Reply to cost of Dialectical Behavior Therapy

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Reply to "cost of Dialectical Behavior Therapy"

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[quote=Anonymous][quote=Anonymous][quote=Anonymous]As I understand it, DBT is a subset of cognitive behavioral therapy, could you start with a therapist who uses CBT with DBT as an option if needed?

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CBT is good for more typical anxiety and depression.  Kids with thoughts of self harm tend to be more emotional unstable, and are less able to identify their negative thoughts and feelings.  DBT adds mindfulness techniques to help them identify and accept negative feelings.[/quote]

Well said. Also, you pay more because the therapist really needs to be on call at all hours when not in session at the beginning of treatment. A CBT therapist might discourage late calls to teach boundaries, but a DBT therapist has to be willing to take those off hour calls while the client is learning to apply the skills. Often someone who needs DBT is going to need more emotional support to learn to apply the skills than your typical CBT client who can have a difficult time, apply the skills and wait until the session to discuss what worked and what didn't.
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