What is Dialectical Behavioral Therapy and can it be done one on one?

Question

I HATE groups and DBT groups are all I can find. I REALLY need to find a therapist (preferably in TX for now) that does it one on one if possible. Any1 know?

Answer 1

http://www.wtcmhmr.org/poc/view_doc.php?type=doc&id=8135&cn=91
West Texas
Centers
For MHMR
319 Runnels
Big Spring, TX 79720

http://scf.mhmrtc.org/poc/view_doc.php?id=292&type=book&cn=91
3840 Hulen Street
Fort Worth, Texas 76107
Tel:[phone]
Email Contact

Answer 2

If you are considered to be in Crisis the answer is Yes!

Basically, DBT maintains that some people, due to invalidating environments during upbringing and due to biological factors as yet unknown, react abnormally to emotional stimulation. Their level of arousal goes up much more quickly, peaks at a higher level, and takes more time to return to baseline. This explains why borderlines are known for crisis-strewn lives and extreme emotional lability (emotions that shift rapidly). Because of their past invalidation, they don't have any methods for coping with these sudden, intense surges of emotion. DBT is a method for teaching skills that will help in this task.
How it works
Dialectical Behavioral Therapy (DBT) consists of two parts:

1. Once-weekly psychotherapy sessions in which a particular problematic behavior or event from the past week is explored in detail, beginning with the chain of events leading up to it, going through alternative solutions that might have been used, and examining what kept the client from using more adaptive solutions to the problem:

Both between and during sessions, the therapist actively teaches and reinforces adaptive behaviors, especially as they occur within the therapeutic relationship. . . the emphasis is on teaching patients how to manage emotional trauma rather than reducing or taking them out of crises. . . . Telephone contact with the individual therapist between sessions is part of DBT procedures.
(Linehan, 1991)

DBT targets behaviors in a descending hierarchy:
* decreasing high-risk suicidal behaviors
* decreasing responses or behaviors (by either therapist or patient) that interfere with therapy
* decreasing behaviors that interfere with/reduce quality of life
* decreasing and dealing with post-traumatic stress responses
* enhancing respect for self
* acquisition of the behavioral skills taught in group
* additional goals set by patient
2. Weekly 2.5-hour group therapy sessions in which interpersonal effectiveness, distress tolerance/reality acceptance skills, emotion regulation, and mindfulness skills are taught Group therapists are not available over the phone between sessions; they refer patients in crisis to the individual therapist.

Answer 3

I'm actually in a DBT group right now and it's been VERY helpful to me. I guess it can be done one on one. Mine is in a group setting, though. Try it and you may find it helpful, too.