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Serial Article

DOI data
DOI 10.3280/qpc48-2021oa12138
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Journal Data

Full Title
Publisher (01) FrancoAngeli
Country of publication Italy (IT)
ISSN 2281-6046
Product Form Online Journal (JD)

Journal Issue Data
Journal Issue Number 48
Journal Issue Designation 48
Journal Issue Date (YYYY) 2021
Serial Article Data
Title A case study and practitioner perspective on the application of Radically Open Dialectical Behaviour Therapy (RO DBT)
By (author) (A01) Maggie Stanton
By (author) (A01) Sophie C. Rushbrook
By (author) (A01) Michaela A. Swales
By (author) (A01) Thomas R. Lynch
First Page 20
Last Page 35
Language of text Italian (ita)
Publication Date (YYYY/MM) 2021 / 07
Copyright 2021, FrancoAngeli srl
Introduction or preface (33)
Radically Open Dialectical Behaviour Therapy (RO DBT) is a new treatment for overcontrolled mental health disorders, including refractory depression. This case study provides the therapist's description of delivering RO DBT to a client who took part in a randomised controlled trial of RO DBT. It describes novel treatment strategies and their implementation. Sam attended weekly individual sessions and group skills training sessions over 7 months. The treatment involved collaboratively explaining the RO DBT model whilst linking it to Sam's history and experiences. Coping styles that served to keep Sam isolated from others were identified with a focus on social signalling. RO DBT skills were introduced to activate her social safety system and enhance connectedness. Percentage improvement in depression scores from baseline was 50% at 7 months (end of treatment) and 65% at 18 months.Sam was in full remission at 12 and 18 months. Subjective feedback from Sam was that she felt happier in her marriage, had started voluntary work and made friends locally. She reported being more compassionate to herself and having increased flexibility in adapting to situations.The therapist reported using the RO DBT skills herself and finding them useful, both in learning the new therapy and in the therapy sessions. RO DBT's focus on the overcontrolled coping style and teaching of new strategies to address social signalling and enhance connectedness is a novel treatment approach. It offers promise as an intervention for those with depression.

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