Therapy

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About Therapeutic Modalities

Dialectical-Behavioral Therapy (DBT) is a deritive of CBT that focuses more on the emotions rather than thoughts.

DBT has the following functions:
- Improve client's motivation for change
- Enhance clients' capabilities
- Help clients generalize skills/behaviors to their natural environments
- Structure the treatment/program and environment

Strategies include:
- Increase mindfulness and sitting with difficult emotions (distress tolerance)
- Better understand motivation behind emotions and maladaptive coping skills

Solution-Focused Brief Therapy (SFBT) is a different form of therapy that concentrates on finding solutions in the present, based on what you already do to be successful through appropriate coaching and questioning.

SFBT principles include:
- People have the strength, wisdom, experience to effect change.
- Goal-setting is the foundation of treatment.
- A positive, respectful and hopeful outlook is always mirrored by the clinician.
- Brief is in the title; treatment is typically complete after 5-8 sessions.

Strategies include:
- "The miracle question"
- The solution to the problem is found in the "exceptions"; when is the problem not happening, and what are you doing during it? How can we replicate those times?
- Specific questioning techniques, 0-10 scales, empathic support.
- Individuals learn to focus on what they can do, rather than what they can’t do.

Download this PDF to see the basic steps of obtaining a psychiatric evaluation at the hospital.

Behavioral/Mental Health Resources in Massachusetts

Behavioral Health Helpline- Call, Text or Chat to be connected with the right service
Community Behavioral Health Centers (CBHCs)- Alternative to an emergency department; can access crisis  services, urgent outpatient & medication appointments, and crisis stabilization beds depending on location
Network of Care- Directory of Programs and Services
William James INTERFACE Referral Line- Find a therapist with your preferences and takes your insurance (catchment area requirement)
Therapy Matcher (NASW-MA)- Find a social worker who is a therapist with your preferences and takes your insurance
Other ways to find therapists: Psychology Today, Headway, HelloAlma, Marvin Behavioral Health (specifically for health care workers and must be contracted with your employer)