Dialectical Behavioral Therapy for Chronic Pain Management – by Florence Chaverneff, Ph.D. September 24, 2016
Still a recent form of cognitive behavioral therapy, dialectical behavioral therapy (DBT) combines dialectics and mindfulness meditation for therapeutic purposes.
The goal with this method is to help patients “gain insight and skills to manage their thoughts, emotions, and behaviors.”
A study presented at the American Academy of Pain Management’s Annual Meeting in San Antonio, Texas, proposed the use of this technique in pain management. DBT was initially developed in the United States as a treatment complement for patients with the most severe cases of borderline personality disorder (ie, cases of suicidal attempts and ideation).
practice “radical acceptance … and be more motivated to change.”
The authors explained that DBT is achieved through 4 “skills training modules: mindfulness, interpersonal effectiveness, emotion regulation, and distress tolerance.”
“in order to be able to generate change, one has to be aware and very clear about what is happening right now, accept the moment completely as it is … and accept that these are the cards that one was dealt, and figure out what to do with these.”
DBT is not currently used in the United States as a mechanism to manage chronic pain.