DBT 5 - Session 4
The rule of thumb in DBT is that after +- 60% of the client's treatment you start preparing for the end of the therapy. There is no step-by-step plan for this, and the preparation involves more than arranging aftercare. Above all, it requires alertness and ‘reading between the lines’. For many clients, the approaching end of intensive immersion therapy evokes intense emotions. And if, like Anne, they have a developmental history that includes mobile relationships with sudden abandonment, then they have developed few skills to deal with that. You can see that Roland responds with care, validates and uses didactic strategies to teach Anne what goodbyes can entail. Meanwhile, radical acceptance and anticipation play a crucial role, and of course a watertight relapse prevention plan.