Foundations

Start here if you first want to understand how DBT is built, or do not yet know which module fits. The foundations prepare you for all four.

45 Foundations

Understand DBT

Core assumptions, emotion models and the balance between acceptance and change.
Framework

DBT - Overview

If you need the overall picture of DBT before you go into individual skills or modules.

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Principle

Dialectic

When acceptance and change must not be thought of against each other, but together.

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Framework

Biosocial theory

When it needs to be clear why high vulnerability and invalidation fuel each other.

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Framework

Emotion Regulation (Framework)

If you first have to understand how emotions change and where you can intervene.

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Framework

Emotional Dysregulation

When you first have to classify the core problem behind intense or difficult-to-control emotions.

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Framework

Invalidating environment

When it has to be seen how devaluation and not being seen exacerbate emotional problems.

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Teach skills and organise training

Skills training structure, therapeutic strategies and the approach to teaching.
Protocol

Behavioral Targets in Skills Training

When behavioral targets in skills training have to be prioritized and practically guided with a concrete protocol.

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Framework

Commitment Strategies

How DBT Builds Commitments – Pros & Cons, Devil's Advocate, Freedom to Choose

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Framework

Contingency Management

When behavior should not only be understood, but also specifically shaped through consequences.

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Protocol

Contingency Management Procedures

When contingency management needs to be applied directly in training or a treatment setting using a concrete protocol.

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Framework

DBT Skills Training Program Design

If you want to understand how DBT skills training is structured as a whole.

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Framework

DBT Skills Training Session Structure

If you want to see how a skills session is specifically structured and held together.

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Framework

DBT Skills Training Targets and Procedures

When goals, procedures and typical flow logic of skills training need to be made clear.

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Framework

DBT Strategies in Skills Training

If you want to understand the logic according to which skills are taught and maintained in training.

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Framework

Dialectical Strategies

Paradox, Metaphor, Devil's Advocate – Concrete Dialectical Techniques

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Framework

General Skills: Orientation and Behavior Analysis

If you need orientation first before you break down the behavior or suitable skills in more detail.

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Principle

Irreverence

Therapeutic Directness and Humor as a Tool – the Irreverent Communication Style

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Framework

Linehan Manual Structure

If you want to read the manual as a blueprint for the overall model and its modules.

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Principle

Radical Genuineness

Meeting the Client as a Capable Person – Without Patronizing

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Protocol

Skills Training Procedures

When the methodological standards of skills training need to be translated into a concrete, directly usable protocol.

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Framework

Skills Training Target Hierarchy

When it needs to be clarified which problems have priority in DBT.

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Protocol

Standard Skills Training Session Format

When a concrete standard protocol is needed to structure skills sessions clearly and consistently.

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Framework

Stylistic Strategies

Reciprocal and Irreverent Communication – DBT's Two Communication Styles

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Framework

Validation Strategies

6 Levels of Validation – from Attention to Radical Genuineness

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Analyse and practise

Behaviour analyses, worksheets and protocols for practical work.
Tool

Chain Analysis

If you want to understand a problematic pattern step by step backwards.

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Exercise

Chain Analysis of Problem Behavior Worksheet

When a problematic episode should be reconstructed step by step with a clear chain analysis worksheet.

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Protocol

Daily Practices for Emotional Health

If you want to embed skills as a daily nursing practice rather than just a crisis response.

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Tool

DBT Diary

If progress, triggers and skill usage should be made visible over time.

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Tool

Exposure-Based Cognitive Rehearsal

When effective reactions must be practiced in advance so that they are available in the real moment.

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Exercise

Missing Links Analysis Worksheet

When missing intermediate steps and skill gaps should be made visible with a clear worksheet.

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Tool

Missing-Links Analysis

If it is not clear which effective step has been missing in a difficult situation.

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Exercise

Pros and Cons of Using Skills Worksheet

When you want to not only understand Options for Solving Any Problem but concretely weigh the decision for effective skill use.

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Continue with a guiding question

Orientation for choosing and distinguishing relevant approaches.
Question

How Do I Change an Unwanted Emotion?

When there is a feeling and you need to clarify the next effective change step.

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Question

How Intensely Should I Ask or Say No?

When you need to clarify not only what you want to say, but also how clearly you should say it.

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Question

Is This Assertiveness Scripts or DEAR MAN?

If it is unclear whether you need a complete bundle or a specific discussion template.

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Question

Is This Self-Soothing or Improving the Moment?

When it's unclear whether you need to calm down or make the whole moment more bearable.

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Question

Is This Turning the Mind or Willingness?

If it is unclear whether you still have to turn back to acceptance or go on standby.

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Question

Is This Validation or Mutual Validation?

When it is unclear whether a perspective needs to be validated first or whether it needs to be made negotiable on both sides.

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Question

Is This Validation or Radical Acceptance?

When it is unclear whether an experience needs to be validated or a fact needs to be accepted.

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Framework

Options for Solving Any Problem

If the right basic direction is sought first and not the individual skill.

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Question

What Belongs to This Bundle?

If you first want to understand how a bundle is structured and which parts belong together.

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Question

What Helps Now Versus Long Term?

If you have to differentiate between immediate aid and longer-term development.

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Question

What Is the Difference Between These Skills?

When several skills sound similar but do not have the same task.

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Question

What Needs Acceptance Instead of Fight?

When fighting against facts creates more suffering and reality work becomes necessary.

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Question

Which Skill Helps Me First?

If you don't want to search first, but rather find the right first skill room.

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