Dialectical Behavioral Therapy: A Case Study

Improved Essays
In conclusion, counseling can address the issue of emotional eating for Client X through an integrated approach of dialectal and cognitive-behavioral therapy focusing on maladaptive eating behavior patterns. Both individual and group counseling settings can benefit Client X in an attempt to recognize maladaptive behaviors and enact changes by distinguishing between physiological hunger and emotional reactions. Dialectical Behavioral Therapy (DBT) connects cognitive and behavioral therapies as a means of helping an individual learn and incorporate healthier methods of coping with painful emotions, often through acceptance and change.
As stated by Ekern (2013):
The essence of DBT is founded on four skill sets intended to assist in improving coping skills. Through DBT, patients are educated in ways of increasing self-awareness, how to regulate self-defeating thoughts, ways to transform black-or-white thinking, and how to better manage conflict and stress. More recently, DBT has been adapted by leading eating disorder centers as a key treatment modality.
…show more content…
“Neither component of DBT therapy is intended to be utilized solely. The individual component is necessary as it serves an important role in keeping suicidal urges or uncontrolled emotion issues from disturbing group sessions” Ekern (2013). Cognitive-Behavioral Therapy (CBT) “is considered one of the most effective and well-researched treatments for many mental disorders, including eating disorders” Ekern,

Related Documents

  • Great Essays

    According to Corelli (n.d.), treatment for borderline personality disorder includes psychotherapy which allows the patient to talk about both present difficulties and past experiences in the presence of an empathetic, accepting and non-judgmental therapist. The therapy needs to be structured, consistent and regular, with the patient encouraged to talk about his or her feelings rather than to discharge them in his or her usual self-defeating ways. Sometimes medications such as antidepressants are useful for certain patients or during certain times in the treatment of individual patients. Group and individual psychotherapy are at least partially effective for many patients. Within the past fifteen years, a new psychosocial treatment termed dialectical behavior therapy (DBT) was developed specifically to treat…

    • 1208 Words
    • 5 Pages
    Great Essays
  • Improved Essays

    Dialectical Therapy

    • 374 Words
    • 2 Pages

    History of Dialectical Behavior Therapy Dialectical Behavior Therapy, also know as DBT is a type of psychotherapy that deals with the cognitive and behavioral parts of the mind. This type of therapy came about back in the late 1980s by a woman named Marsha M. Linehan. She created this type of therapy to help her deal with her own disorder, which was borderline personality disorder. The main reason of DBT is to help people with any kind of mental health disorders, not just borderline personality disorder.…

    • 374 Words
    • 2 Pages
    Improved Essays
  • Improved Essays

    Two very different modalities of treatment developed for Borderline Personality Disorder (BPD) are Dialectical Behavior Therapy (DBT), and Transference Focused Psychotherapy (TFP). Marsha Linehan, Ph.D, developed DBT in 1993, as a skill based behavioral treatment for patients with BPD who generally experience intense emotions that they relieve using self-injurious behaviors. DBT has shown to be useful in treating a variety of issues including eating and mood disorders, as well as, reducing behaviors such as bingeing, purging, and cutting. DBT is an adapted version of Cognitive Behavioral Therapy (CBT), which combines reality testing along with mindfulness, interpersonal and distress tolerance skills training, and emotion regulation techniques.…

    • 770 Words
    • 4 Pages
    Improved Essays
  • Superior Essays

    Within the counseling field, there is a professional relationship between client and therapist. At the beginning of the relationship the client notices an issue and approaches a professional for help. The counselor simply guides them through the treatment process that will benefit the client with their lifestyle, self-worth, religion/spirituality, worldviews, or career path. In regards to this, a counselor will be assisting a client who is suffering from anxiety and depression with theoretical orientation. The counselor supporting the client is a 24-year-old, Caucasian, female, who is highly religious, and practices ideal empathy.…

    • 1226 Words
    • 5 Pages
    Superior Essays
  • Superior Essays

    Improving CISD to Reduce PTSD Amongst EMS Workers The current system for reducing Post Traumatic Stress Disorder (PTSD) amongst Emergency Medical Services (EMS) personnel is ineffective and there is a lack of uniformity in the implementation of the Critical Incident Stress Debriefing (CISD) in New York State. Introduction The U.S. Fire Administration identified that one barrier to recruitment and retention in emergency response personnel is the inadequate emotional support after a critical incident.…

    • 2391 Words
    • 10 Pages
    Superior Essays
  • Improved Essays

    Analysis Of Psychotherapy

    • 1078 Words
    • 5 Pages

    As mentioned previously, the study of psychotherapy encompasses a variety of theoretical approaches. Each form of therapy borrows elements from each other, while building upon new ideas and techniques to call their own. Psychotherapy is described as “A collaborative treatment based on the relationship between an individual and a psychologist. Grounded in dialogue, it provides a supportive environment that allows [the client] to talk openly with someone who’s objective, neutral, and nonjudgmental” (“Understanding Psychotherapy,” n.d.). Psychotherapy assists people in modifying their emotions, cognitions, and behaviors.…

