I have yet to try DBT (though my T and Pdoc are pushing it...but there's nothing available in my area atm).
I have found great success with supportive patient centered therapy for BPD.
In a very generalized sense, DBT is CBT mixed with Buddhist mindfulness and very structured.
I didn't get too far into Linehan's book, but from what I understand, most of her research is based off of parasuicidal women in a hospital setting. If I remember right, she did a trial comparing DBT with CBT, and both showed improvement in BPD...just DBT had slightly higher results.
I personally don't get why everyone is into DBT. To me, it's not really a new concept. It's just mixing two therapy approaches that already existed. Yes, I will still try it out when I can...I'm very compliant with my doctors...and I will be open minded as I am a little familiar with both CBT and Buddhist concepts. But I know it doesn't work for everyone.
My Pdoc says (don't attack me for this), that most BPD's won't see improvement with ANY treatment if they are not open to it. My T says that most people with BPD will turn down any type of treatment simply because they are resistant to any suggestions. You have to get to a point where you are willing to put in the effort. I figure, anything is better than being stuck in our cycle...
__________________
"Odium became your opium..." ~Epica
|