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 community access and participation is always possible.

ACT is a provider under the NM DD Waiver.  We also serve individuals with developmental disability under NM Medicaid Salud program and several commercial insurance plans. 

See letter written to Parents Reaching Out.  The letter outines our services and our history serving this population. 

click here to view PRO Letter

* Dialectical Behavior Therapy (DBT)

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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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Adolescent DBT
 
We are sorry, but we are not accepting referrals for adolescents at this time.   
 
DBT for Adolescents – What’s this all about?  Are you considering DBT therapy, or are parents/significant adults in your life urging you to do so?  To help you make that decision, how about sitting at the computer with your parents/ significant adults and reading together the full description of our program; by doing so you are taking the first step in engaging the people in your life and asking them to be with you as you commit to creating a life worth living.  (And if you are a parent/significant adult seeking more detailed information on DBT, ask your teen to read through this section of the website with you.)  

Do I really need DBT?  DBT is all about managing emotions and changing those behaviors driven by our emotions that keep us from living a quality life.  When our emotions get in the way and life becomes overwhelming we may engage in self-defeating and dangerous behaviors to manage ourselves and the situation.  DBT is all about managing emotions and changing destructive behaviors through:·        Understanding and managing overwhelming emotions·        Learning more about yourself and how you respond to situations·        Dealing with difficult relationships·        Learning more effective ways to deal with distress·        Improving relationships in all areas of our life·        Acquiring skills that will last throughout your life. 

Maybe now you can answer if DBT can benefit you.
  Do the parents/significant adults in my life need DBT?This may seem like an easier question to answer, but wait and read on.  Your adolescence is all about discovering and experimenting with who are, what you believe, what you think and gaining independence from the adults around you.  These years are as challenging for them as they are for you (yes, true!) and sometimes the adults struggle themselves when they see their teenagers suffering.

By supporting you in DBT and working with a DBT therapist, the parents/significant adults in your life learn to be with you in ways that help you build confidence and competence and improve the way in which you communicate with each other.

 What am I committing to?


First, you are making a year long committment to therapy.  That includes individual therapy and parent / adolescent attend skills group tgether.  Most importantly you are making a long-term commitment to your life and living life with more awareness.  Secondly, you are making a commitment to work with your DBT therapist and the significant adults in your life to master the challenges you face as you move from adolescence into adulthood.  

 What does this commitment require?  Albuquerque Collaborative Therapeutics offers a fully adherent DBT program that encompasses weekly individual therapy and a weekly skills training group with your parents/significant adults. The skills class teaches you and the adults(s) in your life:·        Core Mindfulness – focusing your mind, directing your attention, understanding how and what you feel and are experiencing ·        Emotion Regulation – understanding why we have emotions and how they work; learning to tolerate uncomfortable emotions and how to increase positive emotional experiences; learning how to reduce your vulnerabilities to distressful emotional experiences and problem solve difficult emotions ·        Distress Tolerance – developing skills for crisis survival; learning how to reduce suffering ·        Interpersonal Effectiveness – how  to effectively communicate with others to keep relationships healthy while getting your needs met ·        Walking the Middle Path – learning the concepts of dialectics, validation and behavioral strategies with an emphasis on the special relationship between teenagers and the adults in their lives 

What do I do now?

If you are interested in the adolescent DBT program please call the office at 255-1756 and Lydia Fabbroni LISW, the program manager for the adolescent program will be happy to schedule an intake and answer any of your questions.