    • 1078 Words
    • 5 Pages
    Improved Essays
  • Improved Essays

    Dialectical Behavior Therapy: Original Design Dialectical Behavior Therapy (DBT) was first developed by Marsha Linehan for the treatment of individuals suffering from Borderline Personality Disorder (BPD) and suicidal or self-injurious behavior (Swales, 2009). In her work with these individuals, Marsha noticed that many of them were not engaged in or collaborating with a therapeutic process based on change. She hypothesized that many of these individuals did not believe they had the ability to change, so a therapeutic method based on change was not going to work.…

    • 1118 Words
    • 4 Pages
    Improved Essays
  • Decent Essays

    Cognitive Behavioural Therapy (CBT) CBT was developed by Aron Beck who his ideas form research work of Albert Ellis’s Rational Emotive Behaviour Therapy (REBT). CBT, like the name suggests, is a hybrid of cognitive therapy and behaviour therapy. CBT talks about how our cognitive process has an effect on our emotions which in turn effects our behaviour. Initially CBT was used to treat only depression but after extensive research on the subject over the period of years, it is now used to treat other psychological disorders as well.…

    • 299 Words
    • 2 Pages
    Decent Essays
  • Decent Essays

    This article identifies that eating disorders are recognized as illnesses that are challenging to treat. Residential treatments may provide an advantage on patients towards recovery as they eliminate behavioral disruptions in regards to weight abnormalities and food consumption. The idea of eliminating the patients’ extreme nutritional abnormalities and the efforts to result in an ideally healthy body weight is a long-term process; thus, residential treatment is recommended. It also is not clear enough whether or not changes in the client’s cognition are as healthy in the day treatment programs compared to residential programs. Residential programs provide the necessary amount of treatment specifically for each individuals needs; resulting…

    • 181 Words
    • 1 Pages
    Decent Essays
  • Improved Essays

    Bulimia Nervosa Essay

    • 1329 Words
    • 6 Pages

    Bulimia nervosa is an eating disorder that is characterized by episodes of uncontrollable binge eating followed purging as a form of compensation including, self-induced vomiting; the misuse of laxatives, or diet medications; fasting; and excessive exercise. (Shapiro, et al., 2007) This disorder was categorized as separate diagnostic disorder in 1979, since then it has been found that Cognitive Behavioural Therapy (CBT) is most effective in combatting bulimic behaviours (Mitchell, et al., 2002). The use of CBT on Bulimia Nervosa has been found to be effective due to emphasis on both maladaptive cognitions and behaviours that contribute to the severity of the disorder. The Centre for Eating Disorders at Sheppard Pratt (2015) describes cognitions…

    • 1329 Words
    • 6 Pages
    Improved Essays
  • Superior Essays

    Eating Disorders in Female Athletes Females have struggled with their identity as well as their appearance on the athletic field. However female student athletes have struggled with trying to be the perfect athlete. Female athletes are at greater risk for getting eating disorders such as anorexia, bulimia, and binge eating because of the pressures sports bring but treatment helps the ones suffering overcome the disorder.…

    • 1396 Words
    • 6 Pages
    Superior Essays
  • Improved Essays

    Investigations In a 2012 study that tested the effect that dialectical behavior therapy has on borderline personality disorder, 180 adults (between 18 and 60 years old) that met the DSM criteria for BPD were assigned to either dialectical behavior therapy or general psychiatric management (GPM). After 12 months of treatment with DBT, the number of emergency room visits (for anything, not just suicidal behavior) decreased by about 25 percent; the number of emergency room visits that were related to suicidal behavior decreased by about 28 percent. In addition, the average number of days in a psychiatric hospital decreased by approximately 18 percent; from an average of 11 visits to an average of four. The average number of psychiatric admissions…

    • 1057 Words
    • 5 Pages
    Improved Essays
  • Improved Essays

    Dialectical behavior therapy (DBT) is “a complex and eclectic mix of group and individual sessions dealing with interpersonal skills, emotional regulation, problems solving, acceptance, and goal-setting” (Lyons & Martin, p. 204). This method has been effective in reducing some symptoms of this disorder. First-line pharmacology involving SSRIs and antimanic drugs has also been used as effective…

    • 768 Words
    • 4 Pages
    Improved Essays
  • Superior Essays

    Most people think that a person with an eating disorder can just stop what they are doing and start eating normally again. It is true the end goal is for a patient to begin eating substantial meals on daily bases, begin to gain back lost weight and to break the vicious cycle they are in (Morris, 2016). Although this is the main goal there are many people who have eating disorders that do not realize it. A person with anorexia nervosa may not realize they have an issue, or they might fear the amount of weight they would gain in recovery (APS). A person with bulimia nervosa might be scared that they are not treatable, or they may fear the stigma attached to their disorder (APS).…

    • 2268 Words
    • 10 Pages
    Superior Essays
  • Great Essays

    Dialectical Behavior Therapy, or DBT, was developed in 1993 by Marsha M. Linehan as a treatment for clients meeting the criteria for borderline personality disorder who are chronically suicidal (Linehan and Chen, 2004). Linehan developed this therapy out of the sentiment that there was an influx in borderline personality disorder diagnoses, and no successful treatment options specific to this diagnosis (Linehan, 1993). Linehan was influenced by behavior therapy and by Eastern mindfulness. The theory assumes that the DBT clinician is at a certain level of acceptance towards their client’s current distress (Linehan and Chen, 2004).…

    • 1905 Words
    • 8 Pages
    Great Essays