How NYC Dialectical Behavior Therapy Helps Patients Recover From Destructive Lives

By Joyce Sanders


There are numerous people suffering from behavioural disorders and behavioural patterns that are deemed harmful. This may include tendencies to harm oneself, try to commit suicide and the abuse of substances. Many people say that these sufferers are simply weak minded, unambitious and wilful, but this is certainly not always the case. In NYC dialectical behavior therapy, or DBT for short, has proven to be extremely helpful in steering sufferers towards more balanced lives.

DBT methods were first developed by Marsha Linehan, associated with the Washington University. Her initial goal was to develop a way to treat patients with borderline personality disorders. Very soon, however, studies and empirical research showed that this method is also highly effective in treating patients with a wide variety of disorders, including chronically suicidal patients and those with severe mood swings and tendencies to harm themselves physically.

DBT is a fusion of standard cognitive techniques that are used to help patients regulate their emotions. However, these techniques are augmented by further methods derived from meditative Buddhist practices. Patients are introduced to the concepts of distress tolerance, mental awareness and acceptance. Clinical tests have shown that this combination of treatment techniques produce extremely positive results with fewer patients attempting suicide or self harm and a much lower drop out rate from treatment programs.

There are two main components to a DBT treatment program. The first is individual psychotherapy sessions once a week. During these sessions the patient is taught techniques to help him take control of his emotional state, to react to stressful situations in a positive manner and to devise ways in which to make life worth living. Patients are also encouraged to examine the causes of the destructive behavioural patterns.

Individual sessions are augmented by weekly group sessions. During these sessions patients interact with each other. They learn that they are not the only ones suffering from destructive behaviour. They learn how to interact with others in a positive manner and how to cope with stress. The group sessions also focus on teaching patients how to control their emotions, especially when part of a group.

The length of a treatment program will depend solely on the progress that the patients makes and the severity of the disorders that he suffers from. Many patients refuse to admit that they are suffering from one or more disorders that render them unable to function within society. In such cases treatment is extremely difficult. Some practitioners argue that some patients need to be forced into treatment.

Critics of DBT say that treatment programs tend to focus on specific disorders, such as suicidal tendencies, but that most mentally disturbed patients suffer from a complex variety of mental health problems. They also say that not enough research have been conducted to conclusively prove that DBT produces results. In addition, very little research have been done to follow up on patients after completing their treatment programs.

There can be no doubt that numerous patients have been helped by DBT. Most of them will be able to lead productive lives and to act as responsible members of society. It is important to keep in mind that these patients suffer from a recognized condition. It can be treated, just like a medical condition can be treated.




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