Integrating DBT-based techniques and concepts to facilitate exposure treatment for PTSD Original Research Article

While considerable evidence supports the use of exposure-based treatment for PTSD, its utilization in clinical practice remains limited. This article presents a systematic and empirically grounded approach to the flexible application of PTSD treatment research in a “true” clinical setting. High rates of attrition, suicidality, dissociation, destructive impulsivity, and chaotic life problems are reasons cited by clinicians for abandoning empirically supported exposure treatment. Linehanʹs dialectical behavior therapy (DBT), designed to address many of these issues, offers useful strategies for addressing the needs of patients considered poor candidates for exposure therapy. This article offers a model for integrating DBT-based theory, concepts, and skills with manualized exposure-based cognitive-behavior therapy for PTSD in order to improve patient (and therapist) tolerance of this treatment.