New Therapy at Covenant House

February 3, 2010
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Covenant House is now offering a new modality of therapy called Dialectical Behavioral Therapy (DBT) and it will be lead by Dr. Kyle Burns, Dr. Jennifer Wide, Jesse (mental health clinician) and myself.

Dialectical Behavior Therapy (DBT) is a treatment designed specifically for individuals with self-harm behaviors, such as self-cutting, suicide thoughts, urges to suicide, and suicide attempts. Many clients with these behaviors meet criteria for a disorder called borderline personality (BPD). It is not unusual for individuals diagnosed with BPD to also struggle with other problems -- depression, bipolar disorder, post-traumatic stress disorder (PTSD), anxiety, eating disorders, or alcohol and drug problems. DBT is a modification of cognitive behavioral therapy (CBT).

Clients in standard DBT* receive three main modes of treatment - individual therapy, skills group, and phone coaching. In individual therapy, clients receive once weekly individual sessions that are typically an hour to an hour-and-a half in length. Clients also must attend a two-hour weekly skills group for at least one year. Unlike with regular group psychotherapy, these skills groups emerge as classes during which clients learn four sets of important skills - Mindfulness, Interpersonal Effectiveness, Emotion Regulation, and Distress Tolerance. Clients are also asked to call their individual therapists for skills coaching prior to hurting themselves. The therapist then walks them through alternatives to self-harm or suicidal behaviors.

The most important of the overall goals in DBT is helping clients create "lives worth living." What makes a life worth living varies from client to client.

Our DBT groups meets weekly at Covenant House.

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