Posted by BirdSong on June 13, 2009, at 0:09:57
In reply to Re: I'd like to do some DBT » BirdSong, posted by gobbledygook on June 12, 2009, at 23:17:47
Hi gobbledygook,
Actually the phone component is very important. I think I confused you when I wrote "True DBT is a team approach and involves two components although "phone coaching" is sometimes considered a third component."
It is actually just semantics.
DBT can be seen as two ways:1) Individual and Group AND the phone is part of individual (as designed)
or
2) Individual, Phone, and Group because the phone is such a "special" part of this whole therapy (ie. the majority of other therapy methods do not encourage as much phone contact)So some people semantically split it into 3 components....
Sorry.Most DBT therapists are available 24 hours for help with dealing with the behavioral cycle and for practicing skills.
However, there are boundaries set around phone contact.In my work....a teen can call me before smoking pot at the skate park and we can work through the skills and choices available and their thoughts and even the feelings leading to their decisions and behaviors...but if the teen calls me stoned, I tell them that they must wait to our next appointment to talk about the event, because they already acted the behavioral pattern.
Now, teen could call me again for another issue before their session, and we could work that issue over the phone.
The phone contact is not stopped because they choose the least favorable path in another situation...
Every situation is new and an opportunity to work on stopping the cycle.The point of the phone contact is to prevent the escalation of emotion and prevent crisis by connecting with someone who helps work through skills and thoughts.
Also, as the client works and learns more skills and gets better at "talking themselves down," phone contact may lessen. In the beginning, there is lots of contact.
It is a very effective form of therapy if it is done correctly and a client is willing to put the effort in and learn. Many people with personality disorders are very successful after 1 year and go on to either no more therapy or being able to do a more insightful form of therapy (psychodynamic, humanistic, etc) because they can self-regulate better.
poster:BirdSong
thread:900611
URL: http://www.dr-bob.org/babble/social/20090604/msgs/900720.html