What is DBT PE?

DBT PE (the DBT Prolonged Exposure Protocol for PTSD) is a highly specialized approach to treating trauma and PTSD for people who struggle with multiple, severe, or complex problems, including those who self-harm or experience suicidal thoughts. Research has found DBT PE to be effective in helping people recover from PTSD as well as other problems that are often associated with trauma such as depression, trauma-related guilt, and shame.

How DBT PE Works

Comprehensive DBT

DBT PE integrates Prolonged Exposure for PTSD into standard DBT treatment. If DBT PE is recommended for you, you would participate in our comprehensive DBT program, focusing first on safety and stability before beginning to work more directly on trauma.

DBT Skills

During the first stage of treatment, you will learn DBT skills such as mindfulness, distress tolerance, and emotion regulation to cope with PTSD symptoms. Developing these skills also helps prepare you to manage the memories and emotions that you will face during Prolonged Exposure.

Prolonged Exposure

Prolonged Exposure therapy begins in the second stage of treatment, during which you will engage in controlled, therapeutic exposure to traumatic memories and reminders. Your therapist will work with you to tailor the exposure tasks to your specific situation, and to ensure a safe and supportive environment for addressing trauma. These exposures will help you process your traumatic memories, reduce your emotional distress and avoidance behaviors associated with these memories, and foster an increased sense of control, resilience, and healing.

Who DBT PE Can Help

People who have not benefited from other trauma treatments

If you have not found relief from other PTSD treatments or have found it challenging to engage in these therapies, you may respond well to the comprehensive and structured approach of DBT PE. DBT PE addresses multiple aspects of your mental health as well as factors that can interfere with benefiting from trauma-focused treatment.

People with PTSD and additional problems

Trauma can cause or worsen a wide range of emotional, behavioral, and psychological issues. Additionally, co-occurring problems can complicate standard treatment for PTSD. If you have Borderline Personality Disorder, struggle with dissociative symptoms or panic attacks, or use alcohol or drugs to cope with the effects of trauma, the integration of DBT skills and trauma-focused treatment can help.

People with PTSD who experience suicidal thoughts or self-harm

If you struggle with suicidal thoughts, self-harm, or suicidal behaviors, DBT PE is specifically designed to help reduce these and allow you to safely participate in trauma-focused treatment. The skills learned in DBT can help you cope when urges to engage in these behaviors arise, as well as to manage the emotions that often come up when processing trauma.

People with severe or complex PTSD

If you have experienced multiple traumatic events or complex trauma, or struggle with severe symptoms of PTSD, the structured, supportive, and integrative approach of DBT PE can help.

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