Dialectical Behavioural Therapy is an evidence-based treatment developed by Dr. Marsha Linehan for Borderline Personality Disorder (BPD) as well as other diagnoses and symptoms such as anxiety, mood disorders, substance use, eating disorders, suicidal thoughts, self-harm, trauma, etc. Participating in a comprehensive DBT program is shown to have a positive impact on the above mentioned and other common difficulties. It is critical to be sure that your DBT therapist is truly qualified to practice DBT. When DBT is not done as designed, the results may be inadequate and cause the person to lose hope in treatment. Therefore, getting the best outcomes possible from DBT requires a comprehensively trained DBT therapist who provides treatment that adheres to the DBT model.
We are the only centre in Montreal to offer comprehensive DBT therapy and our program is currently in the process of being certified by the DBT Linehan Board of Certification™. We are also the only centre in Quebec with a DBT Linehan Board of Certification™ Certified Clinician.
Here are some questions to help ensure that you are choosing the right DBT therapist for you:
We hope this provides you with a guideline of what to expect from a properly trained DBT therapist. At Greyzone we strive to provide DBT treatment of the highest quality standard.
DBT-C is Dialectical Behavioural Therapy that has been modified to address the treatment needs and developmental levels of children. DBT-C aims to help parents work with their child in learning helpful coping skills. DBT-C is a relatively new treatment program for children, but it is an effective option. Through DBT-C, children learn DBT coping skills so they can handle strong emotions and enjoy their time with friends, family and all the things that make them smile.
DBT-C has been modified to suit the developmental levels of children ages 6 to 12. Older children and young adults might consider regular DBT treatment to address challenges with emotion regulation and harmful behaviour patterns.
When Should Parents Consider DBT-C for Their Child?
You might be wondering if your child would benefit from DBT-C treatment, or if they will naturally outgrow outbursts. Although not every tantrum is a sign of a deeper issue, children who are irritable or angry most days of the week may benefit from receiving treatment as soon as possible. DBT-C might help prevent mental health conditions, like anxiety and depression, down the road.
DBT-C can be an effective treatment for pre-adolescent children with the following:
Other signs of high emotional sensitivity in children include:
Children with high emotional sensitivity may have been diagnosed with one of the following disorders:
Other diagnoses, such as depression or an anxiety disorder, can also lead to symptoms of high emotional sensitivity. It’s worth noting that children with high emotional sensitivity often also experience enhanced positive emotions, increased creativity and greater empathy. Also, if your child displays any of the above behaviours, whether because of a mood disorder or other diagnosis, that does not mean something is wrong with him/her. DBT-C can help your child learn techniques to cope with high emotional sensitivity in a way that is beneficial to his/her wellbeing and relationships.
What to Expect?
Depending on the need of the individual as well as the agreement between the individual and the therapist, DBT either be carried out in a group and/or individually.
There are two main components of DBT-C – individual therapy and parents skills training.
How Are Parents Part of DBT-C?
As mentioned above, parents play an essential role in their child’s treatment. In a study, parents report learning DBT skills helps their ability to help their child use skills, and it also helps them regulate their own emotions. Caregivers also say that it helps to validate a child’s feelings before practicing skills.
Caregivers will learn about dialectics, behaviour modification and validation techniques. The DBT-C therapist and parents will cover topics such as:
DBT-PTSD is tailored to provide adherent, comprehensive DBT while treating Posttraumatic Stress Disorder. For clients beginning the program who want to treat PTSD as soon as possible, we offer DBT and Prolonged Exposure, following modifications by Dr. Melanie Harned, a DBT expert and researcher trained under Dr. Marsha Linehan.
DBT-PTSD is for those who have co-occurring diagnoses of PTSD, which develops in response to having experienced or witnessed one or more traumatic events, and other concerns such as depression, anxiety, substance-use, chronic pain, insomnia, or behaviors that are life threatening or quality of life interfering.
Our therapists will assess your history and current symptoms at intake to determine your diagnosis and whether DBT-PTSD is a good fit for you.
Build a life worth living, without PTSD.
What to expect?
