Dialectical Behavior Therapy Model

The theoretical framework that I chose to integrate my interventions with Ms. L is the strength-based perspective using the cognitive theory and the dialectical behavior therapy model. The strengths-based theory focuses on peoples’ self-determination and strengths. This perspective is client led while building of their strengths and characteristics that are already present. future outcomes and strengths. This theory was developed from a team of professors at the University of Kansas. It was originally used as a form of practice principals in the psychiatric setting to move away from treating the diagnosis, deficiencies, and other problems for people who are mentally ill. The strengths based theory has become wide spread throughout many organizations.

DBT consists of four components that include skills training, individual therapy, phone coaching and team consultation. The skills training focuses on enhancing the clients’ capabilities by teaching them new behavioral skills. The skills training is generally provided in a group format and last approximately 24 weeks. Throughout the group the leader teaches different techniques to learn coping skills in their everyday life. The participants are then required to practice using the skills throughout the week and then brainstorm with the group at the following session on what coping skills were successful and areas they struggled. The purpose is to learn to support each other a grow and enhance their motivation to change. The individual sessions resemble the group setting but are provided on a one to one basis. During the sessions, the therapist focuses on helping the clients apply the skills to specific situations. It is pertinent that the individual sessions and the group sessions run concurrently to learn the behavior skills in mindfulness, distress tolerance, interpersonal effectiveness, and emotional regulation. The modules are designed to work through a specific sequence. Although it is not mandatory, it is recommended that you complete one module before moving on to the next. For example, overcoming distress tolerance consists of four modules. The first module is understanding distress tolerance. This module explains the meaning of distress tolerance and provides information about negative emotions. The second module focuses on accepting the distress, and even though it highlights the negative emotions, it teaches that emotions are not permanent and are ever changing. The third model focuses on improving distress. This module identifies ways to improve your distress by acting opposite to your normal behavior. The activities include different techniques to help clam and sooth your thoughts and feelings.