Dialectical Behavioural Therapy is a type of therapy that combines standard cognitive behaviour techniques with concepts derived from Buddhist meditative practice. DBT was developed to treat people with borderline personality disorder and indeed, is the first therapy that has been demonstrated to be effective for treating this disorder.
The aim of DBT is to create a practical way to help those who otherwise may remain resistant to treatment. DBT is a hybrid approach consisting of elements such as cognitive behaviour therapy (with the emphasis on the here and now), dialectical thinking (emphasising the limitations of linear ideas), Zen Buddhism (with the key concept of mindfulness) and metaphorical thinking (with the goal of viewing the situations practically).
DBT accepts and works with the fact that some people, due to environment and/or biology, react abnormally to emotional stimulation. Their levels of arousal rise very quickly and peak at a higher level than the average individual, because due to their past experiences they do not have a method of coping with these intense and often sudden surges of emotions.
is a set of skills that help you focus your attention and live your life in the present, rather than being distracted by worries about the past or the future. The mindfulness module may be repeated between modules and sessions may often start with a short mindfulness exercise.
teaches you how to ask for things and say no to other people, while maintaining your self-respect and important relationships.
is a set of skills you can use to understand, be more aware and have more control over your emotions.
teaches you how you can deal with crises in a more effective way, without having to resort to harmful behaviours such as self-harm.
The second function is generalising treatment gains into the client's life and natural environment. This is acheived through homeworok assignments and learning to improve upon skills practiced.
Each week the therapist will ask the client to complete a self monitoring form called a 'diary card', on which they track various treatment targets such as self harm, suicide attempts, emotional misery.
The Therapist needs to maintain their motivation and skill to treat client with BPD. BPD clients can be stimulating but challenging too. Therapist will undertake regular clinical supervion and good support.
In DBT, the Therapist is the primary Therapist and incharge of the treatment team. Structuring the environment also involve helping the client to find ways to modify their environemnt.
Borderline Personality Disorder / Emotional Unstable Personality Disorder is a serious disorder with many consequences for those who suffer from it. People with BPD/EUPD suffer from wide range of volatility. Such volatility and instability occur in their emotions, inter-personal relationships, self-view and in the ability to regulate their behavaviors.
We offer 12, 6 and 4 individual therapy treatment plans which typically involves weekly one-to-one sessions. Each treatment session lasts 50 minutes. The individual sessions have a hierarchy of goals:
• To help keep you safe – by reducing suicidal and self-harming behaviours.
• To reduce behaviours that interfere with therapy – by addressing any issues that might come in the way of you getting treatment.
• To help you reach your goals and improve your quality of life – by addressing anything that interferes with this, such as other mental health problems like depression or hearing voices, or problems in your personal life such as employment or relationship problems.
• To help you learn new skills to replace unhelpful behaviours and help you achieve your goals.
In these sessions your DBT therapists will teach you skills in a group setting. There are usually two therapists in a group and the sessions typically occur every week for either 6 or 12 weeks depending on which plan you choose. The room is sometimes arranged like a classroom where your Therapist (skills trainers) will be sat at the front. The aim of these sessions is to teach you skills that you apply to your day-to-day life.
In these group sessions you may be asked to do group exercises and use role-play to help you learn the new skills. You are also given homework each week to help you practise these skills in your day-to-day life. By completing the homework weekly, you might find that these skills gradually become second nature and you become better at dealing with difficult situations.
What Our Clients Say
When I approached Bradley for life coaching, I was lacking in confidence had little belief in myself. Over the course of 6 coaching sessions, I started to develop self belief, self acceptance and felt much more confident than I did before. Thank you for all your help, Bradley.
I completed 6 sessions of CBT therapy treatment with Bradley. I was suffering from severe anxiety and depression and would shy away from undertaking even the simpliest tasks because I felt unenergetic and wortheless. Bradley was recommended to me by a friend, as a therapist who may be able to help with my issues. When I contacted Bradley, I found him to be understanding and patient but moreover very knowledgable of the causes and symptoms of my conditions. I continued therapy with him and within 4 sessions I started to notice differences in myself - I felt more confident and was willing to pursue goals I could only dream of achieving. I am so grateful for Bradley's help and would recommend him to anyone who is experiencing personal issues. Once again thank you Bradley!