Dialectical Behavioral Therapy
Dialectical behavior therapy (DBT) is a type of cognitive behavioral therapy that was developed to treat individuals with Borderline Personality Disorder by Dr. Marsha Linehan at the University of Washington. The main goal of DBT is to teach the individual skills to cope with stress, regulate emotions and improve relationships with others. DBT skill training uses the modules of Understanding Dialectics and the Middle Path; Mindfulness; Emotion Regulation, Distress Tolerance, and Interpersonal Effectiveness. The underlying principles of DBT are using acceptance and change strategies.
Cognitive Behavioral Therapy
Cognitive Behavioral Therapy (CBT) is a problem focused and goal directed therapy. CBT therapists teach patients to recognize irrational cognitions or thoughts and then change those thoughts by using adaptive coping mechanisms including distraction, imagery, and positive self-talk. In CBT, patients are assigned homework such as self-monitoring forms, which identify triggers, thoughts, feelings, behaviors, and consequences. CBT has been demonstrated to be effective for the treatment of depression, anxiety, eating, substance abuse, and psychotic disorders.
Prolonged Exposure Therapy is a cognitive behavioral treatment for Post-Traumatic Stress Disorder. After a traumatic event, many individuals experience distress when dealing with memories, thoughts, feelings, and situations related to the trauma. Prolonged Exposure Therapy is a type of therapy that helps decrease trauma-related symptoms by working through thoughts, feelings, and situations that have been avoided due to the distress they cause. Repeated exposure to these thoughts, feelings and situations helps reduce their intensity. Prolonged Exposure has four main parts:
- Education. Learn and understand your symptoms.
- Breathing. Learn how to control your breathing to manage immediate distress.
- Real world practice. Exposure practice with real-world situations is called in vivo exposure. You practice approaching situations that are safe, but which you may have been avoiding because they are related to the trauma. The less distress you feel, the more control you gain over your life.
- Talking through the trauma. Talking about your trauma memory over and over with your therapist is called imaginal exposure. Talking through the trauma helps you make sense of what happened.
EMDR (Eye Movement Desensitization and Reprocessing) is aN evidenced-based psychotherapy developed by Francine Shapiro, PhD. It enables people to heal from the symptoms of emotional distress that are the result of disturbing life experiences. Repeated studies show that by using EMDR people can experience the benefits of more traditional “talk” therapy that once took years to achieve. EMDR therapy shows that the mind can in fact heal from psychological trauma much as the body recovers from physical trauma.
When a foreign object enters your body via an injury, the body naturally heals once that object is removed. EMDR therapy demonstrates that a similar sequence of events occurs with mental processes. The brain’s information processing system naturally moves toward mental health. If that system is blocked by the impact of a disturbing event, the emotional wound festers and can cause intense suffering. The goal is to help the patient access their emotional and intellectual processes to transform painful, disempowered meaning to empowered meaning by using a detailed set of EMDR procedures and protocols. When patients conclude EMDR therapy, they feel empowered by the very experiences that once caused them so much pain.