7. The ABC's of DBT – overview of the treatment

  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.ch7

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) The ABC's of DBT – overview of the treatment, in The Dialectical Behavior Therapy Primer: How DBT Can Inform Clinical Practice, John Wiley & Sons, Ltd, Chichester, UK. doi: 10.1002/9781118556603.ch7

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:

  • psychotherapy;
  • skills training;
  • psychotherapy frame;
  • suicidal behavior

Summary

In this chapter, we provide an overview of the basic framework of a dialectical behavior therapy (DBT) treatment. DBT has four stages of treatment based upon the problems needing to be addressed. One stage is completed before moving to the next. In Stage 1, the main focus is on the elimination of suicidal and self-harm behaviors. Stage 2 in DBT helps patients increase emotional experiencing. Other quality of life issues, such as self-actualization in social and vocational arenas, become the target of treatment during Stage 3. Stage 4 treatment focuses on increasing joy and a sense freedom, and of completeness and connectedness. Within each stage of treatment, there are four treatment modes: Individual therapy, group skills training, between-session skills coaching, and a DBT supervision team for DBT clinicians.