As I understand it, DBT is designed to 1) make clients aware of their self-destructive behaviors , 2) draw connections between internal/external triggers and self-destructive “acting out,” 3)underscore the client’s ability to control how she (because only women have BPD- the target audience of DBT) react to those triggers.
This therapy is about as personalized as an Intelevision Atari game circa 1982. It seems as though the goal is to eliminate all other Axis besides II. If you don’t realize that a patient has an eating disorder and suffersfrom severe depression, “trying to appear as unhealthy as possible” is great line for a PD dX. Without Axis III– patient admitted lastweek via ER with an HB of 3.7, blood tX x6 required, IV antibiotics, the Axis II continues “patient continues to cancel appointments, this weeks she announces thatshe went to theER and was so anemic that she had to take iron.” (sic)
Yes, it appears that everything from affective disorders to bleeding ulcers can be explained away as personality disorders– if only the Schizoaffectives would bother to chart their moods properly, a clear pattern would emerge and a plan of remedy put into place.
Obviously DBTworks for some people. I’m willing to bet these are the same folks who actually go under when hypnotized. But for someone like myself, who has been dutifullydetailing the sums of my daily faults for as long as I can remember, it’s just an extrasupplyof paper for airplanes.
Re: DBT (dialectical behavioral therapy)
Quote from anafagodma on 11. Jun 2006 at 09:08:
THIS would be why I find therapy so damn useless.
As soon as any one of these Tdocs or MSWs can hand me an “erase” button for the “tapes” that play on endless “re-loop” in my head…. then I’ll start writing them checks (again? continually?).
Until then… I don’t know, maybe I’ll grumble at the dog or something.