations in London. Please review this at www.mind-reframed.com/aboutus.
About the host
This specialist programme is facilitated by a team of qualified and experienced therapists who, in addition to their core training, received extensive training and/or expert supervision in dialectical behaviour therapy. To find out more about us please go to www.mind-reframed.com/aboutus.