The frequency of therapy sessions for Borderline Personality Disorder (BPD) after starting Dialectical Behavior Therapy (DBT) can vary depending on individual needs, treatment progress, and the therapist's recommendation. In general, DBT typically involves a combination of individual therapy, group therapy, and phone coaching. Here are some common considerations:
Individual Therapy: Initially, weekly individual therapy sessions are common when starting DBT. As progress is made and the individual becomes more skilled in using DBT techniques, the frequency of sessions may decrease. Eventually, sessions might be spaced out to bi-weekly or even once a month.
Group Therapy: Group therapy is a significant component of DBT, providing individuals with a supportive environment to learn and practice new skills. Group sessions are usually held weekly or bi-weekly.
Phone Coaching: DBT often includes phone coaching, allowing individuals to reach out to their therapists for support and guidance in applying DBT skills during challenging situations. Phone coaching is usually available during specific hours on weekdays.
As for things to work on outside of therapy sessions, individuals with BPD undergoing DBT can engage in various practices to reinforce their progress and cope with difficult emotions and situations:
Mindfulness Exercises: Practicing mindfulness regularly can help individuals become more aware of their thoughts and emotions, reduce emotional reactivity, and improve self-regulation.
Emotion Regulation Techniques: Learning and applying emotion regulation skills, such as checking the facts, opposite action, and coping ahead, can help manage intense emotions more effectively.
Distress Tolerance Strategies: Engaging in activities that soothe and distract from distressing emotions can be helpful. DBT offers distress tolerance skills like self-soothing, improving the moment, and using wise mind ACCEPTS.
Interpersonal Effectiveness: Working on improving communication and boundary-setting in relationships can be beneficial. DBT provides strategies like DEAR MAN and GIVE to enhance interpersonal effectiveness.
Journaling: Keeping a journal to track emotions, triggers, and the use of DBT skills can foster self-awareness and provide valuable insights for therapy.
Self-Care: Regular self-care practices, such as exercise, healthy eating, sufficient sleep, and engaging in hobbies, contribute to emotional well-being.
Reviewing DBT Materials: Reviewing DBT handouts, workbooks, or notes from therapy sessions can reinforce the learning process and help individuals remember and apply skills in real-life situations.
It's essential for individuals undergoing DBT to remember that progress takes time and setbacks are normal. Consistent practice and a commitment to applying DBT skills in everyday life are key to achieving lasting positive changes. Always follow the guidance and recommendations of the therapist, as they will tailor the treatment plan to suit the individual's specific needs and progress.