What is RO-DBT and how can it be used for Eating Disorders?

Radically Open Dialectical Behavior Therapy (RO-DBT) is a treatment approach developed specifically for individuals with disorders characterized by excessive self-control and overcontrolled behaviors. 

While it is primarily used for conditions such as chronic depression, treatment-resistant anxiety, and personality disorders, including obsessive-compulsive personality disorder, it has also shown great promise in the treatment of some eating disorders. 

RO-DBT focuses on individuals who exhibit excessive self-control and perfectionistic tendencies, often described as "overcontrolled." These individuals tend to suppress their emotions, have difficulty being flexible and adapting to change, and struggle with social connectedness and emotional expression.

The treatment is rooted in the principles of mindfulness, acceptance, and openness. It aims to help individuals increase their emotional and social flexibility, improve their ability to connect with others, and develop a more balanced sense of self.

RO-DBT incorporates specific skills training modules to address the core areas of emotional and social dysregulation. These modules include mindfulness, distress tolerance, emotion regulation, and interpersonal effectiveness.

RO-DBT may be helpful in the treatment of some eating disorders, particularly those characterized by rigid control, perfectionism, and emotional avoidance.

It can assist individuals in developing a more flexible relationship with food, addressing maladaptive beliefs and rules around eating, increasing emotional awareness and expression, and improving interpersonal functioning.

RO-DBT is often used as an adjunctive therapy to complement existing evidence-based treatments for eating disorders, such as cognitive-behavioral therapy (CBT) or dialectical behavior therapy (DBT).

It can provide additional strategies and interventions to target specific overcontrolled features that may hinder progress in treatment.

It's important to note that RO-DBT is a specialized treatment approach that requires training and expertise to deliver effectively. If you or someone you know is interested in exploring RO-DBT for an eating disorder, contact Kairos Wellness Collective today to be matched with a clinician who has received specific training in RO-DBT and has experience working with eating disorders. They can provide a thorough assessment and determine the suitability of this approach as part of an individualized treatment plan.