Recently I have begun using Radically Open DBT with clients. This is an exciting new treatment for overcontrolled clients, including those with chronic depression, severe anxiety, obsessive-compulsive personality disorder and autism. The ideal structure for treatment, as in “regular” DBT, is individual work accompanied by a skills-training class. Currently I cover the class material in session as well as working individually with the client. (There are no RO DBT classes yet in the area, as far as I am aware. ) I am level 1 certified in treating RO DBT. This treatment has also been found to be effective for anorexia, but I don’t treat that diagnosis.
I do teach “regular” DBT skills in working with many clients. However, clients who require individual DBT work because they are chronically at high risk are not appropriate for my private practice.
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