Читать книгу DBT For Dummies - Gillian Galen - Страница 14

As you see in the previous section, DBT is a comprehensive treatment program. In this way, DBT is a collection of treatments, rather than a single treatment method conducted by a single therapist and a single patient. Any program, whichever you choose to do, should address five key functions of treatment (which are fully reviewed in Part 4):

 Increasing your motivation to change: Changing self-destructive and maladaptive behaviors can be very difficult, and it can be easy to become disheartened. Your individual therapist will work with you to make sure you stay on track and reduce any behaviors that are inconsistent with a life worth living. Within individual and group therapy, your therapist will ask you to track your behaviors and use skills coaching in order to achieve this goal.

 Enhancing your capabilities: DBT assumes that people who struggle either lack or need to improve several important life skills, including skills that help you regulate emotions, pay attention to the experience of the present moment, effectively navigate interpersonal situations, and finally, be able to tolerate distress.

 Generalizing what you’ve learned in therapy to the rest of your life: If the skills you’ve learned in group and individual therapy sessions don’t transfer to your daily life, then it’s going to be difficult to say that the therapy was successful for dealing with your problems.

 Structuring your environment in order to reinforce your gains: An important function is to make sure that you don’t slip back into maladaptive or problematic behaviors or, if you do, to make sure that the impact isn’t enduring. Structuring the treatment in a manner that promotes progress toward your goal is a way to do this. Typically, your individual therapist will make sure that all of the elements of effective treatment are in place for you. At times, they may intervene for you if you aren’t yet skilled enough to do so for yourself, with the understanding that such intervention is temporary until you have acquired the skills to manage.

 Increasing your therapist’s motivation and competence: Although helping people who come to therapy with multiple problems can be very rewarding for both patient and therapist, the behaviors that people present with can be very taxing for the therapist, and so the therapist needs help to stay in the game of DBT. This is where the DBT consultation team that you read about in the previous section comes in.