Abstract

Every day in my work as a therapist, supervisor, and clinical team member, I seek out opportunities to assess and strengthen commitment in myself and others. Much of what I do to build commitment I learned from dialectical behavior therapy (DBT). DBT describes commitment as an intention to take specific actions (or inaction) as a clear plan toward one's goal. Here I share lessons on commitment work in psychotherapy, which I have drawn from my training in DBT, my clinical experiences treating individuals and families with severe anxiety and emotion dysregulation, and my experiences both receiving and providing supervision and consultation on interdisciplinary treatment teams. First, I frame and flesh out commitment in the broader context of DBT. Then, I describe specific commitment strategies taught and practiced in DBT.

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