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Walking through the Mechanics of DBT

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As mentioned earlier in this chapter, a comprehensive DBT treatment goes beyond individual therapy and includes group skills training, phone coaching, and a consultation team for the therapists. The group sessions are typically held once per week and run for two-and-a-half hours. In the group, the four skills modules that are mentioned in the preceding section — mindfulness, interpersonal effectiveness, distress tolerance, and emotion regulation — are taught. (These are extensively reviewed in Part 3 of this book.)

It typically takes six months to get through all the components of all the modules, and many people who do a course of DBT repeat it. As a result, it takes about a year in total. It can take longer if there are co-occurring disorders such as post-traumatic stress disorder.

In the skills-group session, the first part is dedicated to reviewing the previous week’s assigned homework, while the second part is used for learning, teaching, and practicing new skills. In individual therapy, the skills learned in the group are reviewed within the context of the person’s individual treatment needs and goals. One way to think about this is that the skills groups put the skills into the person, while the individual therapy extracts them in the context of the person’s life.

DBT For Dummies

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