DBT Case Conceptualization – Brief Format
Treatment Targets:
Create a list of targets based on the normal target hierarchy used throughout DBT.
Suicidal/Self-harm Behaviors
o List out
Treatment Interfering Behaviors from Client
o List out
Treatment Interfering Behaviors from Therapist
o List out
Quality of Life
o List out
Biosocial Model:
Describe how Linehan’s biosocial model applies to the client.
BIO -
SOCIAL -
Dialectical Dilemmas:
List all the present dialectical dilemmas that are most prevalent in the client
Active passivity (vs. apparent competence)
Unrelenting crisis (vs. inhibited grieving)
Emotional vulnerability (vs. self-invalidation)
Common Chain Analyses:
List common chains observed in session related to current targets in therapy.
Example:
AVOID/HIDE REDUCES FEAR INCREASES GUILT SELF-CRITICISM
DECREASED PRODUCTIVITY SHAME SUICIDALITY