TARGETS OF DBT TREATMENT
Decreasing high-risk suicidal and self-harming behaviors
Decreasing therapy interfering behaviors by either therapist or patient
Decreasing quality of life interfering behaviors
Learning and mastering behavioral skills for mood-independent life choices
Decreasing symptoms related to post-traumatic stress, other anxiety, and depression
Enhancing and sustaining self-respect
Additional goals set by patient to create a life worth living
STAGES OF TREATMENT
Decreasing or eliminating life-threatening behaviors (e.g. suicide attempts, suicidal thinking, self-injury, homicidal and aggressive behaviors)
Decreasing or eliminating therapy-interfering behaviors (e.g missing sessions, not doing homework, behaving in a way that burns others out)
Reducing or eliminating hospitalization as a way of handling crisis
Decreasing behaviors that interfere with the quality of life (e.g eating disorders, not going to work or school, addiction, chronic unemployment)
Increasing behaviors that will enable the person to have a life worth living
Increasing behavioral skills that help to build relationships, manage emotions and deal effectively with various life problems
Continuing and building on Stage One skills
Targeting and decreasing symptoms of Post Traumatic Stress Disorder (PTSD) and other Anxiety or Depression related symptoms
Increasing love and respect for self and others
Affirming individual life goals
Solving ordinary life problems
Developing the capacity for freedom and joy
Creating a life worth living
DBT ASSUMPTIONS ABOUT CLIENTS
People in DBT are doing the best they can.
People in DBT want to improve.
People in DBT need to do better, to work harder, and be motivated to change.
The lives of suicidal individuals are unbearable as they are currently being lived.
People in DBT must learn new behaviors in all areas of their lives.
People cannot fail in DBT.
DBT ASSUMPTIONS ABOUT THERAPISTS
All therapists, no matter how well trained, are fallible.
We make every reasonable effort to conduct competent and effective therapy.
We obey standard ethical and professional guidelines.
We are available for weekly therapy sessions, phone consultations, and provide needed therapy back-up.
We respect the integrity and rights of the patient.
We maintain confidentiality.
We meet regularly to obtain consultation and support to be effective in the work we do.