In an adherent Dialectical Behavior Therapy (DBT) program, clients typically work with a DBT therapist who is specifically trained and experienced in delivering DBT. However, there can be some cases where a client continues to work with their long-time non-DBT therapist in addition to participating in DBT.
The decision to work with multiple therapists simultaneously requires careful consideration and collaboration between all parties involved, including the client, both therapists, and ideally, the client's DBT team if they are in a comprehensive DBT program.
Here are some factors to consider:
Collaboration between Therapists: It is essential that both therapists communicate and collaborate effectively. They should have a clear understanding of each other's roles and the treatment modalities being used. This ensures that the therapeutic approaches are complementary and not conflicting.
Goals and Treatment Plan: The client and both therapists should establish clear goals and a treatment plan. Each therapist should be aware of the specific focus of their sessions and how their work fits into the broader treatment picture.
Consistency and Coordination: It's crucial for both therapists to coordinate their efforts to ensure consistency in the client's treatment. This means avoiding conflicting advice or approaches and supporting the client's overall progress.
Time and Energy Commitment: Engaging in two therapy relationships can be time-consuming and emotionally demanding. Clients need to consider whether they have the time and energy to effectively engage in both therapies without becoming overwhelmed.
Confidentiality: Confidentiality should be maintained in both therapy relationships. The client can decide how much information they want to share between the therapists, but it's essential to be transparent about this decision.
Therapeutic Alliance: The client should feel a strong therapeutic alliance with both therapists. A positive working relationship with each therapist enhances the overall treatment experience.
Ultimately, the decision to work with both a long-time non-DBT therapist and a DBT therapist is individualized and should be made based on the client's unique needs and circumstances. If you are considering this option, it's essential to have an open and honest conversation with both therapists to ensure it's the right approach for you and that all parties are on the same page. Additionally, consulting with the DBT team or seeking advice from a qualified mental health professional can be beneficial in making an informed decision.