Dialectical Behavior Therapy:

Fundamentals & Future Directions

Jennifer H.R. Sayrs, PhD, ABPP

American Board of Professional Psychology

2013 Summer Workshop Series

Boston, MA July 13, 2013

Dialectical Behavior Therapy:
Fundamentals and
Future Directions
July 13, 2013

Jennifer Sayrs, PhD, ABPP

DBT Center of Seattle
Evidence Based Treatment Centers of Seattle

Materials marked with ©2002-2013
Marsha Linehan, PhD, ABPP, and
published by Behavioral Tech, LLC, are
used with permission. They are
intended for educational use only and
b copied
are not to be d or distributed
d b d
without permission.
Dialectical Behavior Therapy
Dialectical Behavior Therapy
• The Biosocial Model of DBT
• The Structure of DBT
• Change Strategies
• Acceptance Strategies
• DBT Skills
• Recent Developments
• For Whom is DBT Useful?
• The Biosocial Model of DBT
• The Structure of DBT
• Change Strategies
• Acceptance Strategies
• DBT Skills
• Recent Developments
p
• Who might benefit from DBT?
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Dialectical Behavior Therapy
• The Biosocial Model of DBT
• The Structure of DBT
• Change Strategies
• Acceptance Strategies
• DBT Skills
• Recent Developments
p
• Who might benefit from DBT?

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Dialectical Behavior Therapy
• The Biosocial Model of DBT
• The Structure of DBT
• Change Strategies
• Acceptance Strategies
• DBT Skills
• Recent Developments
p
• Who might benefit from DBT?

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Dialectical Behavior Therapy
• The Biosocial Model of DBT
• The Structure of DBT
• Change Strategies
• Acceptance Strategies
• DBT Skills
• Recent Developments
p
• Who might benefit from DBT?

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Dialectical Behavior Therapy
• The Biosocial Model of DBT
• The Structure of DBT
• Change Strategies
• Acceptance Strategies
• DBT Skills
• Recent Developments
p
• Who might benefit from DBT?

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Mindfulness Skills

“What”
What Skills “How”
How Skills
 Observe  Nonjudgmentally

 Describe  One-mindfully

 Participate  Effectively

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DISTRESS TOLERANCE
SKILLS Dialectical Behavior Therapy
CRISIS SURVIVAL ACCEPTANCE • The Biosocial Model of DBT
 Pros and Cons  Radical acceptance
• The Structure of DBT
• Change Strategies
 Distract  Willingness
• Acceptance Strategies
 Self soothe  Half Smile • DBT Skills
 IMPROVE the • Recent Developments
p
moment • Who might benefit from DBT?

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 Other Developments

 Component analyses
 Other disorders
 Briefer versions
 Mobile Apps
 Certification and Accreditation
 Dissemination & training

What’s in the works

 Adolescents (5 RCTs underway)
 Anorexia Dialectical Behavior Therapy
 Bipolar disorder
• The Biosocial Model of DBT
 T i h till
Trichotillomaniai with
ith emotion
ti dysregulation
d l ti
• The Structure of DBT
 Children
• Change Strategies
 Intellectual disabilities
• Acceptance Strategies
 Suicidality in the ER
• DBT Skills
 Forensic
• Recent Developments
 IOP
 Inpatient • Who might benefit from DBT?
 DBT-ACES (Accepting the Challenge of Exiting
the System)
 Women with a history of domestic violence

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 When DBT might not be
When to refer a client to DBT
the best choice
 BPD diagnosis  A more economical evidence-based
 Suicidal / non-suicidal self-injurious behavior treatment already exists
 Emotion dysregulation  Emotion dysregulation is not core
 Dysregulation in other domains  Involuntary
 Multiple, chronic problems
 Psychosis (sometimes)
 Therapy interfering behavior
 Other treatments didn’t work
 Wants DBT, informed choice

Where to find a DBT

Thank you!
program
UW Behavioral Research and Therapy Clinics Jennifer Sayrs,
y PhD, ABPP
 http://depts.washington.edu/brtc/clinical-services/finding-a-
therapist
Behavioral Tech list of providers
 http://behavioraltech.org/resources/crd.cfm
Director, DBT Center of Seattle
Co-Founder, Evidence Based Treatment Centers of Seattle
Other resources:
National Education Alliance for BPD
htt // b d li lit di d /
 http://www.borderlinepersonalitydisorder.com/ www.dbtseattle.com
www dbtseattle com
Borderline Personality Resource Center www.ebtseattle.com
 www.bpdresourcecenter.org
TARA
 www.tara4bpd.org jsayrs@ebtseattle.com

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