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DBT Archives - Suzanne Wallach

Can DBT Help With Anxiety?

anxiety-help

Anxiety is the body’s natural response to stress. Anxiety will manifest differently in different people. The feelings of anxiety can range from mild to severe. While fleeting anxiety is unavoidable, it is not healthy for an individual to experience persistent and debilitating symptoms of anxiety. An individual may be struggling with an anxiety disorder when pervasive anxiety interferes with his or her ability to function in daily life. The National Alliance on Mental Illness (NAMI) asserts: “Anxiety disorders are a group of related conditions, each having unique symptoms. However, all anxiety disorders have one thing in common: persistent, excessive fear or worry in situations that are not threatening.” There are currently five distinct types of anxiety disorders listed in the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5). They include the following: generalized anxiety disorder (GAD), obsessive-compulsive disorder (OCD), panic disorder, post-traumatic stress disorder (PTSD) and social anxiety disorder (social phobia). According to the American Psychiatric Association, close to thirty percent of adults in America struggle with an anxiety disorder at some point in their lives. 

Dialectical Behavior Therapy

Dialectical behavior therapy (DBT) is an evidence-based psychotherapy treatment that was originally developed by Marsha M. Linehan, in the late 1980s to more effectively treat chronically suicidal individuals diagnosed with borderline personality disorder (BPD). Since its inception, dialectical behavior therapy has been and remains the gold standard method of treatment for individuals diagnosed with BPD, and its efficacy has also expanded to other ailments. DBT is based on the cognitive behavioral therapy (CBT) approach that relies on talk therapy and emphasizes the psychosocial aspects of treatment. It utilizes a multifaceted approach that consists of weekly individual psychotherapy sessions, weekly DBT skills training group therapy sessions, and as-needed phone coaching between sessions. DBT strives to help individuals learn to identify triggers outside of themselves and pair those triggers with healthy responses and coping mechanisms. This is accomplished through focusing on and cultivating therapeutic skills in four main areas, known as the four modules, which are: 

  • Core mindfulness: focuses on improving an individual’s ability to accept and be present in the current moment
  1. Distress tolerance: focuses on increasing an individual’s ability to tolerate pain that may arise from difficult situations, as opposed to trying to change and/ or escape it
  2. Interpersonal effectiveness: focuses on teaching techniques that enable a person to communicate with others in a way that is assertive, maintains self-respect, and simultaneously strengthens relationships
  3. Emotion regulation: focuses on decreasing emotional impulsivity by shifting intense emotion without reacting instinctively to them

An individual that suffers from debilitating anxiety will benefit most from a customized treatment plan. DBT offers both the ability to provide personalized therapeutic support through the individual therapy sessions, as well as peer support in DBT skills training group therapy sessions. Through DBT an individual can learn an array of effective coping mechanisms and anxiety management strategies that can help to prevent, reduce, and even become more resilient towards anxiety.

The information above is provided for the use of informational purposes only. The above content is not to be substituted for professional advice, diagnosis, or treatment, as in no way is it intended as an attempt to practice medicine, give specific medical advice, including, without limitation, advice concerning the topic of mental health. As such, please do not use any material provided above to disregard professional advice or delay seeking treatment.

What Type Of Therapy Is Best For Eating Disorders?

woman receiving therapy for an eating disorder

Eating disorders are serious mental illnesses. They are characterized by abnormal, irregular eating habits, and an extreme concern with one’s body weight or shape. There are several different manifestations of eating disorders. The various types are listed in the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5) under the Disorder Class: Feeding and Eating Disorders. The three most common eating disorders are anorexia nervosa, bulimia nervosa and binge-eating disorder. Eating disorders can be debilitating and can adversely affect a person’s emotions, health, and interfere with one’s ability to adequately function in his or her daily life. If left untreated, eating disorders can result in severe short and long-term consequences. 

Every individual is different and will react distinctly to the array of therapeutic treatment modalities available. The treatment plan for an individual diagnosed with an eating disorder will be directly informed by several contributing factors, such as: the exact diagnosis, how long he or she has been actively engaging in unhealthy eating habits, his or her personal health history, and the presence of any co-morbid disorders. Some of the most frequently relied upon therapeutic treatment methods when treating eating disorders could include, but are not limited to cognitive behavioral therapy, dialectical behavior therapy, and interpersonal therapy.

Cognitive Behavioral Therapy

Cognitive behavioral therapy (CBT) works by addressing one’s thoughts. It holds the basic assumption that one’s thoughts govern one’s feelings, which in turn affects one’s behaviors. Through CBT an individual’s unhelpful cognitive distortions and behaviors are challenged and disrupted, essentially prohibiting one’s ability to maintain dysfunctional eating habits.

Dialectical Behavior Therapy

Dialectical Behavior Therapy (DBT) is recognized as an effective method of treatment for an individual diagnosed with an eating disorder. DBT can help an individual learn useful self-management skills, reduce stress, minimize anxiety, and learn to control destructive eating behaviors. DBT promotes acceptance and teaches individuals how to live in the present moment and cope with emotional triggers that may otherwise perpetuate unhealthy symptoms and behaviors associated with eating disorders. 

Interpersonal Therapy

Interpersonal therapy (IPT) a therapeutic modality that is most often used to treat individuals who suffer from psychiatric disorders such as anxiety disorders, eating disorders, depression, etc. Interpersonal therapy focuses on how a person’s communications and interactions with other people affect one’s own mental health. Through interpersonal therapy an individual will learn to resolve and adjust unhealthy interpersonal problems, resulting in a symptomatic recovery.

When posed with the question: What type of therapy is best for eating disorders? The answer is variable as there are countless factors that must be considered which make it is impossible to provide a definitive answer regarding the universal efficacy of any single type of therapy. In order to provide the most effective treatment, including a variety of different types of therapies into one’s treatment plan may be advantageous.

Disclaimer: 

The information above is provided for the use of informational purposes only. The above content is not to be substituted for professional advice, diagnosis, or treatment, as in no way is it intended as an attempt to practice medicine, give specific medical advice, including, without limitation, advice concerning the topic of mental health.  As such, please do not use any material provided above as a means to disregard professional advice or delay seeking treatment.