Psycho-Babble Psychology Thread 418822

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Dialectical Behavioral Therapy pros and cons?

Posted by smokeymadison on November 22, 2004, at 1:05:17

what are the pros and cons of DBT? What exactly does it entail? My therapist whats to try it but I am skeptical...

 

Re: Dialectical Behavioral Therapy pros and cons?

Posted by pegasus on November 24, 2004, at 13:11:51

In reply to Dialectical Behavioral Therapy pros and cons?, posted by smokeymadison on November 22, 2004, at 1:05:17

Hi smokeymadison,

I don't have experience with DBT, but I was feeling bad that no one answered you. I think it might be because this comes up a lot on this board, and people might have already said their piece earlier. You might trying looking back through the archives for info about DBT. My impression from what people have said here is that sometimes it's very helpful, and sometimes not so much. It sounds like it depends a lot on the skill of the therapist with the technique. And usually DBT involves a team of folks, including a skills training group, and an individual therapist.

But as I said, I don't know about it from personal experience.

good luck!
pegasus

 

Re: Dialectical Behavioral Therapy pros and cons? » smokeymadison

Posted by alexandra_k on November 24, 2004, at 16:59:10

In reply to Dialectical Behavioral Therapy pros and cons?, posted by smokeymadison on November 22, 2004, at 1:05:17

Hi there. I agree with pegasus, I know that I didn't respond initially because I feel like I have said my bit many times over... But I was also meaning to respond at some point.

I did one year of DBT. I found it to be really useful with respect to reducing SI and suicide attempts and improving my overall level of functioning so that I could still (mostly) go to work and varsity even when I felt like crap. Also reduced drug use / abuse. I think that DBT was found to outperform treatment as usual on just those things...

Going to group was really hard. I withdrew and really hated going - but I did learn a lot by going. So it was worth it even though it didn't feel much like it was at the time.

With respect to individual therapy in general I found DBT to be better than CBT because it was much less invalidating. That being said, that also had a lot to do with the particular therapist who was delivering the DBT. Some are better or worse at that (just like with any other variety of therapy) and some don't really seem to let the theory of DBT inform their practice at all.

In general, I thought it was a very worthwhile thing to do. I would reccomend it to anyone who has the opportunity. It is hard work and infuriating at times, but I think it was worth it in hindsight.

Linehan also has other phases for after the first year. I never got to do those. That is when you are supposed to experience an improvement in your mood.


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