Telephone coaching is a mode of treatment in Dialectical Behavior Therapy (DBT) that is thought to help clients generalize skills, prevent suicidal behaviors, and offer an avenue to repair the therapeutic relationship. To date, phone coaching has received scant empirical investigation and little is known about the type and frequency of contact that DBT therapists receive from clients with Borderline Personality Disorder (BPD). In addition, no studies have investigated predictors of phone coaching use. The present study as three aims: 1) describe patterns in frequency of telephone calls and text messaging between clients and their individual therapists; 2) investigate whether baseline severity and suicidal behaviors are predictive of phone coaching frequency; 3) investigate whether the strength of the therapeutic alliance is associated with phone coaching frequency. Study participants were 51 adults (35 treatment completers) with a primary diagnosis of BPD who attended a six-month comprehensive DBT treatment program. The average number of contacts for phone coaching per month was 2.55 (SD=4.49) with a range of 0-18 contacts. Four of the 35 treatment completers comprised 56% of the contacts in this study. The most frequent reason clients used phone coaching was for help with skills generalization followed by check-ins, suicidal behaviors, and issues related to the therapy relationship. Having a recent history of suicidal behaviors, degree of severity at baseline, or the strength of the therapeutic alliance were not predictive of phone coaching use at post-treatment. Lower income was significantly associated with a higher frequency of phone coaching use. These results can help clinicians and administrators to make decisions on how to better provide phone coaching and clarify the effort that is involved in providing this service to clients with BPD.

"Phone coaching is an important aspect to dialectical behavior therapy. In this book, the author focuses on why we do it, how to make it effective, and ways to avoid common pitfalls. The book gives clinicians clear principles and practical guidance on how to approach this aspect of treatment. For new coping strategies to make a difference in clients' lives, clients need to use and practice them in everyday situations. Phone coaching is designed to help clients do just this. Regardless of your treatment approach, therefore, the principles and strategies in this book will give you new ways to help clients learn and apply effective coping skills to learn more about themselves, manage stress, improve relationships, and work toward important goals"--

This is the first comprehensive guide to phone coaching in dialectical behavior therapy (DBT)--an integral part of treatment that many clinicians find challenging. What are the principles and goals of phone coaching? What limits should be set? How can a therapist manage suicide risk during a brief call? DBT expert Alexander Chapman addresses these and other critical practical questions in this accessible book. He provides guidelines for coaching core DBT distress tolerance and emotion regulation skills; coaching "dos and don'ts"; and tips for structuring each call's beginning, middle, and end. Featuring many concrete examples, strategies, and model dialogues, the book includes a key chapter on suicide crisis calls.

Dialectical Behavior Therapy can be described as an evidence form of psychotherapy that was aimed at treating borderline personality disorder. It is also known as Emotional Instability Disorder. Dialectical Behavior Therapy has been known for formidable success stories in the field of psychology. The success of the therapy has been witnessed in treating suicidal ideation, mood disorders and shift in behavioral pattern. The shift in the behavioral pattern has been widely used in helping people quit use of harmful substances such as alcohol and drugs abuse. The modern form of Dialectical Behavior Therapy was developed in the late years of 1980s. The innovation was done by a psychology researcher at University of Washington known as Marsha Linehan. The recent research conducted has proven that Dialectical Behavior Therapy can be able to help people who have survived from sexual abuse. There are several elements of this process that is derived from Buddhist meditative practices. Patents are helped to view therapists as allies which undergoing Dialectical Behavior Therapy sessions. The function of this step is to eradicate the thoughts of therapists being adversaries during the treatment of psychological complications. On the other hand, a therapist is tasked with roles of accepting and validating a patient opinion at any given time. The therapist goes ahead to inform the patient of some thoughts and feelings being normal. These kinds of feelings and emotion tend to maladaptive. The client is then guided by the therapists in adopting better alternatives to help treat the condition. The process helps to achieve the goal of Dialectical Behavior Therapy since the patient able to gain new skills and changes in behavior which help in achieving a life that is worthy. Four Components of Dialectical Behavior TherapyIndividual: The client and therapist discuss matters that happen over the week which is recorded down. This is followed by a treatment target that is hierarchical. The conditions which are prioritized first include suicidal behaviors and self-injurious behaviors. The reason why they are given first priority is that they are life-threatening behaviors. Second priority forms of behaviors that are handled are those that are not directly harmful to a patient or those who surround him or her. These behaviors have an impact of just distorting the process a person is undergoing. Therefore, they are termed by psychologists as therapy interfering behaviors. Group: A group formed is supposed to meet once or twice in a week. These sessions are required to last for an estimated time of two or two and a half hour. The group members are taught how to use specific skill sets in life. These skill sets are broken down into four modules that include distress tolerance, interpersonal effectiveness, and core mindfulness and emotion regulation. Therapist Consolation Team: Therapists providing Dialectical Behavior Therapy sessions form a team, which is known as a therapist consultation team. The team holds meetings on a weekly basis. These meetings have the main purpose of supporting therapists who offer these services to clients. Phone Coaching: Phone coaching is a modern form of Dialectical Behavior Therapy session. The program is designed in a unique way that generalizes the desired skills from the sessions to a patient's day to day life. Phone coaching is usually a brief session held between the therapist and the patient. The session puts more focus on skills that a patient can use in life. In this book, you will learn more about: DBT to the rescue How

Preceded by: Skills training manual for treating borderline personality disorder / Marsha M. Linehan. c1993.

Dialectical behavior therapy (DBT) is a specific type of cognitive-behavioral psychotherapy developed in the late 1980s by psychologist Marsha M. Linehan to help better treat borderline personality disorder. Since its development, it has also been used for the treatment of other kinds of mental health disorders. The Oxford Handbook of DBT charts the development of DBT from its early inception to the current cutting edge state of knowledge about both the theoretical underpinnings of the treatment and its clinical application across a range of disorders and adaptations to new clinical groups. Experts in the treatment address the current state of the evidence with respect to the efficacy of the treatment, its effectiveness in routine clinical practice and central issues in the clinical and programmatic implementation of the treatment. In sum this volume provides a desk reference for clinicians and academics keen to understand the origins and current state of the science, and the art, of DBT.

Filled with vivid clinical vignettes and step-by-step descriptions, this book demonstrates the nuts and bolts of dialectical behavior therapy (DBT). DBT is expressly designed for--and shown to be effective with--clients with serious, multiple problems and a history of treatment failure. The book provides an accessible introduction to DBT while enabling therapists of any orientation to integrate elements of this evidence-based approach into their work with emotionally dysregulated clients. Experienced DBT clinician and trainer Kelly Koerner clearly explains how to formulate individual cases; prioritize treatment goals; and implement a skillfully orchestrated blend of behavioral change strategies, validation strategies, and dialectical strategies. See also Dialectical Behavior Therapy in Clinical Practice, Second Edition: Applications across Disorders and Settings, edited by Linda A. Dimeff, Shireen L. Rizvi, and Kelly Koerner, which presents exemplary DBT programs for specific clinical problems and populations.