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Teaching the patient new coping mechanisms

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A comprehensive treatment teaches the patient new ways of coping with life’s challenges or enhances a person’s existing capabilities. In DBT, therapists hold the assumption that people who are struggling aren’t doing so out of choice but rather that they lack, or need to improve, several important life skills, including the following:

 The ability to regulate emotions

 The ability to pay careful and accurate attention to the experience of the present moment

 The ability to tolerate difficult moments

 The ability to effectively negotiate relationships

The idea is that maladaptive or ineffective behaviors are replaced by healthier, more effective, and longer-lasting ways of managing difficult moments. The teaching of these skills usually takes place in a weekly skills group session, which usually has up to ten patients and two co-leaders. The group generally lasts 90 minutes and has a didactic component where skills are taught, and homework is assigned and is reviewed in the next skills group. We cover skills therapy later in this chapter.

DBT For Dummies

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