Albuquerque Collaborative Therapeutics
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* Behavior Support Consultation for Persons with Developmental Disability

Behavioral support consultation services assist individuals with developmental disabilities in learning skills to live successfully in the least restrictive environment possible.  Therapists work to educate and consult to providers and participants regarding disability and specific behavioral interventions so that full community access and participation is always possible.

* Dialectical Behavior Therapy (DBT)

Dialectical Behavior Therapy was developed by Marsha Linehan, Ph.D, in 1991.  DBT is an evidence-based treatment utilized to treat women with borderline personality disorder and persons with suicidal and self-harming behavior.   It is, to date, the only treatment supported by research that successfully treats individuals with borderline personality disorder, self-harm and suicidal behavior. 

 

DBT has been demonstrated to be effective in reducing suicidal and self-harming behavior and hospitalizations.  DBT is also utilized to assist individuals who are experiencing difficulty with mood dependent behavior and/or have difficulty regulating emotional responses, but who are not diagnosed with borderline personality disorder.  DBT is most appropriate treating multiple disordered individuals who have been unsuccessfully treated in other more traditional psychotherapy modalities.    

DBT is a cognitive behavioral treatment that teaches skills to manage mood, emotions and behavior.  Skills taught include interpersonal effectiveness, emotion regulation and distress tolerance.  Weaved into these skills are core mindfulness skills.

 

Standard DBT is delivered in four modalities.  These include skills groups, individual DBT treatment, phone coaching and consultation to the therapist.  DBT includes at least one individual therapy session per week and attendance in the skills group.  Phone coaching after hours is available, and therapists participate in a weekly two-hour consultation team.  DBT is therapy delivered by a team of therapists.  The team functions to support the therapists and assist them in staying adherent to the principles of DBT. 

 

DBT treatment is about assisting the participant in obtaining a "life worth living".  A life worth living is one that is not put at risk with suicidal, self-harming behaviors. 

 

Participants in DBT are asked to make a year commitment to therapy.  It is during this year that skills are acquired to regulate emotions and behaviors, remain out of inpatient settings and begin to build their life worth living. 

 

DBT services are considered appropriate for the following: 

 

  • Borderline Personality Disorder
  • Problems with mood-dependant behavior
  • Extreme difficulties regulating emotions
  • Multiple disordered individuals
  • Suicidal / Self-harming behavior
  • Substance abuse (will be assessed for need of higher level of care)
  • Eating disorder (will be assessed for need of higher level of care)

 

A diagnosis of borderline personality disorder is not the only criteria for acceptance into DBT services. 

 

 

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