Reply to DBT increases anxiety, depression and family conflict

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[quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous]This study was about the application of DBT universally via the schools, not about DBT in the clinical setting.  Two different things.  Probably associated with whether the parental unit in these school based programs was involved the way clinical adolescent programs are structured.[/quote]

I cannot imagine for a minute that any school personnel would be able to deliver DBT effectively to students - neither counselors, nor teachers, nor school psychologists. [/quote]

Well, the article says:

“The sessions were delivered by clinical psychologists with DBT training and at least a year’s experience doing DBT in their practice.”

Pretty damning study. Just one study, but still. [/quote]

Yeah but they didn't actually do DBT.  DBT has multiple components (individual therapy, group skills training, phone consultation with the therapist, and then the therapist themselves consults with other therapists regularly.)  This is only the group skills training part, and not only that, but it's only 8 hours of group skills training (rather than dozens of hours like in actual DBT.)  It's a super duper watered-down version of DBT. [/quote]

DP.  If you have familiarity with DBT (I don't have any and it sounds like you do), would you anticipate that a super duper watered-down version of DBT would be harmful to students and families, immediately and six months later?

This point is important.  This stuff isn't harmless and can be damaging.  [/quote]

DP here. I disagree with PP that unless a treatment isn’t a comprehensive program it’s not really DBT. DBT is a type of CBT that focuses on the apparent paradox that we are okay the way we are and we can improve to have a better life. The main components are distress tolerance, mindfulness, emotional regulation, and interpersonal effectiveness. There is not just one DBT way, although many programs are comprehensive like PP says.

And no, PP, the “watered down” version is not going to be any more harmful than a comprehensive program in a clinical setting, or at least won’t be more harmful than doing therapy for any one of those components on its own. [/quote]

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