DBT for Addiction
When it comes to overcoming a substance abuse problem or a mental health disorder, clients will likely go through many different forms of addiction therapy and treatment during their time. One of the most commonly used forms of treatment is dialectical behavior therapy.
Let’s take a closer look at dialectical behavior therapy (DBT) and how it may be able to help those dealing with a substance use disorder or mental health problem such as borderline personality disorder.
What is Dialectical Behavior Therapy (DBT)?
Dialectical behavior therapy is a form of psychotherapy and is an evidence-based treatment method that was originally developed as a treatment for suicidal women, it has since evolved to help with a number of different problems including borderline personality disorder, dual diagnosis, and substance abuse treatment.
Randomized clinical trials have shown that dialectical behavior therapy is an effective form of treatment against borderline personality disorder as well as other related issues such as a substance abuse treatment method.
If you are interested in DBT for addiction or mental health treatment, contact Renaissance Recovery and learn how you can get the process started today.
History of DBT
Dialectical behavior therapy was a treatment that evolved from Marsha Linehan’s research and efforts to create a treatment program for women dealing with multiple mental health problems as well as suicidal thoughts and ideation. Linehan combined studies and literature on treatments for disorders such as anxiety, depression, and other problems to create an evidence-based intervention method that specifically targeted suicidal behavior.
Originally, the treatment was disliked by clients as they felt they were being misunderstood or criticized and many clients dropped out of the treatment program. Linehan used this experience and sought after an approach that helped the client feel that they were being accepted by the clinician and methods to help the client accept themselves as well.
Eventually, this treatment evolved into what we now know as dialectical behavior therapy which balances acceptance with strategies aimed at changing client behaviors and thought patterns.
Main Components of Dialectical Behavior Therapy
Dialectical behavior therapy often consists of weekly one-hour individual therapy sessions, a weekly group skills training session, and a therapist consultation team meeting. Let’s take a closer look at these components and how they can help clients dealing with everything from a borderline personality disorder, anxiety disorders, substance abuse, and more.
Individual Therapy — Individual therapy sessions are what most people associated with DBT. This time is used to help clients improve their motivation and acceptance of themselves and learn to apply the skills that they learn to specific situations and events in their lives when they leave the clinical setting.
Skills Training — The skills training sessions of DBT are focused on teaching clients behavioral skills. Think of the group skills training sessions like a classroom in which the clinician acts as the group leader and assigns “homework” in which the clients are to practice these skills in their everyday lives.
Consultation Team — Providing DBT services can be a difficult thing for clinicians and meetings between clinicians in a consultation setting are meant to help therapists stay motivated and competent as they work to provide the best treatment possible for individuals dealing with severe and difficult disorders.
These are three of the main components of dialectical behavior therapy, let’s take a look at some of the main goals of this form of therapy and how it can specifically help those who are dealing with severe problems like borderline personality disorder, substance abuse, and more.
5 Functions of Dialectical Behavior Therapy
During this treatment, there are 5 main functions of dialectical behavior therapy that clinicians hope to accomplish.
1. Enhance Capabilities
Many clients being treated with dialectical behavior therapy need to establish skills to help them through their day-to-day lives, including emotional regulation, mindfulness capabilities, interpersonal skills, and distress toleration. These are taught through the group skills training sessions that occur weekly.
2. Skill Application
It is vital that skills taught in group sessions are being used outside of a clinical setting, in an individual’s day-to-day life. To ensure that these skills are actually being put to use, therapists will give clients homework assignments and even practice using these skills during the individual therapy sessions.
3. Improve Client Motivation
Many people in a DBT treatment setting deal with a lack of motivation to make changes and apply the skills they have learned. The third function of DBT is to ensure that client motivation improves — you don’t want all this work to mean nothing. Each week, therapists will have clients fill out a self-monitoring form, sometimes called a diary card, where treatment targets are tracked. This diary card is used to determine how session time should be broken up and alter behaviors or thoughts that may be interfering with treatment programming.
4. Maintaining Clinician Motivation
Along with client functions, therapists need to ensure that their motivation stays high as well. It can be mentally draining to go through these sessions as they are dealing with individuals with serious disorders. During consultation team meetings, which occur every week for about one or two hours, clinicians will problem solve in a group setting and determine how to best proceed with certain clients.
5. Structure a Positive Environment
The final goal of DBT is to establish an environment for the client that is conducive to their recovery and progress and deconstruct any environments that do not reinforce the positive effects of this type of treatment. An example for a substance abuser would be to have the client part ways with social circles that may be contributing to regular drug or alcohol use.
