Health and Fitness

Dialectical behavior therapy (DBT) in London – What is it

Dialectical behavior therapy (DBT)

Dialectical Behavior Therapy (DBT) is a skills-based treatment that can help patients regulate their emotions more effectively. Improve their relationships with others, develop tolerance for difficulties, and be more aware of their thoughts. , feelings and behaviors.

Originally, DBT therapy in London designs to treat borderline personality disorder (BPD). Its is effective in the treatment of alcohol. And drug abuse as well as various other personality disorders. mental health, such as depression, anxiety, PTSD and eating disorders. At City Psychological Services we provide exceptional dbt therapy in London.

Because it is so effective, NHS UK uses TCD  in all of  clinical platforms. In fact, NHS UK is one of the few facilities that uses DBT. As intended in their residential and outpatient treatment programs nationwide.

How does dialectical behavior therapy work?

Dialectical behavior therapy (DBT) is an evidence-based treatment combining elements of cognitive behavioral therapy (CBT). With the Buddhist practice of meditation and the principles of self-awareness. Through individual DBT sessions and DBT skills groups. Patients learn to incorporate practical tools into their daily lives to better approach the world and deal with difficulties more effectively.

Training in DBT techniques includes a standardized approach to teaching patients mindfulness, emotion regulation, tolerance for difficulties, and interpersonal effectiveness.

DBT treatment generally takes place in 4 stages:

  • Stage 1 involves instilling behavioral control for patients with dysregulation and emotional arousal. This step lays the foundation for recovery: individuals become grounded and stop engaging in life-threatening behaviors that could interfere with treatment or with the proper functioning of their daily lives.
  • Stage 2 can begin when patients are able to control their behaviors and are prepared to explore healthy ways to express their feelings. Attention is paid to the feeling of emotions: therapists help patients to identify, feel and better express their emotions.
  • Stage 3 aims to solve problems and help patients develop their abilities to manage the challenges of daily life. This stage of treatment aims to make patients responsible for their own behavior, to make them more confident in themselves and to teach them to appreciate who they are. The goal is to achieve “a life worth living”.
  • Stage 4 ties together all the lessons and skills learned in previous stages to help patients connect with the outside world and be able to experience joy.

What evidence supports dialectical behavior therapy (DBT)?

Originally, Dr. Marsha Linehan developed dialectical behavior therapy (DBT) to help her patients who suffered from borderline personality disorder (BPD) and showed suicidal tendencies, to better manage their emotions and reduce their impulsive behaviors. A study conducted by the National Institute of Mental Health indicates that the success rates of dialectical behavior therapy (DBT) in reducing suicide attempts among people diagnosed with BPD are twice as high. higher than other types of therapy.

Studies have shown that DBT can also reduce anger, impulsivity, depression, self-harm, eating disorders, and hopelessness. Used in the treatment of substance abuse, DBT can reduce cravings, cravings, and the physical discomfort associated with abstinence.

At EHN Canada, clinical staff receive ongoing and extensive DBT education, training and supervision. Patients in all clinical programs receive comprehensive training in DBT skills, geared toward mindfulness, emotion regulation, difficulty tolerance, and interpersonal effectiveness. DBT is a standard across all NHS UK locations and uses fact-base] model, worksheets and assignments.

DBT program

Linehan’s dialectical behavioral therapy (DBT) was developed as a therapy program for patients with emotionally unstable personality disorder of the borderline type. In the meantime, it is effective for the patients with a diagnosis of borderline personality disorder, patients with other diagnoses such as addiction or trauma disorders, but also other personality disorders and affective disorders can benefit very well from the elements of DBT.

Our clinic offers an inpatient DBT program for acutely psychiatric patients. The specific elements include mindfulness training, skill groups on stress tolerance and emotion regulation, one-on-one psychotherapeutic sessions and primary care treatment. The program can be completed in around 8 weeks, with the duration of treatment depending on the symptoms. Therefore, both shorter and sometimes longer stays are the norm.

The registration for the DBT treatment takes place via the respective ward doctor. Please leave your phone number when registering for our clinic on 0731 500-61490 so that we can call you back.

In addition to the inpatient DBT program, there is the option of individual therapy with a DBT focus via the outpatient clinic and the AWIP . Furthermore, patients can take part in outpatient skills groups (skills training according to DBT) at the clinic. Participation is only possible with simultaneous outpatient individual therapy (also for therapists without DBT experience).

Personality Disorder

Patients with personality disorders suffer from inflexible behavior that deviates from the respective societal norm. These usually appear rigidly in a wide variety of life situations. This can be, for example, overly anxious-​avoidant, compulsive or dependent behavior. Frequently, a psychiatric presentation only occurs because of additional affective disorders, such as depression or anxiety.

Especially in the emotionally unstable personality disorder of the borderline type, frequent self-injury, suicidal thoughts or high-​risk behavior also lead to treatment.

Personality disorders as concomitant diseases are taken into account in the context of psychotherapeutic treatment in the inpatient or outpatient setting using an individually created disorder model. We offer patients with a diagnosis of borderline personality disorder a disorder-​specific program in the sense of dialectical behavioral therapy (DBT).

Post-Traumatic Stress Disorder (PTSD)/Trauma-related Disorders

Severely stressful life events such as accidents, experiences of violence or abuse lead to psychological problems in many people. If an unwanted mental reliving of the threatening situation (flashbacks), violent emotional reactions when remembering the situation, constant alertness and emotional numbing play a role, this can indicate post-traumatic stress disorder (PTSD). Less specific complaints that are clearly related to trauma are referred to as trauma disorders. The treatment of trauma-related illnesses is primarily psychotherapeutic. Pharmacotherapy can be useful to support depression or sleep disorders. Both in the stationary setting and in the frameIn addition to outpatient treatment, we offer comprehensive diagnostics and advice on PTSD, as well as psychotherapeutic stabilization and trauma processing.

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Dialectical Behavior Therapy

Alexa Grace

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