In turn, the therapists work together as a team.ĭBT has proved particularly effective in treating women with BPD who have a history of self-harming and suicidal behaviour. It's been recommended by the National Institute for Health and Care Excellence (NICE) as the first treatment for these women to try. You'll be expected to work with your therapist and the other people in your group sessions. The ultimate goal of DBT is to help you "break free" of seeing the world, your relationships and your life in a very narrow, rigid way that leads you to engage in harmful and self-destructive behaviour.ĭBT usually involves weekly individual and group sessions, and you'll be given an out-of-hours contact number to call if your symptoms get worse.ĭBT is based on teamwork. However, the therapist would then attempt to challenge the assumption that self-harming is the only way to cope with feelings of sadness. The DBT therapist will use both concepts to try to bring about positive changes in your behaviour.įor example, the therapist could accept (validate) that feelings of intense sadness cause you to self-harm, and that behaving in such a way does not make you a terrible and worthless person. dialectics: a school of philosophy that says most things in life are rarely "black or white" and that it's important to be open to ideas and opinions that contradict your own.validation: accepting your emotions are valid, real and acceptable.The goal of DBT is to break this cycle by introducing 2 important concepts: These thoughts then lead to further upsetting emotions. Because of your upbringing, you think having these emotions makes you a bad person. These 2 factors may cause you to fall into a negative cycle – you experience intense and upsetting emotions, yet feel guilty and worthless for having these emotions. you grew up in an environment where your emotions were dismissed by those around you – for example, a parent may have told you that you had no right to feel sad or you were just "being silly" if you complained of feelings of anxiety or stress.you are particularly emotionally vulnerable – for example, low levels of stress make you feel extremely anxious.Dialectical behaviour therapy (DBT)ĭialectical behaviour therapy (DBT) is a type of therapy specifically designed to treat people with BPD.ĭBT is based on the idea that 2 important factors contribute towards BPD: Treatment for BPD may last a year or longer, depending on your needs and how you live your life. The type of psychotherapy you choose may be based on a combination of personal preference and the availability of specific treatments in your local area. Do not be afraid to ask about their experience. They'll usually be a psychiatrist, psychologist or other trained mental health professional. Psychotherapy for BPD should only be delivered by a trained professional. Therapy for BPD aims to help people get a better sense of control over their thoughts and feelings. There are lots of different types of psychotherapy, but they all involve taking time to help you get a better understanding of how you think and feel.Īs well as listening and discussing important issues with you, the psychotherapist can suggest ways to resolve problems and, if necessary, help you change your attitudes and behaviour. Treatment for BPD usually involves some type of psychological therapy, also known as psychotherapy.
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