When you first contact us, you will be asked a few basic questions about your reasons for seeking treatment at this time and your main symptoms. Thereafter, an initial consultation meeting will be scheduled with one of the senior clinicians.
The initial consultation takes about two hours. It includes a clinical evaluation, history taking from the patient and separately from the parents. The meeting concludes with describing the goals, stages and targets of therapy, as well as it’s structure. After this initial consultation, if you agree and we think that DBT can be of benefit to you, you will receive the therapist (that we think is suitable for you) contact details. You should then schedule an introductory session with this therapist. The first several sessions are meant to assess, diagnose, and get to know each other. These pre-treatment sessions are crucial for designing the best treatment plan for you. Once the assessment is completed, the therapist will conceptualize your struggles within a DBT framework, and will review DBT and the expectations of the treatment in detail. If you agree, you and your therapist will devise a mutually binding therapy contract, in which you commit to follow a few rules to guarantee the best treatment possible.
Stages of Treatment
Therapy primary goals are focused on decreasing life threatening and other self-injurious behaviors, increasing motivation for therapy, and decreasing quality-of-life interfering behaviors. This stage lasts between 1 to 2 years, and includes individual therapy, individual and/or group skills training, phone coaching, psychiatric treatment as needed, and skills training group for parents.
Dialectical behaviour therapy (DBT) is the most researched treatment option with a few dozens of randomised controlled trials which have investigated its efficacy at multiple independent sites.
Participation in DBT is associated with reductions in a range of difficulties reported by individuals with BPD including: suicidal behaviour; suicidal ideation; BPD symptoms; hopelessness and depression. It has also been associated with improved adjustment and quality of life, as well as reduced health service utilisation and/or inpatient psychiatric days . A recent systematic review of randomised studies has shown that DBT is significantly better than treatment-as-usual in terms of leading to reductions in self-harm, decreases in ineffective expression of anger and improvement in general functioning.
In the Ofek center we gathered information showing that in the year of 2016-2017 the average of attempted suicides dropped by 96% (!) while the average of admissions to inpatient therapy dropped by 89% after one year of DBT comprehensive therapy. Reducing self harming behaviours is one of the goals of DBT. We have found that the severity of self harm for those in treatment has gone down 66% compared to the condition prior to the treatment.