Adolescent Dialectical Behavior Therapy (DBT-A), as developed by Alec Miller and Jill Rathus, shares foundational principles with the original DBT developed by Marsha Linehan and tailored specifically for adolescents. Here are some key differences:
Developmental Considerations: DBT-A takes into account the unique developmental stage of adolescents, addressing issues such as identity formation, peer relationships, and family dynamics that are particularly salient during this period.
Simplified Language and Concepts: DBT-A uses simplified language and concepts to make the therapy more accessible and understandable for adolescents. It breaks down complex psychological concepts into language and examples that are relatable to teenagers.
Family Involvement: DBT-A places a strong emphasis on family involvement and incorporates family therapy sessions as a central component of treatment. Additionally, caregivers are provided telephone coaching with a different DBT therapist than the adolescent's therapist. Caregiver involvement recognizes the significant influence of family dynamics on adolescent behavior and emotional well-being.
Adapted Skills Training: While DBT-A retains the core skills modules of mindfulness, distress tolerance, emotion regulation, and interpersonal effectiveness from traditional DBT, it adapts them to better suit the developmental needs and challenges faced by adolescents. DBT- A has an additional skill module, Walking the Middle Path, designed to enhance family dynamics.
Integration of Developmental Milestones: DBT-A integrates developmental milestones and tasks into treatment goals, helping adolescents navigate transitions and acquire the necessary skills for successful adult functioning.
Overall, DBT-A maintains the core principles of validation, dialectics, and behavior change found in traditional DBT and tailors them to address the unique needs and developmental stage of adolescents, making the therapy more relevant and effective for this population.