ABSTRACT
This chapter explores key components of treatment delivery in Dialectical Behavior Therapy (DBT). This includes committing the client to treatment, considerations for implementing clinicians DBT program, and assessment. The cons of DBT informed implementations are that they may include less structure, there are fewer resources available for specific populations, and less research base for adapted interventions. The gold standard in DBT training is the ten-week, intensive training offered by Behavioral Tech. The main objective of this technique is to evaluate the pros and cons of engaging in DBT treatment with the client in a realistic and nonjudgmental manner. Adolescents' gender identity, disability status, and socioeconomic status may also warrant treatment adaptations. Commitment strategies in DBT include: foot in the door/door in the face, playing the devil's advocate, evaluating pros and cons, connecting present commitments to prior commitments, highlighting freedom to choose and absence of alternatives, and cheerleading.
