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Dialectical behavior therapy (DBT) is an evidence-based [1] psychotherapy that began with efforts to treat personality disorders and interpersonal conflicts. [1] Evidence suggests that DBT can be useful in treating mood disorders and suicidal ideation as well as for changing behavioral patterns such as self-harm and substance use. [2]
The second mode of therapy is skills training; a core component of DBT is learning new behavioral skills, including mindfulness, interpersonal effectiveness (e.g. assertiveness and social skill), coping adaptively with distress and crises, and identifying and regulating emotional reactions. [6]
Marsha M. Linehan (born May 5, 1943) is an American psychologist and author. She is the creator of dialectical behavior therapy (DBT), a type of psychotherapy that combines cognitive restructuring with acceptance, mindfulness, and shaping.
The application of MDT integrates the unique validation–clarification–redirection (VCR) process step with selected elements from Acceptance and commitment therapy, Dialectical behavior therapy, and mindfulness (psychology) through a systematic and collaborative case conceptualization and implementation process.
Additionally, The Interpersonal Inventory is used to assess the quality of the patient's interpersonal relationships. One of four interpersonal problem areas is chosen to focus on: Grief (e.g. loss of loved one, loss of healthy self) Role transitions (e.g. married-to-divorced, parenthood) Role disputes (e.g. conflict with spouse or parents)
As a dyadic treatment that is characterized by use of direct measures to ameliorate symptoms and to maintain, restore, or improve self-esteem, adaptive skills, and psychological (ego) function, the treatment itself works to observe relationships (real or transferential) and both current and past patterns of emotional or behavioral response.