DBT Therapist Rating and Feedback Form - nvpsychology 2025

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The most effective area of DBT was on self-harm and suicidal behavior of BPD patients. Indeed, most studies found that both short-term DBT and standard DBT improved suicidality in BPD patients with small or moderate effect sizes, lasting up to 24 months after the treatment period.
Each item is rated on a scale where 0 = not used/not necessary, 1 to 3 = below adherence, 4 = minimum threshold for adherence, and 5 = adherent with high sufficiency. The 4.0 threshold for adherent delivery of each item is based on the description of the strategy provided in the DBT manual (Linehan, 1993).
Therapists are not allowed in DBT to speak with patients or to have contact with them other than regularly scheduled therapy sessions until a full 24 hours have passed since the patients last life-threatening behavior. That includes suicide attempts and self-harm.
More specifically, DBT focuses on skills training and includes mindfulness, emotion regulation, interpersonal effectiveness and distress tolerance. These four components are the key to successfully implementing this modality in ones day to day life.
The first level of validation is listening. Here, you learn how to stay aware of what is happening in the moment and show interest in the other person through verbal and non-verbal cues. Keeping eye contact and asking questions are also other ways to show that you are listening.

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The DBT Group Skills Assessment (DBT-GSA) is another clinician-rated tool to evaluate clients participation and skill development in DBT group therapy settings. The DBT-GSA examines clients engagement in group activities, ability to apply learned skills, and overall treatment progress.

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