2. After 6 months/a year
Review
?diaries
?psychometrics
?other people
?Target behaviours
?life goals
3. Is progress good enough?
To finish stage 1?
To contract for longer?
To call it quits?
4. What are your options?
What does client want?
What do you want?
More DBT stage 1?
DBT stage 2?
Another therapy?
Reinforcement for success =?
Another therapist?
5. What is/might be available?
Psychological therapies
Private therapists
Stage 2 DBT?
What is client’s current resource bank?
(friends, family, other professionals,
skills, job)
Do these match what she might need to
cope with your preferred option?
6. endings
What makes a good ending?
Will there be any other form of
relationship?
Follow-up/booster sessions?
Consult group essential and monitoring
of therapist’s own feelings equally
essential
Extinction burst/abandonment/ self harm
increase
7. Onward referrals
Timing
How much to hand over?
Can PTSD be dealt with by a non-DBT
therapist after DBT Stage 1?
Will there ever be availability of Stage
3??
