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Dialectical behavioral therapy (DBT)

A type of cognitive behavioral therapy, DBT follows a model that sees the causes of dysfunctional behavior as impaired or maladaptive emotional regulation.1,2 DBT focuses on reducing behaviors that are detrimental to the patient’s health and quality of life and increasing behavioral skills.1-3  The therapeutic plan is divided into stages, including goal setting, achieving behavioral stability, and emotionally processing the past.4 DBT typically lasts for months to years.2  
Description: A type of cognitive behavioral therapy, DBT follows a model that sees the causes of dysfunctional behavior as impaired or maladaptive emotional regulation.1,2 DBT focuses on reducing behaviors that are detrimental to the patient’s health and quality of life and increasing behavioral skills.1-3  The therapeutic plan is divided into stages, including goal setting, achieving behavioral stability, and emotionally processing the past.4 DBT typically lasts for months to years.2  
Potentially effective for the following mental health concerns: Bipolar disorder, Suicide risk
Potentially effective in the following age groups: Adolescent, Adult
Treatment setting options: Individual, Group, Family
Treatment format options: In-person, Telephone
Typical treatment duration: 10-20 sessions, Indefinite
Potential limitations: To correctly practice DBT, therapists should have a consultation team with which they communicate regularly2
 

Footnotes:

Supporting references for the filters are as follows:
Potentially effective for the following mental health concerns: Bipolar disorder5,6, Suicide risk3; Potentially effective in the following age groups: Adolescent4,7, Adult3; Treatment setting options: Individual2,4, Group2,4, Family4; Treatment format options: In-person4, Telephone4; Typical treatment duration: 10-20 sessions5,6, Indefinite2
 

References:

  1. Peprah, K & Argaez, C. CADTH Rapid Response Reports. 2017.
  2. Association for Behavioral and Cognitive Therapies. ABCT Fact Sheets: Dialectical Behavior Therapy. 2020. http://www.abct.org/Information/?m=mInformation&fa=fs_DIALECTICAL. Accessed March 2, 2020.
  3. Panos, PT et al. Res Soc Work Pract. 2014;24(2):213-223.
  4. Swales, M. Int J Behavioral Consultation and Therapy. 2009;5(2):164-177.
  5. Zargar, F et al. Adv Biomed Res. 2019;8:59.
  6. Eisner, L et al. Behav Ther. 2017;48(4):557-566.
  7. Goldstein, TR et al. J Child Adolesc Psychopharmacol. 2015;25(2):140-149.

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