DBT

Dialectical Behaviour Therapy (DBT) has been evaluated in more clinical research than any other psychological therapy for Borderline Personality Disorder (BPD).

At The Glow Centre, we offer a range of DBT-informed interventions, including individual DBT, skills training groups, and a combination of both. Please note that we are not currently offering comprehensive DBT.

When someone is referred to us for DBT, we perform a thorough assessment and develop an individualised treatment plan in collaboration with our client, depending on the level of intensity that each requires.

For more information about DBT at The Glow Centre, see our page Treatment for Borderline Personality Disorder

DBT PE

The Dialectical Behaviour Therapy Prolonged Exposure protocol (DBT PE) is the second stage of treatment for people with BPD, which targets their symptoms of PTSD. The DBT portion of the treatment focuses on helping individuals with emotional, cognitive, behavioural and interpersonal dysregulation resulting from exposure to trauma learn new coping skills for problems such as suicidal behaviour, self-harm, severe dissociation. Once sufficient control is established over these behaviours, Prolonged Exposure (PE) therapy is implemented to target PTSD. The exact timing of the PE portion of the treatment will vary depending on the individual’s clinical needs.

For more information about DBT PE, you can visit https://dbtpe.org/treatment-overview.

PE

Prolonged Exposure (PE) therapy was originally developed in the 1990s, to treat PTSD. The name Prolonged Exposure reflects the fact that the treatment program emerged from the long tradition of exposure therapy for anxiety disorders in which clients are helped to confront safe but anxiety-provoking situations in order to overcome their fear. To date, treatment such as PE that use exposure therapy have received the most research support for their effectiveness in treating PTSD, and have been designated by expert consensus as a first-line treatment for PTSD. The strong effectiveness of exposure therapy has been demonstrated in a wide range of trauma populations.

For more information about PE therapy, you can visit:

https://www.apa.org/ptsd-guideline/treatments/prolonged-exposure

https://www.psychologytoday.com/au/therapy-types/prolonged-exposure-therapy

RADICALLY OPEN DIALECTICAL BEHAVIOUR THERAPY (RO DBT)

Radically Open Dialectical Behaviour Therapy (RO DBT) is an evidence-based treatment targeting a spectrum of disorders characterised by excessive inhibitory control, or overcontrol, including chronic depression, Anorexia Nervosa, Obsessive-Compulsive Personality Disorder, treatment-resistant anxiety, and maladaptive perfectionism. Our Director, Melissa Kent, is trained in RO DBT. You can read more about RO DBT here https://www.radicallyopen.net/about-ro-dbt/

CBT-E

Enhanced Cognitive-Behaviour Therapy (CBT-E) is a short-term, time limited, individual outpatient therapy for adults with eating disorders. It involves working one-on-one with a CBT therapist to uncover the factors that keep eating problems going – and then systematically together, tackling them in the treatment.

Consistently across research trials, CBT-E has been shown to be the most effective treatment for eating disorders in adults.

If someone is severely underweight, they will need to begin their physical recovery before they start psychological treatment, so they are strong enough and their brain is working properly.

For more information about CBT-E, visit this website:

https://www.mirror-mirror.org/cognitive-behavioral-therapy-eating-disorders.htm

FBT

For children and teenagers with anorexia nervosa, family therapy is usually the best choice. Other types of psychological treatment are considered if family therapy is not possible or has not been successful.

The Family-Based Therapy (also known as “the Maudsley model”) of treatment for anorexia is an evidence-based treatment. It usually lasts for one year and involves 15-20 sessions. There are three phases involved in the treatment, and it involves parents playing an active and positive role in helping restore their child’s weight to normal levels expected given their adolescent’s age and height; hand the control over eating back to the adolescent; and encourage normal adolescent development through an in-depth discussion of these crucial developmental issues as they pertain to their child.

More ‘traditional’ treatment of anorexia suggests that the clinician’s efforts should be individually based. The Maudsley approach opposes the notion that families are pathological or should be blamed for the development of Anorexia. On the contrary, the Maudsley approach considers the parents as a resource and essential in successful treatment for Anorexia.

For more about the Maudsley model, you can visit Maudsley Parents – a website for the parents of children with eating disorders.

CBT

Cognitive-Behaviour Therapy (CBT) is a method of treatment for psychological disorders, that takes a practical, task-based approach to solving problems. It is designed to help change negative thoughts and behaviours, by providing more positive and fulfilling solutions.

The focus of CBT is to address symptoms while they are present, and to learn skills and techniques that can be used in the ongoing improvement of mental health. There is a large body of evidence which shows CBT is a very effective treatment for the reduction of symptoms associated with a wide range of health issues, especially the common anxiety and depressive disorders.

Additionally, the effects of CBT don’t stop at the end of treatment. The lessons learned from CBT are ingrained through practice, and so make substantial and ongoing changes to a person’s life. The practical coping mechanisms are also transferable, so skills and techniques learned through CBT can positively affect other facets of life, like work, study, and personal relationships.

You can learn more about CBT here:

https://www.betterhealth.vic.gov.au/health/conditionsandtreatments/cognitive-behaviour-therapy

ACT

Acceptance and Commitment Therapy (ACT) gets its name from one of its core messages: accept what is out of your personal control, and commit to action that improves and enriches your life.

The aim of ACT is to maximise human potential for a rich, full and meaningful life. ACT (which is pronounced as the word ‘act’, not as the initials) does this by:

  • teaching you psychological skills to deal with your painful thoughts and feelings effectively – in such a way that they have much less impact and influence over you (these are known as mindfulness skills).
  • helping you to clarify what is truly important and meaningful to you – i.e your values – then use that knowledge to guide, inspire and motivate you to change your life for the better.

For more about ACT, you can visit this website: https://www.goodtherapy.org/learn-about-therapy/types/acceptance-commitment-therapy.