Developed by MARSHA LINEHAN
DBT STAGE I DBT targets behaviors in a descending hierarchy:
Decreasing high-risk suicidal behaviors
Decreasing responses or behaviors (by either therapist or patient) that interfere with therapy
Decreasing behaviors that interfere with/reduce quality of life
Decreasing and dealing with post-traumatic stress responses
Enhancing respect for self
Acquisition of the behavioral skills taught in a group
Additional goals set by patient
Developed by THOMAS LYNCH
RO-DBT STAGE I focuses on these additional skills:
Decrease Emotional Loneliness,
Improve Communication Skills,
Adjusting Bio-temperamental Reactivity,
Decreasing Rigid Thinking
In Stage 1, the person is often miserable and their behavior is out of control: they may be trying to kill themselves, self-harming, using drugs and alcohol, and/or engaging in other types of self-destructive behaviors.
The goal of Stage 1 is for people to move from being out-of-control to achieving behavioral control.
THE 4 STAGES OF DBT
What does a protocol Stage I DBT & RO-DBT
program look like?
It has 4 major components:
1 INDIVIDUAL THERAPY
Individual therapy is a 60-90 minutes session each week. Within a session, you will get a chance to cover:
behavioral chain analysis
coping ahead solutions
role play & visualization of new skills
therapeutic concerns of the week.
Individual therapy helps to support clients’ motivation and their ability to apply the skills to within their everyday lives.
2 SKILLS CLASSES
DBT skills class is an instructional class where instructors teach the DBT skills and assign homework for clients to use during difficult challenges in all relevant contexts (e.g., home, work, school). Classes meet on a weekly basis for approximately 2-hours.
Modules taught are:
Walking the Middle Path Skills
3 IN VIVO SKILLS COACHING
DBT phone coaching provides clients with “real-time” DBT skills coaching on how to use skills to effectively cope with difficult situations. Clients can call their individual therapist between sessions to receive skills coaching when help is most needed.
4 CONSULTATION TEAM
DBT therapist consultation aims to support DBT providers in their work with people who often have complex and severe disorders. The consultation team is designed to ensure that therapists remain confident in their abilities as therapists and are adherent to the model. Our team meets weekly for 2 hours, and often has consultation breaks throughout the week.
Our therapists not only work well together, we also train, learn, and travel well together. Our families socialize together. The point is that a cohesive team means that you can rely on all of us--not just a single individual therapist.
STAGES II, III, & IV
WORLDWIDE, ONLY AVAILABLE AT ATLANTA DBT CENTER
STAGE II: DBT-PE
STAGE III: DBT-DMC
STAGE IV: DBT-DMC
The goal of Stage 2 is to help the client move from a state of quiet desperation to one of full emotional experiencing. This is the stage in which post-traumatic stress disorder (PTSD) would be treated if part of the client’s diagnosis.
Developed by MELANIE HARNED
In Stage 3, the challenge is to learn to live: to define life goals, build self-respect, and find peace and happiness.
MINAL SHAH & STEPHEN MARKS
In the 4th stage, the goal of treatment is to move from a sense of incompleteness towards a life that involves an ongoing capacity for experiences of joy and freedom.
Developed by MINAL SHAH
MICHAEL MCALEER &