DBT Graduate Group Pilot Study: A Model to Generalize Skills to Create a “Life Worth Living”

Abstract

Dialectical Behavioral Therapy (DBT) is an evidence-based program aimed at decreasing impulsive and self-harming behaviors. One part of this treatment is a skills training group, in which participants learn specific techniques to manage behaviors, interact with others and learn how to tolerate painful emotions. During this part of treatment, the focus is primarily on skills acquisition, but may not necessarily provide the chance to strengthen the skills or generalize the skills into day-to-day problems. One possibility to address this issue is to implement a DBT graduate group, in which clients can continue to develop the skills they have learned. This article presents a pilot study for a DBT graduate group in which 11 clients created specific target goals and then used the skills to work toward these goals, overcome barriers and experience emotions related to life problems. Results from this study indicate an improvement in mood based on decreases in depression scores on the Patient Health Questionnaire (PHQ-9), reports of achievements of target goals and positive and successful transitions out of therapy. While more information is needed about DBT aftercare programs, this article suggests components of a possible graduate group curriculum to help clients continue with the positive momentum gained from the skills training groups.