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 social anxiety, and autism. The ideal structure for treatment, as in “regular” DBT, is individual work accompanied by a skills-training group. Currently I cover the group lesson material in session as well as working individually with the client. (There are no RO DBT groups yet in the area, as far as I am aware. ) I plan to work towards certification in RO DBT. This treatment is 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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