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Consciousness
Published in Tricia L. Chandler, Fredrick Dombrowski, Tara G. Matthews, Co-occurring Mental Illness and Substance Use Disorders, 2022
Tricia L. Chandler, Tara G. Matthews, Karlene Barrett, M. A. Lawless Coker
Dialectical behavior therapy (DBT) is a multifaceted approach that has been used to treat women diagnosed with borderline personality disorder who had suicidal ideation and lack of acceptance of treatment approaches initially (Chapman, 2006; O’Connell, 2014). It was developed by Dr. Marsha Linehan in the early 1990s, with the distinct purpose of developing an evidence-based practice that would help populations with co-occurring disorders who were at high risk for suicide (Linehan, 1993). DBT proposes that reality consists of two opposing forces, and when synthesis occurs between these forces, a new reality emerges that also has two opposing forces in a continual process of change (Baer, 2003). The central dialectic in DBT is the relationship between acceptance and change.
Adolescent Medicine
Published in Praveen S. Goday, Cassandra L. S. Walia, Pediatric Nutrition for Dietitians, 2022
Perry B. Dinardo, Jennifer Hyland, Ellen S. Rome
Cognitive behavioral therapy (CBT) also has been shown to be effective for many EDs, particularly BN and BED. CBT helps patients identify and modify unhelpful cognitive distortions in order to improve emotional regulation. CBT is also an established treatment approach for many other psychiatric conditions, including anxiety and depression. In the context of ED treatment, the goal of CBT is the reestablishment of regular eating patterns; patients also learn to question and reframe the distorted thoughts which can lead to guilt, shame, and worsened self-image. Dialectical behavioral therapy (DBT) involves behavioral modification combined with insight; from the patient’s perspective, if I experience trigger “A”, I can utilize skills “B” and “C” to handle that stress. The core skills of DBT include mindfulness, interpersonal effectiveness, emotional regulation, and distress tolerance.
Dialectical Behavioural Therapy
Published in Cathy Laver-Bradbury, Margaret J.J. Thompson, Christopher Gale, Christine M. Hooper, Child and Adolescent Mental Health, 2021
Since its development, DBT has been empirically accepted as reducing the distress and dysfunctional coping strategies in these individuals. It has been recognised as being applicable across a broad number of conditions where emotional dysregulation is evident (Ritschel et al., 2018). There is now evidence to support the use of DBT with eating disorders, substance misuse, post-traumatic stress disorder, aggression and impulsive behaviours and adolescents (Groves et al., 2011).
Dialectical behavior therapy-skills system for cognitively challenged individuals with self-harm: a Swedish pilot study
Published in International Journal of Developmental Disabilities, 2023
Alexandra Rosendahl-Santillo, Reid Lantto, Lena Nylander, Christina Thylander, Pernilla Schultz, Julie Brown, Märta Wallinius, Sofie Westling
Dialectical behavior therapy (DBT) is a treatment developed for individuals with borderline personality disorder (BPD; Linehan 1993). Individuals with BPD have a high prevalence of self-injurious as well as suicidal behaviors (90% and 75% respectively; Goodman et al.2017). A number of studies have shown beneficial effects of DBT, such as reduced self-harm and psychiatric symptoms, reduced duration of hospitalization and increased global level of functioning (Linehan et al.2006, van den Bosch et al.2002, Verheul et al.2003, Cristea et al.2017, Storebø et al.2020). DBT has also proven to be effective in treating other psychiatric disorders where difficulties in managing emotions and problem behaviors are a part of the symptomatology, such as substance abuse (Linehan et al.2002, Linehan et al.1999) and eating disorders (Safer et al.2001). Today, DBT is one of the first choices of treatment for individuals with Borderline Personality Disorder without cognitive challenges (National Institute for Health and Care Excellence 2009, American Psychiatric Association 2001).
Combining biological therapies in patients with inflammatory bowel disease: a Finnish multi-centre study
Published in Scandinavian Journal of Gastroenterology, 2022
Heli Eronen, Sara Kolehmainen, Jukka Koffert, Inka Koskinen, Pia Oksanen, Airi Jussila, Heini Huhtala, Taina Sipponen, Tuire Ilus
A previous randomized controlled trial of CD patients treated with a combination of TNF-inhibitor infliximab and natalizumab reported no increase in infections compared to treatment with TNF-inhibitor alone [24]. The studies mentioned before reported no severe adverse events (SAE) [8,10,12–14]. However, doubts about the safety of DBT have been raised, at least in rheumatoid patients [7]. A meta-analysis by Ahmed and co-workers reported 288 trials of DBT showing respective pooled rates of adverse and SAE of 31% and 6.5%. When comparing that series to our own, in this study the patients were young and free from severe comorbidity. In our study infections occurred in three (19%) patients. Although none of the adverse events lead to discontinuation of treatment, erysipelas and recurrent clostridium difficile infection should be assessed as significant adverse events. In earlier studies clostridium difficile infection was one of the most common complications during DBT [11,13,23]. It should be noted that adverse events such as severe infections are likely to develop in the long run and therefore more information on the safety of DBT is needed, especially in long-term follow-up.
A Review of “DBT-Informed Art Therapy: Skillful Means in Practice”
Published in Art Therapy, 2022
Dialectical Behavioral Therapy (DBT) is a well-known and commonly used clinical modality designed to treat individuals with severe affect dysregulation, encouraging a life worth living (Linehan, 2020). Current socio-political factors have led to a polarizing climate in which we, and our clients, are prone to viewing situations, people, and events in extremes, either all good or all bad. The emphasis on dialect in DBT encourages individuals to consider and accept two opposing views of any situation, “to find synthesis within paradox” (Clark quoting Weir, 2021, p. 249). This concept of holding multiple truths can be practiced and reinforced with art making, which is the crux of Clark’s edited book, DBT-Informed Art Therapy in Practice. As Shiell explains in chapter four, individuals in DBT programs who created artwork in response to the psychoeducational sessions were able to “more fully articulate DBT concepts in ways that made personal sense to them” (p. 60). The formal integration of art therapy with DBT is not new, but is especially relevant now, as individuals navigate their role in a dichotomist society. Additionally, as the clinical side of art therapy strives to adhere to medical and managed care guidelines, it is beneficial for art therapists in such settings to be able to incorporate evidence-based interventions, such as DBT.