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Dialectical Behaviour Therapy in Perth North Metro Area Margaret Cole 11th July 2022 Goal To Build A Life Worth Living Steps 1. Clear Structure 2. Do Behaviour Therapy 3. Add Validation 4. Add Dialectics 5. Add Mindfulness 1. Clear Structure Assumptions About Clients amp。 Therapy 1. Clients are doing the best they can 2. Clients want to improve 3. Clients need to do better, try harder and be more motivated to change 4. Clients may not have caused all of their own problems but they have to solve them anyway 5. The lives of suicidal borderline individuals are unbearable as they are currently being lived 6. Clients must learn new behaviours in all relevant contexts 7. Clients cannot fail in therapy 8. Therapists treating borderline clients need support Assumptions about Therapy amp。 Therapists 1. The most caring thing a therapist can do is help clients change in ways that bring them closer to their ultimate goals (unwavering centredness) 2. Clarity, precision and passion are of the utmost importance in the conduct of DBT 3. The therapeutic relationship is a real relationship between equals (there are differences in expertise but no arbitrary power differential) 4. Principles of behaviour are universal, affecting therapists no less than clients 5. DBT therapists can fail 6. DBT therapy can fail even when therapists do not 7. Therapists treating borderline clients need support Agreements Therapist Agreements EVERY REASONABLE EFFORT AGREEMENT ETHICS AGREEMENT PERSONAL CONTACT AGREEMENT CONSULTATION AGREEMENT Therapist Consult