16. DBT case formulation

  1. Beth S. Brodsky PhD Associate Clinical Professor of Medical Psychology1 and
  2. Barbara Stanley PhD Professor of Clinical Psychology2

Published Online: 6 MAY 2013

DOI: 10.1002/9781118556603.ch16

The Dialectical Behavior Therapy Primer: How DBT Can Inform Clinical Practice

The Dialectical Behavior Therapy Primer: How DBT Can Inform Clinical Practice

How to Cite

Brodsky, B. S. and Stanley, B. (2013) DBT case formulation, in The Dialectical Behavior Therapy Primer: How DBT Can Inform Clinical Practice, John Wiley & Sons, Ltd, Chichester, UK. doi: 10.1002/9781118556603.ch16

Author Information

  1. 1

    Department of Psychiatry, Columbia University College of Physicians and Surgeons, Research Scientist New York State Psychiatric Institute, New York, NY, USA

  2. 2

    Department of Psychiatry, Columbia University College of Physicians and Surgeons, Research Scientist New York State Psychiatric Institute, New York, NY, USA

Publication History

  1. Published Online: 6 MAY 2013
  2. Published Print: 15 JUL 2013

ISBN Information

Print ISBN: 9781119968931

Online ISBN: 9781118556603

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Keywords:

  • case formulation;
  • biosocial theory;
  • case conceptualization;
  • treatment planning

Summary

A detailed case formulation provides the basis for the dialectical behavior therapy (DBT) treatment plan and serves as the road map for treatment. Some aspects of the DBT case formulation can be found in most treatment approaches while others are unique to DBT. A DBT case formulation includes: a brief case history based on the biosocial theory of borderline personality disorder, an outline of the hierarchy of primary treatment goals as well as secondary goals that are addressed to achieve the primary goals, a summary of skills deficits and behavioral excesses; a detailed formulation of the contingencies in self and in the environment that reinforce unskillful behaviors, and a detailed treatment plan regarding how the behavioral goals, skills deficits, and contingency management will be targeted. In this chapter, we present a composite case formulation to illustrate the DBT approach to case conceptualization and how it informs the DBT treatment.