Abstract
The last decade has seen an explosive growth in the use of dialectical behavior therapy (DBT) for the treatment of borderline personality disorder (BPD). This combined individual and group therapy blends elements of learning theory, cognitive-behavioral therapy, self-psychology, and Zen Buddhism in a coherent, teachable, replicable fashion to achieve significantly lower rates of self-injurious behavior among patients with BPD. Moreover, it has increased interest among clinicians in treating this often-challenging group of patients. The following is a case report of a chronically suicidal woman treated using the DBT model in multiple settings (outpatient, partial hospital, and group home). Case material is presented along with sufficient explanation to allow readers unfamiliar with DBT to follow the formulation and interventions. Rather than being written by multiple authors, this report summarizes the experience of one clinician in presenting her clinical work to a group of nationally recognized senior DBT clinicians at the University of Washington in Seattle,* where this form of treatment originated.
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