Dialectical Behavior Therapy Case Study Examples

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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).
Since the formation of DBT, there have been more than 15 randomized controlled trials that have shown it to be
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In the case of Marcy, she has a history of cutting herself and has stated that she has created a suicide plan in the past. Her history of unstable relationships, feelings of isolation, inability to regulate mood, and recurrent suicidal thoughts and behaviors point to a BPD diagnosis, making DBT an appropriate treatment. DBT is a comprehensive treatment that consists of individual therapy, group therapy, phone coaching, and a therapist consultation team. There are five different functions of DBT which include, enhancing capabilities, generalizing capabilities, improving motivation and reducing dysfunctional behaviors, enhancing and maintaining therapy capabilities and motivation, and structuring the environment (Chapman, 2006). Therefore, DBT is an extensive treatment and requires the client to be fully engaged in order to accomplish the goals and reach positive …show more content…
Description: Marcy will participate in therapy services to reduce/alleviate reported symptoms.
Start Date: 11/8/16 Target Date: 11/7/17

Short Term Goal: Marcy will refrain from drug use and will be able to pass a drug test in three months.
Start Date: 11/8/16 Target Date: 2/8/17

Short Term Goal: Marcy will focus on becoming more independent.
Description: Marcy will initiate enjoyable activities that can be accomplished alone and are not dependent on someone else to do with her. Marcy will report and describe her level of comfort with being alone or independent.
Start Date: 11/8/16 Target Date: 5/8/17

Short Term Goal: Marcy will reduce the amount of suicidal ideations by 50%.
Description: Clinician will encourage Marcy to express the feelings that motivate her self-mutilating behavior and how those feelings are relieved by such

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