Dialectical Behavior Therapy – Counselors in Columbia SC

Dialectical behavior therapy (DBT) is an intervention intended for clients with borderline personality disorder, but it is increasingly being used for many other disorders because of its usefulness with clients who are unable to self-regulate and deal with stressful moments in their lives. is an intensive, highly structured program that’s been adapted specifically for adolescents with extreme emotional instability, including self-harm and suicidal ideation. The “dialectical” in DBT means the therapy works by dealing with two things at once that might seem contradictory: acceptance of feelings (mindfulness) and learning to use thinking to change feelings (CBT). DBT can used and help these clients with skills to better manage their emotions.

Using the DBT theory differs from traditional therapies such as CBT, since it can be applied to different areas when working with clients facing a broad range of conditions (including depression, anxiety, and bipolar disorder) in which emotional regulation plays a key role.

Through understanding and experiential exercises, the client will explore the four modules of skills taught in DBT (Core Mindfulness, Distress Tolerance, Emotion Regulation, and Interpersonal Effectiveness) and learn how to utilize these skills in their daily lives. The therapist helps the client learn how to format DBT skills and to provide the structure needed with client’s feels disregulated.

What skills does DBT teach?

DBT skills training is very structured; for adults, as well as, adolescents, it consists of five modules:

  • Mindfulness skills: Being present in the moment and understanding the signs of unregulated emotions
  • Emotion regulation skills: Coping with difficult situations by building pleasant, self-soothing experiences to protect from emotional extremes. There is a focus on the physical body: eating properly, getting enough sleep, taking their medicine and avoiding drug use or other maladaptive behaviors.
  • Interpersonal effectiveness skills: It’s often interactions with others that are the negative triggers for impulsive behaviors. The purpose is to teach adolescents how to interact more effectively with others, and enable them to feel more supported by others.
  • Distress tolerance skills: It’s being able to recognize urges to do things that would be ineffective, such as hurting themselves or trying to kill themselves and consciously controlling them.

Walking the middle path skill: Clients learn how to validate one another, how to compromise and negotiate, and how to see the other person’s side of things. This has to do with acknowledging multiple truths in the person’s worldview as contrasting to ‘I’m right and you’re wrong’.

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Thriveworks Counseling Columbia

Patrick is a STAR

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I was ready to give up hope of ever healing from PTSD when I found Thriveworks. Patrick’s approach using CPT...Read more

worked when traditional counseling by several other therapists had failed. I really was beginning to believe PTSD was just something I’d have to learn to live with, but Patrick taught me how to work through my issues using the worksheets on my own. As a military spouse, my time with Patrick had a deadline as my husband’s service time at Fort Jackson came to a close. Patrick ensured that I took with me the tools to continue working through my issues long after leaving his office. I can’t thank him enough for changing my inner voice, and giving me the power to stop negative thoughts and process them in a healthy way. Patrick changed my life and after struggling for all of my adult life, I finally have the confidence to live without shame and understand my value. He has a deep understanding of the unique struggles military couples face, and worked tirelessly with my husband and me. Thank you, and Patrick, for teaching me how to save myself and my marriage.

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I've been in and out of therapy and hospitals over the past couple of years. I have had bouts of depression a...Read more

nd a lot of trauma that I have had to work through. I also have a pattern of running away and getting mad when I'm challenged or things don't go my way, but this time I didn't run and haven't ran. Dr. Pena was very encouraging, down to earth, caring, and helpful which was a blessing. But warning to all, she is a busy lady and sometimes getting an apt can be tricky. But she will make time and do what she can to see you. My advice is get in and keep your apps, because there is a reason she is busy, but never too busy to return a text or come in when she didn't have to. Thank you because that little bit of care and time actually meant more to me than anyone can imagine.

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Patrick is great! He challenges you, but in a constructive manner. Scheduling with Thriveworks is amazing!

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  • 2805 Millwood Ave.
    Columbia , SC 29205

  • Mon-Fri:8AM-9PM
    Sat-Sun:8AM-5PM