DBT Prolonged Exposure Therapy: How does it work?
DBT Prolonged Exposure therapy is an integration of two evidence-based treatments: Dialectical Behavior Therapy (DBT) and Prolonged Exposure (PE) therapy. It is primarily used in the treatment of individuals who experience both post-traumatic stress disorder (PTSD) and emotion dysregulation, which may be present in conditions such as borderline personality disorder (BPD). Here's an overview of each component:
Dialectical Behavior Therapy (DBT): DBT is a comprehensive treatment approach developed by Dr. Marsha M. Linehan to help individuals who struggle with emotion dysregulation, self-destructive behaviors, and difficulties in relationships. It combines elements of cognitive-behavioral therapy (CBT) with acceptance-based strategies. DBT focuses on developing four key skill sets: mindfulness, distress tolerance, emotion regulation, and interpersonal effectiveness.
Prolonged Exposure (PE) Therapy: PE therapy is an evidence-based treatment for PTSD. It aims to reduce symptoms by gradually exposing individuals to traumatic memories, thoughts, and situations that they have been avoiding. Through repeated and prolonged exposure, individuals can process and re-evaluate traumatic memories, allowing for the reduction of avoidance behaviors and distress associated with the traumatic event.
DBT Prolonged Exposure therapy integrates these two treatment approaches to address the specific needs of individuals who have both PTSD and difficulties with emotion regulation. The therapy typically involves the following components:
Safety and Stabilization: Initially, the therapy focuses on establishing safety and stabilizing emotion dysregulation through the use of DBT skills. This includes learning mindfulness techniques, distress tolerance strategies, and emotion regulation skills to build a foundation for addressing traumatic memories.
Prolonged Exposure: The therapist guides the individual through a gradual and structured process of exposure to traumatic memories, thoughts, and situations. This may involve revisiting the traumatic event through imaginal exposure (recounting the event in detail) and in vivo exposure (facing avoided situations related to the trauma).
DBT Skills Integration: Throughout the therapy, DBT skills are integrated to support emotion regulation and distress tolerance during the exposure process. This includes using mindfulness techniques to observe and accept distressing emotions, applying distress tolerance skills to manage any discomfort, and utilizing emotion regulation strategies to modulate emotional responses.
Therapeutic Relationship: The therapist maintains a supportive and validating therapeutic relationship, following the principles of DBT, to provide a safe environment for the individual during the exposure process. The therapist helps the individual process and integrate the emotional experiences that arise during exposure sessions.
DBT Prolonged Exposure therapy requires specialized training and is typically conducted by therapists experienced in both DBT and PE therapy. It is tailored to each individual's needs and progresses at a pace that ensures safety and therapeutic effectiveness. The ultimate goal is to reduce PTSD symptoms and improve overall emotional functioning and quality of life.
If you are interested in learning more about DBT Prolonged Exposure therapy, please contact Kairos Wellness Collective today.
