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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]
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.
John C. Norcross is among the psychologists who have simplified the balance sheet to four cells: the pros and cons of changing, for self and for others. [19] Similarly, a number of psychologists have simplified the balance sheet to a four-cell format consisting of the pros and cons of the current behaviour and of a changed behaviour. [20]
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]
For example, a relevant mnemonic formulated in DBT is "ABC PLEASE": [62] Accumulate positive experiences. Build mastery by being active in activities that make one feel competent and effective to combat helplessness. Cope ahead, preparing an action plan, researching, and rehearsing (with a skilled helper if necessary).
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DBT requires therapists to directly address TIBs as a way to prevent early termination from therapy, to improve the relationship between therapist and client, and to model effective communication. [3] TIBs are the second most important dysfunctional behavior to address according to DBT, just below life-threatening behaviors. [4]
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