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A review by morgan_blackledge
Dialectical Behavior Therapy for At-Risk Adolescents: A Practitioner's Guide to Treating Challenging Behavior Problems by Britt H. Rathbone, Pat Harvey
5.0
DBT is too good. I'm so happy the model is being expanded for applications outside of Borderline Personality Disorder (BPD) diagnosed populations.
When you think of other populations that share a lot of (if not all of) the cognitive, affective and behavioral traits with BPD, at risk adolescent populations are an immediate candidate.
It stands to reason that the interventions developed for BPD would be easily translatable to adolescents.
DBT posits emotional dysregulation as the antecedent for much of the populations problematic behaviors (e.g. self harming, substance abuse, oppositional defiant, and conduct disorder spectrum).
DBT focuses on behavioral chain analysis and emotional regulation skills as the primary intervention.
Sounds like a good fit for adolescents right? Simple, structured, and programmatic.
DBT also emphasizes the importance of validation of the clients feelings (not necessarily the behavior) on the part of the clinician. This also just kinda makes sense.
Another exciting aspect of this treatment protocol is the family component. The family receives training concurrent with individual treatment of the adolescent. The family gets essentially the same skills treatment as the adolescent. I can see this as being effective for a variety of reasons.
I currently primarily use Acceptance Commitment Therapy (ACT) and Motivational Interviewing (MI) in my work with adult opiate dependent populations.
ACT focusses on values clarification, acceptance of difficult emotions and de-fusion from distorted thinking as a means to empower values congruent action. Mindfulness is employed to accomplish those means. And after some tailoring, I have been able to use ACT with my clients very productively.
However:
After reading this material I can see how effective the DBT approach could be with at risk adolescents. I'm reading it in preparation for my new job working with (you guessed it) at risk adolescent (or transitional aged youth) boys (18-25). After reading this book I feel very empowered to use these interventions.
I'll probably get my ass handed to me at first. It's supposed to be one of the hardest populations to work with. But the structure and simplicity of DBT, Not to mention the no nonsense, industrial strength mood of it, make me feel pretty good about using the approach at my new gig.
When you think of other populations that share a lot of (if not all of) the cognitive, affective and behavioral traits with BPD, at risk adolescent populations are an immediate candidate.
It stands to reason that the interventions developed for BPD would be easily translatable to adolescents.
DBT posits emotional dysregulation as the antecedent for much of the populations problematic behaviors (e.g. self harming, substance abuse, oppositional defiant, and conduct disorder spectrum).
DBT focuses on behavioral chain analysis and emotional regulation skills as the primary intervention.
Sounds like a good fit for adolescents right? Simple, structured, and programmatic.
DBT also emphasizes the importance of validation of the clients feelings (not necessarily the behavior) on the part of the clinician. This also just kinda makes sense.
Another exciting aspect of this treatment protocol is the family component. The family receives training concurrent with individual treatment of the adolescent. The family gets essentially the same skills treatment as the adolescent. I can see this as being effective for a variety of reasons.
I currently primarily use Acceptance Commitment Therapy (ACT) and Motivational Interviewing (MI) in my work with adult opiate dependent populations.
ACT focusses on values clarification, acceptance of difficult emotions and de-fusion from distorted thinking as a means to empower values congruent action. Mindfulness is employed to accomplish those means. And after some tailoring, I have been able to use ACT with my clients very productively.
However:
After reading this material I can see how effective the DBT approach could be with at risk adolescents. I'm reading it in preparation for my new job working with (you guessed it) at risk adolescent (or transitional aged youth) boys (18-25). After reading this book I feel very empowered to use these interventions.
I'll probably get my ass handed to me at first. It's supposed to be one of the hardest populations to work with. But the structure and simplicity of DBT, Not to mention the no nonsense, industrial strength mood of it, make me feel pretty good about using the approach at my new gig.