Not all eating disorder clients are appropriate for comprehensive DBT, and comprehensive DBT is not appropriate for all clients with an eating disorder. DBT should be considered with clients for whom standard, evidence-based treatments have not helped, for clients who have a co-morbid diagnosis, or for when emotion regulation issues are central to a client’s illness.
Depending on individual needs, the goals of this treatment are to:
Our therapists will assess your history and current symptoms at intake to determine your diagnosis and whether DBT for eating disorders is a good fit for you.
What to expect?
Weekly individual DBT therapy.
Once weekly group DBT skills training.
Nutritionist services as needed
DBT-SUD is a modification of standard DBT developed by Dr. Linda Dimeff. It is for individuals who have co-occurring mental health and substance dependency concerns. Participants strive for dialectical abstinence, being 100 percent clean and sober, using a harm reduction model.
DBT-SUD helps clients to:
Individual therapy and as needed phone coaching are provided by clinicians trained in DBT
This new therapy is a breakthrough, transdiagnostic approach (developed by Dr. Thomas Lynch) that helps clients with extremely difficult-to-treat overcontrol (OC) disorders such as anorexia nervosa, chronic depression, and obsessive-compulsive disorder (OCD).
RO DBT treatment involves both individual treatment sessions and skills training classes, and centers around five overcontrol themes: inhibited and disingenuous emotional expression; hyper-detailed focused and overly cautious behavior; rigid and rule-governed behavior; aloof and distant style of relating; as well as high social comparison and envy/bitterness.
Psychological health or well-being in RO DBT is thought to involve three core interrelated traits:
Radical Openness is the core philosophical principle and core skill in RO DBT. Radical Openness is a way of behaving, but it is also a state of mind informed by the core idea that emotional well-being involves the overlap of the above three traits: openness, flexibility, and social connectedness. As a state of mind, Radical Openness involves actively seeking our personal unknown in order to learn from an ever-changing environment. Radical Openness also enhances relationships because it models humility and the willingness to learn from what the world has to offer.
Our parent groups are meant to support parents who have children with emotion dysregulation, and who may engage in risky behaviours, self-harm, and/or have suicidal thoughts. Our 10-week parent group helps parents learn about Borderline Personality Disorder and other disorders that involve emotional dysregulation, Dialectical Behavior Therapy (DBT), and effective ways to support their teen or young adult children.
Individual therapy with a trained DBT professional is where a client’s newly learned DBT skills are adapted to their personal life challenges. Sessions are usually held on a weekly basis for 50 minutes.
DBT is helpful for individuals with symptoms or diagnoses of Anxiety, Depression, Borderline Personality Disorder, Bipolar Disorder, Eating Disorder, substance use, self-harm and suicidal thoughts. Our groups are for individuals with intense moods, trouble regulating their emotions, and unhealthy urges to cope with their mood.
We are offering 24-week groups for:
Weekly group therapy sessions are led by a trained DBT therapist in which people learn skills from the four modules.
At the end of each session, members are assigned homework, such as practicing mindfulness skills. Participants of the group are generally encouraged to share their experiences, worries and feelings, ultimately providing mutual support.
Clients may contact their DBT team, both their DBT individual therapist and DBT skills trainer, outside of their sessions.
Coaching is encouraged to generalize the new skills learned to the outside world.
Amanda has a bachelor’s degree in Specialization Psychology (Concordia University), a master’s degree in Educational Psychology (McGill University), and a master’s degree in Counselling Psychology (McGill University). Amanda is a member in good standing with the ordre des conseillers et conseilleres d’orientation du Quebec (OCCOQ).
She is trained and supervised in cognitive behavioural therapy (CBT), acceptance and commitment therapy (ACT), dialectical behaviour therapy (DBT), and mindfulness-based interventions. Amanda’s ultimate passion is to empower, advocate for, and assist individuals in need by creating a warm and supportive therapeutic environment.
Amanda works primarily with adolescents (17+) and adults experiencing difficulties with life transitions, emotional regulation, academics/career, interpersonal relationships, executive functioning weaknesses, personality disorders, depression, and anxiety.