Dbt Patient Agreements

Some of these strategies are the devil`s advocate technique, in which the therapist pleads for the site that he does not commit to treatment. This helps to strengthen the patient`s sense of choice and autonomy. Another engagement strategy is called foot in the door. And a bit like the foot in the door, it`s called the door on the face. The foot in the door is therefore if a therapist can request a simple first request that puts the foot in the door, which increases the possibility of compliance and increases the likelihood that the patient will accept another request. The face-to-face technique would be to ask for something bigger than expected, be told no by the patient, and then make it more likely that they will accept a less intense request. For example, if we consider our homework, if we use the door-to-face technique, we could ask for a new ability to be practiced every day, and this may be too much commitment for a new patient who learns the ability, so that we can withdraw and ask for it three times a week. Until the patient and therapist agree on how the treatment will proceed, methods and goals, the patient is not involved in DBT, but is in pre-treatment. As a rule, pre-treatment should not last more than three sessions, during which a typical assessment is no different from any other form of psychotherapy. The agreements are reviewed and the therapist begins to implement the engagement strategies in order to strengthen the patient`s engagement in the treatment. The therapist undertakes to make, beyond the usual ethical and confidentiality requirements of the profession, all so-called reasonable efforts to ensure the therapy in the most competent way possible and to participate in peer consultation team meetings.

The individual therapist is also committed to offering appropriate intersessional contact in the form of telephone coaching. And they are committed to treating the patient with respect and working on their own treatment behaviors that might arise. Also, make a smooth transition to another engagement strategy that evaluates the pros and cons of entering DBT. It is important to sincerely point out the differences between DBT and other therapeutic modes, which includes the disadvantages of entering the treatment.. . . .

Posted September 16th, 2021 in Uncategorized.

Comments are closed.