Friday, November 24, 2017
Dialectic Behavior Therapy Miami - Dialectical Main Image
Dialectical Behavior Therapy (DBT)

Dr. Kalsner-Silver is pleased to announce that she is a member of Miami’s first and only intensively-trained Dialectical Behavior Therapy team. Dialectical Behavior Therapy (DBT) was developed by Marsha Linehan, Ph.D., in the 1990’s for the treatment of Borderline Personality Disorder and severe dysfunctional behaviors (people engaging in self-harm and suicidal behaviors). However, research demonstrates that DBT can be highly effective in treating a range of problems including eating disorders, depression, anxiety, relationship conflicts, and post-traumatic stress disorder.

DBT treatment emphasizes the practice of DBT skills taught in a group format and reinforced by the individual DBT therapist. DBT skills are taught in four modules:

* Core Mindfulness Skills: Skills to increase the capacity to pay attention, non-judgmentally to the present moment so that individuals develop the capacity to manage thoughts, emotions, and behaviors.

* Distress Tolerance: Skills for tolerating painful, distressing emotions and urges.    Developing distress tolerance allows clients to manage upsetting events more effectively.

* Emotion Regulation:  Skills for understanding, experiencing, and managing emotions in an effective, non-harmful style.

* Interpersonal Effectiveness: Skills to maintain and enhance interpersonal relationships. Importantly, clients learn to manage interpersonal conflict, develop assertiveness skills, and maintain self-respect.

Clients are asked to practice skills daily and track their urges in a skills diary card that is reviewed with the individual therapist to reinforce the practice of skills for the client’s maximum likelihood of success in changing harmful behaviors. For this reason, the DBT model requires that the person enrolled in a skills training group also attend weekly individual sessions with a one of our DBT-trained therapists.

We are currently offering an individual DBT treatment approach for those clients who would like to incorporate this model into their treatment plan. We are also developing groups during afternoon and evening hours for both adolescents and adults. In addition, we also work in collaboration with The Counseling Group in Miami, and DBT by Design, private practices that are members of our intensively trained DBT team.

DBT skills training groups help individuals develop real life, practical skills for managing intense emotions and self-destructive urges. Group members are required to be in individual therapy with a DBT-trained therapist and groups typically last 5 - 6 months. Parent DBT Training Groups are also offered in our Weston office and will be offered in our Miami Beach office in the Fall of 2015.

Several DBT skills groups are offered at the Miami Beach locations. Group fees are $90 per session.

Miami Beach Office:

Wednesdays:
Parent DBT Skills Training
Biweekly 5:30 - 7:00 pm
Led by Dr. Alyssa Rothenberg

Thursdays
Adolescent DBT Group
6:30 - 8:00 pm
Led by Dr. Lydia Kalsner-Silver

Fridays
Adult DBT Group
6:00 pm - 7:30 pm

Parent Skills Training Group
Biweekly Wednesday evenings, 5:30 - 7:00 pm
Led by: Dr. Alyssa Rothenberg


Several DBT skills groups are offered at the Weston location. Group fees are $90 per session.

Weston Office:

Mondays:
Parent DBT Skills Training
Biweekly 6 - 7:30 pm

Wednesdays
Adult DBT Group
6:30 pm - 8:00 pm

Thursdays
Adolescent DBT Group
6:30 - 8:00 pm
Led by Dr. Alyssa Rothenberg

Parent Skills Training Group
Biweekly Tuesday evenings, 5:30 - 7:00 pm