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Checking Out the DBT Stages of Treatment

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DBT consists of five stages of treatment, one of which is pretreatment:

 Pretreatment: This is the period of time when the person is making a direct commitment to themselves and their therapist to do DBT therapy. In this stage of pretreatment, the patient also creates a hierarchical list of problem behaviors that interfere with their living the life they want to live.

 Stage 1: In this stage, the main goal is to reduce the most severe behaviors that greatly impact a person’s life. These include life-threatening behaviors such as suicide and self-injury, therapy-interfering behaviors such as being late to therapy or not completing homework assignments, and quality-of-life-interfering behaviors such as substance misuse and hurtful relationships. Finally, they want to increase behavioral skills that are done in the skills-group format.

 Stage 2: In this stage, the person focuses on emotional experiencing and attending to the trauma in their life, trauma that has often led to misery and desperation.

 Stage 3: In this stage, residual problems such as boredom, emptiness, grieving, and life goals are addressed.

 Stage 4: In this final stage, the person works on deepening their self-awareness and their sense of incompleteness, becoming more spiritually fulfilled, and recognizing that most of happiness lies within the self.

DBT For Dummies

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