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Dialectical Behavior Therapy: An Introduction to the Philosophy and Skills Jancey Wickstrom, AM, LCSW Tweet us at NASWIL Overview ? Philosophy based treatment ? Overall goal: creating a meaningful life ? Skills are easily adaptable to variety of situations, abilities, and interests ? Helps a wide range of behaviors intended to regulate emotion Tweet us at NASWIL Dialectics ? Middle ground ? From either/or to both/and ? Black or White thinking to Black AND White thinking ? Emerged from repeated ineffective interventions ? Counteracts rigidity Tweet us at NASWIL Dialectic of DBT ? Acceptance ? Mindfulness ? Distress tolerance ? Change ? Emotion regulation ? Interpersonal effectiveness Tweet us at NASWIL DBT Framework ? Four ponents: –Skills training –Individual therapy –Telephone consultation –Consultation group Tweet us at NASWIL Consultation Agreements ? Dialectical Agreement ? Consultation to the Client Ag