Dialectical Behaviour Therapy in Ireland

Dialectical Behaviour Therapy is a treatment programme aimed at helping people with ongoing difficulties managing intense emotions.

Problems in regulating emotions can lead to considerable mental health difficulties such as increased risk of clinical depression, anxiety, deliberate self-harm and suicide and DBT (Dialectical Behaviour Therapy) teaches people skills to deal with their intense emotions.

What is DBT?

Dialectical Behaviour Therapy (DBT) is a treatment programme aimed at helping people with ongoing difficulties to manage intense emotions. Problems in regulating emotions can lead to considerable mental health difficulties such as increased risk of clinical depression, anxiety, deliberate self-harm and suicide and DBT teaches people skills to deal with their intense emotions.

DBT is an evidence based treatment which is typically provided within Community Mental Health Services in Ireland. Individuals referred to DBT programmes may have received a diagnosis of Borderline Personality Disorder (BPD) or Emotionally Unstable Personality Disorder (EUPD). Emotion dysregulation is the core feature of these presentations. Emotion dysregulation often results in other forms of dysregulation including behaviour, cognitive, self, and interpersonal dysregulation.

DBT was originally developed by Marsha Linehan, Ph.D. in 1993, as an alternative treatment for individuals for whom other therapies may not have been effective. More than 20 years of worldwide research have supported this approach. Over time, DBT has been adapted to treat a range of disorders with similar difficulties such as eating disorders and substance dependence.

In this video, Dr. Marsha Linehan talks to Daniel Flynn about Dialectical Behaviour Therapy:

DBT is suitable for adults and adolescents. This clip provides more information on the structure of a DBT programme for young people:

Module 1 Introduction to Dialectical Behaviour Therapy (DBT)

Module 1: Introduction to Dialectical Behaviour Therapy (DBT)

Would you like to know more about Dialectical Behaviour Therapy (DBT), and how it might help you and your service users?

This one day introductory session will: •  Outline the core principles and features of DBT. •  Review the evidence for DBT’s effectiveness in treating problems such as deliberate self-harm, suicidal behaviour, severe emotional dysregulation and borderline personality disorder/emotionally unstable personality disorder. •  Provide a forum for small group discussion to consider factors relevant to implementing DBT in your service. •  Address questions relating to the implementation and/or expansion of DBT in your service.
Training Sessions The programme is facilitated by individuals trained in Family Connections. It is held for 2 to 2.5 hours one evening per week for 12 weeks. In each session, participants will have the opportunity to increase their understanding and consider new skills to cope more effectively in response to their loved ones self-destructive behaviours. The skills are discussed and practiced in the session. People have time to ask questions, share experiences and gain some professional and peer support. Informal discussion over a cup of tea or coffee is an integral part of building up support. Participants will be asked to reflect on the sessions from week to week and are encouraged to practice some of the newly acquired skills. Skills Reflect Discuss Support Practice InvitationAssessmentCorrespondenceAvailabilityInformation TRAINER AUDIENCE
Intended Audience: Interested clinicians employed as mental health professionals in the HSE/HSE-funded agencies, other frontline healthcare workers, service managers, administrators, and students in mental health settings.

Module 2: Applying Dialectical Behavior Therapy (DBT) Principles in Healthcare

We will provide practical understanding and guidance on how to address these questions. This workshop will introduce the principles which shape behaviour, the concept of dialectics, along with the models and assumptions which underpin DBT. It will also include an applied focus on how these principles are relevant across clinical settings. The training aims to enhance your capacity to effectively support people with emotional dysregulation, in your routine work across healthcare settings.

Prerequisite: Applicants will have completed Module 1: Introduction to DBT.

This one day introductory session will:
•  How can I effectively support a person who is in emotional crisis in my routine clinical practice?
•  How can I optimise the effectiveness of my clinical engagement with clients with severe emotional dysregulation in my current role?
•  How can I better understand the experience of someone with severe emotion dysregulation?

Training Sessions The programme is facilitated by individuals trained in Family Connections. It is held for 2 to 2.5 hours one evening per week for 12 weeks. In each session, participants will have the opportunity to increase their understanding and consider new skills to cope more effectively in response to their loved ones self-destructive behaviours. The skills are discussed and practiced in the session. People have time to ask questions, share experiences and gain some professional and peer support. Informal discussion over a cup of tea or coffee is an integral part of building up support. Participants will be asked to reflect on the sessions from week to week and are encouraged to practice some of the newly acquired skills. Skills Reflect Discuss Support Practice InvitationAssessmentCorrespondenceAvailabilityInformation TRAINER AUDIENCE

Intended Audience: Interested clinicians employed as mental health professionals in the HSE/HSE-funded agencies, other frontline health workers, and students in mental health settings.

Module 2 Applying Dialectical Behavior Therapy (DBT) Principles in Healthcare