Dialectical Behavior Therapy for Addiction in NYC

Self-Acceptance After Substance Abuse

dr po chang

Medically Reviewed By

Dr. Po-Chang Hsu, M.D., M.S.

On Apr 17, 2023

amanda stevens

Written By

Amanda Stevens, B.S.

On April 17, 2023

Ascendant: Providing DBT Therapy in Brooklyn, NYC, and the Surrounding Areas

Dialectical behavioral therapy is a category within the field of cognitive behavioral therapy. While CBT emphasizes facilitating changes in behavior, DBT focuses more on developing healthy coping skills to manage stress and emotions with an emphasis on validation and self-acceptance.

The idea behind DBT is that all things in life are connected and that the only constant element is that change is inevitable. For those struggling with mental health issues or a history of substance abuse, this constant churn in life brings up many negative thoughts and emotions and a tendency toward overreaction.

This negativity can make it increasingly difficult to cope and grow as new inconveniences arise. In turn, this can lead to self-loathing and a sense of worthlessness at their inability to overcome real or perceived challenges. It may also manifest as a strong fear that they will not be able to keep up with these changes, leaving them feeling hopeless and stuck.

Dialectical Behavior Therapy in NYC

Best Substance Abuse Dialectical Behavior Therapy in New York

How Is DBT Different From CBT?

Cognitive behavioral therapy seeks to follow the path from negative thought to correlating negative behavior. The goal is to identify the harmful thought pattern, change the automatic response and thus change the behavior.

Dialectical behavioral therapy helps patients discover new ways to accept themselves as they are. It aims to ensure patients feel safe and empowered to manage their own emotions and enable them to monitor self-destructive or undesirable behaviors.

How Dialectical Behavior Therapy Works

DBT focuses on four core elements of treatment, mindfulness, distress tolerance, emotional regulation, and interpersonal effectiveness.

Mindfulness

Mindfulness skills help patients center themselves and reach a calmer state during stressful situations. This gives mental space to more clearly evaluate their emotions and learn to appreciate what is happening at any given moment.

Interpersonal Effectiveness

How one interacts with others affects every part of our lives, from friends and family to coworkers and teachers. Developing effective communication and positive interpersonal skills is a hallmark of DBT therapy. Patients learn how to clearly express their needs, communicate productively, and give more thoughtful responses.

Distress Tolerance

Distress tolerance is a skill that helps patients learn to accept and tolerate what they’re facing rather than becoming overwhelmed or overreacting. They will come to better understand that some pain is inevitable and learn how to manage their reaction to it.

Patients receive training in useful distraction skills and discover new ways to improve the moment they find themselves in. Self-soothing skill development is another distress tolerance skill that equips patients to endure circumstances in real-time.

Emotional Regulation

This skill doesn’t come naturally to most but is more difficult to develop unassisted for those struggling with substance abuse or a mental health issue. Patients will learn how to exert more control over a range of emotional reactions to reduce undesirable exhibitions or behaviors.

Dialectical Behavior Therapy for NYC Drug & Detox Center

What Does Dialectical Behavior Therapy in NYC Look Like?

At Ascendant, we know every patient’s circumstances, needs, and abilities are unique. Therefore, their treatment plan must also be custom-designed to match where they are and what they need.

Using evidence-based treatments & a holistic approach to patient care, our highly-qualified clinical and nursing staff are addiction industry experts ready to facilitate growth & healing for each individual.

Our DBT treatment programs consist of several tactics, from individual therapy sessions to group therapy & phone consultations. Each strategy adds value to the patient & moves them closer to their goals.

Individual DBT therapy sessions are offered in our comfortably luxurious space in the heart of NYC. Here, the patient will learn the necessary behavioral & coping skills that are suited to that individual’s unique life challenges.

Group DBT therapy in New York is another evidence-based practice that presents an opportunity for exposure to the experiences of others & positive interactions with them. Practical problem solving and role-playing are also common therapy activities. From these sessions, there may be journaling homework & accountability partners to keep skill development sharp while away from sessions.

Telehealth has grown significantly over the past few years but it has long since been part of most DBT therapy treatment plans. Here the patient will have phone access to their therapist in between individual sessions. They will receive additional guidance and feedback on current circumstances.

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Frequently Asked Questions About Dialectical Behavior Therapy for Addiction in NYC

How does DBT help with addiction recovery?

The way that dialectical behavioral therapy (DBT) helps in the process of recovering from addiction is by teaching skills to better deal with the emotion, stress, and impulse control that often lead to substance use. The skills learned through DBT, like how to cope with distress and employ emotional regulation, will help an individual manage cravings, deal with their triggers and learn about other, healthier ways to cope with difficult times instead of drinking or using drugs.

What skills are taught in DBT therapy?

DBT helps people build resiliency by providing them with skills to better deal with stressors during their recovery. The skills that DBT teaches are typically organized into four areas:

  • Mindfulness: to become aware of present moment feelings and thoughts
  • Emotional Regulation: to manage and cope with high levels of emotion
  • Distress Tolerance: to utilize adaptive coping techniques in the presence of distressing situations
  • Interpersonal Effectiveness: to increase the ability to communicate and develop relationships with others
Who can benefit from DBT therapy?

DBT would be beneficial to anyone who struggles with substance use disorders, has problems with emotional regulation, has experienced trauma, and has co-occurring mental health disorders such as anxiety, depression, or personality disorders. DBT would be especially helpful to individuals who experience severe emotional reactions, have difficulty managing stress, and do not have good relationship management skills.

Is DBT used alone or with other therapies in addiction treatment?

DBT is commonly used in conjunction with many other evidence-based approaches to treatment and is rarely implemented alone. DBT is included as part of a comprehensive treatment plan that combines evidence-based therapies, behavioral counseling, and medical support to address both the behavioral and emotional aspects of recovery.

Is DBT better than CBT for addiction?

Both DBT and Cognitive Behavioral Therapy (CBT) are evidence-based therapies for treating an addiction disorder; neither is always “better” than the other as they are effective for treating different needs, however, both can be administered in combination with one another as part of a comprehensive treatment plan.

CBT concentrates on identifying and changing unhealthy thought patterns and behaviors that contribute to substance abuse. It teaches the individual to recognize their triggers, challenge their negative thinking, and develop practical coping strategies to prevent relapse.

DBT, which evolved from CBT, places additional emphasis on emotional regulation, distress tolerance, and mindfulness. Therefore, DBT can be especially helpful for people who struggle with intense emotions, impulsive behaviors, trauma, or co-occurring mental health conditions.

Often clinicians will combine elements of both CBT and DBT in treatment to address psychological, behavioral, and emotional factors involved in addiction.

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