Monique Lohmeyer Maness 2022 NORTH CAROLINA In 2020 over 9 North Carolinians died each day from drug overdose SUBSTANCE USE DISORDER According to DSM5 a substance use disorder SUD involves patterns of symptoms caused by using a substance that an individual continues taking despi ID: 1038832
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1. Dialectical Behavioral Therapy (DBT) for Individuals with Substance Use DisorderMonique Lohmeyer Maness 2022
2. NORTH CAROLINAIn 2020, over 9 North Carolinians died each day from drug overdose.
3. SUBSTANCE USE DISORDER According to DSM-5, a substance use disorder (SUD) involves patterns of symptoms caused by using a substance that an individual continues taking despite its negative effects. Based on decades of research, DSM-5 points out 11 criteria that can arise from substance misuse. These criteria fall under four basic categories — impaired control, physical dependence, social problems and risky use:(APA, 2017)
4. Substance Use Disorder Criteria (APA, 2017)
5. DSM-V CRITERIA(APA, 2017)
6. DIALECTICAL BEHAVIORAL THERAPY (DBT)“A treatment originally developed for the treatment of suicidal behaviors and since expanded to treatment of borderline personality disorder and other severe and complex mental disorders, particularly those that involve serious emotion dysregulation.” (Axelrod, 2018)(Linehan, 2018)
7. What does Dialectical mean? Marsha Linehan, the creator of DBT, defines dialectical as a synthesis or integration of opposites. In simpler terms, dialectical means two opposing things being true at once.(Linehan, 2018)
8. Standard DBT Structure(Melanie S. Harned, n.d)
9. DBT MODULES (Linehan, 2018)
10. Is DBT appropriate for Patients with SUD but not BPD?
11. Strategic Modifications for SUD(Axelrod, 2018)
12. The Adaptation of DBT for Treatment of SUD(Linehan, 2008)
13. The therapeutic role of emotion regulation and coping strategies during astand-alone DBT Skills training program for alcohol use disorder andconcurrent substance use disordersH I G H L I G H T S• 108 individuals with AUD and concurrent SUDs were included.• A 3-month DBT-ST as stand-alone outpatient program were carried out.• Emotional dysregulation, coping strategies and severity of SUDs were assessed.• Coping strategies were mediators of changes in severity of AUD and concurrent SUDs.(Cavicchioli, Movalli, Vassena, et al., 2019)
14. TECHNOLOGY & DBT (Rizvi, Dimeff, Skutch,Carrol; Linehan, 2011)
15. DBT Skills in INTERDISCIPLINARY SETTINGSPsychiatrist, License Clinical Social Worker, Resident, Medical Student, Social Work Intern, and Psychologist, Substance use counselors, Individual Therapists.
16. States of Mind Videohttps://www.youtube.com/watch?v=S8G5L4AsAEM
17. FINAL THOUGHTS
18. REFERENCES
19. This project was supported by the Health Resources and Services Administration (HRSA) of the U.S. Department of Health and Human Services (HHS), Behavioral Health Workforce Education and Training (BHWET) Program under M01HP31370, UNC-PrimeCare, $1,920,000.00, or the Opioid Workforce Expansion Program -- Professional, (OWEP) under T98HP33425, UNC-PrimeCare-OUD, $1,350,000. Both programs are 100% financed with governmental sources. This information or content and conclusions are those of the author/s and should not be construed as the official position or policy of, nor should any endorsements be inferred by HRSA, HHS or the U.S. Government.